hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|MI,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Eaton Rapids Medical Center,12/13/2024,2.0.0,Eaton Rapids Medical Center,"1500 S Main St Eaton Rapids, MI 48827",381559180,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,code|3,code|3|type,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,modifiers,standard_charge|AETNA|COMMERCIAL|negotiated_dollar,standard_charge|AETNA|COMMERCIAL|negotiated_percentage,standard_charge|AETNA|COMMERCIAL|negotiated_algorithm,estimated_amount|AETNA|COMMERCIAL,standard_charge|AETNA|COMMERCIAL|methodology,additional_payer_notes|AETNA|COMMERCIAL,standard_charge|ASR|COMMERCIAL|negotiated_dollar,standard_charge|ASR|COMMERCIAL|negotiated_percentage,standard_charge|ASR|COMMERCIAL|negotiated_algorithm,estimated_amount|ASR|COMMERCIAL,standard_charge|ASR|COMMERCIAL|methodology,additional_payer_notes|ASR|COMMERCIAL,standard_charge|BCBS ADVANTAGE PPO|MEDICARE|negotiated_dollar,standard_charge|BCBS ADVANTAGE PPO|MEDICARE|negotiated_percentage,standard_charge|BCBS ADVANTAGE PPO|MEDICARE|negotiated_algorithm,estimated_amount|BCBS ADVANTAGE PPO|MEDICARE,standard_charge|BCBS ADVANTAGE PPO|MEDICARE|methodology,additional_payer_notes|BCBS ADVANTAGE PPO|MEDICARE,standard_charge|BCBS BCN|COMMERCIAL|negotiated_dollar,standard_charge|BCBS BCN|COMMERCIAL|negotiated_percentage,standard_charge|BCBS BCN|COMMERCIAL|negotiated_algorithm,estimated_amount|BCBS BCN|COMMERCIAL,standard_charge|BCBS BCN|COMMERCIAL|methodology,additional_payer_notes|BCBS BCN|COMMERCIAL,standard_charge|BCBS BCN ADVANTAGE|MEDICARE|negotiated_dollar,standard_charge|BCBS BCN ADVANTAGE|MEDICARE|negotiated_percentage,standard_charge|BCBS BCN ADVANTAGE|MEDICARE|negotiated_algorithm,estimated_amount|BCBS BCN ADVANTAGE|MEDICARE,standard_charge|BCBS BCN ADVANTAGE|MEDICARE|methodology,additional_payer_notes|BCBS BCN ADVANTAGE|MEDICARE,standard_charge|BCBS BPP|COMMERCIAL|negotiated_dollar,standard_charge|BCBS BPP|COMMERCIAL|negotiated_percentage,standard_charge|BCBS BPP|COMMERCIAL|negotiated_algorithm,estimated_amount|BCBS BPP|COMMERCIAL,standard_charge|BCBS BPP|COMMERCIAL|methodology,additional_payer_notes|BCBS BPP|COMMERCIAL,standard_charge|BCBS COMPLETE|MEDICAID|negotiated_dollar,standard_charge|BCBS COMPLETE|MEDICAID|negotiated_percentage,standard_charge|BCBS COMPLETE|MEDICAID|negotiated_algorithm,estimated_amount|BCBS COMPLETE|MEDICAID,standard_charge|BCBS COMPLETE|MEDICAID|methodology,additional_payer_notes|BCBS COMPLETE|MEDICAID,standard_charge|BCBS PPO|COMMERCIAL|negotiated_dollar,standard_charge|BCBS PPO|COMMERCIAL|negotiated_percentage,standard_charge|BCBS PPO|COMMERCIAL|negotiated_algorithm,estimated_amount|BCBS PPO|COMMERCIAL,standard_charge|BCBS PPO|COMMERCIAL|methodology,additional_payer_notes|BCBS PPO|COMMERCIAL,standard_charge|BCN ADVANTAGE|MEDICARE|negotiated_dollar,standard_charge|BCN ADVANTAGE|MEDICARE|negotiated_percentage,standard_charge|BCN ADVANTAGE|MEDICARE|negotiated_algorithm,estimated_amount|BCN ADVANTAGE|MEDICARE,standard_charge|BCN ADVANTAGE|MEDICARE|methodology,additional_payer_notes|BCN ADVANTAGE|MEDICARE,standard_charge|CIGNA|COMMERCIAL|negotiated_dollar,standard_charge|CIGNA|COMMERCIAL|negotiated_percentage,standard_charge|CIGNA|COMMERCIAL|negotiated_algorithm,estimated_amount|CIGNA|COMMERCIAL,standard_charge|CIGNA|COMMERCIAL|methodology,additional_payer_notes|CIGNA|COMMERCIAL,standard_charge|FIRST HEALTH|COMMERCIAL|negotiated_dollar,standard_charge|FIRST HEALTH|COMMERCIAL|negotiated_percentage,standard_charge|FIRST HEALTH|COMMERCIAL|negotiated_algorithm,estimated_amount|FIRST HEALTH|COMMERCIAL,standard_charge|FIRST HEALTH|COMMERCIAL|methodology,additional_payer_notes|FIRST HEALTH|COMMERCIAL,standard_charge|HUMANA CHOICE CARE|MEDICARE|negotiated_dollar,standard_charge|HUMANA CHOICE CARE|MEDICARE|negotiated_percentage,standard_charge|HUMANA CHOICE CARE|MEDICARE|negotiated_algorithm,estimated_amount|HUMANA CHOICE CARE|MEDICARE,standard_charge|HUMANA CHOICE CARE|MEDICARE|methodology,additional_payer_notes|HUMANA CHOICE CARE|MEDICARE,standard_charge|HUMANA MEDICARE ADVANTAGE|MEDICARE|negotiated_dollar,standard_charge|HUMANA MEDICARE ADVANTAGE|MEDICARE|negotiated_percentage,standard_charge|HUMANA MEDICARE ADVANTAGE|MEDICARE|negotiated_algorithm,estimated_amount|HUMANA MEDICARE ADVANTAGE|MEDICARE,standard_charge|HUMANA MEDICARE ADVANTAGE|MEDICARE|methodology,additional_payer_notes|HUMANA MEDICARE ADVANTAGE|MEDICARE,standard_charge|MCLAREN HEALTH ADVANTAG|MEDICARE|negotiated_dollar,standard_charge|MCLAREN HEALTH ADVANTAG|MEDICARE|negotiated_percentage,standard_charge|MCLAREN HEALTH ADVANTAG|MEDICARE|negotiated_algorithm,estimated_amount|MCLAREN HEALTH ADVANTAG|MEDICARE,standard_charge|MCLAREN HEALTH ADVANTAG|MEDICARE|methodology,additional_payer_notes|MCLAREN HEALTH ADVANTAG|MEDICARE,standard_charge|MCLAREN HMO|MEDICARE|negotiated_dollar,standard_charge|MCLAREN HMO|MEDICARE|negotiated_percentage,standard_charge|MCLAREN HMO|MEDICARE|negotiated_algorithm,estimated_amount|MCLAREN HMO|MEDICARE,standard_charge|MCLAREN HMO|MEDICARE|methodology,additional_payer_notes|MCLAREN HMO|MEDICARE,standard_charge|MCLAREN MEDICAID|MEDICAID|negotiated_dollar,standard_charge|MCLAREN MEDICAID|MEDICAID|negotiated_percentage,standard_charge|MCLAREN MEDICAID|MEDICAID|negotiated_algorithm,estimated_amount|MCLAREN MEDICAID|MEDICAID,standard_charge|MCLAREN MEDICAID|MEDICAID|methodology,additional_payer_notes|MCLAREN MEDICAID|MEDICAID,standard_charge|MCLAREN PPO|COMMERCIAL|negotiated_dollar,standard_charge|MCLAREN PPO|COMMERCIAL|negotiated_percentage,standard_charge|MCLAREN PPO|COMMERCIAL|negotiated_algorithm,estimated_amount|MCLAREN PPO|COMMERCIAL,standard_charge|MCLAREN PPO|COMMERCIAL|methodology,additional_payer_notes|MCLAREN PPO|COMMERCIAL,standard_charge|MEDICARE|MEDICARE|negotiated_dollar,standard_charge|MEDICARE|MEDICARE|negotiated_percentage,standard_charge|MEDICARE|MEDICARE|negotiated_algorithm,estimated_amount|MEDICARE|MEDICARE,standard_charge|MEDICARE|MEDICARE|methodology,additional_payer_notes|MEDICARE|MEDICARE,standard_charge|PHYSICIAN HEALTH NETWORK|COMMERCIAL|negotiated_dollar,standard_charge|PHYSICIAN HEALTH NETWORK|COMMERCIAL|negotiated_percentage,standard_charge|PHYSICIAN HEALTH NETWORK|COMMERCIAL|negotiated_algorithm,estimated_amount|PHYSICIAN HEALTH NETWORK|COMMERCIAL,standard_charge|PHYSICIAN HEALTH NETWORK|COMMERCIAL|methodology,additional_payer_notes|PHYSICIAN HEALTH NETWORK|COMMERCIAL,standard_charge|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL|negotiated_dollar,standard_charge|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL|negotiated_percentage,standard_charge|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL|negotiated_algorithm,estimated_amount|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL,standard_charge|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL|methodology,additional_payer_notes|PREFERRED PROVIDER ORGANIZATION OF MICHIGAN|COMMERCIAL,standard_charge|PRIORITY HEALTH HMO|COMMERCIAL|negotiated_dollar,standard_charge|PRIORITY HEALTH HMO|COMMERCIAL|negotiated_percentage,standard_charge|PRIORITY HEALTH HMO|COMMERCIAL|negotiated_algorithm,estimated_amount|PRIORITY HEALTH HMO|COMMERCIAL,standard_charge|PRIORITY HEALTH HMO|COMMERCIAL|methodology,additional_payer_notes|PRIORITY HEALTH HMO|COMMERCIAL,standard_charge|PRIORITY HEALTH|MEDICAID|negotiated_dollar,standard_charge|PRIORITY HEALTH|MEDICAID|negotiated_percentage,standard_charge|PRIORITY HEALTH|MEDICAID|negotiated_algorithm,estimated_amount|PRIORITY HEALTH|MEDICAID,standard_charge|PRIORITY HEALTH|MEDICAID|methodology,additional_payer_notes|PRIORITY HEALTH|MEDICAID,standard_charge|PRIORITY HEALTH MI CHILD|MEDICAID|negotiated_dollar,standard_charge|PRIORITY HEALTH MI CHILD|MEDICAID|negotiated_percentage,standard_charge|PRIORITY HEALTH MI CHILD|MEDICAID|negotiated_algorithm,estimated_amount|PRIORITY HEALTH MI CHILD|MEDICAID,standard_charge|PRIORITY HEALTH MI CHILD|MEDICAID|methodology,additional_payer_notes|PRIORITY HEALTH MI CHILD|MEDICAID,standard_charge|PRIORITY HEALTH PPO|COMMERCIAL|negotiated_dollar,standard_charge |PRIORITY HEALTH PPO|COMMERCIAL|negotiated_percentage,standard_charge|PRIORITY HEALTH PPO|COMMERCIAL|negotiated_algorithm,estimated_amount|PRIORITY HEALTH PPO|COMMERCIAL,standard_charge|PRIORITY HEALTH PPO|COMMERCIAL|methodology,additional_payer_notes|PRIORITY HEALTH PPO|COMMERCIAL,standard_charge|UHC|COMMERCIAL|negotiated_dollar,standard_charge |UHC|COMMERCIAL|negotiated_percentage,standard_charge|UHC|COMMERCIAL|negotiated_algorithm,estimated_amount|UHC|COMMERCIAL,standard_charge|UHC|COMMERCIAL|methodology,additional_payer_notes|UHC|COMMERCIAL,standard_charge|UHC MEDICAID|MEDICAID|negotiated_dollar,standard_charge |UHC MEDICAID|MEDICAID|negotiated_percentage,standard_charge|UHC MEDICAID|MEDICAID|negotiated_algorithm,estimated_amount|UHC MEDICAID|MEDICAID,standard_charge|UHC MEDICAID|MEDICAID|methodology,additional_payer_notes|UHC MEDICAID|MEDICAID,standard_charge|UHC MEDICAID CHIP|MEDICAID|negotiated_dollar,standard_charge |UHC MEDICAID CHIP|MEDICAID|negotiated_percentage,standard_charge|UHC MEDICAID CHIP|MEDICAID|negotiated_algorithm,estimated_amount|UHC MEDICAID CHIP|MEDICAID,standard_charge|UHC MEDICAID CHIP|MEDICAID|methodology,additional_payer_notes|UHC MEDICAID CHIP|MEDICAID,standard_charge|UHC MEDICAID CSHCS|MEDICAID|negotiated_dollar,standard_charge |UHC MEDICAID CSHCS|MEDICAID|negotiated_percentage,standard_charge|UHC MEDICAID CSHCS|MEDICAID|negotiated_algorithm,estimated_amount|UHC MEDICAID CSHCS|MEDICAID,standard_charge|UHC MEDICAID CSHCS|MEDICAID|methodology,additional_payer_notes|UHC MEDICAID CSHCS|MEDICAID,standard_charge|UHC MEDICARE |MEDICARE|negotiated_dollar,standard_charge |UHC MEDICARE |MEDICARE|negotiated_percentage,standard_charge|UHC MEDICARE |MEDICARE|negotiated_algorithm,estimated_amount|UHC MEDICARE |MEDICARE,standard_charge|UHC MEDICARE |MEDICARE|methodology,additional_payer_notes|UHC MEDICARE|MEDICARE,standard_charge|min,standard_charge|max,additional_generic_notes
IMPLANT SYSTEM AC REPAIR AR-22,35030267,CDM,278,RC,,,Outpatient,,,1989.53,1591.62,,1691.1,85,,1352.88,percent of total billed charges,85% of total billed charges,1691.1,85,,1352.88,percent of total billed charges,85% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1477.82,74,,1182.26,percent of total billed charges,74.28% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1477.82,74,,1182.26,percent of total billed charges,74.28% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1477.82,74,,1182.26,percent of total billed charges,74.28% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of total billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1734.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1173.82,59,,939.06,percent of total billed charges,59% of total billed charges,1734.87,87.2,,1387.9,percent of total billed charges,87.2% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1617.29,81.29,,1293.83,percent of total billed charges,81.29% of total billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of totl billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of total billed charges,1790.58,90,,1432.46,percent of total billed charges,90% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1213.61,61,,970.89,percent of total billed charges,61% of total billed charges,1034.56,52,,827.65,percent of total billed charges,52% of total billed charges,1034.56,1790.58,
ANESTH/ ABORTED PROC PER 1MIN,45001237,CDM,964,RC,1999,HCPCS,Outpatient,,,9.68,7.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FINE NEEDLE ASPIRATION,36011040,CDM,981,RC,10021,HCPCS,Outpatient,,,164,131.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Needle Aspiration,Fine-w/o img",43601378,CDM,521,RC,10021,HCPCS,Outpatient,,,183.5,146.8,,155.98,85,,124.78,percent of total billed charges,85% of total billed charges,155.98,85,,124.78,percent of total billed charges,85% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,160.01,87.2,,,percent of total billed charges,87.2% of total billed charges,108.27,59,,86.62,percent of total billed charges,59% of total billed charges,160.01,87.2,,128.01,percent of total billed charges,87.2% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,149.17,81.29,,119.34,percent of total billed charges,81.29% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of totl billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,95.42,165.15,
"Needle Aspiration,Fine-w/o img",43701378,CDM,521,RC,10021,HCPCS,Outpatient,,,183.5,146.8,,155.98,85,,124.78,percent of total billed charges,85% of total billed charges,155.98,85,,124.78,percent of total billed charges,85% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,160.01,87.2,,,percent of total billed charges,87.2% of total billed charges,108.27,59,,86.62,percent of total billed charges,59% of total billed charges,160.01,87.2,,128.01,percent of total billed charges,87.2% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,149.17,81.29,,119.34,percent of total billed charges,81.29% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of totl billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,165.15,90,,132.12,percent of total billed charges,90% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,111.94,61,,89.55,percent of total billed charges,61% of total billed charges,95.42,52,,76.34,percent of total billed charges,52% of total billed charges,95.42,165.15,
ASPIRATION W/O IMAGE GUIDANCE,73800110,CDM,510,RC,10021,HCPCS,Outpatient,,,155.37,124.3,,132.06,85,,105.65,percent of total billed charges,85% of total billed charges,132.06,85,,105.65,percent of total billed charges,85% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,115.41,74,,92.33,percent of total billed charges,74.28% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,115.41,74,,92.33,percent of total billed charges,74.28% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,115.41,74,,92.33,percent of total billed charges,74.28% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.83,90,,111.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,135.48,87.2,,,percent of total billed charges,87.2% of total billed charges,91.67,59,,73.34,percent of total billed charges,59% of total billed charges,135.48,87.2,,108.38,percent of total billed charges,87.2% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,126.3,81.29,,101.04,percent of total billed charges,81.29% of total billed charges,139.83,90,,111.86,percent of total billed charges,90% of totl billed charges,139.83,90,,111.86,percent of total billed charges,90% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,139.83,90,,111.86,percent of total billed charges,90% of total billed charges,139.83,90,,111.86,percent of total billed charges,90% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,94.78,61,,75.82,percent of total billed charges,61% of total billed charges,80.79,52,,64.63,percent of total billed charges,52% of total billed charges,80.79,139.83,
BREAST FNA CYST w US GUIDANCE,42004594,CDM,339,RC,10022,HCPCS,Outpatient,,,152.98,122.38,,130.03,85,,104.02,percent of total billed charges,85% of total billed charges,130.03,85,,104.02,percent of total billed charges,85% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,113.63,74,,90.9,percent of total billed charges,74.28% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,113.63,74,,90.9,percent of total billed charges,74.28% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,113.63,74,,90.9,percent of total billed charges,74.28% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,137.68,90,,110.14,percent of total billed charges,90% of total billed charges,137.68,90,,110.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,133.4,87.2,,,percent of total billed charges,87.2% of total billed charges,90.26,59,,72.21,percent of total billed charges,59% of total billed charges,133.4,87.2,,106.72,percent of total billed charges,87.2% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,124.36,81.29,,99.49,percent of total billed charges,81.29% of total billed charges,137.68,90,,110.14,percent of total billed charges,90% of totl billed charges,137.68,90,,110.14,percent of total billed charges,90% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,137.68,90,,110.14,percent of total billed charges,90% of total billed charges,137.68,90,,110.14,percent of total billed charges,90% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,93.32,61,,74.66,percent of total billed charges,61% of total billed charges,79.55,52,,63.64,percent of total billed charges,52% of total billed charges,79.55,137.68,
I & D OF ABSCESS,36010135,CDM,981,RC,10060,HCPCS,Outpatient,,,207.88,166.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF ABCESS,43600061,CDM,983,RC,10060,HCPCS,Outpatient,,,169.07,135.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF ABCESS,43600226,CDM,521,RC,10060,HCPCS,Outpatient,,,164.71,131.77,,140,85,,112,percent of total billed charges,85% of total billed charges,140,85,,112,percent of total billed charges,85% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,122.35,74,,97.88,percent of total billed charges,74.28% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,122.35,74,,97.88,percent of total billed charges,74.28% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,122.35,74,,97.88,percent of total billed charges,74.28% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,148.24,90,,118.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,143.63,87.2,,,percent of total billed charges,87.2% of total billed charges,97.18,59,,77.74,percent of total billed charges,59% of total billed charges,143.63,87.2,,114.9,percent of total billed charges,87.2% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,133.89,81.29,,107.11,percent of total billed charges,81.29% of total billed charges,148.24,90,,118.59,percent of total billed charges,90% of totl billed charges,148.24,90,,118.59,percent of total billed charges,90% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,148.24,90,,118.59,percent of total billed charges,90% of total billed charges,148.24,90,,118.59,percent of total billed charges,90% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,100.47,61,,80.38,percent of total billed charges,61% of total billed charges,85.65,52,,68.52,percent of total billed charges,52% of total billed charges,85.65,148.24,
I & D OF ABCESS,43700061,CDM,983,RC,10060,HCPCS,Outpatient,,,169.07,135.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF ABCESS,43701212,CDM,521,RC,10060,HCPCS,Outpatient,,,169.07,135.26,,143.71,85,,114.97,percent of total billed charges,85% of total billed charges,143.71,85,,114.97,percent of total billed charges,85% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,125.59,74,,100.47,percent of total billed charges,74.28% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,125.59,74,,100.47,percent of total billed charges,74.28% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,125.59,74,,100.47,percent of total billed charges,74.28% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,152.16,90,,121.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,147.43,87.2,,,percent of total billed charges,87.2% of total billed charges,99.75,59,,79.8,percent of total billed charges,59% of total billed charges,147.43,87.2,,117.94,percent of total billed charges,87.2% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,137.44,81.29,,109.95,percent of total billed charges,81.29% of total billed charges,152.16,90,,121.73,percent of total billed charges,90% of totl billed charges,152.16,90,,121.73,percent of total billed charges,90% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,152.16,90,,121.73,percent of total billed charges,90% of total billed charges,152.16,90,,121.73,percent of total billed charges,90% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,103.13,61,,82.5,percent of total billed charges,61% of total billed charges,87.92,52,,70.34,percent of total billed charges,52% of total billed charges,87.92,152.16,
DRAINAGE OF SKIN ABSCESS S,44500011,CDM,761,RC,10060,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
DRAINAGE OF SKIN ABSCESS S,44510011,CDM,983,RC,10060,HCPCS,Outpatient,,,173.62,138.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D ABSCESS. COMPLICATED,36010001,CDM,981,RC,10061,HCPCS,Outpatient,,,374.46,299.57,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D ABCESS, COMPLICATED",43600059,CDM,983,RC,10061,HCPCS,Outpatient,,,289.06,231.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D ABCESS, COMPLICATED",43600224,CDM,521,RC,10061,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
"I & D ABCESS, COMPLICATED",43700059,CDM,983,RC,10061,HCPCS,Outpatient,,,289.06,231.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D ABCESS, COMPLICATED",43701210,CDM,521,RC,10061,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
DRAINAGE OF SKIN ABSCESS C/M,44500012,CDM,761,RC,10061,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
DRAINAGE OF SKIN ABSCESS C/M,44510012,CDM,983,RC,10061,HCPCS,Outpatient,,,304.39,243.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D PILONIDAL CYST,36010189,CDM,981,RC,10080,HCPCS,Outpatient,,,216,172.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D PILONDAL CYST,43600058,CDM,983,RC,10080,HCPCS,Outpatient,,,267.25,213.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D PILONDAL CYST,43600223,CDM,521,RC,10080,HCPCS,Outpatient,,,267.25,213.8,,227.16,85,,181.73,percent of total billed charges,85% of total billed charges,227.16,85,,181.73,percent of total billed charges,85% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,233.04,87.2,,,percent of total billed charges,87.2% of total billed charges,157.68,59,,126.14,percent of total billed charges,59% of total billed charges,233.04,87.2,,186.43,percent of total billed charges,87.2% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,217.25,81.29,,173.8,percent of total billed charges,81.29% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of totl billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,138.97,240.53,
I & D PILONDAL CYST,43700058,CDM,983,RC,10080,HCPCS,Outpatient,,,267.25,213.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D PILONDAL CYST,43701209,CDM,521,RC,10080,HCPCS,Outpatient,,,267.25,213.8,,227.16,85,,181.73,percent of total billed charges,85% of total billed charges,227.16,85,,181.73,percent of total billed charges,85% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,198.51,74,,158.81,percent of total billed charges,74.28% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,233.04,87.2,,,percent of total billed charges,87.2% of total billed charges,157.68,59,,126.14,percent of total billed charges,59% of total billed charges,233.04,87.2,,186.43,percent of total billed charges,87.2% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,217.25,81.29,,173.8,percent of total billed charges,81.29% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of totl billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,240.53,90,,192.42,percent of total billed charges,90% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,163.02,61,,130.42,percent of total billed charges,61% of total billed charges,138.97,52,,111.18,percent of total billed charges,52% of total billed charges,138.97,240.53,
INCISION & REMOVAL FB SIMPLE,36010005,CDM,981,RC,10120,HCPCS,Outpatient,,,206.97,165.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB SIMPLE,43600063,CDM,983,RC,10120,HCPCS,Outpatient,,,218.16,174.53,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB SIMPLE,43600228,CDM,521,RC,10120,HCPCS,Outpatient,,,218.16,174.53,,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,190.24,87.2,,,percent of total billed charges,87.2% of total billed charges,128.71,59,,102.97,percent of total billed charges,59% of total billed charges,190.24,87.2,,152.19,percent of total billed charges,87.2% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,177.34,81.29,,141.87,percent of total billed charges,81.29% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of totl billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,196.34,
INCISION & REMOVAL FB SIMPLE,43700063,CDM,963,RC,10120,HCPCS,Outpatient,,,218.16,174.53,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB SIMPLE,43701214,CDM,521,RC,10120,HCPCS,Outpatient,,,218.16,174.53,,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,190.24,87.2,,,percent of total billed charges,87.2% of total billed charges,128.71,59,,102.97,percent of total billed charges,59% of total billed charges,190.24,87.2,,152.19,percent of total billed charges,87.2% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,177.34,81.29,,141.87,percent of total billed charges,81.29% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of totl billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,196.34,
"INCISION & REMOVAL FB,COMPLICA",36010004,CDM,981,RC,10121,HCPCS,Outpatient,,,426.44,341.15,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB.COMPLICA,43600055,CDM,983,RC,10121,HCPCS,Outpatient,,,430.87,344.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB COMPLICA,43600220,CDM,521,RC,10121,HCPCS,Outpatient,,,430.87,344.7,,366.24,85,,292.99,percent of total billed charges,85% of total billed charges,366.24,85,,292.99,percent of total billed charges,85% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,375.72,87.2,,,percent of total billed charges,87.2% of total billed charges,254.21,59,,203.37,percent of total billed charges,59% of total billed charges,375.72,87.2,,300.58,percent of total billed charges,87.2% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,350.25,81.29,,280.2,percent of total billed charges,81.29% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of totl billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,224.05,387.78,
INCISION & REMOVAL FB COMPLICA,43700055,CDM,983,RC,10121,HCPCS,Outpatient,,,436.32,349.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INCISION & REMOVAL FB COMPLICA,43701206,CDM,521,RC,10121,HCPCS,Outpatient,,,436.32,349.06,,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,380.47,87.2,,,percent of total billed charges,87.2% of total billed charges,257.43,59,,205.94,percent of total billed charges,59% of total billed charges,380.47,87.2,,304.38,percent of total billed charges,87.2% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,354.68,81.29,,283.74,percent of total billed charges,81.29% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of totl billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,392.69,
DRAINAGE OF HEMATOMA/FLUID,35010127,CDM,975,RC,10140,HCPCS,Outpatient,,,195.59,156.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D HEMATOMA, SEROMA OR FLUI",36010194,CDM,981,RC,10140,HCPCS,Outpatient,,,271.49,217.19,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D HEMATOMA, SEROMA OR FLUI",43600060,CDM,983,RC,10140,HCPCS,Outpatient,,,234.52,187.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D HEMATOMA, SEROMA OR FLUI",43600225,CDM,521,RC,10140,HCPCS,Outpatient,,,234.52,187.62,,199.34,85,,159.47,percent of total billed charges,85% of total billed charges,199.34,85,,159.47,percent of total billed charges,85% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,204.5,87.2,,,percent of total billed charges,87.2% of total billed charges,138.37,59,,110.7,percent of total billed charges,59% of total billed charges,204.5,87.2,,163.6,percent of total billed charges,87.2% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,190.64,81.29,,152.51,percent of total billed charges,81.29% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of totl billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,121.95,211.07,
"I & D HEMATOMA, SEROMA OR FLUI",43700060,CDM,983,RC,10140,HCPCS,Outpatient,,,234.52,187.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I & D HEMATOMA, SEROMA OR FLUI",43701211,CDM,521,RC,10140,HCPCS,Outpatient,,,234.52,187.62,,199.34,85,,159.47,percent of total billed charges,85% of total billed charges,199.34,85,,159.47,percent of total billed charges,85% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,174.2,74,,139.36,percent of total billed charges,74.28% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,204.5,87.2,,,percent of total billed charges,87.2% of total billed charges,138.37,59,,110.7,percent of total billed charges,59% of total billed charges,204.5,87.2,,163.6,percent of total billed charges,87.2% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,190.64,81.29,,152.51,percent of total billed charges,81.29% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of totl billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,211.07,90,,168.86,percent of total billed charges,90% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,143.06,61,,114.45,percent of total billed charges,61% of total billed charges,121.95,52,,97.56,percent of total billed charges,52% of total billed charges,121.95,211.07,
DRAINAGE OF HEMATOMA/FLUID,44500013,CDM,761,RC,10140,HCPCS,Outpatient,,,1940.2,1552.16,,1649.17,85,,1319.34,percent of total billed charges,85% of total billed charges,1649.17,85,,1319.34,percent of total billed charges,85% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1441.18,74,,1152.94,percent of total billed charges,74.28% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1441.18,74,,1152.94,percent of total billed charges,74.28% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1441.18,74,,1152.94,percent of total billed charges,74.28% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of total billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1691.85,87.2,,,percent of total billed charges,87.2% of total billed charges,1144.72,59,,915.78,percent of total billed charges,59% of total billed charges,1691.85,87.2,,1353.48,percent of total billed charges,87.2% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1577.19,81.29,,1261.75,percent of total billed charges,81.29% of total billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of totl billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of total billed charges,1746.18,90,,1396.94,percent of total billed charges,90% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1183.52,61,,946.82,percent of total billed charges,61% of total billed charges,1008.9,52,,807.12,percent of total billed charges,52% of total billed charges,1008.9,1746.18,
DRAINAGE OF HEMATOMA/FLUID,44510013,CDM,983,RC,10140,HCPCS,Outpatient,,,195.59,156.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ASPIRATION OF ABSCESS,36010150,CDM,981,RC,10160,HCPCS,Outpatient,,,218.6,174.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ASPIRATION OF ABSCESS,43600088,CDM,983,RC,10160,HCPCS,Outpatient,,,190.89,152.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ASPIRATION OF ABSCESS,43600253,CDM,521,RC,10160,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
ASPIRATION OF ABSCESS,43700088,CDM,983,RC,10160,HCPCS,Outpatient,,,190.89,152.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ASPIRATION OF ABSCESS,43701239,CDM,521,RC,10160,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
PUNCTURE DRAINAGE OF LESION,44500014,CDM,761,RC,10160,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
PUNCTURE DRAINAGE OF LESION,44510014,CDM,983,RC,10160,HCPCS,Outpatient,,,157.27,125.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D COMPLEX WOUND INF,35010129,CDM,975,RC,10180,HCPCS,Outpatient,,,506.19,404.95,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX DRAINAGE WOUND,44500015,CDM,761,RC,10180,HCPCS,Outpatient,,,3263.86,2611.09,,2774.28,85,,2219.42,percent of total billed charges,85% of total billed charges,2774.28,85,,2219.42,percent of total billed charges,85% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,2424.4,74,,1939.52,percent of total billed charges,74.28% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,2424.4,74,,1939.52,percent of total billed charges,74.28% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,2424.4,74,,1939.52,percent of total billed charges,74.28% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of total billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,2846.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1925.68,59,,1540.54,percent of total billed charges,59% of total billed charges,2846.09,87.2,,2276.87,percent of total billed charges,87.2% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,2653.19,81.29,,2122.55,percent of total billed charges,81.29% of total billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of totl billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of total billed charges,2937.47,90,,2349.98,percent of total billed charges,90% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,1990.95,61,,1592.76,percent of total billed charges,61% of total billed charges,1697.21,52,,1357.77,percent of total billed charges,52% of total billed charges,1697.21,2937.47,
COMPLEX DRAINAGE WOUND,44510015,CDM,983,RC,10180,HCPCS,Outpatient,,,369.01,295.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"DEBRIDE EXT SKIN,INFECTION",36010006,CDM,981,RC,11000,HCPCS,Outpatient,,,77.14,61.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID EXT SKIN INFECTION,43600079,CDM,983,RC,11000,HCPCS,Outpatient,,,81.81,65.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID EXT SKIN INFECTION,43600244,CDM,521,RC,11000,HCPCS,Outpatient,,,81.81,65.45,,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,71.34,87.2,,,percent of total billed charges,87.2% of total billed charges,48.27,59,,38.62,percent of total billed charges,59% of total billed charges,71.34,87.2,,57.07,percent of total billed charges,87.2% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,66.5,81.29,,53.2,percent of total billed charges,81.29% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of totl billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,73.63,
DEBRID EXT SKIN INFECTION,43700079,CDM,983,RC,11000,HCPCS,Outpatient,,,81.81,65.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID EXT SKIN INFECTION,43701230,CDM,521,RC,11000,HCPCS,Outpatient,,,81.81,65.45,,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,71.34,87.2,,,percent of total billed charges,87.2% of total billed charges,48.27,59,,38.62,percent of total billed charges,59% of total billed charges,71.34,87.2,,57.07,percent of total billed charges,87.2% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,66.5,81.29,,53.2,percent of total billed charges,81.29% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of totl billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,73.63,
DEBRID/FOREIGN MAT OPN FRACTUR,36013021,CDM,981,RC,11010,HCPCS,Outpatient,,,510.79,408.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT SKIN PARTIAL TH,36010007,CDM,981,RC,11042,HCPCS,Outpatient,,,66.37,53.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT OF SKIN & SUBQ TIS,36010008,CDM,981,RC,11042,HCPCS,Outpatient,,,113.87,91.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT OF SKIN & SUBQ TIS,43600067,CDM,983,RC,11042,HCPCS,Outpatient,,,125.44,100.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT OF SKIN & SUBQ TIS,43600232,CDM,521,RC,11042,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
DEBRIDEMENT OF SKIN & SUBQ TIS,43700067,CDM,983,RC,11042,HCPCS,Outpatient,,,92.72,74.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT SKIN PARTIAL TH,43700068,CDM,983,RC,11042,HCPCS,Outpatient,,,76.36,61.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDEMENT OF SKIN & SUBQ TIS,43701218,CDM,521,RC,11042,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
DEBRIDEMENT SKIN PARTIAL TH,43701219,CDM,521,RC,11042,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
DEB SUBQ TISSUE 20 SQ CM/<,44500016,CDM,761,RC,11042,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
DEB SUBQ TISSUE 20 SQ CM/<,44510016,CDM,983,RC,11042,HCPCS,Outpatient,,,123.47,98.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEB MUSC/FASCIA 20 SQ CM/<,44500018,CDM,761,RC,11043,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
DEB MUSC/FASCIA 20 SQ CM/<,44510018,CDM,983,RC,11043,HCPCS,Outpatient,,,316.41,253.13,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEB BONE 20 SQ CM/<,44500020,CDM,761,RC,11044,HCPCS,Outpatient,,,1936.83,1549.46,,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1688.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1142.73,59,,914.18,percent of total billed charges,59% of total billed charges,1688.92,87.2,,1351.14,percent of total billed charges,87.2% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1574.45,81.29,,1259.56,percent of total billed charges,81.29% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of totl billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,1743.15,
DEB BONE 20 SQ CM/<,44510020,CDM,983,RC,11044,HCPCS,Outpatient,,,463.03,370.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEB SUBQ TISSUE ADD-ON,44500017,CDM,761,RC,11045,HCPCS,Outpatient,,,171,136.8,,145.35,85,,116.28,percent of total billed charges,85% of total billed charges,145.35,85,,116.28,percent of total billed charges,85% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,127.02,74,,101.62,percent of total billed charges,74.28% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,127.02,74,,101.62,percent of total billed charges,74.28% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,127.02,74,,101.62,percent of total billed charges,74.28% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,153.9,90,,123.12,percent of total billed charges,90% of total billed charges,153.9,90,,123.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,149.11,87.2,,,percent of total billed charges,87.2% of total billed charges,100.89,59,,80.71,percent of total billed charges,59% of total billed charges,149.11,87.2,,119.29,percent of total billed charges,87.2% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,139.01,81.29,,111.21,percent of total billed charges,81.29% of total billed charges,153.9,90,,123.12,percent of total billed charges,90% of totl billed charges,153.9,90,,123.12,percent of total billed charges,90% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,153.9,90,,123.12,percent of total billed charges,90% of total billed charges,153.9,90,,123.12,percent of total billed charges,90% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,104.31,61,,83.45,percent of total billed charges,61% of total billed charges,88.92,52,,71.14,percent of total billed charges,52% of total billed charges,88.92,153.9,
DEB SUBQ TISSUE ADD-ON,44510017,CDM,983,RC,11045,HCPCS,Outpatient,,,54.03,43.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEB MUSC/FASCIA ADD-ON,44500019,CDM,761,RC,11046,HCPCS,Outpatient,,,308.09,246.47,,261.88,85,,209.5,percent of total billed charges,85% of total billed charges,261.88,85,,209.5,percent of total billed charges,85% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,228.85,74,,183.08,percent of total billed charges,74.28% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,228.85,74,,183.08,percent of total billed charges,74.28% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,228.85,74,,183.08,percent of total billed charges,74.28% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,277.28,90,,221.82,percent of total billed charges,90% of total billed charges,277.28,90,,221.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,268.65,87.2,,,percent of total billed charges,87.2% of total billed charges,181.77,59,,145.42,percent of total billed charges,59% of total billed charges,268.65,87.2,,214.92,percent of total billed charges,87.2% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,250.45,81.29,,200.36,percent of total billed charges,81.29% of total billed charges,277.28,90,,221.82,percent of total billed charges,90% of totl billed charges,277.28,90,,221.82,percent of total billed charges,90% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,277.28,90,,221.82,percent of total billed charges,90% of total billed charges,277.28,90,,221.82,percent of total billed charges,90% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,187.93,61,,150.34,percent of total billed charges,61% of total billed charges,160.21,52,,128.17,percent of total billed charges,52% of total billed charges,160.21,277.28,
DEB MUSC/FASCIA ADD-ON,44510019,CDM,983,RC,11046,HCPCS,Outpatient,,,114.35,91.48,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEB BONE ADD-ON,44500021,CDM,761,RC,11047,HCPCS,Outpatient,,,523.31,418.65,,444.81,85,,355.85,percent of total billed charges,85% of total billed charges,444.81,85,,355.85,percent of total billed charges,85% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,388.71,74,,310.97,percent of total billed charges,74.28% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,388.71,74,,310.97,percent of total billed charges,74.28% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,388.71,74,,310.97,percent of total billed charges,74.28% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,470.98,90,,376.78,percent of total billed charges,90% of total billed charges,470.98,90,,376.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,456.33,87.2,,,percent of total billed charges,87.2% of total billed charges,308.75,59,,247,percent of total billed charges,59% of total billed charges,456.33,87.2,,365.06,percent of total billed charges,87.2% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,425.4,81.29,,340.32,percent of total billed charges,81.29% of total billed charges,470.98,90,,376.78,percent of total billed charges,90% of totl billed charges,470.98,90,,376.78,percent of total billed charges,90% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,470.98,90,,376.78,percent of total billed charges,90% of total billed charges,470.98,90,,376.78,percent of total billed charges,90% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,319.22,61,,255.38,percent of total billed charges,61% of total billed charges,272.12,52,,217.7,percent of total billed charges,52% of total billed charges,272.12,470.98,
DEB BONE ADD-ON,44510021,CDM,983,RC,11047,HCPCS,Outpatient,,,199.94,159.95,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PARING OR CUTTING CORN/CALLUS,43600315,CDM,521,RC,11055,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
PARING OR CUTTING CORN/CALLUS,43700315,CDM,521,RC,11055,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
TRIM SKIN LESION,44500008,CDM,761,RC,11055,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
TRIM SKIN LESION,44510008,CDM,983,RC,11055,HCPCS,Outpatient,,,32.97,26.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Paring/Cutting Corn/Callus 2-4,43601379,CDM,521,RC,11056,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
Paring/Cutting Corn/Callus 2-4,43701379,CDM,521,RC,11056,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
TRIM SKIN LESIONS 2 TO 4,44500009,CDM,761,RC,11056,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
TRIM SKIN LESIONS 2 TO 4,44510009,CDM,983,RC,11056,HCPCS,Outpatient,,,45.57,36.46,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Paring/Cutting Corn/Callus >4,43601380,CDM,521,RC,11057,HCPCS,Outpatient,,,136.35,109.08,,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,118.9,87.2,,,percent of total billed charges,87.2% of total billed charges,80.45,59,,64.36,percent of total billed charges,59% of total billed charges,118.9,87.2,,95.12,percent of total billed charges,87.2% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,110.84,81.29,,88.67,percent of total billed charges,81.29% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of totl billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,122.72,
Paring/Cutting Corn/Callus >4,43701380,CDM,521,RC,11057,HCPCS,Outpatient,,,136.35,109.08,,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,118.9,87.2,,,percent of total billed charges,87.2% of total billed charges,80.45,59,,64.36,percent of total billed charges,59% of total billed charges,118.9,87.2,,95.12,percent of total billed charges,87.2% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,110.84,81.29,,88.67,percent of total billed charges,81.29% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of totl billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,122.72,
TRIM SKIN LESIONS OVER 4,44500010,CDM,761,RC,11057,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
TRIM SKIN LESIONS OVER 4,44510010,CDM,983,RC,11057,HCPCS,Outpatient,,,58.93,47.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"BIOPSY SKIN, SINGLE LESION",43701335,CDM,521,RC,11100,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
"BIOPSY OF SKIN, SINGLE LESION",43710032,CDM,987,RC,11100,HCPCS,Outpatient,,,173.84,139.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"BIOPSY SKIN, EA ADDTL LESION",43701336,CDM,521,RC,11101,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
Tangential Biopsy of Skin,43601381,CDM,521,RC,11102,HCPCS,Outpatient,,,146.33,117.06,,124.38,85,,99.5,percent of total billed charges,85% of total billed charges,124.38,85,,99.5,percent of total billed charges,85% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,127.6,87.2,,,percent of total billed charges,87.2% of total billed charges,86.33,59,,69.06,percent of total billed charges,59% of total billed charges,127.6,87.2,,102.08,percent of total billed charges,87.2% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,118.95,81.29,,95.16,percent of total billed charges,81.29% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of totl billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,76.09,131.7,
Tangential Biopsy of Skin,43701381,CDM,521,RC,11102,HCPCS,Outpatient,,,146.33,117.06,,124.38,85,,99.5,percent of total billed charges,85% of total billed charges,124.38,85,,99.5,percent of total billed charges,85% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,108.69,74,,86.95,percent of total billed charges,74.28% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,127.6,87.2,,,percent of total billed charges,87.2% of total billed charges,86.33,59,,69.06,percent of total billed charges,59% of total billed charges,127.6,87.2,,102.08,percent of total billed charges,87.2% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,118.95,81.29,,95.16,percent of total billed charges,81.29% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of totl billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,131.7,90,,105.36,percent of total billed charges,90% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,89.26,61,,71.41,percent of total billed charges,61% of total billed charges,76.09,52,,60.87,percent of total billed charges,52% of total billed charges,76.09,131.7,
TANGNTL BX SKIN SINGLE LES,44500033,CDM,761,RC,11102,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
TANGNTL BX SKIN SINGLE LES,44510033,CDM,983,RC,11102,HCPCS,Outpatient,,,62,49.6,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Each Sep/Add Tangential Biopsy,43601382,CDM,521,RC,11103,HCPCS,Outpatient,,,78.99,63.19,,67.14,85,,53.71,percent of total billed charges,85% of total billed charges,67.14,85,,53.71,percent of total billed charges,85% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,68.88,87.2,,,percent of total billed charges,87.2% of total billed charges,46.6,59,,37.28,percent of total billed charges,59% of total billed charges,68.88,87.2,,55.1,percent of total billed charges,87.2% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,64.21,81.29,,51.37,percent of total billed charges,81.29% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of totl billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,41.07,71.09,
Each Sep/Add Tangential Biopsy,43701382,CDM,521,RC,11103,HCPCS,Outpatient,,,78.99,63.19,,67.14,85,,53.71,percent of total billed charges,85% of total billed charges,67.14,85,,53.71,percent of total billed charges,85% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,58.67,74,,46.94,percent of total billed charges,74.28% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,68.88,87.2,,,percent of total billed charges,87.2% of total billed charges,46.6,59,,37.28,percent of total billed charges,59% of total billed charges,68.88,87.2,,55.1,percent of total billed charges,87.2% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,64.21,81.29,,51.37,percent of total billed charges,81.29% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of totl billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,71.09,90,,56.87,percent of total billed charges,90% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,48.18,61,,38.54,percent of total billed charges,61% of total billed charges,41.07,52,,32.86,percent of total billed charges,52% of total billed charges,41.07,71.09,
TANGNTL BX SKIN EA SEP/ADDL,44500034,CDM,761,RC,11103,HCPCS,Outpatient,,,222.4,177.92,,189.04,85,,151.23,percent of total billed charges,85% of total billed charges,189.04,85,,151.23,percent of total billed charges,85% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,165.2,74,,132.16,percent of total billed charges,74.28% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,165.2,74,,132.16,percent of total billed charges,74.28% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,165.2,74,,132.16,percent of total billed charges,74.28% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,200.16,90,,160.13,percent of total billed charges,90% of total billed charges,200.16,90,,160.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,193.93,87.2,,,percent of total billed charges,87.2% of total billed charges,131.22,59,,104.98,percent of total billed charges,59% of total billed charges,193.93,87.2,,155.14,percent of total billed charges,87.2% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,180.79,81.29,,144.63,percent of total billed charges,81.29% of total billed charges,200.16,90,,160.13,percent of total billed charges,90% of totl billed charges,200.16,90,,160.13,percent of total billed charges,90% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,200.16,90,,160.13,percent of total billed charges,90% of total billed charges,200.16,90,,160.13,percent of total billed charges,90% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,135.66,61,,108.53,percent of total billed charges,61% of total billed charges,115.65,52,,92.52,percent of total billed charges,52% of total billed charges,115.65,200.16,
TANGNTL BX SKIN EA SEP/ADDL,44510034,CDM,983,RC,11103,HCPCS,Outpatient,,,36.07,28.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Punch Biopsy of Skin,43601383,CDM,521,RC,11104,HCPCS,Outpatient,,,172.96,138.37,,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,150.82,87.2,,,percent of total billed charges,87.2% of total billed charges,102.05,59,,81.64,percent of total billed charges,59% of total billed charges,150.82,87.2,,120.66,percent of total billed charges,87.2% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,140.6,81.29,,112.48,percent of total billed charges,81.29% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of totl billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,89.94,155.66,
Punch Biopsy of Skin,43701383,CDM,521,RC,11104,HCPCS,Outpatient,,,172.96,138.37,,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,150.82,87.2,,,percent of total billed charges,87.2% of total billed charges,102.05,59,,81.64,percent of total billed charges,59% of total billed charges,150.82,87.2,,120.66,percent of total billed charges,87.2% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,140.6,81.29,,112.48,percent of total billed charges,81.29% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of totl billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,89.94,52,,71.95,percent of total billed charges,52% of total billed charges,89.94,155.66,
PUNCH BX SKIN SINGLE LESION,44500035,CDM,761,RC,11104,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
PUNCH BX SKIN SINGLE LESION,44510035,CDM,983,RC,11104,HCPCS,Outpatient,,,77.22,61.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Each Sep/Add Punch Biopsy,43601384,CDM,521,RC,11105,HCPCS,Outpatient,,,90.6,72.48,,77.01,85,,61.61,percent of total billed charges,85% of total billed charges,77.01,85,,61.61,percent of total billed charges,85% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,79,87.2,,,percent of total billed charges,87.2% of total billed charges,53.45,59,,42.76,percent of total billed charges,59% of total billed charges,79,87.2,,63.2,percent of total billed charges,87.2% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,73.65,81.29,,58.92,percent of total billed charges,81.29% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of totl billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,47.11,81.54,
Each Sep/Add Punch Biopsy,43701384,CDM,521,RC,11105,HCPCS,Outpatient,,,90.6,72.48,,77.01,85,,61.61,percent of total billed charges,85% of total billed charges,77.01,85,,61.61,percent of total billed charges,85% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,67.3,74,,53.84,percent of total billed charges,74.28% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,79,87.2,,,percent of total billed charges,87.2% of total billed charges,53.45,59,,42.76,percent of total billed charges,59% of total billed charges,79,87.2,,63.2,percent of total billed charges,87.2% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,73.65,81.29,,58.92,percent of total billed charges,81.29% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of totl billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,81.54,90,,65.23,percent of total billed charges,90% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,55.27,61,,44.22,percent of total billed charges,61% of total billed charges,47.11,52,,37.69,percent of total billed charges,52% of total billed charges,47.11,81.54,
PUNCH BX SKIN EA SEP/ADDL,44500036,CDM,761,RC,11105,HCPCS,Outpatient,,,254.8,203.84,,216.58,85,,173.26,percent of total billed charges,85% of total billed charges,216.58,85,,173.26,percent of total billed charges,85% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,189.27,74,,151.42,percent of total billed charges,74.28% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,189.27,74,,151.42,percent of total billed charges,74.28% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,189.27,74,,151.42,percent of total billed charges,74.28% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,229.32,90,,183.46,percent of total billed charges,90% of total billed charges,229.32,90,,183.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,132.5,52,,106,percent of total billed charges,52% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,222.19,87.2,,,percent of total billed charges,87.2% of total billed charges,150.33,59,,120.26,percent of total billed charges,59% of total billed charges,222.19,87.2,,177.75,percent of total billed charges,87.2% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,207.13,81.29,,165.7,percent of total billed charges,81.29% of total billed charges,229.32,90,,183.46,percent of total billed charges,90% of totl billed charges,229.32,90,,183.46,percent of total billed charges,90% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,229.32,90,,183.46,percent of total billed charges,90% of total billed charges,229.32,90,,183.46,percent of total billed charges,90% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,155.43,61,,124.34,percent of total billed charges,61% of total billed charges,132.5,52,,106,percent of total billed charges,52% of total billed charges,132.5,229.32,
PUNCH BX SKIN EA SEP/ADDL,44510036,CDM,983,RC,11105,HCPCS,Outpatient,,,42.28,33.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Incisional Biopsy of Skin,43601385,CDM,521,RC,11106,HCPCS,Outpatient,,,222.77,178.22,,189.35,85,,151.48,percent of total billed charges,85% of total billed charges,189.35,85,,151.48,percent of total billed charges,85% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,194.26,87.2,,,percent of total billed charges,87.2% of total billed charges,131.43,59,,105.14,percent of total billed charges,59% of total billed charges,194.26,87.2,,155.41,percent of total billed charges,87.2% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,181.09,81.29,,144.87,percent of total billed charges,81.29% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of totl billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,115.84,200.49,
Incisional Biopsy of Skin,43701385,CDM,521,RC,11106,HCPCS,Outpatient,,,222.77,178.22,,189.35,85,,151.48,percent of total billed charges,85% of total billed charges,189.35,85,,151.48,percent of total billed charges,85% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,165.47,74,,132.38,percent of total billed charges,74.28% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,194.26,87.2,,,percent of total billed charges,87.2% of total billed charges,131.43,59,,105.14,percent of total billed charges,59% of total billed charges,194.26,87.2,,155.41,percent of total billed charges,87.2% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,181.09,81.29,,144.87,percent of total billed charges,81.29% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of totl billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,200.49,90,,160.39,percent of total billed charges,90% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,135.89,61,,108.71,percent of total billed charges,61% of total billed charges,115.84,52,,92.67,percent of total billed charges,52% of total billed charges,115.84,200.49,
INCAL BX SKN SKN SINGLE LES,44500037,CDM,761,RC,11106,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
INCAL BX SKN SKN SINGLE LES,44510037,CDM,983,RC,11106,HCPCS,Outpatient,,,93.56,74.85,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Each Sep/Add Incisional Biopsy,43601386,CDM,521,RC,11107,HCPCS,Outpatient,,,106.82,85.46,,90.8,85,,72.64,percent of total billed charges,85% of total billed charges,90.8,85,,72.64,percent of total billed charges,85% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,93.15,87.2,,,percent of total billed charges,87.2% of total billed charges,63.02,59,,50.42,percent of total billed charges,59% of total billed charges,93.15,87.2,,74.52,percent of total billed charges,87.2% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,86.83,81.29,,69.46,percent of total billed charges,81.29% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of totl billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,55.55,96.14,
Each Sep/Add Incisional Biopsy,43701386,CDM,521,RC,11107,HCPCS,Outpatient,,,106.82,85.46,,90.8,85,,72.64,percent of total billed charges,85% of total billed charges,90.8,85,,72.64,percent of total billed charges,85% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,79.35,74,,63.48,percent of total billed charges,74.28% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,93.15,87.2,,,percent of total billed charges,87.2% of total billed charges,63.02,59,,50.42,percent of total billed charges,59% of total billed charges,93.15,87.2,,74.52,percent of total billed charges,87.2% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,86.83,81.29,,69.46,percent of total billed charges,81.29% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of totl billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,96.14,90,,76.91,percent of total billed charges,90% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,65.16,61,,52.13,percent of total billed charges,61% of total billed charges,55.55,52,,44.44,percent of total billed charges,52% of total billed charges,55.55,96.14,
INCAL BX SKN EA SEP/ADDL,44500038,CDM,761,RC,11107,HCPCS,Outpatient,,,300.45,240.36,,255.38,85,,204.3,percent of total billed charges,85% of total billed charges,255.38,85,,204.3,percent of total billed charges,85% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,223.17,74,,178.54,percent of total billed charges,74.28% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,223.17,74,,178.54,percent of total billed charges,74.28% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,223.17,74,,178.54,percent of total billed charges,74.28% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,270.41,90,,216.33,percent of total billed charges,90% of total billed charges,270.41,90,,216.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,261.99,87.2,,,percent of total billed charges,87.2% of total billed charges,177.27,59,,141.82,percent of total billed charges,59% of total billed charges,261.99,87.2,,209.59,percent of total billed charges,87.2% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,244.24,81.29,,195.39,percent of total billed charges,81.29% of total billed charges,270.41,90,,216.33,percent of total billed charges,90% of totl billed charges,270.41,90,,216.33,percent of total billed charges,90% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,270.41,90,,216.33,percent of total billed charges,90% of total billed charges,270.41,90,,216.33,percent of total billed charges,90% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,183.27,61,,146.62,percent of total billed charges,61% of total billed charges,156.23,52,,124.98,percent of total billed charges,52% of total billed charges,156.23,270.41,
INCAL BX SKN EA SEP/ADDL,44510038,CDM,983,RC,11107,HCPCS,Outpatient,,,51.29,41.03,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF SKIN TAGS UP TO 15,36010161,CDM,981,RC,11200,HCPCS,Outpatient,,,148.76,119.01,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF SKIN TAGS UP TO 15,43600116,CDM,983,RC,11200,HCPCS,Outpatient,,,125.44,100.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF SKIN TAGS UP TO 15,43600280,CDM,521,RC,11200,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
REMOVAL OF SKIN TAGS UP TO 15,43700116,CDM,983,RC,11200,HCPCS,Outpatient,,,125.44,100.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF SKIN TAGS UP TO 15,43701266,CDM,521,RC,11200,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
REMOVAL SKIN TAGS EA ADDITL 10,43600288,CDM,521,RC,11201,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
REMOVAL SKIN TAGS EA ADDITL 10,43601126,CDM,983,RC,11201,HCPCS,Outpatient,,,38.18,30.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL SKIN TAGS EA ADDITL 10,43701126,CDM,983,RC,11201,HCPCS,Outpatient,,,38.18,30.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL SKIN TAGS EA ADDITL 10,43701288,CDM,521,RC,11201,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
Shaving Lesion-Single<0.5cm,43601387,CDM,521,RC,11300,HCPCS,Outpatient,,,148.35,118.68,,126.1,85,,100.88,percent of total billed charges,85% of total billed charges,126.1,85,,100.88,percent of total billed charges,85% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,129.36,87.2,,,percent of total billed charges,87.2% of total billed charges,87.53,59,,70.02,percent of total billed charges,59% of total billed charges,129.36,87.2,,103.49,percent of total billed charges,87.2% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,120.59,81.29,,96.47,percent of total billed charges,81.29% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of totl billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,77.14,133.52,
Shaving Lesion-Single<0.5cm,43701387,CDM,521,RC,11300,HCPCS,Outpatient,,,148.35,118.68,,126.1,85,,100.88,percent of total billed charges,85% of total billed charges,126.1,85,,100.88,percent of total billed charges,85% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,110.19,74,,88.15,percent of total billed charges,74.28% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,129.36,87.2,,,percent of total billed charges,87.2% of total billed charges,87.53,59,,70.02,percent of total billed charges,59% of total billed charges,129.36,87.2,,103.49,percent of total billed charges,87.2% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,120.59,81.29,,96.47,percent of total billed charges,81.29% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of totl billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,133.52,90,,106.82,percent of total billed charges,90% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,90.49,61,,72.39,percent of total billed charges,61% of total billed charges,77.14,52,,61.71,percent of total billed charges,52% of total billed charges,77.14,133.52,
SHVG LESION EA 0.6-1.0CM T/A/L,43601700,CDM,521,RC,11301,HCPCS,Outpatient,,,180.07,144.06,,153.06,85,,122.45,percent of total billed charges,85% of total billed charges,153.06,85,,122.45,percent of total billed charges,85% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,157.02,87.2,,,percent of total billed charges,87.2% of total billed charges,106.24,59,,84.99,percent of total billed charges,59% of total billed charges,157.02,87.2,,125.62,percent of total billed charges,87.2% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,146.38,81.29,,117.1,percent of total billed charges,81.29% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of totl billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,93.64,162.06,
SHVG LESION EA 0.6-1.0CM T/A/L,43701700,CDM,521,RC,11301,HCPCS,Outpatient,,,180.07,144.06,,153.06,85,,122.45,percent of total billed charges,85% of total billed charges,153.06,85,,122.45,percent of total billed charges,85% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,133.76,74,,107.01,percent of total billed charges,74.28% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,157.02,87.2,,,percent of total billed charges,87.2% of total billed charges,106.24,59,,84.99,percent of total billed charges,59% of total billed charges,157.02,87.2,,125.62,percent of total billed charges,87.2% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,146.38,81.29,,117.1,percent of total billed charges,81.29% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of totl billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,162.06,90,,129.65,percent of total billed charges,90% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,109.84,61,,87.87,percent of total billed charges,61% of total billed charges,93.64,52,,74.91,percent of total billed charges,52% of total billed charges,93.64,162.06,
SHVG LESION EA 1.1-2.0CM T/A/L,43601701,CDM,521,RC,11302,HCPCS,Outpatient,,,205.66,164.53,,174.81,85,,139.85,percent of total billed charges,85% of total billed charges,174.81,85,,139.85,percent of total billed charges,85% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,179.34,87.2,,,percent of total billed charges,87.2% of total billed charges,121.34,59,,97.07,percent of total billed charges,59% of total billed charges,179.34,87.2,,143.47,percent of total billed charges,87.2% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,167.18,81.29,,133.74,percent of total billed charges,81.29% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of totl billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,106.94,185.09,
SHVG LESION EA 1.1-2.0CM T/A/L,43701701,CDM,521,RC,11302,HCPCS,Outpatient,,,205.66,164.53,,174.81,85,,139.85,percent of total billed charges,85% of total billed charges,174.81,85,,139.85,percent of total billed charges,85% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,152.76,74,,122.21,percent of total billed charges,74.28% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,179.34,87.2,,,percent of total billed charges,87.2% of total billed charges,121.34,59,,97.07,percent of total billed charges,59% of total billed charges,179.34,87.2,,143.47,percent of total billed charges,87.2% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,167.18,81.29,,133.74,percent of total billed charges,81.29% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of totl billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,185.09,90,,148.07,percent of total billed charges,90% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,125.45,61,,100.36,percent of total billed charges,61% of total billed charges,106.94,52,,85.55,percent of total billed charges,52% of total billed charges,106.94,185.09,
SHVG LESION EACH >2.0CM T/A/L,43601702,CDM,521,RC,11303,HCPCS,Outpatient,,,226.32,181.06,,192.37,85,,153.9,percent of total billed charges,85% of total billed charges,192.37,85,,153.9,percent of total billed charges,85% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,197.35,87.2,,,percent of total billed charges,87.2% of total billed charges,133.53,59,,106.82,percent of total billed charges,59% of total billed charges,197.35,87.2,,157.88,percent of total billed charges,87.2% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,183.98,81.29,,147.18,percent of total billed charges,81.29% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of totl billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,117.69,203.69,
SHVG LESION EACH >2.0CM T/A/L,43701702,CDM,521,RC,11303,HCPCS,Outpatient,,,226.32,181.06,,192.37,85,,153.9,percent of total billed charges,85% of total billed charges,192.37,85,,153.9,percent of total billed charges,85% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,168.11,74,,134.49,percent of total billed charges,74.28% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,197.35,87.2,,,percent of total billed charges,87.2% of total billed charges,133.53,59,,106.82,percent of total billed charges,59% of total billed charges,197.35,87.2,,157.88,percent of total billed charges,87.2% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,183.98,81.29,,147.18,percent of total billed charges,81.29% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of totl billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,203.69,90,,162.95,percent of total billed charges,90% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,138.06,61,,110.45,percent of total billed charges,61% of total billed charges,117.69,52,,94.15,percent of total billed charges,52% of total billed charges,117.69,203.69,
SHVG LES EA <0.5CM S/N/H/F/G,43601703,CDM,521,RC,11305,HCPCS,Outpatient,,,156.46,125.17,,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,136.43,87.2,,,percent of total billed charges,87.2% of total billed charges,92.31,59,,73.85,percent of total billed charges,59% of total billed charges,136.43,87.2,,109.14,percent of total billed charges,87.2% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,127.19,81.29,,101.75,percent of total billed charges,81.29% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of totl billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,81.36,140.81,
SHVG LES EA <0.5CM S/N/H/F/G,43701703,CDM,521,RC,11305,HCPCS,Outpatient,,,156.46,125.17,,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,136.43,87.2,,,percent of total billed charges,87.2% of total billed charges,92.31,59,,73.85,percent of total billed charges,59% of total billed charges,136.43,87.2,,109.14,percent of total billed charges,87.2% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,127.19,81.29,,101.75,percent of total billed charges,81.29% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of totl billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,81.36,52,,65.09,percent of total billed charges,52% of total billed charges,81.36,140.81,
SHVG LES 0.6-1.0CM S/N/H/F/G,43601704,CDM,521,RC,11306,HCPCS,Outpatient,,,181.06,144.85,,153.9,85,,123.12,percent of total billed charges,85% of total billed charges,153.9,85,,123.12,percent of total billed charges,85% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,157.88,87.2,,,percent of total billed charges,87.2% of total billed charges,106.83,59,,85.46,percent of total billed charges,59% of total billed charges,157.88,87.2,,126.3,percent of total billed charges,87.2% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,147.18,81.29,,117.74,percent of total billed charges,81.29% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of totl billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,94.15,162.95,
SHVG LES 0.6-1.0CM S/N/H/F/G,43701704,CDM,521,RC,11306,HCPCS,Outpatient,,,181.06,144.85,,153.9,85,,123.12,percent of total billed charges,85% of total billed charges,153.9,85,,123.12,percent of total billed charges,85% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,134.49,74,,107.59,percent of total billed charges,74.28% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,157.88,87.2,,,percent of total billed charges,87.2% of total billed charges,106.83,59,,85.46,percent of total billed charges,59% of total billed charges,157.88,87.2,,126.3,percent of total billed charges,87.2% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,147.18,81.29,,117.74,percent of total billed charges,81.29% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of totl billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,162.95,90,,130.36,percent of total billed charges,90% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,110.45,61,,88.36,percent of total billed charges,61% of total billed charges,94.15,52,,75.32,percent of total billed charges,52% of total billed charges,94.15,162.95,
SHVG LES 1.1-2.0CM S/N/H/F/G,43601705,CDM,521,RC,11307,HCPCS,Outpatient,,,209.59,167.67,,178.15,85,,142.52,percent of total billed charges,85% of total billed charges,178.15,85,,142.52,percent of total billed charges,85% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,182.76,87.2,,,percent of total billed charges,87.2% of total billed charges,123.66,59,,98.93,percent of total billed charges,59% of total billed charges,182.76,87.2,,146.21,percent of total billed charges,87.2% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,170.38,81.29,,136.3,percent of total billed charges,81.29% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of totl billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,108.99,188.63,
SHVG LES 1.1-2.0CM S/N/H/F/G,43701705,CDM,521,RC,11307,HCPCS,Outpatient,,,209.59,167.67,,178.15,85,,142.52,percent of total billed charges,85% of total billed charges,178.15,85,,142.52,percent of total billed charges,85% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,155.68,74,,124.54,percent of total billed charges,74.28% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,182.76,87.2,,,percent of total billed charges,87.2% of total billed charges,123.66,59,,98.93,percent of total billed charges,59% of total billed charges,182.76,87.2,,146.21,percent of total billed charges,87.2% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,170.38,81.29,,136.3,percent of total billed charges,81.29% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of totl billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,188.63,90,,150.9,percent of total billed charges,90% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,127.85,61,,102.28,percent of total billed charges,61% of total billed charges,108.99,52,,87.19,percent of total billed charges,52% of total billed charges,108.99,188.63,
SHVG LES EA >2.0CM S/N/H/F/G,43601706,CDM,521,RC,11308,HCPCS,Outpatient,,,222.38,177.9,,189.02,85,,151.22,percent of total billed charges,85% of total billed charges,189.02,85,,151.22,percent of total billed charges,85% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,193.92,87.2,,,percent of total billed charges,87.2% of total billed charges,131.2,59,,104.96,percent of total billed charges,59% of total billed charges,193.92,87.2,,155.14,percent of total billed charges,87.2% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,180.77,81.29,,144.62,percent of total billed charges,81.29% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of totl billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,115.64,200.14,
SHVG LES EA >2.0CM S/N/H/F/G,43701706,CDM,521,RC,11308,HCPCS,Outpatient,,,222.38,177.9,,189.02,85,,151.22,percent of total billed charges,85% of total billed charges,189.02,85,,151.22,percent of total billed charges,85% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,165.18,74,,132.14,percent of total billed charges,74.28% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,193.92,87.2,,,percent of total billed charges,87.2% of total billed charges,131.2,59,,104.96,percent of total billed charges,59% of total billed charges,193.92,87.2,,155.14,percent of total billed charges,87.2% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,180.77,81.29,,144.62,percent of total billed charges,81.29% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of totl billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,200.14,90,,160.11,percent of total billed charges,90% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,135.65,61,,108.52,percent of total billed charges,61% of total billed charges,115.64,52,,92.51,percent of total billed charges,52% of total billed charges,115.64,200.14,
SHVG LES EA <0.5CM F/E/E/N/L/M,43601707,CDM,521,RC,11310,HCPCS,Outpatient,,,171.71,137.37,,145.95,85,,116.76,percent of total billed charges,85% of total billed charges,145.95,85,,116.76,percent of total billed charges,85% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,149.73,87.2,,,percent of total billed charges,87.2% of total billed charges,101.31,59,,81.05,percent of total billed charges,59% of total billed charges,149.73,87.2,,119.78,percent of total billed charges,87.2% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,139.58,81.29,,111.66,percent of total billed charges,81.29% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of totl billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,89.29,154.54,
SHVG LES EA <0.5CM F/E/E/N/L/M,43701707,CDM,521,RC,11310,HCPCS,Outpatient,,,171.71,137.37,,145.95,85,,116.76,percent of total billed charges,85% of total billed charges,145.95,85,,116.76,percent of total billed charges,85% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,127.55,74,,102.04,percent of total billed charges,74.28% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,149.73,87.2,,,percent of total billed charges,87.2% of total billed charges,101.31,59,,81.05,percent of total billed charges,59% of total billed charges,149.73,87.2,,119.78,percent of total billed charges,87.2% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,139.58,81.29,,111.66,percent of total billed charges,81.29% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of totl billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,154.54,90,,123.63,percent of total billed charges,90% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,104.74,61,,83.79,percent of total billed charges,61% of total billed charges,89.29,52,,71.43,percent of total billed charges,52% of total billed charges,89.29,154.54,
SHVG LES 0.6-1.0CM F/E/E/N/L/M,43601708,CDM,521,RC,11311,HCPCS,Outpatient,,,202.7,162.16,,172.3,85,,137.84,percent of total billed charges,85% of total billed charges,172.3,85,,137.84,percent of total billed charges,85% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,176.75,87.2,,,percent of total billed charges,87.2% of total billed charges,119.59,59,,95.67,percent of total billed charges,59% of total billed charges,176.75,87.2,,141.4,percent of total billed charges,87.2% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,164.77,81.29,,131.82,percent of total billed charges,81.29% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of totl billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,105.4,182.43,
SHVG LES 0.6-1.0CM F/E/E/N/L/M,43701708,CDM,521,RC,11311,HCPCS,Outpatient,,,202.7,162.16,,172.3,85,,137.84,percent of total billed charges,85% of total billed charges,172.3,85,,137.84,percent of total billed charges,85% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,150.57,74,,120.46,percent of total billed charges,74.28% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,176.75,87.2,,,percent of total billed charges,87.2% of total billed charges,119.59,59,,95.67,percent of total billed charges,59% of total billed charges,176.75,87.2,,141.4,percent of total billed charges,87.2% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,164.77,81.29,,131.82,percent of total billed charges,81.29% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of totl billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,182.43,90,,145.94,percent of total billed charges,90% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,123.65,61,,98.92,percent of total billed charges,61% of total billed charges,105.4,52,,84.32,percent of total billed charges,52% of total billed charges,105.4,182.43,
SHVG LES 1.1-2.0CM F/E/E/N/L/M,43601709,CDM,521,RC,11312,HCPCS,Outpatient,,,231.24,184.99,,196.55,85,,157.24,percent of total billed charges,85% of total billed charges,196.55,85,,157.24,percent of total billed charges,85% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,201.64,87.2,,,percent of total billed charges,87.2% of total billed charges,136.43,59,,109.14,percent of total billed charges,59% of total billed charges,201.64,87.2,,161.31,percent of total billed charges,87.2% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,187.97,81.29,,150.38,percent of total billed charges,81.29% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of totl billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,120.24,208.12,
SHVG LES 1.1-2.0CM F/E/E/N/L/M,43701709,CDM,521,RC,11312,HCPCS,Outpatient,,,231.24,184.99,,196.55,85,,157.24,percent of total billed charges,85% of total billed charges,196.55,85,,157.24,percent of total billed charges,85% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,171.77,74,,137.42,percent of total billed charges,74.28% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,201.64,87.2,,,percent of total billed charges,87.2% of total billed charges,136.43,59,,109.14,percent of total billed charges,59% of total billed charges,201.64,87.2,,161.31,percent of total billed charges,87.2% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,187.97,81.29,,150.38,percent of total billed charges,81.29% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of totl billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,208.12,90,,166.5,percent of total billed charges,90% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,141.06,61,,112.85,percent of total billed charges,61% of total billed charges,120.24,52,,96.19,percent of total billed charges,52% of total billed charges,120.24,208.12,
SHVG LES EA >2.0CM F/E/E/N/L/M,43601710,CDM,521,RC,11313,HCPCS,Outpatient,,,268.14,214.51,,227.92,85,,182.34,percent of total billed charges,85% of total billed charges,227.92,85,,182.34,percent of total billed charges,85% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,233.82,87.2,,,percent of total billed charges,87.2% of total billed charges,158.2,59,,126.56,percent of total billed charges,59% of total billed charges,233.82,87.2,,187.06,percent of total billed charges,87.2% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,217.97,81.29,,174.38,percent of total billed charges,81.29% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of totl billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,139.43,241.33,
SHVG LES EA >2.0CM F/E/E/N/L/M,43701710,CDM,521,RC,11313,HCPCS,Outpatient,,,268.14,214.51,,227.92,85,,182.34,percent of total billed charges,85% of total billed charges,227.92,85,,182.34,percent of total billed charges,85% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,199.17,74,,159.34,percent of total billed charges,74.28% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,233.82,87.2,,,percent of total billed charges,87.2% of total billed charges,158.2,59,,126.56,percent of total billed charges,59% of total billed charges,233.82,87.2,,187.06,percent of total billed charges,87.2% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,217.97,81.29,,174.38,percent of total billed charges,81.29% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of totl billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,241.33,90,,193.06,percent of total billed charges,90% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,163.57,61,,130.86,percent of total billed charges,61% of total billed charges,139.43,52,,111.54,percent of total billed charges,52% of total billed charges,139.43,241.33,
EXC B/L TRUNK/ARM/LEG <0.5CM,43600197,CDM,521,RC,11400,HCPCS,Outpatient,,,174.53,139.62,,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,152.19,87.2,,,percent of total billed charges,87.2% of total billed charges,102.97,59,,82.38,percent of total billed charges,59% of total billed charges,152.19,87.2,,121.75,percent of total billed charges,87.2% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,141.88,81.29,,113.5,percent of total billed charges,81.29% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of totl billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,157.08,
EXC B/L TRUNK/ARM/LEG <0.5CM,43701183,CDM,521,RC,11400,HCPCS,Outpatient,,,174.53,139.62,,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,152.19,87.2,,,percent of total billed charges,87.2% of total billed charges,102.97,59,,82.38,percent of total billed charges,59% of total billed charges,152.19,87.2,,121.75,percent of total billed charges,87.2% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,141.88,81.29,,113.5,percent of total billed charges,81.29% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of totl billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,157.08,
EXC B/L TRUNK/ARM/LEG 0.6-1.0C,43600198,CDM,521,RC,11401,HCPCS,Outpatient,,,212.71,170.17,,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,185.48,87.2,,,percent of total billed charges,87.2% of total billed charges,125.5,59,,100.4,percent of total billed charges,59% of total billed charges,185.48,87.2,,148.38,percent of total billed charges,87.2% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,172.91,81.29,,138.33,percent of total billed charges,81.29% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of totl billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,191.44,
EXC B/L TRUNK/ARM/LEG 0.6-1.0C,43701184,CDM,521,RC,11401,HCPCS,Outpatient,,,212.71,170.17,,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,185.48,87.2,,,percent of total billed charges,87.2% of total billed charges,125.5,59,,100.4,percent of total billed charges,59% of total billed charges,185.48,87.2,,148.38,percent of total billed charges,87.2% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,172.91,81.29,,138.33,percent of total billed charges,81.29% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of totl billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,191.44,
EXC B/L TRUNK/ARM/LEG 1.1-2.0C,43600199,CDM,521,RC,11402,HCPCS,Outpatient,,,239.98,191.98,,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,209.26,87.2,,,percent of total billed charges,87.2% of total billed charges,141.59,59,,113.27,percent of total billed charges,59% of total billed charges,209.26,87.2,,167.41,percent of total billed charges,87.2% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,195.08,81.29,,156.06,percent of total billed charges,81.29% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of totl billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,215.98,
EXC B/L TRUNK/ARM/LEG 1.1-2.0C,43701185,CDM,521,RC,11402,HCPCS,Outpatient,,,239.98,191.98,,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,209.26,87.2,,,percent of total billed charges,87.2% of total billed charges,141.59,59,,113.27,percent of total billed charges,59% of total billed charges,209.26,87.2,,167.41,percent of total billed charges,87.2% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,195.08,81.29,,156.06,percent of total billed charges,81.29% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of totl billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,215.98,
EXCISION DIAMETER 2.1 TO 3.0CM,43601545,CDM,521,RC,11403,HCPCS,Outpatient,,,307.49,245.99,,261.37,85,,209.1,percent of total billed charges,85% of total billed charges,261.37,85,,209.1,percent of total billed charges,85% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,268.13,87.2,,,percent of total billed charges,87.2% of total billed charges,181.42,59,,145.14,percent of total billed charges,59% of total billed charges,268.13,87.2,,214.5,percent of total billed charges,87.2% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,249.96,81.29,,199.97,percent of total billed charges,81.29% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of totl billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,159.89,276.74,
EXCISION DIAMETER 2.1 TO 3.0CM,43701545,CDM,521,RC,11403,HCPCS,Outpatient,,,307.49,245.99,,261.37,85,,209.1,percent of total billed charges,85% of total billed charges,261.37,85,,209.1,percent of total billed charges,85% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,228.4,74,,182.72,percent of total billed charges,74.28% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,268.13,87.2,,,percent of total billed charges,87.2% of total billed charges,181.42,59,,145.14,percent of total billed charges,59% of total billed charges,268.13,87.2,,214.5,percent of total billed charges,87.2% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,249.96,81.29,,199.97,percent of total billed charges,81.29% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of totl billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,276.74,90,,221.39,percent of total billed charges,90% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,187.57,61,,150.06,percent of total billed charges,61% of total billed charges,159.89,52,,127.91,percent of total billed charges,52% of total billed charges,159.89,276.74,
EXCISE LESION BENIGN 3.1-4.0CM,36011030,CDM,981,RC,11404,HCPCS,Outpatient,,,340.49,272.39,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC B/L TRUNK/ARM/LEG 3.1-4.0C,43601672,CDM,521,RC,11404,HCPCS,Outpatient,,,327.67,262.14,,278.52,85,,222.82,percent of total billed charges,85% of total billed charges,278.52,85,,222.82,percent of total billed charges,85% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,285.73,87.2,,,percent of total billed charges,87.2% of total billed charges,193.33,59,,154.66,percent of total billed charges,59% of total billed charges,285.73,87.2,,228.58,percent of total billed charges,87.2% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,266.36,81.29,,213.09,percent of total billed charges,81.29% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of totl billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,170.39,294.9,
EXC B/L TRUNK/ARM/LEG 3.1-4.0C,43701672,CDM,521,RC,11404,HCPCS,Outpatient,,,327.67,262.14,,278.52,85,,222.82,percent of total billed charges,85% of total billed charges,278.52,85,,222.82,percent of total billed charges,85% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,243.39,74,,194.71,percent of total billed charges,74.28% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,285.73,87.2,,,percent of total billed charges,87.2% of total billed charges,193.33,59,,154.66,percent of total billed charges,59% of total billed charges,285.73,87.2,,228.58,percent of total billed charges,87.2% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,266.36,81.29,,213.09,percent of total billed charges,81.29% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of totl billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,294.9,90,,235.92,percent of total billed charges,90% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,199.88,61,,159.9,percent of total billed charges,61% of total billed charges,170.39,52,,136.31,percent of total billed charges,52% of total billed charges,170.39,294.9,
EXC BNGN LES TRU/ARM/LEG>4.0CM,35010126,CDM,975,RC,11406,HCPCS,Outpatient,,,485.46,388.37,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION LESION BENIGN >4.0 CM,36011025,CDM,981,RC,11406,HCPCS,Outpatient,,,507.08,405.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION DIAMETER OVER 4.0CM,43601546,CDM,521,RC,11406,HCPCS,Outpatient,,,395.34,316.27,,336.04,85,,268.83,percent of total billed charges,85% of total billed charges,336.04,85,,268.83,percent of total billed charges,85% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,344.74,87.2,,,percent of total billed charges,87.2% of total billed charges,233.25,59,,186.6,percent of total billed charges,59% of total billed charges,344.74,87.2,,275.79,percent of total billed charges,87.2% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,321.37,81.29,,257.1,percent of total billed charges,81.29% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of totl billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,205.58,355.81,
EXC B/L TRUNK/ARM/LEG GT4.0C,43601673,CDM,521,RC,11406,HCPCS,Outpatient,,,464.45,371.56,,394.78,85,,315.82,percent of total billed charges,85% of total billed charges,394.78,85,,315.82,percent of total billed charges,85% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,405,87.2,,,percent of total billed charges,87.2% of total billed charges,274.03,59,,219.22,percent of total billed charges,59% of total billed charges,405,87.2,,324,percent of total billed charges,87.2% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,377.55,81.29,,302.04,percent of total billed charges,81.29% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of totl billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,241.51,418.01,
EXCISION DIAMETER OVER 4.0CM,43701546,CDM,521,RC,11406,HCPCS,Outpatient,,,395.34,316.27,,336.04,85,,268.83,percent of total billed charges,85% of total billed charges,336.04,85,,268.83,percent of total billed charges,85% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,293.66,74,,234.93,percent of total billed charges,74.28% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,344.74,87.2,,,percent of total billed charges,87.2% of total billed charges,233.25,59,,186.6,percent of total billed charges,59% of total billed charges,344.74,87.2,,275.79,percent of total billed charges,87.2% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,321.37,81.29,,257.1,percent of total billed charges,81.29% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of totl billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,355.81,90,,284.65,percent of total billed charges,90% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,241.16,61,,192.93,percent of total billed charges,61% of total billed charges,205.58,52,,164.46,percent of total billed charges,52% of total billed charges,205.58,355.81,
EXC B/L TRUNK/ARM/LEG GT4.0C,43701673,CDM,521,RC,11406,HCPCS,Outpatient,,,464.45,371.56,,394.78,85,,315.82,percent of total billed charges,85% of total billed charges,394.78,85,,315.82,percent of total billed charges,85% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,344.99,74,,275.99,percent of total billed charges,74.28% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,405,87.2,,,percent of total billed charges,87.2% of total billed charges,274.03,59,,219.22,percent of total billed charges,59% of total billed charges,405,87.2,,324,percent of total billed charges,87.2% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,377.55,81.29,,302.04,percent of total billed charges,81.29% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of totl billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,418.01,90,,334.41,percent of total billed charges,90% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,283.31,61,,226.65,percent of total billed charges,61% of total billed charges,241.51,52,,193.21,percent of total billed charges,52% of total billed charges,241.51,418.01,
EX <0.5cm SCALP HAND or FOOT,36013033,CDM,981,RC,11420,HCPCS,Outpatient,,,211.84,169.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC B/L SCALP/HAND/FEET <0.5CM,43600200,CDM,521,RC,11420,HCPCS,Outpatient,,,179.98,143.98,,152.98,85,,122.38,percent of total billed charges,85% of total billed charges,152.98,85,,122.38,percent of total billed charges,85% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,156.94,87.2,,,percent of total billed charges,87.2% of total billed charges,106.19,59,,84.95,percent of total billed charges,59% of total billed charges,156.94,87.2,,125.55,percent of total billed charges,87.2% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,146.31,81.29,,117.05,percent of total billed charges,81.29% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of totl billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,93.59,161.98,
EXC B/L SCALP/HAND/FEET <0.5CM,43701186,CDM,521,RC,11420,HCPCS,Outpatient,,,179.98,143.98,,152.98,85,,122.38,percent of total billed charges,85% of total billed charges,152.98,85,,122.38,percent of total billed charges,85% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,133.69,74,,106.95,percent of total billed charges,74.28% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,156.94,87.2,,,percent of total billed charges,87.2% of total billed charges,106.19,59,,84.95,percent of total billed charges,59% of total billed charges,156.94,87.2,,125.55,percent of total billed charges,87.2% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,146.31,81.29,,117.05,percent of total billed charges,81.29% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of totl billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,161.98,90,,129.58,percent of total billed charges,90% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,109.79,61,,87.83,percent of total billed charges,61% of total billed charges,93.59,52,,74.87,percent of total billed charges,52% of total billed charges,93.59,161.98,
EXC B/L SCALP/HAND/FEET 0.6-1.,43600201,CDM,521,RC,11421,HCPCS,Outpatient,,,229.07,183.26,,194.71,85,,155.77,percent of total billed charges,85% of total billed charges,194.71,85,,155.77,percent of total billed charges,85% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,199.75,87.2,,,percent of total billed charges,87.2% of total billed charges,135.15,59,,108.12,percent of total billed charges,59% of total billed charges,199.75,87.2,,159.8,percent of total billed charges,87.2% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,186.21,81.29,,148.97,percent of total billed charges,81.29% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of totl billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,119.12,206.16,
EXC B/L SCALP/HAND/FEET 0.6-1.,43701187,CDM,521,RC,11421,HCPCS,Outpatient,,,229.07,183.26,,194.71,85,,155.77,percent of total billed charges,85% of total billed charges,194.71,85,,155.77,percent of total billed charges,85% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,170.15,74,,136.12,percent of total billed charges,74.28% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,199.75,87.2,,,percent of total billed charges,87.2% of total billed charges,135.15,59,,108.12,percent of total billed charges,59% of total billed charges,199.75,87.2,,159.8,percent of total billed charges,87.2% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,186.21,81.29,,148.97,percent of total billed charges,81.29% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of totl billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,206.16,90,,164.93,percent of total billed charges,90% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,139.73,61,,111.78,percent of total billed charges,61% of total billed charges,119.12,52,,95.3,percent of total billed charges,52% of total billed charges,119.12,206.16,
EXC B/L SCALP/HAND/FEET 1.1-2.,43600202,CDM,521,RC,11422,HCPCS,Outpatient,,,299.97,239.98,,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,261.57,87.2,,,percent of total billed charges,87.2% of total billed charges,176.98,59,,141.58,percent of total billed charges,59% of total billed charges,261.57,87.2,,209.26,percent of total billed charges,87.2% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,243.85,81.29,,195.08,percent of total billed charges,81.29% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of totl billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,269.97,
EXC B/L SCALP/HAND/FEET 1.1-2.,43701188,CDM,521,RC,11422,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
EXC B/L FCE/EAR/NSE/LIP <0.5CM,43600203,CDM,521,RC,11440,HCPCS,Outpatient,,,196.34,157.07,,166.89,85,,133.51,percent of total billed charges,85% of total billed charges,166.89,85,,133.51,percent of total billed charges,85% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,171.21,87.2,,,percent of total billed charges,87.2% of total billed charges,115.84,59,,92.67,percent of total billed charges,59% of total billed charges,171.21,87.2,,136.97,percent of total billed charges,87.2% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,159.6,81.29,,127.68,percent of total billed charges,81.29% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of totl billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,102.1,176.71,
EXC B/L FCE/EAR/NSE/LIP <0.5CM,43701189,CDM,521,RC,11440,HCPCS,Outpatient,,,196.34,157.07,,166.89,85,,133.51,percent of total billed charges,85% of total billed charges,166.89,85,,133.51,percent of total billed charges,85% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,145.84,74,,116.67,percent of total billed charges,74.28% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,171.21,87.2,,,percent of total billed charges,87.2% of total billed charges,115.84,59,,92.67,percent of total billed charges,59% of total billed charges,171.21,87.2,,136.97,percent of total billed charges,87.2% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,159.6,81.29,,127.68,percent of total billed charges,81.29% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of totl billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,176.71,90,,141.37,percent of total billed charges,90% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,119.77,61,,95.82,percent of total billed charges,61% of total billed charges,102.1,52,,81.68,percent of total billed charges,52% of total billed charges,102.1,176.71,
EXC B/L FCE/EAR/NSE/LIP 0.6-1,43600204,CDM,521,RC,11441,HCPCS,Outpatient,,,245.43,196.34,,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,214.01,87.2,,,percent of total billed charges,87.2% of total billed charges,144.8,59,,115.84,percent of total billed charges,59% of total billed charges,214.01,87.2,,171.21,percent of total billed charges,87.2% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,199.51,81.29,,159.61,percent of total billed charges,81.29% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of totl billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,220.89,
EXC B/L FCE/EAR/NSE/LIP 0.6-1,43701190,CDM,521,RC,11441,HCPCS,Outpatient,,,245.43,196.34,,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,214.01,87.2,,,percent of total billed charges,87.2% of total billed charges,144.8,59,,115.84,percent of total billed charges,59% of total billed charges,214.01,87.2,,171.21,percent of total billed charges,87.2% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,199.51,81.29,,159.61,percent of total billed charges,81.29% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of totl billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,220.89,
EXC B/L FCE/EAR/NSE/LIP 1.1-2,43600205,CDM,521,RC,11442,HCPCS,Outpatient,,,299.97,239.98,,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,261.57,87.2,,,percent of total billed charges,87.2% of total billed charges,176.98,59,,141.58,percent of total billed charges,59% of total billed charges,261.57,87.2,,209.26,percent of total billed charges,87.2% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,243.85,81.29,,195.08,percent of total billed charges,81.29% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of totl billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,269.97,
EXC B/L FCE/EAR/NSE/LIP 1.1-2,43701191,CDM,521,RC,11442,HCPCS,Outpatient,,,375.74,300.59,,319.38,85,,255.5,percent of total billed charges,85% of total billed charges,319.38,85,,255.5,percent of total billed charges,85% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,279.1,74,,223.28,percent of total billed charges,74.28% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,279.1,74,,223.28,percent of total billed charges,74.28% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,279.1,74,,223.28,percent of total billed charges,74.28% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,338.17,90,,270.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,327.65,87.2,,,percent of total billed charges,87.2% of total billed charges,221.69,59,,177.35,percent of total billed charges,59% of total billed charges,327.65,87.2,,262.12,percent of total billed charges,87.2% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,305.44,81.29,,244.35,percent of total billed charges,81.29% of total billed charges,338.17,90,,270.54,percent of total billed charges,90% of totl billed charges,338.17,90,,270.54,percent of total billed charges,90% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,338.17,90,,270.54,percent of total billed charges,90% of total billed charges,338.17,90,,270.54,percent of total billed charges,90% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,229.2,61,,183.36,percent of total billed charges,61% of total billed charges,195.38,52,,156.3,percent of total billed charges,52% of total billed charges,195.38,338.17,
EXC M/L TRUNK/ARM/LEG <0.5CM,43600206,CDM,521,RC,11600,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
EXC M/L TRUNK/ARM/LEG <0.5CM,43701192,CDM,521,RC,11600,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
EXC M/L TRUNK/ARM/LEG 0.6-1.0C,43600207,CDM,521,RC,11601,HCPCS,Outpatient,,,332.69,266.15,,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,290.11,87.2,,,percent of total billed charges,87.2% of total billed charges,196.29,59,,157.03,percent of total billed charges,59% of total billed charges,290.11,87.2,,232.09,percent of total billed charges,87.2% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,270.44,81.29,,216.35,percent of total billed charges,81.29% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of totl billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,299.42,
EXC M/L TRUNK/ARM/LEG 06.-1.0C,43701193,CDM,521,RC,11601,HCPCS,Outpatient,,,332.69,266.15,,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,290.11,87.2,,,percent of total billed charges,87.2% of total billed charges,196.29,59,,157.03,percent of total billed charges,59% of total billed charges,290.11,87.2,,232.09,percent of total billed charges,87.2% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,270.44,81.29,,216.35,percent of total billed charges,81.29% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of totl billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,299.42,
EXC M/L TRUNK/ARM/LEG 1.1-2.0C,43600208,CDM,521,RC,11602,HCPCS,Outpatient,,,387.23,309.78,,329.15,85,,263.32,percent of total billed charges,85% of total billed charges,329.15,85,,263.32,percent of total billed charges,85% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,287.63,74,,230.1,percent of total billed charges,74.28% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,287.63,74,,230.1,percent of total billed charges,74.28% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,287.63,74,,230.1,percent of total billed charges,74.28% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,348.51,90,,278.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,337.66,87.2,,,percent of total billed charges,87.2% of total billed charges,228.47,59,,182.78,percent of total billed charges,59% of total billed charges,337.66,87.2,,270.13,percent of total billed charges,87.2% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,314.78,81.29,,251.82,percent of total billed charges,81.29% of total billed charges,348.51,90,,278.81,percent of total billed charges,90% of totl billed charges,348.51,90,,278.81,percent of total billed charges,90% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,348.51,90,,278.81,percent of total billed charges,90% of total billed charges,348.51,90,,278.81,percent of total billed charges,90% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,236.21,61,,188.97,percent of total billed charges,61% of total billed charges,201.36,52,,161.09,percent of total billed charges,52% of total billed charges,201.36,348.51,
EXC M/L TRUNK/ARM/LEG 1.1-2.0C,43701194,CDM,521,RC,11602,HCPCS,Outpatient,,,365.42,292.34,,310.61,85,,248.49,percent of total billed charges,85% of total billed charges,310.61,85,,248.49,percent of total billed charges,85% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,271.43,74,,217.14,percent of total billed charges,74.28% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,271.43,74,,217.14,percent of total billed charges,74.28% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,271.43,74,,217.14,percent of total billed charges,74.28% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,328.88,90,,263.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,318.65,87.2,,,percent of total billed charges,87.2% of total billed charges,215.6,59,,172.48,percent of total billed charges,59% of total billed charges,318.65,87.2,,254.92,percent of total billed charges,87.2% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,297.05,81.29,,237.64,percent of total billed charges,81.29% of total billed charges,328.88,90,,263.1,percent of total billed charges,90% of totl billed charges,328.88,90,,263.1,percent of total billed charges,90% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,328.88,90,,263.1,percent of total billed charges,90% of total billed charges,328.88,90,,263.1,percent of total billed charges,90% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,222.91,61,,178.33,percent of total billed charges,61% of total billed charges,190.02,52,,152.02,percent of total billed charges,52% of total billed charges,190.02,328.88,
EXC M/L TRUNK/ARM/LEG 2.1-3.0C,43601669,CDM,521,RC,11603,HCPCS,Outpatient,,,515.92,412.74,,438.53,85,,350.82,percent of total billed charges,85% of total billed charges,438.53,85,,350.82,percent of total billed charges,85% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,449.88,87.2,,,percent of total billed charges,87.2% of total billed charges,304.39,59,,243.51,percent of total billed charges,59% of total billed charges,449.88,87.2,,359.9,percent of total billed charges,87.2% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,419.39,81.29,,335.51,percent of total billed charges,81.29% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of totl billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,268.28,464.33,
EXC M/L TRUNK/ARM/LEG 2.1-3.0C,43701669,CDM,521,RC,11603,HCPCS,Outpatient,,,515.92,412.74,,438.53,85,,350.82,percent of total billed charges,85% of total billed charges,438.53,85,,350.82,percent of total billed charges,85% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,383.23,74,,306.58,percent of total billed charges,74.28% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,449.88,87.2,,,percent of total billed charges,87.2% of total billed charges,304.39,59,,243.51,percent of total billed charges,59% of total billed charges,449.88,87.2,,359.9,percent of total billed charges,87.2% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,419.39,81.29,,335.51,percent of total billed charges,81.29% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of totl billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,464.33,90,,371.46,percent of total billed charges,90% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,314.71,61,,251.77,percent of total billed charges,61% of total billed charges,268.28,52,,214.62,percent of total billed charges,52% of total billed charges,268.28,464.33,
EXC M/L TRUNK/ARM/LEG 3.1-4.0C,43601670,CDM,521,RC,11604,HCPCS,Outpatient,,,575.88,460.7,,489.5,85,,391.6,percent of total billed charges,85% of total billed charges,489.5,85,,391.6,percent of total billed charges,85% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,502.17,87.2,,,percent of total billed charges,87.2% of total billed charges,339.77,59,,271.82,percent of total billed charges,59% of total billed charges,502.17,87.2,,401.74,percent of total billed charges,87.2% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,468.13,81.29,,374.5,percent of total billed charges,81.29% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of totl billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,299.46,518.29,
EXC M/L TRUNK/ARM/LEG 3.1-4.0C,43701670,CDM,521,RC,11604,HCPCS,Outpatient,,,575.88,460.7,,489.5,85,,391.6,percent of total billed charges,85% of total billed charges,489.5,85,,391.6,percent of total billed charges,85% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,427.76,74,,342.21,percent of total billed charges,74.28% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,502.17,87.2,,,percent of total billed charges,87.2% of total billed charges,339.77,59,,271.82,percent of total billed charges,59% of total billed charges,502.17,87.2,,401.74,percent of total billed charges,87.2% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,468.13,81.29,,374.5,percent of total billed charges,81.29% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of totl billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,518.29,90,,414.63,percent of total billed charges,90% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,351.29,61,,281.03,percent of total billed charges,61% of total billed charges,299.46,52,,239.57,percent of total billed charges,52% of total billed charges,299.46,518.29,
EXC M/L TRUNK/ARM/LEG >4.0C,43601671,CDM,521,RC,11606,HCPCS,Outpatient,,,823.85,659.08,,700.27,85,,560.22,percent of total billed charges,85% of total billed charges,700.27,85,,560.22,percent of total billed charges,85% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,718.4,87.2,,,percent of total billed charges,87.2% of total billed charges,486.07,59,,388.86,percent of total billed charges,59% of total billed charges,718.4,87.2,,574.72,percent of total billed charges,87.2% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,669.71,81.29,,535.77,percent of total billed charges,81.29% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of totl billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,428.4,741.47,
EXC M/L TRUNK/ARM/LEG >4.0C,43701671,CDM,521,RC,11606,HCPCS,Outpatient,,,823.85,659.08,,700.27,85,,560.22,percent of total billed charges,85% of total billed charges,700.27,85,,560.22,percent of total billed charges,85% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,611.96,74,,489.57,percent of total billed charges,74.28% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,718.4,87.2,,,percent of total billed charges,87.2% of total billed charges,486.07,59,,388.86,percent of total billed charges,59% of total billed charges,718.4,87.2,,574.72,percent of total billed charges,87.2% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,669.71,81.29,,535.77,percent of total billed charges,81.29% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of totl billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,741.47,90,,593.18,percent of total billed charges,90% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,502.55,61,,402.04,percent of total billed charges,61% of total billed charges,428.4,52,,342.72,percent of total billed charges,52% of total billed charges,428.4,741.47,
EXC M/L SCALP/HAND/FEET <0.5CM,43600209,CDM,521,RC,11620,HCPCS,Outpatient,,,294.52,235.62,,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,256.82,87.2,,,percent of total billed charges,87.2% of total billed charges,173.77,59,,139.02,percent of total billed charges,59% of total billed charges,256.82,87.2,,205.46,percent of total billed charges,87.2% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,239.42,81.29,,191.54,percent of total billed charges,81.29% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of totl billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,265.07,
EXC M/L SCALP/HAND/FEET <0.5CM,43701195,CDM,521,RC,11620,HCPCS,Outpatient,,,294.52,235.62,,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,256.82,87.2,,,percent of total billed charges,87.2% of total billed charges,173.77,59,,139.02,percent of total billed charges,59% of total billed charges,256.82,87.2,,205.46,percent of total billed charges,87.2% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,239.42,81.29,,191.54,percent of total billed charges,81.29% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of totl billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,265.07,
EXC M/L SCALP/HAND/FEET 0.6-1.,43600210,CDM,521,RC,11621,HCPCS,Outpatient,,,359.96,287.97,,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,313.89,87.2,,,percent of total billed charges,87.2% of total billed charges,212.38,59,,169.9,percent of total billed charges,59% of total billed charges,313.89,87.2,,251.11,percent of total billed charges,87.2% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,292.61,81.29,,234.09,percent of total billed charges,81.29% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of totl billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,323.96,
EXC M/L SCALP/HAND/FEET 0.6-1.,43701196,CDM,521,RC,11621,HCPCS,Outpatient,,,359.96,287.97,,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,313.89,87.2,,,percent of total billed charges,87.2% of total billed charges,212.38,59,,169.9,percent of total billed charges,59% of total billed charges,313.89,87.2,,251.11,percent of total billed charges,87.2% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,292.61,81.29,,234.09,percent of total billed charges,81.29% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of totl billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,323.96,
EXC M/L SCALP/HAND/FEET 1.1-2.,43600211,CDM,521,RC,11622,HCPCS,Outpatient,,,409.05,327.24,,347.69,85,,278.15,percent of total billed charges,85% of total billed charges,347.69,85,,278.15,percent of total billed charges,85% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,356.69,87.2,,,percent of total billed charges,87.2% of total billed charges,241.34,59,,193.07,percent of total billed charges,59% of total billed charges,356.69,87.2,,285.35,percent of total billed charges,87.2% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,332.52,81.29,,266.02,percent of total billed charges,81.29% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of totl billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,212.71,368.15,
EXC M/L SCALP/HAND/FEET 1.1-2,43701308,CDM,521,RC,11622,HCPCS,Outpatient,,,409.05,327.24,,347.69,85,,278.15,percent of total billed charges,85% of total billed charges,347.69,85,,278.15,percent of total billed charges,85% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,303.84,74,,243.07,percent of total billed charges,74.28% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,356.69,87.2,,,percent of total billed charges,87.2% of total billed charges,241.34,59,,193.07,percent of total billed charges,59% of total billed charges,356.69,87.2,,285.35,percent of total billed charges,87.2% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,332.52,81.29,,266.02,percent of total billed charges,81.29% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of totl billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,368.15,90,,294.52,percent of total billed charges,90% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,249.52,61,,199.62,percent of total billed charges,61% of total billed charges,212.71,52,,170.17,percent of total billed charges,52% of total billed charges,212.71,368.15,
EXC M/L FCE/EAR/NSE/LIP <0.5CM,43600212,CDM,521,RC,11640,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
EXC M/L FCE/EAR/NSE/LIP <0.5C,43701197,CDM,521,RC,11640,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
EXC M/L FCE/EAR/NSE/LIP 0.6-1.,43600213,CDM,521,RC,11641,HCPCS,Outpatient,,,354.51,283.61,,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,309.13,87.2,,,percent of total billed charges,87.2% of total billed charges,209.16,59,,167.33,percent of total billed charges,59% of total billed charges,309.13,87.2,,247.3,percent of total billed charges,87.2% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,288.18,81.29,,230.54,percent of total billed charges,81.29% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of totl billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,319.06,
EXC M/L FCE/EAR/NSE/LIP 0.6-1,43701198,CDM,521,RC,11641,HCPCS,Outpatient,,,354.51,283.61,,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,309.13,87.2,,,percent of total billed charges,87.2% of total billed charges,209.16,59,,167.33,percent of total billed charges,59% of total billed charges,309.13,87.2,,247.3,percent of total billed charges,87.2% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,288.18,81.29,,230.54,percent of total billed charges,81.29% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of totl billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,319.06,
EXC M/L FCE/EAR/NSE/LIP 1.1-2.,43600214,CDM,521,RC,11642,HCPCS,Outpatient,,,436.32,349.06,,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,380.47,87.2,,,percent of total billed charges,87.2% of total billed charges,257.43,59,,205.94,percent of total billed charges,59% of total billed charges,380.47,87.2,,304.38,percent of total billed charges,87.2% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,354.68,81.29,,283.74,percent of total billed charges,81.29% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of totl billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,392.69,
EXC M/L FCE/EAR/NSE/LIP 1.1-2,43701199,CDM,521,RC,11642,HCPCS,Outpatient,,,436.32,349.06,,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,380.47,87.2,,,percent of total billed charges,87.2% of total billed charges,257.43,59,,205.94,percent of total billed charges,59% of total billed charges,380.47,87.2,,304.38,percent of total billed charges,87.2% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,354.68,81.29,,283.74,percent of total billed charges,81.29% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of totl billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,392.69,
TRIMMING OF NONDYSTR. NAIL(S),36010199,CDM,981,RC,11719,HCPCS,Outpatient,,,22.52,18.02,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TRIMMING OF NONDYSTR NAIL(S),43600097,CDM,983,RC,11719,HCPCS,Outpatient,,,38.18,30.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TRIMMING OF NONDYSTRY NAILS(S),43600262,CDM,521,RC,11719,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
TRIMMING OF NONDYSTRY NAILS(S),43700097,CDM,983,RC,11719,HCPCS,Outpatient,,,38.18,30.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TRIMMING OF NONDYSTRY NAIL(S),43701248,CDM,521,RC,11719,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
TRIM NAIL(S) ANY NUMBER,44500022,CDM,761,RC,11719,HCPCS,Outpatient,,,188.95,151.16,,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,164.76,87.2,,,percent of total billed charges,87.2% of total billed charges,111.48,59,,89.18,percent of total billed charges,59% of total billed charges,164.76,87.2,,131.81,percent of total billed charges,87.2% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,153.6,81.29,,122.88,percent of total billed charges,81.29% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of totl billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,170.06,
TRIM NAIL(S) ANY NUMBER,44510022,CDM,983,RC,11719,HCPCS,Outpatient,,,12.4,9.92,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID. OF NAIL ONE TO FIVE,36010220,CDM,981,RC,11720,HCPCS,Outpatient,,,41.25,33,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL ONE TO FIVE,43600078,CDM,983,RC,11720,HCPCS,Outpatient,,,54.54,43.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL 1 TO 5,43600243,CDM,521,RC,11720,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
DEBRID OF NAIL 1 TO 5,43700078,CDM,983,RC,11720,HCPCS,Outpatient,,,54.54,43.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL 1 TO 5,43701229,CDM,521,RC,11720,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
DEBRIDE NAIL 1-5,44500024,CDM,761,RC,11720,HCPCS,Outpatient,,,188.95,151.16,,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,164.76,87.2,,,percent of total billed charges,87.2% of total billed charges,111.48,59,,89.18,percent of total billed charges,59% of total billed charges,164.76,87.2,,131.81,percent of total billed charges,87.2% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,153.6,81.29,,122.88,percent of total billed charges,81.29% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of totl billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,170.06,
DEBRIDE NAIL 1-5,44510024,CDM,983,RC,11720,HCPCS,Outpatient,,,24.24,19.39,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL 6-10,43600291,CDM,521,RC,11721,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
DEBRID OF NAIL (6-10),43601129,CDM,983,RC,11721,HCPCS,Outpatient,,,70.9,56.72,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL 6-10,43701129,CDM,983,RC,11721,HCPCS,Outpatient,,,70.9,56.72,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRID OF NAIL 6-10,43701291,CDM,521,RC,11721,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
DEBRIDE NAIL 6 OR MORE,44500025,CDM,761,RC,11721,HCPCS,Outpatient,,,188.95,151.16,,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,164.76,87.2,,,percent of total billed charges,87.2% of total billed charges,111.48,59,,89.18,percent of total billed charges,59% of total billed charges,164.76,87.2,,131.81,percent of total billed charges,87.2% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,153.6,81.29,,122.88,percent of total billed charges,81.29% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of totl billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,170.06,
DEBRIDE NAIL 6 OR MORE,44510025,CDM,983,RC,11721,HCPCS,Outpatient,,,39.45,31.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"AVULSION OF NAIL PLATE,SINGLE",36010009,CDM,981,RC,11730,HCPCS,Outpatient,,,143.35,114.68,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
AVULSION OF NAIL PLATE SINGLE,43600255,CDM,521,RC,11730,HCPCS,Outpatient,,,152.71,122.17,,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,133.16,87.2,,,percent of total billed charges,87.2% of total billed charges,90.1,59,,72.08,percent of total billed charges,59% of total billed charges,133.16,87.2,,106.53,percent of total billed charges,87.2% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,124.14,81.29,,99.31,percent of total billed charges,81.29% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of totl billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,137.44,
AVULSION OF NAIL PLATE SINGLE,43701241,CDM,521,RC,11730,HCPCS,Outpatient,,,152.71,122.17,,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,133.16,87.2,,,percent of total billed charges,87.2% of total billed charges,90.1,59,,72.08,percent of total billed charges,59% of total billed charges,133.16,87.2,,106.53,percent of total billed charges,87.2% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,124.14,81.29,,99.31,percent of total billed charges,81.29% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of totl billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,137.44,
REMOVAL OF NAIL PLATE,44500026,CDM,761,RC,11730,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
REMOVAL OF NAIL PLATE,44510026,CDM,983,RC,11730,HCPCS,Outpatient,,,88.49,70.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
AVULSION NAIL EACH ADDIT PLATE,36011045,CDM,981,RC,11732,HCPCS,Outpatient,,,73.52,58.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
AVULSION NAIL EACH ADDIT PLATE,43600254,CDM,521,RC,11732,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
AVULSION NAIL EACH ADDIT PLATE,43701240,CDM,521,RC,11732,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
REMOVE NAIL PLATE ADD-ON,44500027,CDM,761,RC,11732,HCPCS,Outpatient,,,132.67,106.14,,112.77,85,,90.22,percent of total billed charges,85% of total billed charges,112.77,85,,90.22,percent of total billed charges,85% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,98.55,74,,78.84,percent of total billed charges,74.28% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,98.55,74,,78.84,percent of total billed charges,74.28% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,98.55,74,,78.84,percent of total billed charges,74.28% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,119.4,90,,95.52,percent of total billed charges,90% of total billed charges,119.4,90,,95.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,115.69,87.2,,,percent of total billed charges,87.2% of total billed charges,78.28,59,,62.62,percent of total billed charges,59% of total billed charges,115.69,87.2,,92.55,percent of total billed charges,87.2% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,107.85,81.29,,86.28,percent of total billed charges,81.29% of total billed charges,119.4,90,,95.52,percent of total billed charges,90% of totl billed charges,119.4,90,,95.52,percent of total billed charges,90% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,119.4,90,,95.52,percent of total billed charges,90% of total billed charges,119.4,90,,95.52,percent of total billed charges,90% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,80.93,61,,64.74,percent of total billed charges,61% of total billed charges,68.99,52,,55.19,percent of total billed charges,52% of total billed charges,68.99,119.4,
REMOVE NAIL PLATE ADD-ON,44510027,CDM,983,RC,11732,HCPCS,Outpatient,,,28.72,22.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVACUATION OF SUBUNGUAL HEMATO,36010010,CDM,981,RC,11740,HCPCS,Outpatient,,,71.76,57.41,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVACUATION OF SUBUNGUAL HEMATO,43600064,CDM,983,RC,11740,HCPCS,Outpatient,,,76.36,61.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVACUATION OF SUBUNGAL HEMATO,43600229,CDM,521,RC,11740,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
EVACUATION OF SUBUNGUAL HEMATO,43700064,CDM,983,RC,11740,HCPCS,Outpatient,,,76.36,61.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EVACUATION OF SUBUNGAL HEMATO,43701215,CDM,521,RC,11740,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
DRAIN BLOOD FROM UNDER NAIL,44500028,CDM,761,RC,11740,HCPCS,Outpatient,,,155.22,124.18,,131.94,85,,105.55,percent of total billed charges,85% of total billed charges,131.94,85,,105.55,percent of total billed charges,85% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,115.3,74,,92.24,percent of total billed charges,74.28% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,115.3,74,,92.24,percent of total billed charges,74.28% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,115.3,74,,92.24,percent of total billed charges,74.28% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,139.7,90,,111.76,percent of total billed charges,90% of total billed charges,139.7,90,,111.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,135.35,87.2,,,percent of total billed charges,87.2% of total billed charges,91.58,59,,73.26,percent of total billed charges,59% of total billed charges,135.35,87.2,,108.28,percent of total billed charges,87.2% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,126.18,81.29,,100.94,percent of total billed charges,81.29% of total billed charges,139.7,90,,111.76,percent of total billed charges,90% of totl billed charges,139.7,90,,111.76,percent of total billed charges,90% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,139.7,90,,111.76,percent of total billed charges,90% of total billed charges,139.7,90,,111.76,percent of total billed charges,90% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,94.68,61,,75.74,percent of total billed charges,61% of total billed charges,80.71,52,,64.57,percent of total billed charges,52% of total billed charges,80.71,139.7,
DRAIN BLOOD FROM UNDER NAIL,44510028,CDM,983,RC,11740,HCPCS,Outpatient,,,51.84,41.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION OF NAIL & NAIL MATRIX,36010011,CDM,981,RC,11750,HCPCS,Outpatient,,,397.73,318.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION OF NAIL & NAIL MATRIX,43600066,CDM,983,RC,11750,HCPCS,Outpatient,,,327.24,261.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION OF NAIL & NAIL MATRIX,43600231,CDM,521,RC,11750,HCPCS,Outpatient,,,327.24,261.79,,278.15,85,,222.52,percent of total billed charges,85% of total billed charges,278.15,85,,222.52,percent of total billed charges,85% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,285.35,87.2,,,percent of total billed charges,87.2% of total billed charges,193.07,59,,154.46,percent of total billed charges,59% of total billed charges,285.35,87.2,,228.28,percent of total billed charges,87.2% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,266.01,81.29,,212.81,percent of total billed charges,81.29% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of totl billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,170.16,294.52,
EXCISION OF NAIL & NAIL MATRIX,43700066,CDM,983,RC,11750,HCPCS,Outpatient,,,327.24,261.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXCISION OF NAIL & NAIL MATRIX,43701217,CDM,521,RC,11750,HCPCS,Outpatient,,,327.24,261.79,,278.15,85,,222.52,percent of total billed charges,85% of total billed charges,278.15,85,,222.52,percent of total billed charges,85% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,243.07,74,,194.46,percent of total billed charges,74.28% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,285.35,87.2,,,percent of total billed charges,87.2% of total billed charges,193.07,59,,154.46,percent of total billed charges,59% of total billed charges,285.35,87.2,,228.28,percent of total billed charges,87.2% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,266.01,81.29,,212.81,percent of total billed charges,81.29% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of totl billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,294.52,90,,235.62,percent of total billed charges,90% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,199.62,61,,159.7,percent of total billed charges,61% of total billed charges,170.16,52,,136.13,percent of total billed charges,52% of total billed charges,170.16,294.52,
REMOVAL OF NAIL BED,44500029,CDM,761,RC,11750,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
REMOVAL OF NAIL BED,44510029,CDM,983,RC,11750,HCPCS,Outpatient,,,167.41,133.93,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NAIL UNIT BIOPSY,43701726,CDM,521,RC,11755,HCPCS,Outpatient,,,91.19,72.95,,77.51,85,,62.01,percent of total billed charges,85% of total billed charges,77.51,85,,62.01,percent of total billed charges,85% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,67.74,74,,54.19,percent of total billed charges,74.28% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,67.74,74,,54.19,percent of total billed charges,74.28% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,67.74,74,,54.19,percent of total billed charges,74.28% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,82.07,90,,65.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,79.52,87.2,,,percent of total billed charges,87.2% of total billed charges,53.8,59,,43.04,percent of total billed charges,59% of total billed charges,79.52,87.2,,63.62,percent of total billed charges,87.2% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,74.13,81.29,,59.3,percent of total billed charges,81.29% of total billed charges,82.07,90,,65.66,percent of total billed charges,90% of totl billed charges,82.07,90,,65.66,percent of total billed charges,90% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,82.07,90,,65.66,percent of total billed charges,90% of total billed charges,82.07,90,,65.66,percent of total billed charges,90% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,55.63,61,,44.5,percent of total billed charges,61% of total billed charges,47.42,52,,37.94,percent of total billed charges,52% of total billed charges,47.42,82.07,
REPAIR OF NAIL BED,36010174,CDM,981,RC,11760,HCPCS,Outpatient,,,419.56,335.65,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RECONST OF NAILBED WITH GRAFT,36010219,CDM,981,RC,11762,HCPCS,Outpatient,,,571.05,456.84,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WEDGE EXCISION SKIN NAIL FOLD,36013011,CDM,981,RC,11765,HCPCS,Outpatient,,,247.37,197.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WEDGE EXCISION SKIN NAIL FOLD,36013014,CDM,981,RC,11765,HCPCS,Outpatient,,,145.48,116.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"INSERT, DRUG DELIVERY IMPLANT",43601655,CDM,521,RC,11981,HCPCS,Outpatient,,,190.5,152.4,,161.93,85,,129.54,percent of total billed charges,85% of total billed charges,161.93,85,,129.54,percent of total billed charges,85% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,166.12,87.2,,,percent of total billed charges,87.2% of total billed charges,112.4,59,,89.92,percent of total billed charges,59% of total billed charges,166.12,87.2,,132.9,percent of total billed charges,87.2% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,154.86,81.29,,123.89,percent of total billed charges,81.29% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of totl billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,99.06,171.45,
"INSERT, DRUG DELIVERY IMPLANT",43701655,CDM,521,RC,11981,HCPCS,Outpatient,,,190.5,152.4,,161.93,85,,129.54,percent of total billed charges,85% of total billed charges,161.93,85,,129.54,percent of total billed charges,85% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,141.5,74,,113.2,percent of total billed charges,74.28% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,166.12,87.2,,,percent of total billed charges,87.2% of total billed charges,112.4,59,,89.92,percent of total billed charges,59% of total billed charges,166.12,87.2,,132.9,percent of total billed charges,87.2% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,154.86,81.29,,123.89,percent of total billed charges,81.29% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of totl billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,171.45,90,,137.16,percent of total billed charges,90% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,116.21,61,,92.97,percent of total billed charges,61% of total billed charges,99.06,52,,79.25,percent of total billed charges,52% of total billed charges,99.06,171.45,
"REMOVE, DRUG DELIVERY IMPLANT",43601656,CDM,521,RC,11982,HCPCS,Outpatient,,,214.86,171.89,,182.63,85,,146.1,percent of total billed charges,85% of total billed charges,182.63,85,,146.1,percent of total billed charges,85% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,187.36,87.2,,,percent of total billed charges,87.2% of total billed charges,126.77,59,,101.42,percent of total billed charges,59% of total billed charges,187.36,87.2,,149.89,percent of total billed charges,87.2% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,174.66,81.29,,139.73,percent of total billed charges,81.29% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of totl billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,111.73,193.37,
"REMOVE, DRUG DELIVERY IMPLANT",43701656,CDM,521,RC,11982,HCPCS,Outpatient,,,214.86,171.89,,182.63,85,,146.1,percent of total billed charges,85% of total billed charges,182.63,85,,146.1,percent of total billed charges,85% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,159.6,74,,127.68,percent of total billed charges,74.28% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,187.36,87.2,,,percent of total billed charges,87.2% of total billed charges,126.77,59,,101.42,percent of total billed charges,59% of total billed charges,187.36,87.2,,149.89,percent of total billed charges,87.2% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,174.66,81.29,,139.73,percent of total billed charges,81.29% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of totl billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,193.37,90,,154.7,percent of total billed charges,90% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,131.06,61,,104.85,percent of total billed charges,61% of total billed charges,111.73,52,,89.38,percent of total billed charges,52% of total billed charges,111.73,193.37,
REMOVE W/INS DELIVERY IMPLANT,43601657,CDM,521,RC,11983,HCPCS,Outpatient,,,266.08,212.86,,226.17,85,,180.94,percent of total billed charges,85% of total billed charges,226.17,85,,180.94,percent of total billed charges,85% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,232.02,87.2,,,percent of total billed charges,87.2% of total billed charges,156.99,59,,125.59,percent of total billed charges,59% of total billed charges,232.02,87.2,,185.62,percent of total billed charges,87.2% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,216.3,81.29,,173.04,percent of total billed charges,81.29% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of totl billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,138.36,239.47,
REMOVE W/INS DELIVERY IMPLANT,43701657,CDM,521,RC,11983,HCPCS,Outpatient,,,266.08,212.86,,226.17,85,,180.94,percent of total billed charges,85% of total billed charges,226.17,85,,180.94,percent of total billed charges,85% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,197.64,74,,158.11,percent of total billed charges,74.28% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,232.02,87.2,,,percent of total billed charges,87.2% of total billed charges,156.99,59,,125.59,percent of total billed charges,59% of total billed charges,232.02,87.2,,185.62,percent of total billed charges,87.2% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,216.3,81.29,,173.04,percent of total billed charges,81.29% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of totl billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,239.47,90,,191.58,percent of total billed charges,90% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,162.31,61,,129.85,percent of total billed charges,61% of total billed charges,138.36,52,,110.69,percent of total billed charges,52% of total billed charges,138.36,239.47,
SIMPLE REPR SUPERF WND 2.5C OR,36010012,CDM,981,RC,12001,HCPCS,Outpatient,,,234.74,187.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.5C OR,43600099,CDM,983,RC,12001,HCPCS,Outpatient,,,239.98,191.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.5C OR,43600264,CDM,521,RC,12001,HCPCS,Outpatient,,,239.98,191.98,,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,209.26,87.2,,,percent of total billed charges,87.2% of total billed charges,141.59,59,,113.27,percent of total billed charges,59% of total billed charges,209.26,87.2,,167.41,percent of total billed charges,87.2% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,195.08,81.29,,156.06,percent of total billed charges,81.29% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of totl billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,215.98,
SIMPLE REPR SUPERF WND 2.5C OR,43700099,CDM,983,RC,12001,HCPCS,Outpatient,,,239.98,191.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.5C OR,43701250,CDM,521,RC,12001,HCPCS,Outpatient,,,239.98,191.98,,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,203.98,85,,163.18,percent of total billed charges,85% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,178.26,74,,142.61,percent of total billed charges,74.28% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,209.26,87.2,,,percent of total billed charges,87.2% of total billed charges,141.59,59,,113.27,percent of total billed charges,59% of total billed charges,209.26,87.2,,167.41,percent of total billed charges,87.2% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,195.08,81.29,,156.06,percent of total billed charges,81.29% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of totl billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,215.98,90,,172.78,percent of total billed charges,90% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,146.39,61,,117.11,percent of total billed charges,61% of total billed charges,124.79,52,,99.83,percent of total billed charges,52% of total billed charges,124.79,215.98,
RPR S/N/AX/GEN/TRNK 2.5CM/<,44500030,CDM,761,RC,12001,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
RPR S/N/AX/GEN/TRNK 2.5CM/<,44510030,CDM,983,RC,12001,HCPCS,Outpatient,,,93.32,74.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.6C-7.,36010013,CDM,981,RC,12002,HCPCS,Outpatient,,,261.6,209.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.6C-7,43600100,CDM,983,RC,12002,HCPCS,Outpatient,,,256.34,205.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.6C-7,43600265,CDM,521,RC,12002,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
SIMPLE REPR SUPERF WND 2.6C-7,43700100,CDM,983,RC,12002,HCPCS,Outpatient,,,256.34,205.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 2.6C-7,43701251,CDM,521,RC,12002,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
RPR S/N/AX/GEN/TRNK2.6-7.5CM,44500031,CDM,761,RC,12002,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
RPR S/N/AX/GEN/TRNK2.6-7.5CM,44510031,CDM,983,RC,12002,HCPCS,Outpatient,,,122.06,97.65,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 7.6C-12,36010014,CDM,981,RC,12004,HCPCS,Outpatient,,,308.24,246.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 7.6C-12,43600101,CDM,983,RC,12004,HCPCS,Outpatient,,,299.97,239.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 7.6C-12,43600266,CDM,521,RC,12004,HCPCS,Outpatient,,,299.97,239.98,,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,261.57,87.2,,,percent of total billed charges,87.2% of total billed charges,176.98,59,,141.58,percent of total billed charges,59% of total billed charges,261.57,87.2,,209.26,percent of total billed charges,87.2% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,243.85,81.29,,195.08,percent of total billed charges,81.29% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of totl billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,269.97,
SIMPLE REPR SUPERF WND 7.6C-12,43700101,CDM,983,RC,12004,HCPCS,Outpatient,,,299.97,239.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 7.6C-12,43701252,CDM,521,RC,12004,HCPCS,Outpatient,,,299.97,239.98,,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,254.97,85,,203.98,percent of total billed charges,85% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,222.82,74,,178.26,percent of total billed charges,74.28% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,261.57,87.2,,,percent of total billed charges,87.2% of total billed charges,176.98,59,,141.58,percent of total billed charges,59% of total billed charges,261.57,87.2,,209.26,percent of total billed charges,87.2% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,243.85,81.29,,195.08,percent of total billed charges,81.29% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of totl billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,269.97,90,,215.98,percent of total billed charges,90% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,182.98,61,,146.38,percent of total billed charges,61% of total billed charges,155.98,52,,124.78,percent of total billed charges,52% of total billed charges,155.98,269.97,
SIMPLE REPR SUPERF WND 12.6-20,36010015,CDM,981,RC,12005,HCPCS,Outpatient,,,383.48,306.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 12.6-20,43600111,CDM,983,RC,12005,HCPCS,Outpatient,,,376.33,301.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 12.6-20,43600275,CDM,521,RC,12005,HCPCS,Outpatient,,,376.33,301.06,,319.88,85,,255.9,percent of total billed charges,85% of total billed charges,319.88,85,,255.9,percent of total billed charges,85% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,328.16,87.2,,,percent of total billed charges,87.2% of total billed charges,222.03,59,,177.62,percent of total billed charges,59% of total billed charges,328.16,87.2,,262.53,percent of total billed charges,87.2% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,305.92,81.29,,244.74,percent of total billed charges,81.29% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of totl billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,195.69,338.7,
SIMPLE REPR SUPERF WND 12.6-20,43700111,CDM,983,RC,12005,HCPCS,Outpatient,,,376.33,301.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPR SUPERF WND 12.6-20,43701261,CDM,521,RC,12005,HCPCS,Outpatient,,,376.33,301.06,,319.88,85,,255.9,percent of total billed charges,85% of total billed charges,319.88,85,,255.9,percent of total billed charges,85% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,279.54,74,,223.63,percent of total billed charges,74.28% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,328.16,87.2,,,percent of total billed charges,87.2% of total billed charges,222.03,59,,177.62,percent of total billed charges,59% of total billed charges,328.16,87.2,,262.53,percent of total billed charges,87.2% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,305.92,81.29,,244.74,percent of total billed charges,81.29% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of totl billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,338.7,90,,270.96,percent of total billed charges,90% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,229.56,61,,183.65,percent of total billed charges,61% of total billed charges,195.69,52,,156.55,percent of total billed charges,52% of total billed charges,195.69,338.7,
"SIMPLE REPAIR,20.1-30.0 CM",36010170,CDM,981,RC,12006,HCPCS,Outpatient,,,486.45,389.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR 20.1-30.0 CM,43600107,CDM,983,RC,12006,HCPCS,Outpatient,,,469.04,375.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR 20.1-30.0 CM,43600271,CDM,521,RC,12006,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
SIMPLE REPAIR 20.1-30.0 CM,43700107,CDM,983,RC,12006,HCPCS,Outpatient,,,469.04,375.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR 20.1-30.0 CM,43701257,CDM,521,RC,12006,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
"SIMPLE REPAIR,OVER 30.0 CM",36010171,CDM,981,RC,12007,HCPCS,Outpatient,,,557.22,445.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR SUPERF WOUND FAC,36010016,CDM,981,RC,12011,HCPCS,Outpatient,,,242.87,194.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR SUPERF WOUND FAC,43600106,CDM,983,RC,12011,HCPCS,Outpatient,,,256.34,205.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR SUPERF WOUND FAC,43600270,CDM,521,RC,12011,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
SIMPLE REPAIR SUPERF WOUND FAC,43700106,CDM,983,RC,12011,HCPCS,Outpatient,,,256.34,205.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR SUPERF WOUND FAC,43701256,CDM,521,RC,12011,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
"SIMPLE REPAIR,FACIAL,2.6-5.0 C",36010017,CDM,981,RC,12013,HCPCS,Outpatient,,,277.73,222.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 2.6-5.0 C,43600108,CDM,983,RC,12013,HCPCS,Outpatient,,,283.61,226.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 2.6-5.0 C,43600272,CDM,521,RC,12013,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
SIMPLE REPAIR FACIAL 2.6-5.0 C,43700108,CDM,983,RC,12013,HCPCS,Outpatient,,,283.61,226.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 2.6-5.0 C,43701258,CDM,521,RC,12013,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
"SIMPLE REPAIR,FACIAL,5.1-7.5 C",36010151,CDM,981,RC,12014,HCPCS,Outpatient,,,334.21,267.37,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 5.1-7.5 C,43600109,CDM,983,RC,12014,HCPCS,Outpatient,,,332.69,266.15,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 5.1-7.5,43600273,CDM,521,RC,12014,HCPCS,Outpatient,,,332.69,266.15,,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,290.11,87.2,,,percent of total billed charges,87.2% of total billed charges,196.29,59,,157.03,percent of total billed charges,59% of total billed charges,290.11,87.2,,232.09,percent of total billed charges,87.2% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,270.44,81.29,,216.35,percent of total billed charges,81.29% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of totl billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,299.42,
SIMPLE REPAIR FACIAL 5.1-7.5,43700109,CDM,983,RC,12014,HCPCS,Outpatient,,,332.69,266.15,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 5.1-7.5,43701259,CDM,521,RC,12014,HCPCS,Outpatient,,,332.69,266.15,,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,282.79,85,,226.23,percent of total billed charges,85% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,247.12,74,,197.7,percent of total billed charges,74.28% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,290.11,87.2,,,percent of total billed charges,87.2% of total billed charges,196.29,59,,157.03,percent of total billed charges,59% of total billed charges,290.11,87.2,,232.09,percent of total billed charges,87.2% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,270.44,81.29,,216.35,percent of total billed charges,81.29% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of totl billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,299.42,90,,239.54,percent of total billed charges,90% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,202.94,61,,162.35,percent of total billed charges,61% of total billed charges,173,52,,138.4,percent of total billed charges,52% of total billed charges,173,299.42,
"SIMPLE REPAIR,FACIAL,7.6-12.5",36010164,CDM,981,RC,12015,HCPCS,Outpatient,,,419.22,335.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 7.6-12.5,43600110,CDM,983,RC,12015,HCPCS,Outpatient,,,419.96,335.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 7.6-12.5C,43600274,CDM,521,RC,12015,HCPCS,Outpatient,,,419.96,335.97,,356.97,85,,285.58,percent of total billed charges,85% of total billed charges,356.97,85,,285.58,percent of total billed charges,85% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,366.21,87.2,,,percent of total billed charges,87.2% of total billed charges,247.78,59,,198.22,percent of total billed charges,59% of total billed charges,366.21,87.2,,292.97,percent of total billed charges,87.2% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,341.39,81.29,,273.11,percent of total billed charges,81.29% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of totl billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,218.38,377.96,
SIMPLE REPAIR FACIAL 7.6-12.5C,43700110,CDM,983,RC,12015,HCPCS,Outpatient,,,419.96,335.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SIMPLE REPAIR FACIAL 7.6-12.5C,43701260,CDM,521,RC,12015,HCPCS,Outpatient,,,419.96,335.97,,356.97,85,,285.58,percent of total billed charges,85% of total billed charges,356.97,85,,285.58,percent of total billed charges,85% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,311.95,74,,249.56,percent of total billed charges,74.28% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,366.21,87.2,,,percent of total billed charges,87.2% of total billed charges,247.78,59,,198.22,percent of total billed charges,59% of total billed charges,366.21,87.2,,292.97,percent of total billed charges,87.2% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,341.39,81.29,,273.11,percent of total billed charges,81.29% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of totl billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,377.96,90,,302.37,percent of total billed charges,90% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,256.18,61,,204.94,percent of total billed charges,61% of total billed charges,218.38,52,,174.7,percent of total billed charges,52% of total billed charges,218.38,377.96,
"SIMPLE REPAIR,FACIAL,12.6-20.0",36010165,CDM,981,RC,12016,HCPCS,Outpatient,,,511.6,409.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX SUPRFCL WOUND DEH SIMPL CLO,36011035,CDM,981,RC,12020,HCPCS,Outpatient,,,428.22,342.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX SUPRFCL WOUND DEH SIMPL CLO,43600092,CDM,983,RC,12020,HCPCS,Outpatient,,,436.32,349.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX SUPRFCL WOUND DEH SIMPL CLO,43600257,CDM,521,RC,12020,HCPCS,Outpatient,,,436.32,349.06,,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,380.47,87.2,,,percent of total billed charges,87.2% of total billed charges,257.43,59,,205.94,percent of total billed charges,59% of total billed charges,380.47,87.2,,304.38,percent of total billed charges,87.2% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,354.68,81.29,,283.74,percent of total billed charges,81.29% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of totl billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,392.69,
TX SUPRFCL WOUND DEH SIMPL CLO,43700092,CDM,983,RC,12020,HCPCS,Outpatient,,,436.32,349.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX SUPRFCL WOUND DEH SIMPL CLO,43701243,CDM,521,RC,12020,HCPCS,Outpatient,,,436.32,349.06,,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,370.87,85,,296.7,percent of total billed charges,85% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,324.1,74,,259.28,percent of total billed charges,74.28% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,380.47,87.2,,,percent of total billed charges,87.2% of total billed charges,257.43,59,,205.94,percent of total billed charges,59% of total billed charges,380.47,87.2,,304.38,percent of total billed charges,87.2% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,354.68,81.29,,283.74,percent of total billed charges,81.29% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of totl billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,392.69,90,,314.15,percent of total billed charges,90% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,266.16,61,,212.93,percent of total billed charges,61% of total billed charges,226.89,52,,181.51,percent of total billed charges,52% of total billed charges,226.89,392.69,
CLOSURE OF SPLIT WOUND,44500032,CDM,761,RC,12020,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
CLOSURE OF SPLIT WOUND,44510032,CDM,983,RC,12020,HCPCS,Outpatient,,,386.9,309.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND UP TO 2.5CM,36010018,CDM,981,RC,12031,HCPCS,Outpatient,,,332.33,265.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR SCALP TRNK EXTR 2.5 <,43600050,CDM,983,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR SCALP TRNK EXTR 2.5 <,43600050,CDM,983,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR SCALP TRNK EXTR 2.5 <,43600215,CDM,521,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,309.13,87.2,,,percent of total billed charges,87.2% of total billed charges,209.16,59,,167.33,percent of total billed charges,59% of total billed charges,309.13,87.2,,247.3,percent of total billed charges,87.2% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,288.18,81.29,,230.54,percent of total billed charges,81.29% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of totl billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,319.06,
LYR CLSR SCALP TRNK EXTR 2.5,43700050,CDM,983,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR SCALP TRNK EXTR 2.5,43700050,CDM,983,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR SCALP TRNK EXTR 2.5,43701201,CDM,521,RC,12031,HCPCS,Outpatient,,,354.51,283.61,,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,301.33,85,,241.06,percent of total billed charges,85% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,263.33,74,,210.66,percent of total billed charges,74.28% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,309.13,87.2,,,percent of total billed charges,87.2% of total billed charges,209.16,59,,167.33,percent of total billed charges,59% of total billed charges,309.13,87.2,,247.3,percent of total billed charges,87.2% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,288.18,81.29,,230.54,percent of total billed charges,81.29% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of totl billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,319.06,90,,255.25,percent of total billed charges,90% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,216.25,61,,173,percent of total billed charges,61% of total billed charges,184.35,52,,147.48,percent of total billed charges,52% of total billed charges,184.35,319.06,
LAYER CLOSURE WND 2.6CM TO 7.5,36010019,CDM,981,RC,12032,HCPCS,Outpatient,,,420.22,336.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM TO 7.5,43600056,CDM,983,RC,12032,HCPCS,Outpatient,,,490.86,392.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM - 7.5,43600221,CDM,521,RC,12032,HCPCS,Outpatient,,,490.86,392.69,,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,428.03,87.2,,,percent of total billed charges,87.2% of total billed charges,289.61,59,,231.69,percent of total billed charges,59% of total billed charges,428.03,87.2,,342.42,percent of total billed charges,87.2% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,399.02,81.29,,319.22,percent of total billed charges,81.29% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of totl billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,441.77,
LAYER CLOSURE WND 2.6CM - 7.5,43700056,CDM,983,RC,12032,HCPCS,Outpatient,,,490.86,392.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM - 7.5,43701207,CDM,521,RC,12032,HCPCS,Outpatient,,,490.86,392.69,,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,428.03,87.2,,,percent of total billed charges,87.2% of total billed charges,289.61,59,,231.69,percent of total billed charges,59% of total billed charges,428.03,87.2,,342.42,percent of total billed charges,87.2% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,399.02,81.29,,319.22,percent of total billed charges,81.29% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of totl billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,441.77,
LAYER CLOSURE WND 7.6CM TO 12.,36010020,CDM,981,RC,12034,HCPCS,Outpatient,,,439.84,351.87,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 12.6-20.0CM,36010139,CDM,981,RC,12035,HCPCS,Outpatient,,,533.96,427.17,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RPR SC/AX/TR/EX 20.1-30CM,35010125,CDM,975,RC,12036,HCPCS,Outpatient,,,658.4,526.72,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 20.1-30CM,36010138,CDM,981,RC,12036,HCPCS,Outpatient,,,627.07,501.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"LAYER CLOSURE,OVER 30.0 CM",36010166,CDM,981,RC,12037,HCPCS,Outpatient,,,729.2,583.36,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND UP TO 2.5CM,36010021,CDM,981,RC,12041,HCPCS,Outpatient,,,361.11,288.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR NECK HANDS FEET 2.5 <,43600051,CDM,983,RC,12041,HCPCS,Outpatient,,,403.6,322.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR NECK HANDS FEET 2.5 <,43600216,CDM,521,RC,12041,HCPCS,Outpatient,,,403.6,322.88,,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,351.94,87.2,,,percent of total billed charges,87.2% of total billed charges,238.12,59,,190.5,percent of total billed charges,59% of total billed charges,351.94,87.2,,281.55,percent of total billed charges,87.2% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,328.09,81.29,,262.47,percent of total billed charges,81.29% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of totl billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,363.24,
LYR CLSR NECK HANDS FEET 2.5 <,43700051,CDM,983,RC,12041,HCPCS,Outpatient,,,403.6,322.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR NECK HANDS FEET 2.5 <,43701202,CDM,521,RC,12041,HCPCS,Outpatient,,,403.6,322.88,,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,351.94,87.2,,,percent of total billed charges,87.2% of total billed charges,238.12,59,,190.5,percent of total billed charges,59% of total billed charges,351.94,87.2,,281.55,percent of total billed charges,87.2% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,328.09,81.29,,262.47,percent of total billed charges,81.29% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of totl billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,363.24,
"LAYER CLOSURE,2.6-7.5 CM",36010022,CDM,981,RC,12042,HCPCS,Outpatient,,,422.84,338.27,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 2.6 - 5.0 CM,43600053,CDM,983,RC,12042,HCPCS,Outpatient,,,469.04,375.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 2.6 - 5.0 CM,43600218,CDM,521,RC,12042,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
LAYER CLOSURE 2.6 - 5.0 CM,43700053,CDM,983,RC,12042,HCPCS,Outpatient,,,469.04,375.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 2.6 - 5.0 CM,43701204,CDM,521,RC,12042,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
"LAYER CLOSURE,7.6-12.5 CM",36010167,CDM,981,RC,12044,HCPCS,Outpatient,,,465.85,372.68,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 12.6-20.0 CM,36010149,CDM,981,RC,12045,HCPCS,Outpatient,,,558.08,446.46,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"LAYER CLOSURE,20.1-30.0 CM",36010168,CDM,981,RC,12046,HCPCS,Outpatient,,,655.71,524.57,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND UP TO 2.5CM,36010023,CDM,981,RC,12051,HCPCS,Outpatient,,,392.32,313.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR FACE EAR EYE NSE 2.5<,43600052,CDM,983,RC,12051,HCPCS,Outpatient,,,430.87,344.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND UP TO 2.5,43600217,CDM,521,RC,12051,HCPCS,Outpatient,,,430.87,344.7,,366.24,85,,292.99,percent of total billed charges,85% of total billed charges,366.24,85,,292.99,percent of total billed charges,85% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,320.05,74,,256.04,percent of total billed charges,74.28% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,375.72,87.2,,,percent of total billed charges,87.2% of total billed charges,254.21,59,,203.37,percent of total billed charges,59% of total billed charges,375.72,87.2,,300.58,percent of total billed charges,87.2% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,350.25,81.29,,280.2,percent of total billed charges,81.29% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of totl billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,387.78,90,,310.22,percent of total billed charges,90% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,262.83,61,,210.26,percent of total billed charges,61% of total billed charges,224.05,52,,179.24,percent of total billed charges,52% of total billed charges,224.05,387.78,
LYR CLSR FACE EAR EYE NSE 2.5<,43700052,CDM,983,RC,12051,HCPCS,Outpatient,,,305.42,244.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LYR CLSR FACE EAR EYE NSE 2.5,43701203,CDM,521,RC,12051,HCPCS,Outpatient,,,305.42,244.34,,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,266.33,87.2,,,percent of total billed charges,87.2% of total billed charges,180.2,59,,144.16,percent of total billed charges,59% of total billed charges,266.33,87.2,,213.06,percent of total billed charges,87.2% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,248.28,81.29,,198.62,percent of total billed charges,81.29% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of totl billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,274.88,
LAYER CLOSURE WND 2.6CM-5.0CM,36010024,CDM,981,RC,12052,HCPCS,Outpatient,,,446.1,356.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM-5.0CM,43600057,CDM,983,RC,12052,HCPCS,Outpatient,,,495.22,396.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM-5.0CM,43600222,CDM,521,RC,12052,HCPCS,Outpatient,,,490.86,392.69,,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,428.03,87.2,,,percent of total billed charges,87.2% of total billed charges,289.61,59,,231.69,percent of total billed charges,59% of total billed charges,428.03,87.2,,342.42,percent of total billed charges,87.2% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,399.02,81.29,,319.22,percent of total billed charges,81.29% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of totl billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,441.77,
LAYER CLOSURE WND 2.6CM-5.0CM,43700057,CDM,983,RC,12052,HCPCS,Outpatient,,,490.86,392.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE WND 2.6CM-5.0CM,43701208,CDM,521,RC,12052,HCPCS,Outpatient,,,490.86,392.69,,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,417.23,85,,333.78,percent of total billed charges,85% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,364.61,74,,291.69,percent of total billed charges,74.28% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,428.03,87.2,,,percent of total billed charges,87.2% of total billed charges,289.61,59,,231.69,percent of total billed charges,59% of total billed charges,428.03,87.2,,342.42,percent of total billed charges,87.2% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,399.02,81.29,,319.22,percent of total billed charges,81.29% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of totl billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,441.77,90,,353.42,percent of total billed charges,90% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,299.42,61,,239.54,percent of total billed charges,61% of total billed charges,255.25,52,,204.2,percent of total billed charges,52% of total billed charges,255.25,441.77,
"LAYER CLOSURE,5.1-7.5 CM",36010132,CDM,981,RC,12053,HCPCS,Outpatient,,,465.85,372.68,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 5.1 - 7.5 CM,43600054,CDM,983,RC,12053,HCPCS,Outpatient,,,539.95,431.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 5.1 - 7.5 CM,43600219,CDM,521,RC,12053,HCPCS,Outpatient,,,539.95,431.96,,458.96,85,,367.17,percent of total billed charges,85% of total billed charges,458.96,85,,367.17,percent of total billed charges,85% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,470.84,87.2,,,percent of total billed charges,87.2% of total billed charges,318.57,59,,254.86,percent of total billed charges,59% of total billed charges,470.84,87.2,,376.67,percent of total billed charges,87.2% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,438.93,81.29,,351.14,percent of total billed charges,81.29% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of totl billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,280.77,485.96,
LAYER CLOSURE 5.1 - 7.5 CM,43700054,CDM,983,RC,12053,HCPCS,Outpatient,,,539.95,431.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 5.1 - 7.5 CM,43701205,CDM,521,RC,12053,HCPCS,Outpatient,,,539.95,431.96,,458.96,85,,367.17,percent of total billed charges,85% of total billed charges,458.96,85,,367.17,percent of total billed charges,85% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,401.07,74,,320.86,percent of total billed charges,74.28% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,470.84,87.2,,,percent of total billed charges,87.2% of total billed charges,318.57,59,,254.86,percent of total billed charges,59% of total billed charges,470.84,87.2,,376.67,percent of total billed charges,87.2% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,438.93,81.29,,351.14,percent of total billed charges,81.29% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of totl billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,485.96,90,,388.77,percent of total billed charges,90% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,329.37,61,,263.5,percent of total billed charges,61% of total billed charges,280.77,52,,224.62,percent of total billed charges,52% of total billed charges,280.77,485.96,
"LAYER CLOSURE,7.6-12.5 CM",36010169,CDM,981,RC,12054,HCPCS,Outpatient,,,502.6,402.08,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LAYER CLOSURE 12.6 - 20.0,36010198,CDM,981,RC,12055,HCPCS,Outpatient,,,627.07,501.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
20.0-30.0CM INTER.F.E.N.L,36010277,CDM,981,RC,12056,HCPCS,Outpatient,,,754.82,603.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"COMPLEX REPAIR,TRUNK,1.1-2.5 C",36010172,CDM,981,RC,13100,HCPCS,Outpatient,,,518.68,414.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 1.1-2.5CM,43600075,CDM,983,RC,13100,HCPCS,Outpatient,,,512.68,410.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 1.1-2.5CM,43600240,CDM,521,RC,13100,HCPCS,Outpatient,,,512.68,410.14,,435.78,85,,348.62,percent of total billed charges,85% of total billed charges,435.78,85,,348.62,percent of total billed charges,85% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,447.06,87.2,,,percent of total billed charges,87.2% of total billed charges,302.48,59,,241.98,percent of total billed charges,59% of total billed charges,447.06,87.2,,357.65,percent of total billed charges,87.2% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,416.76,81.29,,333.41,percent of total billed charges,81.29% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of totl billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,266.59,461.41,
COMPLEX REPAIR TRUNK 1.1-2.5CM,43700075,CDM,983,RC,13100,HCPCS,Outpatient,,,512.68,410.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 1.1-2.5CM,43701226,CDM,521,RC,13100,HCPCS,Outpatient,,,512.68,410.14,,435.78,85,,348.62,percent of total billed charges,85% of total billed charges,435.78,85,,348.62,percent of total billed charges,85% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,380.82,74,,304.66,percent of total billed charges,74.28% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,447.06,87.2,,,percent of total billed charges,87.2% of total billed charges,302.48,59,,241.98,percent of total billed charges,59% of total billed charges,447.06,87.2,,357.65,percent of total billed charges,87.2% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,416.76,81.29,,333.41,percent of total billed charges,81.29% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of totl billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,461.41,90,,369.13,percent of total billed charges,90% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,312.73,61,,250.18,percent of total billed charges,61% of total billed charges,266.59,52,,213.27,percent of total billed charges,52% of total billed charges,266.59,461.41,
"COMPLEX REPAIR,TRUNK,2.6-7.5 C",36010155,CDM,981,RC,13101,HCPCS,Outpatient,,,628.79,503.03,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 2.6-7.5CM,43600076,CDM,983,RC,13101,HCPCS,Outpatient,,,649.03,519.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 2.6-7.5CM,43600241,CDM,521,RC,13101,HCPCS,Outpatient,,,649.03,519.22,,551.68,85,,441.34,percent of total billed charges,85% of total billed charges,551.68,85,,441.34,percent of total billed charges,85% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,337.5,52,,270,percent of total billed charges,52% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,565.95,87.2,,,percent of total billed charges,87.2% of total billed charges,382.93,59,,306.34,percent of total billed charges,59% of total billed charges,565.95,87.2,,452.76,percent of total billed charges,87.2% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,527.6,81.29,,422.08,percent of total billed charges,81.29% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of totl billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,337.5,584.13,
COMPLEX REPAIR TRUNK 2.6-7.5CM,43700076,CDM,983,RC,13101,HCPCS,Outpatient,,,649.03,519.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR TRUNK 2.6-7.5CM,43701227,CDM,521,RC,13101,HCPCS,Outpatient,,,649.03,519.22,,551.68,85,,441.34,percent of total billed charges,85% of total billed charges,551.68,85,,441.34,percent of total billed charges,85% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,482.1,74,,385.68,percent of total billed charges,74.28% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,337.5,52,,270,percent of total billed charges,52% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,565.95,87.2,,,percent of total billed charges,87.2% of total billed charges,382.93,59,,306.34,percent of total billed charges,59% of total billed charges,565.95,87.2,,452.76,percent of total billed charges,87.2% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,527.6,81.29,,422.08,percent of total billed charges,81.29% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of totl billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,584.13,90,,467.3,percent of total billed charges,90% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,395.91,61,,316.73,percent of total billed charges,61% of total billed charges,337.5,52,,270,percent of total billed charges,52% of total billed charges,337.5,584.13,
REPAIR COMPLEX TRUNK ADL 5.0,36010214,CDM,981,RC,13102,HCPCS,Outpatient,,,171.98,137.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CMPLX RPR SCALP/ARM/LEG 1.1-2.,36010156,CDM,981,RC,13120,HCPCS,Outpatient,,,541.09,432.87,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR COMPLEX SCALP ARMS LEGS,36010276,CDM,981,RC,13120,HCPCS,Outpatient,,,567.65,454.12,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"COMPLX REPR SCALP,ARM,LEG,2.6-",36010134,CDM,981,RC,13121,HCPCS,Outpatient,,,701.42,561.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPR SCALP ARM LEG 2.6,43600077,CDM,983,RC,13121,HCPCS,Outpatient,,,714.47,571.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPR SCALP ARM LEG 2.6,43600242,CDM,521,RC,13121,HCPCS,Outpatient,,,714.47,571.58,,607.3,85,,485.84,percent of total billed charges,85% of total billed charges,607.3,85,,485.84,percent of total billed charges,85% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,623.02,87.2,,,percent of total billed charges,87.2% of total billed charges,421.54,59,,337.23,percent of total billed charges,59% of total billed charges,623.02,87.2,,498.42,percent of total billed charges,87.2% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,580.79,81.29,,464.63,percent of total billed charges,81.29% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of totl billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,371.52,643.02,
COMPLEX REPR SCALP ARM LEG 2.6,43700077,CDM,983,RC,13121,HCPCS,Outpatient,,,714.47,571.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPR SCALP ARM LEG 2.6,43701228,CDM,521,RC,13121,HCPCS,Outpatient,,,714.47,571.58,,607.3,85,,485.84,percent of total billed charges,85% of total billed charges,607.3,85,,485.84,percent of total billed charges,85% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,530.71,74,,424.57,percent of total billed charges,74.28% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,623.02,87.2,,,percent of total billed charges,87.2% of total billed charges,421.54,59,,337.23,percent of total billed charges,59% of total billed charges,623.02,87.2,,498.42,percent of total billed charges,87.2% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,580.79,81.29,,464.63,percent of total billed charges,81.29% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of totl billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,643.02,90,,514.42,percent of total billed charges,90% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,435.83,61,,348.66,percent of total billed charges,61% of total billed charges,371.52,52,,297.22,percent of total billed charges,52% of total billed charges,371.52,643.02,
RPR CMP SCALP/ARM/LEG ADL 5.0,36010215,CDM,981,RC,13122,HCPCS,Outpatient,,,196.27,157.02,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"COMPLEX REPAIR,1.1-2.5 CM",36010136,CDM,981,RC,13131,HCPCS,Outpatient,,,612.72,490.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 1.1 - 2.5CM,43600074,CDM,983,RC,13131,HCPCS,Outpatient,,,589.03,471.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 1.1 - 2.5CM,43600239,CDM,521,RC,13131,HCPCS,Outpatient,,,589.03,471.22,,500.68,85,,400.54,percent of total billed charges,85% of total billed charges,500.68,85,,400.54,percent of total billed charges,85% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,513.63,87.2,,,percent of total billed charges,87.2% of total billed charges,347.53,59,,278.02,percent of total billed charges,59% of total billed charges,513.63,87.2,,410.9,percent of total billed charges,87.2% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,478.82,81.29,,383.06,percent of total billed charges,81.29% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of totl billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,306.3,530.13,
COMPLEX REPAIR 1.1 - 2.5CM,43700074,CDM,983,RC,13131,HCPCS,Outpatient,,,589.03,471.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 1.1 - 2.5CM,43701225,CDM,521,RC,13131,HCPCS,Outpatient,,,589.03,471.22,,500.68,85,,400.54,percent of total billed charges,85% of total billed charges,500.68,85,,400.54,percent of total billed charges,85% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,437.53,74,,350.02,percent of total billed charges,74.28% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,513.63,87.2,,,percent of total billed charges,87.2% of total billed charges,347.53,59,,278.02,percent of total billed charges,59% of total billed charges,513.63,87.2,,410.9,percent of total billed charges,87.2% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,478.82,81.29,,383.06,percent of total billed charges,81.29% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of totl billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,530.13,90,,424.1,percent of total billed charges,90% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,359.31,61,,287.45,percent of total billed charges,61% of total billed charges,306.3,52,,245.04,percent of total billed charges,52% of total billed charges,306.3,530.13,
COMPLEX REPAIR 2.6-7.5 CM,36010186,CDM,981,RC,13132,HCPCS,Outpatient,,,1017.66,814.13,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 2.6-7.5 CM,43600072,CDM,983,RC,13132,HCPCS,Outpatient,,,938.09,750.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 2.6 - 7.5 CM,43600237,CDM,521,RC,13132,HCPCS,Outpatient,,,938.09,750.47,,797.38,85,,637.9,percent of total billed charges,85% of total billed charges,797.38,85,,637.9,percent of total billed charges,85% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,818.01,87.2,,,percent of total billed charges,87.2% of total billed charges,553.47,59,,442.78,percent of total billed charges,59% of total billed charges,818.01,87.2,,654.41,percent of total billed charges,87.2% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,762.57,81.29,,610.06,percent of total billed charges,81.29% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of totl billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,487.81,844.28,
COMPLEX REPAIR 2.6 - 7.5 CM,43700072,CDM,983,RC,13132,HCPCS,Outpatient,,,938.09,750.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR 2.6 - 7.5 CM,43701223,CDM,521,RC,13132,HCPCS,Outpatient,,,938.09,750.47,,797.38,85,,637.9,percent of total billed charges,85% of total billed charges,797.38,85,,637.9,percent of total billed charges,85% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,696.81,74,,557.45,percent of total billed charges,74.28% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,818.01,87.2,,,percent of total billed charges,87.2% of total billed charges,553.47,59,,442.78,percent of total billed charges,59% of total billed charges,818.01,87.2,,654.41,percent of total billed charges,87.2% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,762.57,81.29,,610.06,percent of total billed charges,81.29% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of totl billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,844.28,90,,675.42,percent of total billed charges,90% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,572.23,61,,457.78,percent of total billed charges,61% of total billed charges,487.81,52,,390.25,percent of total billed charges,52% of total billed charges,487.81,844.28,
COMPLEX REPAIR EA ADDL 5.O CM,36010193,CDM,981,RC,13133,HCPCS,Outpatient,,,302,241.6,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"COMPLEX REPAIR,FACIAL,1.1-2.5",36010141,CDM,981,RC,13151,HCPCS,Outpatient,,,712.17,569.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"COMPLEX REPAIR,2.6-7.5 CM",36010145,CDM,981,RC,13152,HCPCS,Outpatient,,,960.29,768.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR EA ADDL 5.0 OR,36010195,CDM,981,RC,13153,HCPCS,Outpatient,,,331.48,265.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR EA ADDL 5.0 OR,43600073,CDM,983,RC,13153,HCPCS,Outpatient,,,305.42,244.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR EA ADDL 5.0 OR,43600238,CDM,521,RC,13153,HCPCS,Outpatient,,,305.42,244.34,,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,266.33,87.2,,,percent of total billed charges,87.2% of total billed charges,180.2,59,,144.16,percent of total billed charges,59% of total billed charges,266.33,87.2,,213.06,percent of total billed charges,87.2% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,248.28,81.29,,198.62,percent of total billed charges,81.29% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of totl billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,274.88,
COMPLEX REPAIR EA ADDL 5.0 OR,43700073,CDM,983,RC,13153,HCPCS,Outpatient,,,305.42,244.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COMPLEX REPAIR EA ADDL 5.0 OR,43701224,CDM,521,RC,13153,HCPCS,Outpatient,,,305.42,244.34,,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,259.61,85,,207.69,percent of total billed charges,85% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,226.87,74,,181.5,percent of total billed charges,74.28% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,266.33,87.2,,,percent of total billed charges,87.2% of total billed charges,180.2,59,,144.16,percent of total billed charges,59% of total billed charges,266.33,87.2,,213.06,percent of total billed charges,87.2% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,248.28,81.29,,198.62,percent of total billed charges,81.29% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of totl billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,274.88,90,,219.9,percent of total billed charges,90% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,186.31,61,,149.05,percent of total billed charges,61% of total billed charges,158.82,52,,127.06,percent of total billed charges,52% of total billed charges,158.82,274.88,
SKIN LESION REMOVAL W/ZPLASTY,43701725,CDM,521,RC,14040,HCPCS,Outpatient,,,1175.36,940.29,,999.06,85,,799.25,percent of total billed charges,85% of total billed charges,999.06,85,,799.25,percent of total billed charges,85% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,873.06,74,,698.45,percent of total billed charges,74.28% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,873.06,74,,698.45,percent of total billed charges,74.28% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,873.06,74,,698.45,percent of total billed charges,74.28% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,1057.82,90,,846.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,1024.91,87.2,,,percent of total billed charges,87.2% of total billed charges,693.46,59,,554.77,percent of total billed charges,59% of total billed charges,1024.91,87.2,,819.93,percent of total billed charges,87.2% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,955.45,81.29,,764.36,percent of total billed charges,81.29% of total billed charges,1057.82,90,,846.26,percent of total billed charges,90% of totl billed charges,1057.82,90,,846.26,percent of total billed charges,90% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,1057.82,90,,846.26,percent of total billed charges,90% of total billed charges,1057.82,90,,846.26,percent of total billed charges,90% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,716.97,61,,573.58,percent of total billed charges,61% of total billed charges,611.19,52,,488.95,percent of total billed charges,52% of total billed charges,611.19,1057.82,
WOUND PREP TRK/ARM/LEG,44500045,CDM,761,RC,15002,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
WOUND PREP TRK/ARM/LEG,44510045,CDM,983,RC,15002,HCPCS,Outpatient,,,452.49,361.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WOUND PREP F/N/HF/G,44500046,CDM,761,RC,15004,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
WOUND PREP F/N/HF/G,44510046,CDM,983,RC,15004,HCPCS,Outpatient,,,538.08,430.46,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKIN SPLT GRFT TRNK/ARM/LEG,44500047,CDM,761,RC,15100,HCPCS,Outpatient,,,2532.57,2026.06,,2152.68,85,,1722.14,percent of total billed charges,85% of total billed charges,2152.68,85,,1722.14,percent of total billed charges,85% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,1881.19,74,,1504.95,percent of total billed charges,74.28% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,1881.19,74,,1504.95,percent of total billed charges,74.28% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,1881.19,74,,1504.95,percent of total billed charges,74.28% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of total billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,2208.4,87.2,,,percent of total billed charges,87.2% of total billed charges,1494.22,59,,1195.38,percent of total billed charges,59% of total billed charges,2208.4,87.2,,1766.72,percent of total billed charges,87.2% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,2058.73,81.29,,1646.98,percent of total billed charges,81.29% of total billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of totl billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of total billed charges,2279.31,90,,1823.45,percent of total billed charges,90% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,1544.87,61,,1235.9,percent of total billed charges,61% of total billed charges,1316.94,52,,1053.55,percent of total billed charges,52% of total billed charges,1316.94,2279.31,
SKIN SPLT GRFT TRNK/ARM/LEG,44510047,CDM,983,RC,15100,HCPCS,Outpatient,,,1483.78,1187.02,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EPIDRM AUTOGRFT TRNK/ARM/LEG,44500048,CDM,761,RC,15110,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
EPIDRM AUTOGRFT TRNK/ARM/LEG,44510048,CDM,983,RC,15110,HCPCS,Outpatient,,,1472.56,1178.05,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EPIDRM A-GRFT FACE/NCK/HF/G,44500049,CDM,761,RC,15115,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
EPIDRM A-GRFT FACE/NCK/HF/G,44510049,CDM,983,RC,15115,HCPCS,Outpatient,,,1426.27,1141.02,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SPLT A-GRFT FAC/NCK/HF/G,44500050,CDM,761,RC,15120,HCPCS,Outpatient,,,4847.13,3877.7,,4120.06,85,,3296.05,percent of total billed charges,85% of total billed charges,4120.06,85,,3296.05,percent of total billed charges,85% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,4226.7,87.2,,,percent of total billed charges,87.2% of total billed charges,2859.81,59,,2287.85,percent of total billed charges,59% of total billed charges,4226.7,87.2,,3381.36,percent of total billed charges,87.2% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3940.23,81.29,,3152.18,percent of total billed charges,81.29% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of totl billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,2520.51,4362.42,
SKN SPLT A-GRFT FAC/NCK/HF/G,44510050,CDM,983,RC,15120,HCPCS,Outpatient,,,1424.16,1139.33,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKIN SUB GRAFT TRNK/ARM/LEG,44500051,CDM,360,RC,15271,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
SKIN SUB GRAFT TRNK/ARM/LEG,44510051,CDM,983,RC,15271,HCPCS,Outpatient,,,172.58,138.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKIN SUB GRAFT T/A/L ADD-ON,44500052,CDM,360,RC,15272,HCPCS,Outpatient,,,113.5,90.8,,96.48,85,,77.18,percent of total billed charges,85% of total billed charges,96.48,85,,77.18,percent of total billed charges,85% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,84.31,74,,67.45,percent of total billed charges,74.28% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,84.31,74,,67.45,percent of total billed charges,74.28% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,84.31,74,,67.45,percent of total billed charges,74.28% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,102.15,90,,81.72,percent of total billed charges,90% of total billed charges,102.15,90,,81.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,98.97,87.2,,,percent of total billed charges,87.2% of total billed charges,66.97,59,,53.58,percent of total billed charges,59% of total billed charges,98.97,87.2,,79.18,percent of total billed charges,87.2% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,92.26,81.29,,73.81,percent of total billed charges,81.29% of total billed charges,102.15,90,,81.72,percent of total billed charges,90% of totl billed charges,102.15,90,,81.72,percent of total billed charges,90% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,102.15,90,,81.72,percent of total billed charges,90% of total billed charges,102.15,90,,81.72,percent of total billed charges,90% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,69.24,61,,55.39,percent of total billed charges,61% of total billed charges,59.02,52,,47.22,percent of total billed charges,52% of total billed charges,59.02,102.15,
SKIN SUB GRAFT T/A/L ADD-ON,44510052,CDM,983,RC,15272,HCPCS,Outpatient,,,36.48,29.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKIN SUB GRFT T/ARM/LG CHILD,44500053,CDM,360,RC,15273,HCPCS,Outpatient,,,4847.13,3877.7,,4120.06,85,,3296.05,percent of total billed charges,85% of total billed charges,4120.06,85,,3296.05,percent of total billed charges,85% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,3600.45,74,,2880.36,percent of total billed charges,74.28% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,4226.7,87.2,,,percent of total billed charges,87.2% of total billed charges,2859.81,59,,2287.85,percent of total billed charges,59% of total billed charges,4226.7,87.2,,3381.36,percent of total billed charges,87.2% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,3940.23,81.29,,3152.18,percent of total billed charges,81.29% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of totl billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,4362.42,90,,3489.94,percent of total billed charges,90% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2956.75,61,,2365.4,percent of total billed charges,61% of total billed charges,2520.51,52,,2016.41,percent of total billed charges,52% of total billed charges,2520.51,4362.42,
SKIN SUB GRFT T/ARM/LG CHILD,44510053,CDM,983,RC,15273,HCPCS,Outpatient,,,408.29,326.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRFT T/A/L CHILD ADD,44500054,CDM,360,RC,15274,HCPCS,Outpatient,,,300.73,240.58,,255.62,85,,204.5,percent of total billed charges,85% of total billed charges,255.62,85,,204.5,percent of total billed charges,85% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,223.38,74,,178.7,percent of total billed charges,74.28% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,223.38,74,,178.7,percent of total billed charges,74.28% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,223.38,74,,178.7,percent of total billed charges,74.28% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,270.66,90,,216.53,percent of total billed charges,90% of total billed charges,270.66,90,,216.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,262.24,87.2,,,percent of total billed charges,87.2% of total billed charges,177.43,59,,141.94,percent of total billed charges,59% of total billed charges,262.24,87.2,,209.79,percent of total billed charges,87.2% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,244.46,81.29,,195.57,percent of total billed charges,81.29% of total billed charges,270.66,90,,216.53,percent of total billed charges,90% of totl billed charges,270.66,90,,216.53,percent of total billed charges,90% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,270.66,90,,216.53,percent of total billed charges,90% of total billed charges,270.66,90,,216.53,percent of total billed charges,90% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,183.45,61,,146.76,percent of total billed charges,61% of total billed charges,156.38,52,,125.1,percent of total billed charges,52% of total billed charges,156.38,270.66,
SKN SUB GRFT T/A/L CHILD ADD,44510054,CDM,983,RC,15274,HCPCS,Outpatient,,,94.02,75.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRAFT F/N/HF/G,44500055,CDM,360,RC,15275,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
SKN SUB GRAFT F/N/HF/G,44510055,CDM,983,RC,15275,HCPCS,Outpatient,,,192.2,153.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRAFT F/N/HF/G ADDL,44500056,CDM,360,RC,15276,HCPCS,Outpatient,,,145.96,116.77,,124.07,85,,99.26,percent of total billed charges,85% of total billed charges,124.07,85,,99.26,percent of total billed charges,85% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,108.42,74,,86.74,percent of total billed charges,74.28% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,108.42,74,,86.74,percent of total billed charges,74.28% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,108.42,74,,86.74,percent of total billed charges,74.28% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,131.36,90,,105.09,percent of total billed charges,90% of total billed charges,131.36,90,,105.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,127.28,87.2,,,percent of total billed charges,87.2% of total billed charges,86.12,59,,68.9,percent of total billed charges,59% of total billed charges,127.28,87.2,,101.82,percent of total billed charges,87.2% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,118.65,81.29,,94.92,percent of total billed charges,81.29% of total billed charges,131.36,90,,105.09,percent of total billed charges,90% of totl billed charges,131.36,90,,105.09,percent of total billed charges,90% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,131.36,90,,105.09,percent of total billed charges,90% of total billed charges,131.36,90,,105.09,percent of total billed charges,90% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,89.04,61,,71.23,percent of total billed charges,61% of total billed charges,75.9,52,,60.72,percent of total billed charges,52% of total billed charges,75.9,131.36,
SKN SUB GRAFT F/N/HF/G ADDL,44510056,CDM,983,RC,15276,HCPCS,Outpatient,,,52.62,42.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRFT F/N/HF/G CHILD,44500057,CDM,360,RC,15277,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
SKN SUB GRFT F/N/HF/G CHILD,44510057,CDM,983,RC,15277,HCPCS,Outpatient,,,465.13,372.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRFT F/N/HF/G CH ADD,44500058,CDM,360,RC,15278,HCPCS,Outpatient,,,359.67,287.74,,305.72,85,,244.58,percent of total billed charges,85% of total billed charges,305.72,85,,244.58,percent of total billed charges,85% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,267.16,74,,213.73,percent of total billed charges,74.28% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,267.16,74,,213.73,percent of total billed charges,74.28% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,267.16,74,,213.73,percent of total billed charges,74.28% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,323.7,90,,258.96,percent of total billed charges,90% of total billed charges,323.7,90,,258.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,313.63,87.2,,,percent of total billed charges,87.2% of total billed charges,212.21,59,,169.77,percent of total billed charges,59% of total billed charges,313.63,87.2,,250.9,percent of total billed charges,87.2% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,292.38,81.29,,233.9,percent of total billed charges,81.29% of total billed charges,323.7,90,,258.96,percent of total billed charges,90% of totl billed charges,323.7,90,,258.96,percent of total billed charges,90% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,323.7,90,,258.96,percent of total billed charges,90% of total billed charges,323.7,90,,258.96,percent of total billed charges,90% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,219.4,61,,175.52,percent of total billed charges,61% of total billed charges,187.03,52,,149.62,percent of total billed charges,52% of total billed charges,187.03,323.7,
SKN SUB GRFT F/N/HF/G CH ADD,44510058,CDM,983,RC,15278,HCPCS,Outpatient,,,117.15,93.72,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN INITIAL TREATMENT 1ST DEG,36010025,CDM,981,RC,16000,HCPCS,Outpatient,,,109.4,87.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN INITIAL TREATMENT 1ST DEG,43600083,CDM,983,RC,16000,HCPCS,Outpatient,,,109.08,87.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN INITIAL TREATMENT 1ST DEG,43600248,CDM,521,RC,16000,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
BURN INITIAL TREATMENT 1ST DEG,43700083,CDM,983,RC,16000,HCPCS,Outpatient,,,109.08,87.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN INITIAL TREATMENT 1ST DEG,43701234,CDM,521,RC,16000,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
INITIAL TREATMENT OF BURN(S),44500039,CDM,761,RC,16000,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
INITIAL TREATMENT OF BURN(S),44510039,CDM,983,RC,16000,HCPCS,Outpatient,,,74.4,59.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING OR DEBRIDEMENT S,36010026,CDM,981,RC,16020,HCPCS,Outpatient,,,129.99,103.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING OR DEBRIDEMENT S,43600082,CDM,983,RC,16020,HCPCS,Outpatient,,,136.35,109.08,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING OR DEBRIDEMENT S,43600247,CDM,521,RC,16020,HCPCS,Outpatient,,,136.35,109.08,,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,118.9,87.2,,,percent of total billed charges,87.2% of total billed charges,80.45,59,,64.36,percent of total billed charges,59% of total billed charges,118.9,87.2,,95.12,percent of total billed charges,87.2% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,110.84,81.29,,88.67,percent of total billed charges,81.29% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of totl billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,122.72,
BURN DRESSING OR DEBRIDEMENT S,43700082,CDM,983,RC,16020,HCPCS,Outpatient,,,136.35,109.08,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING OR DEBRIDEMENT S,43701233,CDM,521,RC,16020,HCPCS,Outpatient,,,136.35,109.08,,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,115.9,85,,92.72,percent of total billed charges,85% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,101.28,74,,81.02,percent of total billed charges,74.28% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,118.9,87.2,,,percent of total billed charges,87.2% of total billed charges,80.45,59,,64.36,percent of total billed charges,59% of total billed charges,118.9,87.2,,95.12,percent of total billed charges,87.2% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,110.84,81.29,,88.67,percent of total billed charges,81.29% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of totl billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,122.72,90,,98.18,percent of total billed charges,90% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,83.17,61,,66.54,percent of total billed charges,61% of total billed charges,70.9,52,,56.72,percent of total billed charges,52% of total billed charges,70.9,122.72,
DRESS/DEBRID P-THICK BURN S,44500040,CDM,761,RC,16020,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
DRESS/DEBRID P-THICK BURN S,44510040,CDM,983,RC,16020,HCPCS,Outpatient,,,112.26,89.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING MEDIUM,36010027,CDM,981,RC,16025,HCPCS,Outpatient,,,264.37,211.5,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING MEDIUM,43600081,CDM,983,RC,16025,HCPCS,Outpatient,,,245.43,196.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING MEDIUM,43600246,CDM,521,RC,16025,HCPCS,Outpatient,,,245.43,196.34,,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,214.01,87.2,,,percent of total billed charges,87.2% of total billed charges,144.8,59,,115.84,percent of total billed charges,59% of total billed charges,214.01,87.2,,171.21,percent of total billed charges,87.2% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,199.51,81.29,,159.61,percent of total billed charges,81.29% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of totl billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,220.89,
BURN DRESSING MEDIUM,43700081,CDM,983,RC,16025,HCPCS,Outpatient,,,245.43,196.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING MEDIUM,43701232,CDM,521,RC,16025,HCPCS,Outpatient,,,245.43,196.34,,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,208.62,85,,166.9,percent of total billed charges,85% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,182.31,74,,145.85,percent of total billed charges,74.28% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,214.01,87.2,,,percent of total billed charges,87.2% of total billed charges,144.8,59,,115.84,percent of total billed charges,59% of total billed charges,214.01,87.2,,171.21,percent of total billed charges,87.2% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,199.51,81.29,,159.61,percent of total billed charges,81.29% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of totl billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,220.89,90,,176.71,percent of total billed charges,90% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,149.71,61,,119.77,percent of total billed charges,61% of total billed charges,127.62,52,,102.1,percent of total billed charges,52% of total billed charges,127.62,220.89,
DRESS/DEBRID P-THICK BURN M,44500041,CDM,761,RC,16025,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
DRESS/DEBRID P-THICK BURN M,44510041,CDM,983,RC,16025,HCPCS,Outpatient,,,229.4,183.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING LARGE,36010028,CDM,981,RC,16030,HCPCS,Outpatient,,,303.71,242.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING LARGE,43600080,CDM,983,RC,16030,HCPCS,Outpatient,,,289.06,231.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING LARGE,43600245,CDM,521,RC,16030,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
BURN DRESSING LARGE,43700080,CDM,983,RC,16030,HCPCS,Outpatient,,,289.06,231.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN DRESSING LARGE,43701231,CDM,521,RC,16030,HCPCS,Outpatient,,,289.06,231.25,,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,245.7,85,,196.56,percent of total billed charges,85% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,214.71,74,,171.77,percent of total billed charges,74.28% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,252.06,87.2,,,percent of total billed charges,87.2% of total billed charges,170.55,59,,136.44,percent of total billed charges,59% of total billed charges,252.06,87.2,,201.65,percent of total billed charges,87.2% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,234.98,81.29,,187.98,percent of total billed charges,81.29% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of totl billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,260.15,90,,208.12,percent of total billed charges,90% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,176.33,61,,141.06,percent of total billed charges,61% of total billed charges,150.31,52,,120.25,percent of total billed charges,52% of total billed charges,150.31,260.15,
DRESS/DEBRID P-THICK BURN L,44500042,CDM,761,RC,16030,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
DRESS/DEBRID P-THICK BURN L,44510042,CDM,983,RC,16030,HCPCS,Outpatient,,,271.5,217.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LESION DESTRUCTION 1ST LESION,43601127,CDM,983,RC,17000,HCPCS,Outpatient,,,119.99,95.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LESION DESTRUCTION 1ST LESION,43701289,CDM,521,RC,17000,HCPCS,Outpatient,,,119.99,95.99,,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,104.63,87.2,,,percent of total billed charges,87.2% of total billed charges,70.79,59,,56.63,percent of total billed charges,59% of total billed charges,104.63,87.2,,83.7,percent of total billed charges,87.2% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,97.54,81.29,,78.03,percent of total billed charges,81.29% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of totl billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,62.39,52,,49.91,percent of total billed charges,52% of total billed charges,62.39,107.99,
LESION DESTRUCTION 2-14 LST EA,43600290,CDM,521,RC,17003,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,8.51,52,,6.81,percent of total billed charges,52% of total billed charges,8.51,14.72,
LESION DESTRUCTION(2-14)LST EA,43601128,CDM,983,RC,17003,HCPCS,Outpatient,,,16.36,13.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LESION DESTRUCTION 2-14 LST EA,43701128,CDM,983,RC,17003,HCPCS,Outpatient,,,10.91,8.73,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LESION DESTRUCTION 2-14 LST EA,43701290,CDM,521,RC,17003,HCPCS,Outpatient,,,10.91,8.73,,9.27,85,,7.42,percent of total billed charges,85% of total billed charges,9.27,85,,7.42,percent of total billed charges,85% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,8.1,74,,6.48,percent of total billed charges,74.28% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,8.1,74,,6.48,percent of total billed charges,74.28% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,8.1,74,,6.48,percent of total billed charges,74.28% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,9.82,90,,7.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,9.51,87.2,,,percent of total billed charges,87.2% of total billed charges,6.44,59,,5.15,percent of total billed charges,59% of total billed charges,9.51,87.2,,7.61,percent of total billed charges,87.2% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,8.87,81.29,,7.1,percent of total billed charges,81.29% of total billed charges,9.82,90,,7.86,percent of total billed charges,90% of totl billed charges,9.82,90,,7.86,percent of total billed charges,90% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,9.82,90,,7.86,percent of total billed charges,90% of total billed charges,9.82,90,,7.86,percent of total billed charges,90% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,6.66,61,,5.33,percent of total billed charges,61% of total billed charges,5.67,52,,4.54,percent of total billed charges,52% of total billed charges,5.67,9.82,
WARTS DESTRUCTION 1-14,43601152,CDM,521,RC,17110,HCPCS,Outpatient,,,152.71,122.17,,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,133.16,87.2,,,percent of total billed charges,87.2% of total billed charges,90.1,59,,72.08,percent of total billed charges,59% of total billed charges,133.16,87.2,,106.53,percent of total billed charges,87.2% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,124.14,81.29,,99.31,percent of total billed charges,81.29% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of totl billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,137.44,
WARTS DESTRUCTION 1-14,43701301,CDM,521,RC,17110,HCPCS,Outpatient,,,152.71,122.17,,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,129.8,85,,103.84,percent of total billed charges,85% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,113.43,74,,90.74,percent of total billed charges,74.28% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,133.16,87.2,,,percent of total billed charges,87.2% of total billed charges,90.1,59,,72.08,percent of total billed charges,59% of total billed charges,133.16,87.2,,106.53,percent of total billed charges,87.2% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,124.14,81.29,,99.31,percent of total billed charges,81.29% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of totl billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,137.44,90,,109.95,percent of total billed charges,90% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,93.15,61,,74.52,percent of total billed charges,61% of total billed charges,79.41,52,,63.53,percent of total billed charges,52% of total billed charges,79.41,137.44,
CHEM CAUTERIZATION GRAN TISSUE,36010260,CDM,981,RC,17250,HCPCS,Outpatient,,,82.52,66.02,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CHEM CAUTERIZATION GRAN TISSUE,43600084,CDM,983,RC,17250,HCPCS,Outpatient,,,127.62,102.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CHEM CAUTERIZATION GRAN TISSUE,43600249,CDM,521,RC,17250,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
CHEM CAUTERIZATION GRAN TISSUE,43700084,CDM,983,RC,17250,HCPCS,Outpatient,,,125.44,100.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BURN INITIAL TREATMENT 1ST DEG,43701235,CDM,521,RC,17250,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
CHEM CAUT OF GRANLTJ TISSUE,44500043,CDM,761,RC,17250,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
CHEM CAUT OF GRANLTJ TISSUE,44510043,CDM,983,RC,17250,HCPCS,Outpatient,,,77.18,61.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
UNLISTED PROC SKIN/SUBQ TISSUE,43601355,CDM,521,RC,17999,HCPCS,Outpatient,,,223.17,178.54,,189.69,85,,151.75,percent of total billed charges,85% of total billed charges,189.69,85,,151.75,percent of total billed charges,85% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,194.6,87.2,,,percent of total billed charges,87.2% of total billed charges,131.67,59,,105.34,percent of total billed charges,59% of total billed charges,194.6,87.2,,155.68,percent of total billed charges,87.2% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,181.41,81.29,,145.13,percent of total billed charges,81.29% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of totl billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,116.05,200.85,
UNLISTED PROC SKIN/SUBQ TISSUE,43701373,CDM,521,RC,17999,HCPCS,Outpatient,,,223.17,178.54,,189.69,85,,151.75,percent of total billed charges,85% of total billed charges,189.69,85,,151.75,percent of total billed charges,85% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,165.77,74,,132.62,percent of total billed charges,74.28% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,194.6,87.2,,,percent of total billed charges,87.2% of total billed charges,131.67,59,,105.34,percent of total billed charges,59% of total billed charges,194.6,87.2,,155.68,percent of total billed charges,87.2% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,181.41,81.29,,145.13,percent of total billed charges,81.29% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of totl billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,200.85,90,,160.68,percent of total billed charges,90% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,136.13,61,,108.9,percent of total billed charges,61% of total billed charges,116.05,52,,92.84,percent of total billed charges,52% of total billed charges,116.05,200.85,
PUNC ASPIRATION CYST BREAST,36010029,CDM,981,RC,19000,HCPCS,Outpatient,,,108.5,86.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BREAST CYST ASPIRATION,42002111,CDM,339,RC,19000,HCPCS,Outpatient,,,125.83,100.66,,106.96,85,,85.57,percent of total billed charges,85% of total billed charges,106.96,85,,85.57,percent of total billed charges,85% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,93.47,74,,74.78,percent of total billed charges,74.28% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,93.47,74,,74.78,percent of total billed charges,74.28% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,93.47,74,,74.78,percent of total billed charges,74.28% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,113.25,90,,90.6,percent of total billed charges,90% of total billed charges,113.25,90,,90.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,109.72,87.2,,,percent of total billed charges,87.2% of total billed charges,74.24,59,,59.39,percent of total billed charges,59% of total billed charges,109.72,87.2,,87.78,percent of total billed charges,87.2% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,102.29,81.29,,81.83,percent of total billed charges,81.29% of total billed charges,113.25,90,,90.6,percent of total billed charges,90% of totl billed charges,113.25,90,,90.6,percent of total billed charges,90% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,113.25,90,,90.6,percent of total billed charges,90% of total billed charges,113.25,90,,90.6,percent of total billed charges,90% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,76.76,61,,61.41,percent of total billed charges,61% of total billed charges,65.43,52,,52.34,percent of total billed charges,52% of total billed charges,65.43,113.25,
BREAST CYST ASPIRATION >1 EA,42002112,CDM,339,RC,19001,HCPCS,Outpatient,,,49.92,39.94,,42.43,85,,33.94,percent of total billed charges,85% of total billed charges,42.43,85,,33.94,percent of total billed charges,85% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,37.08,74,,29.66,percent of total billed charges,74.28% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,37.08,74,,29.66,percent of total billed charges,74.28% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,37.08,74,,29.66,percent of total billed charges,74.28% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,44.93,90,,35.94,percent of total billed charges,90% of total billed charges,44.93,90,,35.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,43.53,87.2,,,percent of total billed charges,87.2% of total billed charges,29.45,59,,23.56,percent of total billed charges,59% of total billed charges,43.53,87.2,,34.82,percent of total billed charges,87.2% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,40.58,81.29,,32.46,percent of total billed charges,81.29% of total billed charges,44.93,90,,35.94,percent of total billed charges,90% of totl billed charges,44.93,90,,35.94,percent of total billed charges,90% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,44.93,90,,35.94,percent of total billed charges,90% of total billed charges,44.93,90,,35.94,percent of total billed charges,90% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,30.45,61,,24.36,percent of total billed charges,61% of total billed charges,25.96,52,,20.77,percent of total billed charges,52% of total billed charges,25.96,44.93,
MASTOTOMY W/EXPLOR OR DRAIN OF,36011042,CDM,981,RC,19020,HCPCS,Outpatient,,,631.58,505.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BREAST CORE BX w US GUIDANCE,42002115,CDM,361,RC,19083,HCPCS,Outpatient,,,394.51,315.61,,335.33,85,,268.26,percent of total billed charges,85% of total billed charges,335.33,85,,268.26,percent of total billed charges,85% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,293.04,74,,234.43,percent of total billed charges,74.28% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,293.04,74,,234.43,percent of total billed charges,74.28% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,293.04,74,,234.43,percent of total billed charges,74.28% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,355.06,90,,284.05,percent of total billed charges,90% of total billed charges,355.06,90,,284.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,344.01,87.2,,,percent of total billed charges,87.2% of total billed charges,232.76,59,,186.21,percent of total billed charges,59% of total billed charges,344.01,87.2,,275.21,percent of total billed charges,87.2% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,320.7,81.29,,256.56,percent of total billed charges,81.29% of total billed charges,355.06,90,,284.05,percent of total billed charges,90% of totl billed charges,355.06,90,,284.05,percent of total billed charges,90% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,355.06,90,,284.05,percent of total billed charges,90% of total billed charges,355.06,90,,284.05,percent of total billed charges,90% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,240.65,61,,192.52,percent of total billed charges,61% of total billed charges,205.15,52,,164.12,percent of total billed charges,52% of total billed charges,205.15,355.06,
BREAST CORE BX w US GUIDE>1 EA,42002116,CDM,339,RC,19084,HCPCS,Outpatient,,,188.41,150.73,,160.15,85,,128.12,percent of total billed charges,85% of total billed charges,160.15,85,,128.12,percent of total billed charges,85% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,139.95,74,,111.96,percent of total billed charges,74.28% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,139.95,74,,111.96,percent of total billed charges,74.28% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,139.95,74,,111.96,percent of total billed charges,74.28% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,169.57,90,,135.66,percent of total billed charges,90% of total billed charges,169.57,90,,135.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,164.29,87.2,,,percent of total billed charges,87.2% of total billed charges,111.16,59,,88.93,percent of total billed charges,59% of total billed charges,164.29,87.2,,131.43,percent of total billed charges,87.2% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,153.16,81.29,,122.53,percent of total billed charges,81.29% of total billed charges,169.57,90,,135.66,percent of total billed charges,90% of totl billed charges,169.57,90,,135.66,percent of total billed charges,90% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,169.57,90,,135.66,percent of total billed charges,90% of total billed charges,169.57,90,,135.66,percent of total billed charges,90% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,114.93,61,,91.94,percent of total billed charges,61% of total billed charges,97.97,52,,78.38,percent of total billed charges,52% of total billed charges,97.97,169.57,
BREAST LOCALIZATION-MAM GUIDE,42002113,CDM,339,RC,19281,HCPCS,Outpatient,,,235.91,188.73,,200.52,85,,160.42,percent of total billed charges,85% of total billed charges,200.52,85,,160.42,percent of total billed charges,85% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,175.23,74,,140.18,percent of total billed charges,74.28% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,175.23,74,,140.18,percent of total billed charges,74.28% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,175.23,74,,140.18,percent of total billed charges,74.28% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,212.32,90,,169.86,percent of total billed charges,90% of total billed charges,212.32,90,,169.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,205.71,87.2,,,percent of total billed charges,87.2% of total billed charges,139.19,59,,111.35,percent of total billed charges,59% of total billed charges,205.71,87.2,,164.57,percent of total billed charges,87.2% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,191.77,81.29,,153.42,percent of total billed charges,81.29% of total billed charges,212.32,90,,169.86,percent of total billed charges,90% of totl billed charges,212.32,90,,169.86,percent of total billed charges,90% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,212.32,90,,169.86,percent of total billed charges,90% of total billed charges,212.32,90,,169.86,percent of total billed charges,90% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,143.91,61,,115.13,percent of total billed charges,61% of total billed charges,122.67,52,,98.14,percent of total billed charges,52% of total billed charges,122.67,212.32,
BREAST LOC-MAM GUIDE>1 EA ADD,42002114,CDM,339,RC,19282,HCPCS,Outpatient,,,113,90.4,,96.05,85,,76.84,percent of total billed charges,85% of total billed charges,96.05,85,,76.84,percent of total billed charges,85% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,83.94,74,,67.15,percent of total billed charges,74.28% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,83.94,74,,67.15,percent of total billed charges,74.28% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,83.94,74,,67.15,percent of total billed charges,74.28% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,101.7,90,,81.36,percent of total billed charges,90% of total billed charges,101.7,90,,81.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,98.54,87.2,,,percent of total billed charges,87.2% of total billed charges,66.67,59,,53.34,percent of total billed charges,59% of total billed charges,98.54,87.2,,78.83,percent of total billed charges,87.2% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,91.86,81.29,,73.49,percent of total billed charges,81.29% of total billed charges,101.7,90,,81.36,percent of total billed charges,90% of totl billed charges,101.7,90,,81.36,percent of total billed charges,90% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,101.7,90,,81.36,percent of total billed charges,90% of total billed charges,101.7,90,,81.36,percent of total billed charges,90% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,68.93,61,,55.14,percent of total billed charges,61% of total billed charges,58.76,52,,47.01,percent of total billed charges,52% of total billed charges,58.76,101.7,
BREAST NEEDLE LOC w US GUIDE,42002117,CDM,339,RC,19285,HCPCS,Outpatient,,,202.08,161.66,,171.77,85,,137.42,percent of total billed charges,85% of total billed charges,171.77,85,,137.42,percent of total billed charges,85% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,150.11,74,,120.09,percent of total billed charges,74.28% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,150.11,74,,120.09,percent of total billed charges,74.28% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,150.11,74,,120.09,percent of total billed charges,74.28% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,181.87,90,,145.5,percent of total billed charges,90% of total billed charges,181.87,90,,145.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,176.21,87.2,,,percent of total billed charges,87.2% of total billed charges,119.23,59,,95.38,percent of total billed charges,59% of total billed charges,176.21,87.2,,140.97,percent of total billed charges,87.2% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,164.27,81.29,,131.42,percent of total billed charges,81.29% of total billed charges,181.87,90,,145.5,percent of total billed charges,90% of totl billed charges,181.87,90,,145.5,percent of total billed charges,90% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,181.87,90,,145.5,percent of total billed charges,90% of total billed charges,181.87,90,,145.5,percent of total billed charges,90% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,123.27,61,,98.62,percent of total billed charges,61% of total billed charges,105.08,52,,84.06,percent of total billed charges,52% of total billed charges,105.08,181.87,
BREAST NEEDLE LOC w US GUIDE>1,42002118,CDM,339,RC,19286,HCPCS,Outpatient,,,97.42,77.94,,82.81,85,,66.25,percent of total billed charges,85% of total billed charges,82.81,85,,66.25,percent of total billed charges,85% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,72.36,74,,57.89,percent of total billed charges,74.28% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,72.36,74,,57.89,percent of total billed charges,74.28% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,72.36,74,,57.89,percent of total billed charges,74.28% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,87.68,90,,70.14,percent of total billed charges,90% of total billed charges,87.68,90,,70.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,84.95,87.2,,,percent of total billed charges,87.2% of total billed charges,57.48,59,,45.98,percent of total billed charges,59% of total billed charges,84.95,87.2,,67.96,percent of total billed charges,87.2% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,79.19,81.29,,63.35,percent of total billed charges,81.29% of total billed charges,87.68,90,,70.14,percent of total billed charges,90% of totl billed charges,87.68,90,,70.14,percent of total billed charges,90% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,87.68,90,,70.14,percent of total billed charges,90% of total billed charges,87.68,90,,70.14,percent of total billed charges,90% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,59.43,61,,47.54,percent of total billed charges,61% of total billed charges,50.66,52,,40.53,percent of total billed charges,52% of total billed charges,50.66,87.68,
"EXPLORATION OF WOUND,EXTREMITY",36010188,CDM,981,RC,20103,HCPCS,Outpatient,,,819.67,655.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BONE BIOPSY TROCAR/NEEDLE S,44500067,CDM,761,RC,20220,HCPCS,Outpatient,,,1936.83,1549.46,,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1688.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1142.73,59,,914.18,percent of total billed charges,59% of total billed charges,1688.92,87.2,,1351.14,percent of total billed charges,87.2% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1574.45,81.29,,1259.56,percent of total billed charges,81.29% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of totl billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,1743.15,
BONE BIOPSY TROCAR/NEEDLE S,44510067,CDM,983,RC,20220,HCPCS,Outpatient,,,178.19,142.55,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BONE BIOPSY TROCAR/NEEDLE D,44500068,CDM,761,RC,20225,HCPCS,Outpatient,,,1936.83,1549.46,,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1688.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1142.73,59,,914.18,percent of total billed charges,59% of total billed charges,1688.92,87.2,,1351.14,percent of total billed charges,87.2% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1574.45,81.29,,1259.56,percent of total billed charges,81.29% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of totl billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,1743.15,
BONE BIOPSY TROCAR/NEEDLE D,44510068,CDM,983,RC,20225,HCPCS,Outpatient,,,265.89,212.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB MUSCLE/TENDON SHEAT,36010200,CDM,981,RC,20520,HCPCS,Outpatient,,,330.61,264.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB MUSCLE/TENDON SHEA,43600121,CDM,983,RC,20520,HCPCS,Outpatient,,,310.88,248.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB MUSCLE/TENDON SHEA,43600285,CDM,521,RC,20520,HCPCS,Outpatient,,,310.88,248.7,,264.25,85,,211.4,percent of total billed charges,85% of total billed charges,264.25,85,,211.4,percent of total billed charges,85% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,271.09,87.2,,,percent of total billed charges,87.2% of total billed charges,183.42,59,,146.74,percent of total billed charges,59% of total billed charges,271.09,87.2,,216.87,percent of total billed charges,87.2% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,252.71,81.29,,202.17,percent of total billed charges,81.29% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of totl billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,161.66,279.79,
REMOVAL FB MUSCLE/TENDON SHEA,43700121,CDM,983,RC,20520,HCPCS,Outpatient,,,310.88,248.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB JUSCLE/TENDON SHEA,43701271,CDM,521,RC,20520,HCPCS,Outpatient,,,310.88,248.7,,264.25,85,,211.4,percent of total billed charges,85% of total billed charges,264.25,85,,211.4,percent of total billed charges,85% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,230.92,74,,184.74,percent of total billed charges,74.28% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,271.09,87.2,,,percent of total billed charges,87.2% of total billed charges,183.42,59,,146.74,percent of total billed charges,59% of total billed charges,271.09,87.2,,216.87,percent of total billed charges,87.2% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,252.71,81.29,,202.17,percent of total billed charges,81.29% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of totl billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,279.79,90,,223.83,percent of total billed charges,90% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,189.64,61,,151.71,percent of total billed charges,61% of total billed charges,161.66,52,,129.33,percent of total billed charges,52% of total billed charges,161.66,279.79,
INJ TENDON SHEATH LIG FASCIA,35010118,CDM,975,RC,20550,HCPCS,Outpatient,,,91.66,73.33,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJECTION TENDON SHEATH/LIG SN,43600307,CDM,521,RC,20550,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
INJECTION TENDON SHEATH/LIG SN,43700307,CDM,983,RC,20550,HCPCS,Outpatient,,,92.72,74.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJECTION TENDON SHEATH/LIG SN,43701282,CDM,521,RC,20550,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
INJ. SINGLE TENDON ORIGIN/INS,43701660,CDM,521,RC,20551,HCPCS,Outpatient,,,82.66,66.13,,70.26,85,,56.21,percent of total billed charges,85% of total billed charges,70.26,85,,56.21,percent of total billed charges,85% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,61.4,74,,49.12,percent of total billed charges,74.28% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,61.4,74,,49.12,percent of total billed charges,74.28% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,61.4,74,,49.12,percent of total billed charges,74.28% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,74.39,90,,59.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,72.08,87.2,,,percent of total billed charges,87.2% of total billed charges,48.77,59,,39.02,percent of total billed charges,59% of total billed charges,72.08,87.2,,57.66,percent of total billed charges,87.2% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,67.19,81.29,,53.75,percent of total billed charges,81.29% of total billed charges,74.39,90,,59.51,percent of total billed charges,90% of totl billed charges,74.39,90,,59.51,percent of total billed charges,90% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,74.39,90,,59.51,percent of total billed charges,90% of total billed charges,74.39,90,,59.51,percent of total billed charges,90% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,50.42,61,,40.34,percent of total billed charges,61% of total billed charges,42.98,52,,34.38,percent of total billed charges,52% of total billed charges,42.98,74.39,
INJ. SING/MULT TRIG 1OR2 MUSC,43701661,CDM,521,RC,20552,HCPCS,Outpatient,,,99.31,79.45,,84.41,85,,67.53,percent of total billed charges,85% of total billed charges,84.41,85,,67.53,percent of total billed charges,85% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,73.77,74,,59.02,percent of total billed charges,74.28% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,73.77,74,,59.02,percent of total billed charges,74.28% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,73.77,74,,59.02,percent of total billed charges,74.28% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,89.38,90,,71.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,86.6,87.2,,,percent of total billed charges,87.2% of total billed charges,58.59,59,,46.87,percent of total billed charges,59% of total billed charges,86.6,87.2,,69.28,percent of total billed charges,87.2% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,80.73,81.29,,64.58,percent of total billed charges,81.29% of total billed charges,89.38,90,,71.5,percent of total billed charges,90% of totl billed charges,89.38,90,,71.5,percent of total billed charges,90% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,89.38,90,,71.5,percent of total billed charges,90% of total billed charges,89.38,90,,71.5,percent of total billed charges,90% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,60.58,61,,48.46,percent of total billed charges,61% of total billed charges,51.64,52,,41.31,percent of total billed charges,52% of total billed charges,51.64,89.38,
INJ. SING/MULT TRIG 3 OR MORE,43701662,CDM,521,RC,20553,HCPCS,Outpatient,,,89.54,71.63,,76.11,85,,60.89,percent of total billed charges,85% of total billed charges,76.11,85,,60.89,percent of total billed charges,85% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,66.51,74,,53.21,percent of total billed charges,74.28% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,66.51,74,,53.21,percent of total billed charges,74.28% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,66.51,74,,53.21,percent of total billed charges,74.28% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,80.59,90,,64.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,78.08,87.2,,,percent of total billed charges,87.2% of total billed charges,52.83,59,,42.26,percent of total billed charges,59% of total billed charges,78.08,87.2,,62.46,percent of total billed charges,87.2% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,72.79,81.29,,58.23,percent of total billed charges,81.29% of total billed charges,80.59,90,,64.47,percent of total billed charges,90% of totl billed charges,80.59,90,,64.47,percent of total billed charges,90% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,80.59,90,,64.47,percent of total billed charges,90% of total billed charges,80.59,90,,64.47,percent of total billed charges,90% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,54.62,61,,43.7,percent of total billed charges,61% of total billed charges,46.56,52,,37.25,percent of total billed charges,52% of total billed charges,46.56,80.59,
PT DRY NEEDLING 1 OR 2 MUS,73820116,CDM,510,RC,20560,HCPCS,Outpatient,,,30.76,24.61,,26.15,85,,20.92,percent of total billed charges,85% of total billed charges,26.15,85,,20.92,percent of total billed charges,85% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,22.85,74,,18.28,percent of total billed charges,74.28% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,22.85,74,,18.28,percent of total billed charges,74.28% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,22.85,74,,18.28,percent of total billed charges,74.28% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,27.68,90,,22.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16,52,,12.8,percent of total billed charges,52% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,26.82,87.2,,,percent of total billed charges,87.2% of total billed charges,18.15,59,,14.52,percent of total billed charges,59% of total billed charges,26.82,87.2,,21.46,percent of total billed charges,87.2% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,25,81.29,,20,percent of total billed charges,81.29% of total billed charges,27.68,90,,22.14,percent of total billed charges,90% of totl billed charges,27.68,90,,22.14,percent of total billed charges,90% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,27.68,90,,22.14,percent of total billed charges,90% of total billed charges,27.68,90,,22.14,percent of total billed charges,90% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,18.76,61,,15.01,percent of total billed charges,61% of total billed charges,16,52,,12.8,percent of total billed charges,52% of total billed charges,16,27.68,
PT DRY NEEDLING 3 + MUSCLES,73820117,CDM,510,RC,20560,HCPCS,Outpatient,,,45.98,36.78,,39.08,85,,31.26,percent of total billed charges,85% of total billed charges,39.08,85,,31.26,percent of total billed charges,85% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,40.09,87.2,,,percent of total billed charges,87.2% of total billed charges,27.13,59,,21.7,percent of total billed charges,59% of total billed charges,40.09,87.2,,32.07,percent of total billed charges,87.2% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,37.38,81.29,,29.9,percent of total billed charges,81.29% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of totl billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,23.91,41.38,
PT DRY NEEDLING 3 + MUSCLES,73820117,CDM,510,RC,20561,HCPCS,Outpatient,,,45.98,36.78,,39.08,85,,31.26,percent of total billed charges,85% of total billed charges,39.08,85,,31.26,percent of total billed charges,85% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,34.15,74,,27.32,percent of total billed charges,74.28% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,40.09,87.2,,,percent of total billed charges,87.2% of total billed charges,27.13,59,,21.7,percent of total billed charges,59% of total billed charges,40.09,87.2,,32.07,percent of total billed charges,87.2% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,37.38,81.29,,29.9,percent of total billed charges,81.29% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of totl billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,41.38,90,,33.1,percent of total billed charges,90% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,28.05,61,,22.44,percent of total billed charges,61% of total billed charges,23.91,52,,19.13,percent of total billed charges,52% of total billed charges,23.91,41.38,
"ARTHROCENTESIS,SM. JOINT",36010163,CDM,981,RC,20600,HCPCS,Outpatient,,,95.86,76.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTHROCENTISIS SM JOINT,43600252,CDM,521,RC,20600,HCPCS,Outpatient,,,87.26,69.81,,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,76.09,87.2,,,percent of total billed charges,87.2% of total billed charges,51.48,59,,41.18,percent of total billed charges,59% of total billed charges,76.09,87.2,,60.87,percent of total billed charges,87.2% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,70.93,81.29,,56.74,percent of total billed charges,81.29% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of totl billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,78.53,
ARTHROCENTISIS SM JOINT,43701238,CDM,521,RC,20600,HCPCS,Outpatient,,,87.26,69.81,,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,76.09,87.2,,,percent of total billed charges,87.2% of total billed charges,51.48,59,,41.18,percent of total billed charges,59% of total billed charges,76.09,87.2,,60.87,percent of total billed charges,87.2% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,70.93,81.29,,56.74,percent of total billed charges,81.29% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of totl billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,78.53,
DRAIN/INJ JOINT/BURSA W/O US S,44500069,CDM,761,RC,20600,HCPCS,Outpatient,,,359.65,287.72,,305.7,85,,244.56,percent of total billed charges,85% of total billed charges,305.7,85,,244.56,percent of total billed charges,85% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,313.61,87.2,,,percent of total billed charges,87.2% of total billed charges,212.19,59,,169.75,percent of total billed charges,59% of total billed charges,313.61,87.2,,250.89,percent of total billed charges,87.2% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,292.36,81.29,,233.89,percent of total billed charges,81.29% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of totl billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,187.02,323.69,
DRAIN/INJ JOINT/BURSA W/O US S,44510069,CDM,983,RC,20600,HCPCS,Outpatient,,,59.19,47.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"ARTHROCENTESIS,INTERMED. JOINT",36010143,CDM,981,RC,20605,HCPCS,Outpatient,,,98.62,78.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"ARTHROCENTISIS, INTERMED JOINT",43600251,CDM,521,RC,20605,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
"ARTHROCENTISIS, INTERMED JOINT",43701237,CDM,521,RC,20605,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
DRAIN/INJ JOINT/BURSA W/O US I,44500070,CDM,761,RC,20605,HCPCS,Outpatient,,,359.65,287.72,,305.7,85,,244.56,percent of total billed charges,85% of total billed charges,305.7,85,,244.56,percent of total billed charges,85% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,267.15,74,,213.72,percent of total billed charges,74.28% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,313.61,87.2,,,percent of total billed charges,87.2% of total billed charges,212.19,59,,169.75,percent of total billed charges,59% of total billed charges,313.61,87.2,,250.89,percent of total billed charges,87.2% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,292.36,81.29,,233.89,percent of total billed charges,81.29% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of totl billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,323.69,90,,258.95,percent of total billed charges,90% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,219.39,61,,175.51,percent of total billed charges,61% of total billed charges,187.02,52,,149.62,percent of total billed charges,52% of total billed charges,187.02,323.69,
DRAIN/INJ JOINT/BURSA W/O US I,44510070,CDM,983,RC,20605,HCPCS,Outpatient,,,61.44,49.15,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAIN/INJ JNT KNEE HIP W/O US,35010107,CDM,975,RC,20610,HCPCS,Outpatient,,,562.55,450.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"ARTHROCENTESIS,MAJOR JOINT",36010140,CDM,981,RC,20610,HCPCS,Outpatient,,,117.35,93.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"INJ HIP,KNEE,SHLDR,THERA RIGHT",42000402,CDM,361,RC,20610,HCPCS,Outpatient,,,562.55,450.04,,478.17,85,,382.54,percent of total billed charges,85% of total billed charges,478.17,85,,382.54,percent of total billed charges,85% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,417.86,74,,334.29,percent of total billed charges,74.28% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,417.86,74,,334.29,percent of total billed charges,74.28% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,417.86,74,,334.29,percent of total billed charges,74.28% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,506.3,90,,405.04,percent of total billed charges,90% of total billed charges,506.3,90,,405.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,490.54,87.2,,,percent of total billed charges,87.2% of total billed charges,331.9,59,,265.52,percent of total billed charges,59% of total billed charges,490.54,87.2,,392.43,percent of total billed charges,87.2% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,457.3,81.29,,365.84,percent of total billed charges,81.29% of total billed charges,506.3,90,,405.04,percent of total billed charges,90% of totl billed charges,506.3,90,,405.04,percent of total billed charges,90% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,506.3,90,,405.04,percent of total billed charges,90% of total billed charges,506.3,90,,405.04,percent of total billed charges,90% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,343.16,61,,274.53,percent of total billed charges,61% of total billed charges,292.53,52,,234.02,percent of total billed charges,52% of total billed charges,292.53,506.3,
"ARTHROCENTESIS,MAJOR JOINT",43601171,CDM,521,RC,20610,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
"ARTHROCENTESIS,MAJOR JOINT",43701334,CDM,521,RC,20610,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
DRAIN/INJ JNT KNEE HIP W/O US,43830107,CDM,975,RC,20610,HCPCS,Outpatient,,,562.55,450.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJECTION MAJOR JOINT/BURSA,73800108,CDM,510,RC,20610,HCPCS,Outpatient,,,98.32,78.66,,83.57,85,,66.86,percent of total billed charges,85% of total billed charges,83.57,85,,66.86,percent of total billed charges,85% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,73.03,74,,58.42,percent of total billed charges,74.28% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,73.03,74,,58.42,percent of total billed charges,74.28% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,73.03,74,,58.42,percent of total billed charges,74.28% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.49,90,,70.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,85.74,87.2,,,percent of total billed charges,87.2% of total billed charges,58.01,59,,46.41,percent of total billed charges,59% of total billed charges,85.74,87.2,,68.59,percent of total billed charges,87.2% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,79.92,81.29,,63.94,percent of total billed charges,81.29% of total billed charges,88.49,90,,70.79,percent of total billed charges,90% of totl billed charges,88.49,90,,70.79,percent of total billed charges,90% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,88.49,90,,70.79,percent of total billed charges,90% of total billed charges,88.49,90,,70.79,percent of total billed charges,90% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,59.98,61,,47.98,percent of total billed charges,61% of total billed charges,51.13,52,,40.9,percent of total billed charges,52% of total billed charges,51.13,88.49,
ASPIRATIN/INJECTION GANGLION,36011052,CDM,981,RC,20612,HCPCS,Outpatient,,,102.12,81.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD NASAL FX W/OM,36010030,CDM,981,RC,21310,HCPCS,Outpatient,,,68.11,54.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED TM DISLOCATION,36010211,CDM,981,RC,21480,HCPCS,Outpatient,,,76.26,61.01,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX RIB FX CLOSED UNCOMPLICATED,36010031,CDM,981,RC,21800,HCPCS,Outpatient,,,219.48,175.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD CLAVICULAR FX W/O MANI,36010032,CDM,981,RC,23500,HCPCS,Outpatient,,,452.48,361.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED ACROMIOCLAVIC FX W/O,36010033,CDM,981,RC,23540,HCPCS,Outpatient,,,458.71,366.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD SCAPULAR FX W/O MANIP,36010034,CDM,981,RC,23570,HCPCS,Outpatient,,,497.2,397.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD HUMERAL FX W/O MANIP,36010035,CDM,981,RC,23600,HCPCS,Outpatient,,,634.19,507.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLTX PROX HUMRL FX W/MANIPULAT,36013032,CDM,981,RC,23605,HCPCS,Outpatient,,,1063.2,850.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD SHOULDER DISLOCATION W,36010036,CDM,981,RC,23650,HCPCS,Outpatient,,,584.97,467.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD SHOULDER F\DX W/ANESTH,36010191,CDM,981,RC,23655,HCPCS,Outpatient,,,850.17,680.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOSED TX SHOULDER DISLOCATION,36013006,CDM,981,RC,23665,HCPCS,Outpatient,,,872.56,698.05,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD SHLDER DISL W/SURG MAN,36010250,CDM,981,RC,23675,HCPCS,Outpatient,,,1131.4,905.12,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D UPPER ARM/ELBOW DEEP ABSCE,36011041,CDM,981,RC,23931,HCPCS,Outpatient,,,362.84,290.27,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD HUMERAL SHAFT FX W/OM,36010037,CDM,981,RC,24500,HCPCS,Outpatient,,,675.45,540.36,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLED SUPRACONDYLAR FX W/O M,36010038,CDM,981,RC,24530,HCPCS,Outpatient,,,730.92,584.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD HUMERAL EPICONDYLAR FX,36010039,CDM,981,RC,24560,HCPCS,Outpatient,,,593.06,474.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD ELBOW DIS W/O ANESTH,36010040,CDM,981,RC,24600,HCPCS,Outpatient,,,731.95,585.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD ELBOW DIS W ANESTH,36010121,CDM,981,RC,24605,HCPCS,Outpatient,,,1032.91,826.33,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX RADIAL HEAD SUBLUXATION,36010041,CDM,981,RC,24640,HCPCS,Outpatient,,,192.61,154.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX RADIAL HEAD SUBLUXATION,43600091,CDM,983,RC,24640,HCPCS,Outpatient,,,190.89,152.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX RADIAL HEAD SUBLUXATION,43600256,CDM,521,RC,24640,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
TX RADIAL HEAD SUBLUXATION,43700091,CDM,983,RC,24640,HCPCS,Outpatient,,,190.89,152.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX RADIAL HEAD SUBLUXATION,43701242,CDM,521,RC,24640,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
TX CLSD RAD HEAD/NECK FX W/OM,36010042,CDM,981,RC,24650,HCPCS,Outpatient,,,487.34,389.87,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOS TX RAD HEAD/NECK FX W/MAN,36019155,CDM,981,RC,24655,HCPCS,Outpatient,,,851.55,681.24,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD ULNAR FX PROXI W/O MAN,36010043,CDM,981,RC,24670,HCPCS,Outpatient,,,548.18,438.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"REPAIR TEND,MUSC,EX FORARM,WRS",36010218,CDM,981,RC,25270,HCPCS,Outpatient,,,1389.35,1111.48,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD RADIAL SHAFT FX W/O MA,36010044,CDM,981,RC,25500,HCPCS,Outpatient,,,506.22,404.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD ULNAR SHAFT FX W/O MAN,36010045,CDM,981,RC,25530,HCPCS,Outpatient,,,484.71,387.77,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD RADIAL & ULNAR SHAFT F,36010046,CDM,981,RC,25560,HCPCS,Outpatient,,,499.83,399.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD RADIAL/ULNAR FX W/MANI,36010209,CDM,981,RC,25565,HCPCS,Outpatient,,,1058.76,847.01,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD DISTAL RADIAL FX W/O M,36010047,CDM,981,RC,25600,HCPCS,Outpatient,,,553.58,442.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD DIS RADIAL FX W/O MANI,36010048,CDM,981,RC,25605,HCPCS,Outpatient,,,1272.01,1017.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED CARPAL SCAPHOID FX W,36010049,CDM,981,RC,25622,HCPCS,Outpatient,,,566.21,452.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED CARPAL BONE FX W/OM,36010050,CDM,981,RC,25630,HCPCS,Outpatient,,,581.5,465.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TREATMENT CLSD ULNAR STYLOID F,36010130,CDM,981,RC,25650,HCPCS,Outpatient,,,616.31,493.05,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE OF FINGER ABCESS-SIMP,36011037,CDM,981,RC,26010,HCPCS,Outpatient,,,296.63,237.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE OF FINGER ABCESS-SIMP,43600071,CDM,983,RC,26010,HCPCS,Outpatient,,,403.6,322.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE OF FINGER ABCESS-SIMP,43600236,CDM,521,RC,26010,HCPCS,Outpatient,,,403.6,322.88,,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,351.94,87.2,,,percent of total billed charges,87.2% of total billed charges,238.12,59,,190.5,percent of total billed charges,59% of total billed charges,351.94,87.2,,281.55,percent of total billed charges,87.2% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,328.09,81.29,,262.47,percent of total billed charges,81.29% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of totl billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,363.24,
DRAINAGE OF FINGER ABCESS-SIMP,43700071,CDM,983,RC,26010,HCPCS,Outpatient,,,403.6,322.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE OF FINGER ABCESS-SIMP,43701222,CDM,521,RC,26010,HCPCS,Outpatient,,,403.6,322.88,,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,343.06,85,,274.45,percent of total billed charges,85% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,299.79,74,,239.83,percent of total billed charges,74.28% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,351.94,87.2,,,percent of total billed charges,87.2% of total billed charges,238.12,59,,190.5,percent of total billed charges,59% of total billed charges,351.94,87.2,,281.55,percent of total billed charges,87.2% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,328.09,81.29,,262.47,percent of total billed charges,81.29% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of totl billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,363.24,90,,290.59,percent of total billed charges,90% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,246.2,61,,196.96,percent of total billed charges,61% of total billed charges,209.87,52,,167.9,percent of total billed charges,52% of total billed charges,209.87,363.24,
DRAINAGE FINGER ABSCESS COMPLI,36010274,CDM,981,RC,26011,HCPCS,Outpatient,,,431,344.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXTENSOR TENDON REPAIR HAND,36010051,CDM,981,RC,26410,HCPCS,Outpatient,,,1361.64,1089.31,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXTENSOR TENDON REPAIR FINGER,36010052,CDM,981,RC,26418,HCPCS,Outpatient,,,1365.11,1092.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD METACPL FX W/O MANIPL,36010053,CDM,981,RC,26600,HCPCS,Outpatient,,,524.1,419.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD MTCPL FX W/MANIPULATN,36010054,CDM,981,RC,26605,HCPCS,Outpatient,,,626.2,500.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CARPOMETACARPAL DISLOCATION,36010056,CDM,981,RC,26641,HCPCS,Outpatient,,,705.08,564.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD METACARPOPHALANG,36010057,CDM,981,RC,26700,HCPCS,Outpatient,,,626.2,500.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD METACAROPHAL DISC/W AN,36010176,CDM,981,RC,26705,HCPCS,Outpatient,,,814.32,651.46,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PHALANGEAL SHAFT FX W/,36010058,CDM,981,RC,26720,HCPCS,Outpatient,,,369.1,295.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PHALANGEAL FX W/M,36010059,CDM,981,RC,26725,HCPCS,Outpatient,,,661.03,528.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLSD TRMNT FRCTURE M OR I JNT,36010261,CDM,981,RC,26742,HCPCS,Outpatient,,,734.14,587.31,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD DISTAL PHALANG FX W/O,36010061,CDM,981,RC,26750,HCPCS,Outpatient,,,367.33,293.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD DISTAL PHALANG FX W/O,43600261,CDM,521,RC,26750,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
TX CLSD DISTAL PHALANG FX W/O,43701247,CDM,521,RC,26750,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
TX OPEN DISTAL PHALANX FX,36010062,CDM,981,RC,26765,HCPCS,Outpatient,,,1011.26,809.01,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD INTPHAL DIS W/M W/O AN,36010063,CDM,981,RC,26770,HCPCS,Outpatient,,,521.33,417.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD INTPHAL DIS W/M W/A,36010064,CDM,981,RC,26775,HCPCS,Outpatient,,,731.95,585.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX OPEN PHALANX DISLOCATION,36011015,CDM,981,RC,26785,HCPCS,Outpatient,,,1126.02,900.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAIN HIP JNT LES/ABS/HEMA,35010130,CDM,975,RC,26990,HCPCS,Outpatient,,,1321.7,1057.36,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TENOTOMY HIP FLEXOR PSOAS,35010119,CDM,975,RC,27005,HCPCS,Outpatient,,,1421.48,1137.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TOTAL HIP ARTHRO W/WO AUTO/ALL,35010100,CDM,975,RC,27130,HCPCS,Outpatient,,,2786.97,2229.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TOTAL HIP ARTHRO W/WO AUTO/ALL,43830100,CDM,975,RC,27130,HCPCS,Outpatient,,,2786.97,2229.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CONVERSION OF PREV HIP,35010120,CDM,975,RC,27132,HCPCS,Outpatient,,,3288.02,2630.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV TOTAL HIP BOTH W/WO AUTO/A,35010101,CDM,975,RC,27134,HCPCS,Outpatient,,,4120.56,3296.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"REVISION TOTAL HIP, BOTH COMP",43830101,CDM,975,RC,27134,HCPCS,Outpatient,,,4120.56,3296.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV TOTAL HIP ACET ONLY,35010102,CDM,975,RC,27137,HCPCS,Outpatient,,,2882.55,2306.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV TOTAL HIP ACET ONLY,43830102,CDM,975,RC,27137,HCPCS,Outpatient,,,2882.55,2306.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV TOTAL HIP FEM COMP ONLY,35010103,CDM,975,RC,27138,HCPCS,Outpatient,,,2993.96,2395.17,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV TOTAL HIP FEM COMP ONLY,43830103,CDM,975,RC,27138,HCPCS,Outpatient,,,2993.96,2395.17,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD FEMORAL FX W/OM,36010065,CDM,981,RC,27230,HCPCS,Outpatient,,,1040.92,832.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD INTERTRONCHANT FX W/OM,36010066,CDM,981,RC,27238,HCPCS,Outpatient,,,1023.9,819.12,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSD GREATER TROCHAN FX W/,36010067,CDM,981,RC,27246,HCPCS,Outpatient,,,872.56,698.05,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD HIP DISL W/O ANES,36011032,CDM,981,RC,27250,HCPCS,Outpatient,,,1100.88,880.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD HIP DIS W/ANES,36011031,CDM,981,RC,27252,HCPCS,Outpatient,,,1750.35,1400.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TRMT SPONT HIP DIS W/ANE W/MAN,36013012,CDM,981,RC,27257,HCPCS,Outpatient,,,736.79,589.43,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MANIP OF POST HIP ARTHROPLASTY,36011058,CDM,981,RC,27265,HCPCS,Outpatient,,,836.34,669.07,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOSD TX POST HIP ARTHROPLASTY,36010313,CDM,981,RC,27266,HCPCS,Outpatient,,,1334.49,1067.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D DEEP ABS/HEMA THIGH/KNEE,35010131,CDM,975,RC,27301,HCPCS,Outpatient,,,1305.14,1044.11,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXPLORATION OF KNEE JOINT,35010128,CDM,975,RC,27310,HCPCS,Outpatient,,,1424.6,1139.68,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXPLORE/TREAT KNEE JOINT,35010123,CDM,975,RC,27331,HCPCS,Outpatient,,,1750.79,1400.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTHROTOMY W/SYN KNEE ANT OR P,35010121,CDM,975,RC,27334,HCPCS,Outpatient,,,1368.08,1094.46,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RELEASE LATERAL RETINACULUM,35010132,CDM,975,RC,27425,HCPCS,Outpatient,,,980.16,784.13,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TOTAL KNEE ARTHRO,35010104,CDM,975,RC,27447,HCPCS,Outpatient,,,2784.06,2227.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TOTAL KNEE ARTHRO,43830104,CDM,975,RC,27447,HCPCS,Outpatient,,,2784.06,2227.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV/REP TOT KNEE ONE COMP,35010105,CDM,975,RC,27486,HCPCS,Outpatient,,,2766.5,2213.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV/REP TOT KNEE ONE COMP,43830105,CDM,975,RC,27486,HCPCS,Outpatient,,,2766.5,2213.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV/REP TOT KNEE FEM TIB COMP,35010106,CDM,975,RC,27487,HCPCS,Outpatient,,,3796.05,3036.84,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REV/REP TOT KNEE FEM TIB COMP,43830106,CDM,975,RC,27487,HCPCS,Outpatient,,,3796.05,3036.84,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLSD TXT OF FEM SHAFT FX W/MAN,36011055,CDM,981,RC,27502,HCPCS,Outpatient,,,1838.1,1470.48,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD FEMORAL FX W/O MANIP,36010068,CDM,981,RC,27508,HCPCS,Outpatient,,,1103.68,882.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PATELLAR FX W/O MANIP,36010069,CDM,981,RC,27520,HCPCS,Outpatient,,,616.31,493.05,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FX PATELLA RPR W/INT FIX,35010122,CDM,975,RC,27524,HCPCS,Outpatient,,,1647.94,1318.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD TIBIAL FX W/O MANIP,36010070,CDM,981,RC,27530,HCPCS,Outpatient,,,802.68,642.14,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOSED TX KNEE DISLOC W/0 ANES,36010312,CDM,981,RC,27550,HCPCS,Outpatient,,,962.26,769.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PATELLAR DISL W/O ANES,36010071,CDM,981,RC,27560,HCPCS,Outpatient,,,692.43,553.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PATELLAR DSLOC W/ANEST,36010221,CDM,981,RC,27562,HCPCS,Outpatient,,,1029.29,823.43,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MANIPULATION KNEE W/ANES,35010117,CDM,975,RC,27570,HCPCS,Outpatient,,,305.26,244.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MANIPULATION KNEE W/ANES,43830117,CDM,975,RC,27570,HCPCS,Outpatient,,,305.26,244.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX FX CLOSED TIBIA W/O MANIP,36010072,CDM,981,RC,27750,HCPCS,Outpatient,,,680.83,544.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX FX CLOSED TIBIA W/MANIPULAT,36010212,CDM,981,RC,27752,HCPCS,Outpatient,,,1124.28,899.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD MEDIAL MALLEOLUS,36010073,CDM,981,RC,27760,HCPCS,Outpatient,,,644.91,515.93,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD PROXIMAL FIBULA FX W/O,36010074,CDM,981,RC,27780,HCPCS,Outpatient,,,572.46,457.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CSD PROX FIB OR SHAFT FX WM,36010230,CDM,981,RC,27781,HCPCS,Outpatient,,,864.41,691.53,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD DIS FIBULAR FX W/O MAN,36010075,CDM,981,RC,27786,HCPCS,Outpatient,,,604.71,483.77,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED DISTAL FIB FX,36010120,CDM,981,RC,27788,HCPCS,Outpatient,,,868.94,695.15,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD BIMALLEOLAR ANKLE FX,36010077,CDM,981,RC,27808,HCPCS,Outpatient,,,633.32,506.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD BIMALL ANKLE FX MANIP,36010078,CDM,981,RC,27810,HCPCS,Outpatient,,,973.8,779.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD TRIMALLEOLAR ANKLE FX,36010079,CDM,981,RC,27816,HCPCS,Outpatient,,,605.55,484.44,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"TX CLSD TRIMAL, ANK FX W/MAN",36010223,CDM,981,RC,27818,HCPCS,Outpatient,,,1003.3,802.64,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED DISTAL TIBIA W/O MAN,36010202,CDM,981,RC,27824,HCPCS,Outpatient,,,642.32,513.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOSED TX OF ANKL DISLO W/O AN,36011033,CDM,981,RC,27840,HCPCS,Outpatient,,,790.05,632.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE OF BURSA OF FOOT,44500071,CDM,761,RC,28001,HCPCS,Outpatient,,,1936.83,1549.46,,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1646.31,85,,1317.05,percent of total billed charges,85% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1438.68,74,,1150.94,percent of total billed charges,74.28% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1688.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1142.73,59,,914.18,percent of total billed charges,59% of total billed charges,1688.92,87.2,,1351.14,percent of total billed charges,87.2% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1574.45,81.29,,1259.56,percent of total billed charges,81.29% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of totl billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1743.15,90,,1394.52,percent of total billed charges,90% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1181.47,61,,945.18,percent of total billed charges,61% of total billed charges,1007.15,52,,805.72,percent of total billed charges,52% of total billed charges,1007.15,1743.15,
DRAINAGE OF BURSA OF FOOT,44510071,CDM,983,RC,28001,HCPCS,Outpatient,,,199.94,159.95,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Incision Toe, Single Tendon",43601391,CDM,521,RC,28010,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
"Incision Toe, Single Tendon",43701391,CDM,521,RC,28010,HCPCS,Outpatient,,,469.04,375.23,,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,398.68,85,,318.94,percent of total billed charges,85% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,348.4,74,,278.72,percent of total billed charges,74.28% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,409,87.2,,,percent of total billed charges,87.2% of total billed charges,276.73,59,,221.38,percent of total billed charges,59% of total billed charges,409,87.2,,327.2,percent of total billed charges,87.2% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,381.28,81.29,,305.02,percent of total billed charges,81.29% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of totl billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,422.14,90,,337.71,percent of total billed charges,90% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,286.11,61,,228.89,percent of total billed charges,61% of total billed charges,243.9,52,,195.12,percent of total billed charges,52% of total billed charges,243.9,422.14,
INCISION OF TOE TENDON,44500072,CDM,761,RC,28010,HCPCS,Outpatient,,,1917.31,1533.85,,1629.71,85,,1303.77,percent of total billed charges,85% of total billed charges,1629.71,85,,1303.77,percent of total billed charges,85% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,1424.18,74,,1139.34,percent of total billed charges,74.28% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,1424.18,74,,1139.34,percent of total billed charges,74.28% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,1424.18,74,,1139.34,percent of total billed charges,74.28% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of total billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,997,52,,797.6,percent of total billed charges,52% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,1671.89,87.2,,,percent of total billed charges,87.2% of total billed charges,1131.21,59,,904.97,percent of total billed charges,59% of total billed charges,1671.89,87.2,,1337.51,percent of total billed charges,87.2% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,1558.58,81.29,,1246.86,percent of total billed charges,81.29% of total billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of totl billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of total billed charges,1725.58,90,,1380.46,percent of total billed charges,90% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,1169.56,61,,935.65,percent of total billed charges,61% of total billed charges,997,52,,797.6,percent of total billed charges,52% of total billed charges,997,1725.58,
INCISION OF TOE TENDON,44510072,CDM,983,RC,28010,HCPCS,Outpatient,,,426.54,341.23,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Incision Toe, Multiple Tendons",43601392,CDM,521,RC,28011,HCPCS,Outpatient,,,643.57,514.86,,547.03,85,,437.62,percent of total billed charges,85% of total billed charges,547.03,85,,437.62,percent of total billed charges,85% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,561.19,87.2,,,percent of total billed charges,87.2% of total billed charges,379.71,59,,303.77,percent of total billed charges,59% of total billed charges,561.19,87.2,,448.95,percent of total billed charges,87.2% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,523.16,81.29,,418.53,percent of total billed charges,81.29% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of totl billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,334.66,579.21,
"Incision Toe, Multiple Tendons",43701392,CDM,521,RC,28011,HCPCS,Outpatient,,,643.57,514.86,,547.03,85,,437.62,percent of total billed charges,85% of total billed charges,547.03,85,,437.62,percent of total billed charges,85% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,478.04,74,,382.43,percent of total billed charges,74.28% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,561.19,87.2,,,percent of total billed charges,87.2% of total billed charges,379.71,59,,303.77,percent of total billed charges,59% of total billed charges,561.19,87.2,,448.95,percent of total billed charges,87.2% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,523.16,81.29,,418.53,percent of total billed charges,81.29% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of totl billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,579.21,90,,463.37,percent of total billed charges,90% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,392.58,61,,314.06,percent of total billed charges,61% of total billed charges,334.66,52,,267.73,percent of total billed charges,52% of total billed charges,334.66,579.21,
EXC SOFT TISS DEEP>1.5CM,43701727,CDM,521,RC,28041,HCPCS,Outpatient,,,852.05,681.64,,724.24,85,,579.39,percent of total billed charges,85% of total billed charges,724.24,85,,579.39,percent of total billed charges,85% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,632.9,74,,506.32,percent of total billed charges,74.28% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,632.9,74,,506.32,percent of total billed charges,74.28% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,632.9,74,,506.32,percent of total billed charges,74.28% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,766.85,90,,613.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,742.99,87.2,,,percent of total billed charges,87.2% of total billed charges,502.71,59,,402.17,percent of total billed charges,59% of total billed charges,742.99,87.2,,594.39,percent of total billed charges,87.2% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,692.63,81.29,,554.1,percent of total billed charges,81.29% of total billed charges,766.85,90,,613.48,percent of total billed charges,90% of totl billed charges,766.85,90,,613.48,percent of total billed charges,90% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,766.85,90,,613.48,percent of total billed charges,90% of total billed charges,766.85,90,,613.48,percent of total billed charges,90% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,519.75,61,,415.8,percent of total billed charges,61% of total billed charges,443.07,52,,354.46,percent of total billed charges,52% of total billed charges,443.07,766.85,
"REMOVAL FB FOOT, SUBCUT",36010201,CDM,981,RC,28190,HCPCS,Outpatient,,,323.51,258.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB FOOT SUBCU,43600284,CDM,521,RC,28190,HCPCS,Outpatient,,,256.34,205.07,,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,217.89,85,,174.31,percent of total billed charges,85% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,190.41,74,,152.33,percent of total billed charges,74.28% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,223.53,87.2,,,percent of total billed charges,87.2% of total billed charges,151.24,59,,120.99,percent of total billed charges,59% of total billed charges,223.53,87.2,,178.82,percent of total billed charges,87.2% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,208.38,81.29,,166.7,percent of total billed charges,81.29% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of totl billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,230.71,90,,184.57,percent of total billed charges,90% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,156.37,61,,125.1,percent of total billed charges,61% of total billed charges,133.3,52,,106.64,percent of total billed charges,52% of total billed charges,133.3,230.71,
REMOVAL FB FOOT SUBCU,43701270,CDM,521,RC,28190,HCPCS,Outpatient,,,235,188,,199.75,85,,159.8,percent of total billed charges,85% of total billed charges,199.75,85,,159.8,percent of total billed charges,85% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,174.56,74,,139.65,percent of total billed charges,74.28% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,174.56,74,,139.65,percent of total billed charges,74.28% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,174.56,74,,139.65,percent of total billed charges,74.28% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,211.5,90,,169.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,204.92,87.2,,,percent of total billed charges,87.2% of total billed charges,138.65,59,,110.92,percent of total billed charges,59% of total billed charges,204.92,87.2,,163.94,percent of total billed charges,87.2% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,191.03,81.29,,152.82,percent of total billed charges,81.29% of total billed charges,211.5,90,,169.2,percent of total billed charges,90% of totl billed charges,211.5,90,,169.2,percent of total billed charges,90% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,211.5,90,,169.2,percent of total billed charges,90% of total billed charges,211.5,90,,169.2,percent of total billed charges,90% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,143.35,61,,114.68,percent of total billed charges,61% of total billed charges,122.2,52,,97.76,percent of total billed charges,52% of total billed charges,122.2,211.5,
REMOVAL OF FOOT FOREIGN BODY,44500073,CDM,761,RC,28190,HCPCS,Outpatient,,,856.61,685.29,,728.12,85,,582.5,percent of total billed charges,85% of total billed charges,728.12,85,,582.5,percent of total billed charges,85% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,636.29,74,,509.03,percent of total billed charges,74.28% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,636.29,74,,509.03,percent of total billed charges,74.28% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,636.29,74,,509.03,percent of total billed charges,74.28% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,770.95,90,,616.76,percent of total billed charges,90% of total billed charges,770.95,90,,616.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,746.96,87.2,,,percent of total billed charges,87.2% of total billed charges,505.4,59,,404.32,percent of total billed charges,59% of total billed charges,746.96,87.2,,597.57,percent of total billed charges,87.2% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,696.34,81.29,,557.07,percent of total billed charges,81.29% of total billed charges,770.95,90,,616.76,percent of total billed charges,90% of totl billed charges,770.95,90,,616.76,percent of total billed charges,90% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,770.95,90,,616.76,percent of total billed charges,90% of total billed charges,770.95,90,,616.76,percent of total billed charges,90% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,522.53,61,,418.02,percent of total billed charges,61% of total billed charges,445.44,52,,356.35,percent of total billed charges,52% of total billed charges,445.44,770.95,
REMOVAL OF FOOT FOREIGN BODY,44510073,CDM,983,RC,28190,HCPCS,Outpatient,,,272.9,218.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"REMOVAL FB FOOT, DEEP",36010210,CDM,981,RC,28192,HCPCS,Outpatient,,,781.19,624.95,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB FOOT DEEP,43600119,CDM,983,RC,28192,HCPCS,Outpatient,,,758.11,606.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB FOOT DEEP,43600283,CDM,521,RC,28192,HCPCS,Outpatient,,,605.39,484.31,,514.58,85,,411.66,percent of total billed charges,85% of total billed charges,514.58,85,,411.66,percent of total billed charges,85% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,449.68,74,,359.74,percent of total billed charges,74.28% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,449.68,74,,359.74,percent of total billed charges,74.28% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,449.68,74,,359.74,percent of total billed charges,74.28% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,544.85,90,,435.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,527.9,87.2,,,percent of total billed charges,87.2% of total billed charges,357.18,59,,285.74,percent of total billed charges,59% of total billed charges,527.9,87.2,,422.32,percent of total billed charges,87.2% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,492.12,81.29,,393.7,percent of total billed charges,81.29% of total billed charges,544.85,90,,435.88,percent of total billed charges,90% of totl billed charges,544.85,90,,435.88,percent of total billed charges,90% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,544.85,90,,435.88,percent of total billed charges,90% of total billed charges,544.85,90,,435.88,percent of total billed charges,90% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,369.29,61,,295.43,percent of total billed charges,61% of total billed charges,314.8,52,,251.84,percent of total billed charges,52% of total billed charges,314.8,544.85,
REMOVAL FB FOOT DEEP,43700119,CDM,983,RC,28192,HCPCS,Outpatient,,,758.11,606.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB FOOT DEEP,43701269,CDM,521,RC,28192,HCPCS,Outpatient,,,758.11,606.49,,644.39,85,,515.51,percent of total billed charges,85% of total billed charges,644.39,85,,515.51,percent of total billed charges,85% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,563.12,74,,450.5,percent of total billed charges,74.28% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,563.12,74,,450.5,percent of total billed charges,74.28% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,563.12,74,,450.5,percent of total billed charges,74.28% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,682.3,90,,545.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,661.07,87.2,,,percent of total billed charges,87.2% of total billed charges,447.28,59,,357.82,percent of total billed charges,59% of total billed charges,661.07,87.2,,528.86,percent of total billed charges,87.2% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,616.27,81.29,,493.02,percent of total billed charges,81.29% of total billed charges,682.3,90,,545.84,percent of total billed charges,90% of totl billed charges,682.3,90,,545.84,percent of total billed charges,90% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,682.3,90,,545.84,percent of total billed charges,90% of total billed charges,682.3,90,,545.84,percent of total billed charges,90% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,462.45,61,,369.96,percent of total billed charges,61% of total billed charges,394.22,52,,315.38,percent of total billed charges,52% of total billed charges,394.22,682.3,
TX CLSD CALCANEAL FX W/O MANIP,36010080,CDM,981,RC,28400,HCPCS,Outpatient,,,498.09,398.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX OF CALCENEAL FX,43701723,CDM,521,RC,28400,HCPCS,Outpatient,,,444.41,355.53,,377.75,85,,302.2,percent of total billed charges,85% of total billed charges,377.75,85,,302.2,percent of total billed charges,85% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,330.11,74,,264.09,percent of total billed charges,74.28% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,330.11,74,,264.09,percent of total billed charges,74.28% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,330.11,74,,264.09,percent of total billed charges,74.28% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,399.97,90,,319.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,387.53,87.2,,,percent of total billed charges,87.2% of total billed charges,262.2,59,,209.76,percent of total billed charges,59% of total billed charges,387.53,87.2,,310.02,percent of total billed charges,87.2% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,361.26,81.29,,289.01,percent of total billed charges,81.29% of total billed charges,399.97,90,,319.98,percent of total billed charges,90% of totl billed charges,399.97,90,,319.98,percent of total billed charges,90% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,399.97,90,,319.98,percent of total billed charges,90% of total billed charges,399.97,90,,319.98,percent of total billed charges,90% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,271.09,61,,216.87,percent of total billed charges,61% of total billed charges,231.09,52,,184.87,percent of total billed charges,52% of total billed charges,231.09,399.97,
TX CLSD TALUS FRACTURE W/O MAN,36010081,CDM,981,RC,28430,HCPCS,Outpatient,,,449.72,359.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Clsd Treat Talus Fract,w/o man",43601393,CDM,521,RC,28430,HCPCS,Outpatient,,,419.27,335.42,,356.38,85,,285.1,percent of total billed charges,85% of total billed charges,356.38,85,,285.1,percent of total billed charges,85% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,365.6,87.2,,,percent of total billed charges,87.2% of total billed charges,247.37,59,,197.9,percent of total billed charges,59% of total billed charges,365.6,87.2,,292.48,percent of total billed charges,87.2% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,340.82,81.29,,272.66,percent of total billed charges,81.29% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of totl billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,218.02,377.34,
"Clsd Treat Talus Fract,w/o man",43701393,CDM,521,RC,28430,HCPCS,Outpatient,,,419.27,335.42,,356.38,85,,285.1,percent of total billed charges,85% of total billed charges,356.38,85,,285.1,percent of total billed charges,85% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,311.43,74,,249.14,percent of total billed charges,74.28% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,365.6,87.2,,,percent of total billed charges,87.2% of total billed charges,247.37,59,,197.9,percent of total billed charges,59% of total billed charges,365.6,87.2,,292.48,percent of total billed charges,87.2% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,340.82,81.29,,272.66,percent of total billed charges,81.29% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of totl billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,377.34,90,,301.87,percent of total billed charges,90% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,255.75,61,,204.6,percent of total billed charges,61% of total billed charges,218.02,52,,174.42,percent of total billed charges,52% of total billed charges,218.02,377.34,
TX OF TALUX FX,43701722,CDM,521,RC,28435,HCPCS,Outpatient,,,635.86,508.69,,540.48,85,,432.38,percent of total billed charges,85% of total billed charges,540.48,85,,432.38,percent of total billed charges,85% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,472.32,74,,377.86,percent of total billed charges,74.28% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,472.32,74,,377.86,percent of total billed charges,74.28% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,472.32,74,,377.86,percent of total billed charges,74.28% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,572.27,90,,457.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,554.47,87.2,,,percent of total billed charges,87.2% of total billed charges,375.16,59,,300.13,percent of total billed charges,59% of total billed charges,554.47,87.2,,443.58,percent of total billed charges,87.2% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,516.89,81.29,,413.51,percent of total billed charges,81.29% of total billed charges,572.27,90,,457.82,percent of total billed charges,90% of totl billed charges,572.27,90,,457.82,percent of total billed charges,90% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,572.27,90,,457.82,percent of total billed charges,90% of total billed charges,572.27,90,,457.82,percent of total billed charges,90% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,387.87,61,,310.3,percent of total billed charges,61% of total billed charges,330.65,52,,264.52,percent of total billed charges,52% of total billed charges,330.65,572.27,
TX TARSAL BONE FX W/O MANIP,36010082,CDM,981,RC,28450,HCPCS,Outpatient,,,419.22,335.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD METATARSAL FX,36010083,CDM,981,RC,28470,HCPCS,Outpatient,,,420.22,336.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLTX METAR FX W/O MAN,43601711,CDM,521,RC,28470,HCPCS,Outpatient,,,307.13,245.7,,261.06,85,,208.85,percent of total billed charges,85% of total billed charges,261.06,85,,208.85,percent of total billed charges,85% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,267.82,87.2,,,percent of total billed charges,87.2% of total billed charges,181.21,59,,144.97,percent of total billed charges,59% of total billed charges,267.82,87.2,,214.26,percent of total billed charges,87.2% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,249.67,81.29,,199.74,percent of total billed charges,81.29% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of totl billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,159.71,276.42,
CLTX METAR FX W/O MAN,43701711,CDM,521,RC,28470,HCPCS,Outpatient,,,307.13,245.7,,261.06,85,,208.85,percent of total billed charges,85% of total billed charges,261.06,85,,208.85,percent of total billed charges,85% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,228.14,74,,182.51,percent of total billed charges,74.28% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,267.82,87.2,,,percent of total billed charges,87.2% of total billed charges,181.21,59,,144.97,percent of total billed charges,59% of total billed charges,267.82,87.2,,214.26,percent of total billed charges,87.2% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,249.67,81.29,,199.74,percent of total billed charges,81.29% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of totl billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,276.42,90,,221.14,percent of total billed charges,90% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,187.35,61,,149.88,percent of total billed charges,61% of total billed charges,159.71,52,,127.77,percent of total billed charges,52% of total billed charges,159.71,276.42,
CLTX METAR FX W/MAN,43601712,CDM,521,RC,28475,HCPCS,Outpatient,,,474.7,379.76,,403.5,85,,322.8,percent of total billed charges,85% of total billed charges,403.5,85,,322.8,percent of total billed charges,85% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,413.94,87.2,,,percent of total billed charges,87.2% of total billed charges,280.07,59,,224.06,percent of total billed charges,59% of total billed charges,413.94,87.2,,331.15,percent of total billed charges,87.2% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,385.88,81.29,,308.7,percent of total billed charges,81.29% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of totl billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,246.84,427.23,
CLTX METAR FX W/MAN,43701712,CDM,521,RC,28475,HCPCS,Outpatient,,,474.7,379.76,,403.5,85,,322.8,percent of total billed charges,85% of total billed charges,403.5,85,,322.8,percent of total billed charges,85% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,352.61,74,,282.09,percent of total billed charges,74.28% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,413.94,87.2,,,percent of total billed charges,87.2% of total billed charges,280.07,59,,224.06,percent of total billed charges,59% of total billed charges,413.94,87.2,,331.15,percent of total billed charges,87.2% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,385.88,81.29,,308.7,percent of total billed charges,81.29% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of totl billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,427.23,90,,341.78,percent of total billed charges,90% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,289.57,61,,231.66,percent of total billed charges,61% of total billed charges,246.84,52,,197.47,percent of total billed charges,52% of total billed charges,246.84,427.23,
TX CLSD FX GREAT TOE,36010084,CDM,981,RC,28490,HCPCS,Outpatient,,,260.72,208.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD FX GREAT TOE,43600258,CDM,521,RC,28490,HCPCS,Outpatient,,,218.16,174.53,,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,185.44,85,,148.35,percent of total billed charges,85% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,162.05,74,,129.64,percent of total billed charges,74.28% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,190.24,87.2,,,percent of total billed charges,87.2% of total billed charges,128.71,59,,102.97,percent of total billed charges,59% of total billed charges,190.24,87.2,,152.19,percent of total billed charges,87.2% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,177.34,81.29,,141.87,percent of total billed charges,81.29% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of totl billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,196.34,90,,157.07,percent of total billed charges,90% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,133.08,61,,106.46,percent of total billed charges,61% of total billed charges,113.44,52,,90.75,percent of total billed charges,52% of total billed charges,113.44,196.34,
TX CLSD FX GREAT TOE,43701244,CDM,521,RC,28490,HCPCS,Outpatient,,,223.61,178.89,,190.07,85,,152.06,percent of total billed charges,85% of total billed charges,190.07,85,,152.06,percent of total billed charges,85% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,166.1,74,,132.88,percent of total billed charges,74.28% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,166.1,74,,132.88,percent of total billed charges,74.28% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,166.1,74,,132.88,percent of total billed charges,74.28% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,201.25,90,,161,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,194.99,87.2,,,percent of total billed charges,87.2% of total billed charges,131.93,59,,105.54,percent of total billed charges,59% of total billed charges,194.99,87.2,,155.99,percent of total billed charges,87.2% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,181.77,81.29,,145.42,percent of total billed charges,81.29% of total billed charges,201.25,90,,161,percent of total billed charges,90% of totl billed charges,201.25,90,,161,percent of total billed charges,90% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,201.25,90,,161,percent of total billed charges,90% of total billed charges,201.25,90,,161,percent of total billed charges,90% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,136.4,61,,109.12,percent of total billed charges,61% of total billed charges,116.28,52,,93.02,percent of total billed charges,52% of total billed charges,116.28,201.25,
"TX CLOSED GREAT TOE FX,W/M",36010085,CDM,981,RC,28495,HCPCS,Outpatient,,,339.62,271.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED GREAT TOE FX. W/M,43600260,CDM,521,RC,28495,HCPCS,Outpatient,,,278.15,222.52,,236.43,85,,189.14,percent of total billed charges,85% of total billed charges,236.43,85,,189.14,percent of total billed charges,85% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,242.55,87.2,,,percent of total billed charges,87.2% of total billed charges,164.11,59,,131.29,percent of total billed charges,59% of total billed charges,242.55,87.2,,194.04,percent of total billed charges,87.2% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,226.11,81.29,,180.89,percent of total billed charges,81.29% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of totl billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,144.64,250.34,
TX CLOSED GREAT TOE FX. W/M,43701246,CDM,521,RC,28495,HCPCS,Outpatient,,,278.15,222.52,,236.43,85,,189.14,percent of total billed charges,85% of total billed charges,236.43,85,,189.14,percent of total billed charges,85% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,206.61,74,,165.29,percent of total billed charges,74.28% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,242.55,87.2,,,percent of total billed charges,87.2% of total billed charges,164.11,59,,131.29,percent of total billed charges,59% of total billed charges,242.55,87.2,,194.04,percent of total billed charges,87.2% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,226.11,81.29,,180.89,percent of total billed charges,81.29% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of totl billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,250.34,90,,200.27,percent of total billed charges,90% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,169.67,61,,135.74,percent of total billed charges,61% of total billed charges,144.64,52,,115.71,percent of total billed charges,52% of total billed charges,144.64,250.34,
TX CLOSED FX PHALANX OR PHALAN,36010086,CDM,981,RC,28510,HCPCS,Outpatient,,,253.62,202.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLOSED FX PHALANX OR PHALAN,43600263,CDM,521,RC,28510,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
TX CLOSED FX PHALANX OR PHALAN,43701249,CDM,521,RC,28510,HCPCS,Outpatient,,,190.89,152.71,,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,162.26,85,,129.81,percent of total billed charges,85% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,141.79,74,,113.43,percent of total billed charges,74.28% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,155.17,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of totl billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,171.8,90,,137.44,percent of total billed charges,90% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,116.44,61,,93.15,percent of total billed charges,61% of total billed charges,99.26,52,,79.41,percent of total billed charges,52% of total billed charges,99.26,171.8,
TX CLSD FX PHALANX/PHALANGE,36010087,CDM,981,RC,28515,HCPCS,Outpatient,,,317.09,253.67,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD FX PHALANX/PHALANGE,43600259,CDM,521,RC,28515,HCPCS,Outpatient,,,255.25,204.2,,216.96,85,,173.57,percent of total billed charges,85% of total billed charges,216.96,85,,173.57,percent of total billed charges,85% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,189.6,74,,151.68,percent of total billed charges,74.28% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,189.6,74,,151.68,percent of total billed charges,74.28% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,189.6,74,,151.68,percent of total billed charges,74.28% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,229.73,90,,183.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,222.58,87.2,,,percent of total billed charges,87.2% of total billed charges,150.6,59,,120.48,percent of total billed charges,59% of total billed charges,222.58,87.2,,178.06,percent of total billed charges,87.2% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,207.49,81.29,,165.99,percent of total billed charges,81.29% of total billed charges,229.73,90,,183.78,percent of total billed charges,90% of totl billed charges,229.73,90,,183.78,percent of total billed charges,90% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,229.73,90,,183.78,percent of total billed charges,90% of total billed charges,229.73,90,,183.78,percent of total billed charges,90% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,155.7,61,,124.56,percent of total billed charges,61% of total billed charges,132.73,52,,106.18,percent of total billed charges,52% of total billed charges,132.73,229.73,
TX CLSD FX PHALANX/PHALANGE,43701245,CDM,521,RC,28515,HCPCS,Outpatient,,,250.88,200.7,,213.25,85,,170.6,percent of total billed charges,85% of total billed charges,213.25,85,,170.6,percent of total billed charges,85% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,186.35,74,,149.08,percent of total billed charges,74.28% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,186.35,74,,149.08,percent of total billed charges,74.28% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,186.35,74,,149.08,percent of total billed charges,74.28% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,225.79,90,,180.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,218.77,87.2,,,percent of total billed charges,87.2% of total billed charges,148.02,59,,118.42,percent of total billed charges,59% of total billed charges,218.77,87.2,,175.02,percent of total billed charges,87.2% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,203.94,81.29,,163.15,percent of total billed charges,81.29% of total billed charges,225.79,90,,180.63,percent of total billed charges,90% of totl billed charges,225.79,90,,180.63,percent of total billed charges,90% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,225.79,90,,180.63,percent of total billed charges,90% of total billed charges,225.79,90,,180.63,percent of total billed charges,90% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,153.04,61,,122.43,percent of total billed charges,61% of total billed charges,130.46,52,,104.37,percent of total billed charges,52% of total billed charges,130.46,225.79,
TX OF SESAMOID BONE FX,43701721,CDM,521,RC,28530,HCPCS,Outpatient,,,192.72,154.18,,163.81,85,,131.05,percent of total billed charges,85% of total billed charges,163.81,85,,131.05,percent of total billed charges,85% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,143.15,74,,114.52,percent of total billed charges,74.28% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,143.15,74,,114.52,percent of total billed charges,74.28% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,143.15,74,,114.52,percent of total billed charges,74.28% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,173.45,90,,138.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,168.05,87.2,,,percent of total billed charges,87.2% of total billed charges,113.7,59,,90.96,percent of total billed charges,59% of total billed charges,168.05,87.2,,134.44,percent of total billed charges,87.2% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,156.66,81.29,,125.33,percent of total billed charges,81.29% of total billed charges,173.45,90,,138.76,percent of total billed charges,90% of totl billed charges,173.45,90,,138.76,percent of total billed charges,90% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,173.45,90,,138.76,percent of total billed charges,90% of total billed charges,173.45,90,,138.76,percent of total billed charges,90% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,117.56,61,,94.05,percent of total billed charges,61% of total billed charges,100.21,52,,80.17,percent of total billed charges,52% of total billed charges,100.21,173.45,
TX CLSD METATARSOPHALANGEAL,36010088,CDM,981,RC,28630,HCPCS,Outpatient,,,257.12,205.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TX CLSD INTERPHALANGEAL JOI,36010089,CDM,981,RC,28660,HCPCS,Outpatient,,,194.51,155.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLTX INTERPHJ DISLOC REQ ANES,43601713,CDM,521,RC,28660,HCPCS,Outpatient,,,227.98,182.38,,193.78,85,,155.02,percent of total billed charges,85% of total billed charges,193.78,85,,155.02,percent of total billed charges,85% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,198.8,87.2,,,percent of total billed charges,87.2% of total billed charges,134.51,59,,107.61,percent of total billed charges,59% of total billed charges,198.8,87.2,,159.04,percent of total billed charges,87.2% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,185.32,81.29,,148.26,percent of total billed charges,81.29% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of totl billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,118.55,205.18,
CLTX INTERPHJ DISLOC W/O ANES,43701713,CDM,521,RC,28660,HCPCS,Outpatient,,,227.98,182.38,,193.78,85,,155.02,percent of total billed charges,85% of total billed charges,193.78,85,,155.02,percent of total billed charges,85% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,169.34,74,,135.47,percent of total billed charges,74.28% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,198.8,87.2,,,percent of total billed charges,87.2% of total billed charges,134.51,59,,107.61,percent of total billed charges,59% of total billed charges,198.8,87.2,,159.04,percent of total billed charges,87.2% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,185.32,81.29,,148.26,percent of total billed charges,81.29% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of totl billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,205.18,90,,164.14,percent of total billed charges,90% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,139.07,61,,111.26,percent of total billed charges,61% of total billed charges,118.55,52,,94.84,percent of total billed charges,52% of total billed charges,118.55,205.18,
CLTX INTERPHJ DISLOC REQ ANES,43601714,CDM,521,RC,28665,HCPCS,Outpatient,,,277.94,222.35,,236.25,85,,189,percent of total billed charges,85% of total billed charges,236.25,85,,189,percent of total billed charges,85% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,242.36,87.2,,,percent of total billed charges,87.2% of total billed charges,163.98,59,,131.18,percent of total billed charges,59% of total billed charges,242.36,87.2,,193.89,percent of total billed charges,87.2% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,225.94,81.29,,180.75,percent of total billed charges,81.29% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of totl billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,144.53,250.15,
CLTX INTERPHJ DISLOC REQ ANES,43701714,CDM,521,RC,28665,HCPCS,Outpatient,,,277.94,222.35,,236.25,85,,189,percent of total billed charges,85% of total billed charges,236.25,85,,189,percent of total billed charges,85% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,206.45,74,,165.16,percent of total billed charges,74.28% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,242.36,87.2,,,percent of total billed charges,87.2% of total billed charges,163.98,59,,131.18,percent of total billed charges,59% of total billed charges,242.36,87.2,,193.89,percent of total billed charges,87.2% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,225.94,81.29,,180.75,percent of total billed charges,81.29% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of totl billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,250.15,90,,200.12,percent of total billed charges,90% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,169.54,61,,135.63,percent of total billed charges,61% of total billed charges,144.53,52,,115.62,percent of total billed charges,52% of total billed charges,144.53,250.15,
CAST-SHOULDER TO HAND(LONGARM),36011043,CDM,981,RC,29065,HCPCS,Outpatient,,,156.9,125.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Long Arm Cast,43601356,CDM,521,RC,29065,HCPCS,Outpatient,,,142.07,113.66,,120.76,85,,96.61,percent of total billed charges,85% of total billed charges,120.76,85,,96.61,percent of total billed charges,85% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,123.89,87.2,,,percent of total billed charges,87.2% of total billed charges,83.82,59,,67.06,percent of total billed charges,59% of total billed charges,123.89,87.2,,99.11,percent of total billed charges,87.2% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,115.49,81.29,,92.39,percent of total billed charges,81.29% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of totl billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,73.88,127.86,
LONG ARM CAST,43701326,CDM,521,RC,29065,HCPCS,Outpatient,,,142.07,113.66,,120.76,85,,96.61,percent of total billed charges,85% of total billed charges,120.76,85,,96.61,percent of total billed charges,85% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,105.53,74,,84.42,percent of total billed charges,74.28% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,123.89,87.2,,,percent of total billed charges,87.2% of total billed charges,83.82,59,,67.06,percent of total billed charges,59% of total billed charges,123.89,87.2,,99.11,percent of total billed charges,87.2% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,115.49,81.29,,92.39,percent of total billed charges,81.29% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of totl billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,127.86,90,,102.29,percent of total billed charges,90% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,86.66,61,,69.33,percent of total billed charges,61% of total billed charges,73.88,52,,59.1,percent of total billed charges,52% of total billed charges,73.88,127.86,
APPLICATION SHORT ARM CAST,36010133,CDM,981,RC,29075,HCPCS,Outpatient,,,140.74,112.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Short Arm Cast,43601357,CDM,521,RC,29075,HCPCS,Outpatient,,,132.6,106.08,,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,115.63,87.2,,,percent of total billed charges,87.2% of total billed charges,78.23,59,,62.58,percent of total billed charges,59% of total billed charges,115.63,87.2,,92.5,percent of total billed charges,87.2% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,107.79,81.29,,86.23,percent of total billed charges,81.29% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of totl billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,119.34,
SHORT ARM CAST,43701325,CDM,521,RC,29075,HCPCS,Outpatient,,,132.6,106.08,,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,115.63,87.2,,,percent of total billed charges,87.2% of total billed charges,78.23,59,,62.58,percent of total billed charges,59% of total billed charges,115.63,87.2,,92.5,percent of total billed charges,87.2% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,107.79,81.29,,86.23,percent of total billed charges,81.29% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of totl billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,119.34,
Application Thumb Splint,43601443,CDM,521,RC,29085,HCPCS,Outpatient,,,101.44,81.15,,86.22,85,,68.98,percent of total billed charges,85% of total billed charges,86.22,85,,68.98,percent of total billed charges,85% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,88.46,87.2,,,percent of total billed charges,87.2% of total billed charges,59.85,59,,47.88,percent of total billed charges,59% of total billed charges,88.46,87.2,,70.77,percent of total billed charges,87.2% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,82.46,81.29,,65.97,percent of total billed charges,81.29% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of totl billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,52.75,91.3,
Application Thumb Splint,43701443,CDM,521,RC,29085,HCPCS,Outpatient,,,101.44,81.15,,86.22,85,,68.98,percent of total billed charges,85% of total billed charges,86.22,85,,68.98,percent of total billed charges,85% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,75.35,74,,60.28,percent of total billed charges,74.28% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,88.46,87.2,,,percent of total billed charges,87.2% of total billed charges,59.85,59,,47.88,percent of total billed charges,59% of total billed charges,88.46,87.2,,70.77,percent of total billed charges,87.2% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,82.46,81.29,,65.97,percent of total billed charges,81.29% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of totl billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,91.3,90,,73.04,percent of total billed charges,90% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,61.88,61,,49.5,percent of total billed charges,61% of total billed charges,52.75,52,,42.2,percent of total billed charges,52% of total billed charges,52.75,91.3,
SPLINT LONG ARM,36011049,CDM,981,RC,29105,HCPCS,Outpatient,,,135.39,108.31,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
LONG ARM SPLINT,43601445,CDM,521,RC,29105,HCPCS,Outpatient,,,117.81,94.25,,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,102.73,87.2,,,percent of total billed charges,87.2% of total billed charges,69.51,59,,55.61,percent of total billed charges,59% of total billed charges,102.73,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,95.77,81.29,,76.62,percent of total billed charges,81.29% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of totl billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,106.03,
LONG ARM SPLINT,43701445,CDM,521,RC,29105,HCPCS,Outpatient,,,117.81,94.25,,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,102.73,87.2,,,percent of total billed charges,87.2% of total billed charges,69.51,59,,55.61,percent of total billed charges,59% of total billed charges,102.73,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,95.77,81.29,,76.62,percent of total billed charges,81.29% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of totl billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,106.03,
SPLINT SHORT ARM,36010311,CDM,981,RC,29125,HCPCS,Outpatient,,,95.86,76.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SPLINT SHORT ARM,43600268,CDM,521,RC,29125,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
SPLINT SHORT ARM,43701626,CDM,521,RC,29125,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
SPLINT SHORT ARM CAST,36011039,CDM,981,RC,29126,HCPCS,Outpatient,,,117.35,93.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
APPLICATION FINGER SPLINT(STAT,36011044,CDM,981,RC,29130,HCPCS,Outpatient,,,66.37,53.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
APPLICATION FINGER SPLINT(STAT,43600250,CDM,521,RC,29130,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
APPLICATION FINGER SPLINT(STAT,43701236,CDM,521,RC,29130,HCPCS,Outpatient,,,70.9,56.72,,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,60.27,85,,48.22,percent of total billed charges,85% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,52.66,74,,42.13,percent of total billed charges,74.28% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,61.82,87.2,,,percent of total billed charges,87.2% of total billed charges,41.83,59,,33.46,percent of total billed charges,59% of total billed charges,61.82,87.2,,49.46,percent of total billed charges,87.2% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,57.63,81.29,,46.1,percent of total billed charges,81.29% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of totl billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,63.81,90,,51.05,percent of total billed charges,90% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,43.25,61,,34.6,percent of total billed charges,61% of total billed charges,36.87,52,,29.5,percent of total billed charges,52% of total billed charges,36.87,63.81,
TAPING - THORAX,48105305,CDM,429,RC,29200,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - SHOULDER,48105307,CDM,429,RC,29240,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - SHOULDER,48207067,CDM,439,RC,29240,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - ELBOW OR WRIST,48105308,CDM,429,RC,29260,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - ELBOW OR WRIST,48207068,CDM,439,RC,29260,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
STRAPPING HAND OR FINGER,36011038,CDM,981,RC,29280,HCPCS,Outpatient,,,79.75,63.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
STRAPPING HAND OR FINGER,43600104,CDM,983,RC,29280,HCPCS,Outpatient,,,81.81,65.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
STRAPPING HAND OR FINGER,43600269,CDM,521,RC,29280,HCPCS,Outpatient,,,81.81,65.45,,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,71.34,87.2,,,percent of total billed charges,87.2% of total billed charges,48.27,59,,38.62,percent of total billed charges,59% of total billed charges,71.34,87.2,,57.07,percent of total billed charges,87.2% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,66.5,81.29,,53.2,percent of total billed charges,81.29% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of totl billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,73.63,
STRAPPING HAND OR FINGER,43700104,CDM,983,RC,29280,HCPCS,Outpatient,,,81.81,65.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
STRAPPING HAND OR FINGER,43701255,CDM,521,RC,29280,HCPCS,Outpatient,,,81.81,65.45,,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,69.54,85,,55.63,percent of total billed charges,85% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,60.77,74,,48.62,percent of total billed charges,74.28% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,71.34,87.2,,,percent of total billed charges,87.2% of total billed charges,48.27,59,,38.62,percent of total billed charges,59% of total billed charges,71.34,87.2,,57.07,percent of total billed charges,87.2% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,66.5,81.29,,53.2,percent of total billed charges,81.29% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of totl billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,73.63,90,,58.9,percent of total billed charges,90% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,49.9,61,,39.92,percent of total billed charges,61% of total billed charges,42.54,52,,34.03,percent of total billed charges,52% of total billed charges,42.54,73.63,
TAPING - HAND OR FINGER,48207069,CDM,439,RC,29280,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
APPLICATION OF SHORT LEG CAST,36010213,CDM,981,RC,29405,HCPCS,Outpatient,,,150.48,120.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SHORT LEG CAST,43601358,CDM,521,RC,29405,HCPCS,Outpatient,,,132.6,106.08,,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,115.63,87.2,,,percent of total billed charges,87.2% of total billed charges,78.23,59,,62.58,percent of total billed charges,59% of total billed charges,115.63,87.2,,92.5,percent of total billed charges,87.2% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,107.79,81.29,,86.23,percent of total billed charges,81.29% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of totl billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,119.34,
SHORT LEG CAST (11 AND UP),43701327,CDM,521,RC,29405,HCPCS,Outpatient,,,132.6,106.08,,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,115.63,87.2,,,percent of total billed charges,87.2% of total billed charges,78.23,59,,62.58,percent of total billed charges,59% of total billed charges,115.63,87.2,,92.5,percent of total billed charges,87.2% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,107.79,81.29,,86.23,percent of total billed charges,81.29% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of totl billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,119.34,
APP OF SHORT LEG CAST,43701724,CDM,521,RC,29425,HCPCS,Outpatient,,,82.01,65.61,,69.71,85,,55.77,percent of total billed charges,85% of total billed charges,69.71,85,,55.77,percent of total billed charges,85% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,60.92,74,,48.74,percent of total billed charges,74.28% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,60.92,74,,48.74,percent of total billed charges,74.28% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,60.92,74,,48.74,percent of total billed charges,74.28% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.81,90,,59.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,71.51,87.2,,,percent of total billed charges,87.2% of total billed charges,48.39,59,,38.71,percent of total billed charges,59% of total billed charges,71.51,87.2,,57.21,percent of total billed charges,87.2% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,66.67,81.29,,53.34,percent of total billed charges,81.29% of total billed charges,73.81,90,,59.05,percent of total billed charges,90% of totl billed charges,73.81,90,,59.05,percent of total billed charges,90% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,73.81,90,,59.05,percent of total billed charges,90% of total billed charges,73.81,90,,59.05,percent of total billed charges,90% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,50.03,61,,40.02,percent of total billed charges,61% of total billed charges,42.65,52,,34.12,percent of total billed charges,52% of total billed charges,42.65,73.81,
APPLY RIGID LEG CAST,44500074,CDM,761,RC,29445,HCPCS,Outpatient,,,332.08,265.66,,282.27,85,,225.82,percent of total billed charges,85% of total billed charges,282.27,85,,225.82,percent of total billed charges,85% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,289.57,87.2,,,percent of total billed charges,87.2% of total billed charges,195.93,59,,156.74,percent of total billed charges,59% of total billed charges,289.57,87.2,,231.66,percent of total billed charges,87.2% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,269.95,81.29,,215.96,percent of total billed charges,81.29% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of totl billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,172.68,298.87,
APPLY RIGID LEG CAST,44510074,CDM,983,RC,29445,HCPCS,Outpatient,,,164.03,131.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
APPLICATION OF LONG LEG SPLINT,36013008,CDM,981,RC,29505,HCPCS,Outpatient,,,109.4,87.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Appl Long Leg Splint,Adult",43601449,CDM,521,RC,29505,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Appl Long Leg Splint,Peds",43601450,CDM,521,RC,29505,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Appl Long Leg Splint,Adult",43701449,CDM,521,RC,29505,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Appl Long Leg Splint,Peds",43701450,CDM,521,RC,29505,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
APPLICATION SHORT LEG SPLINT,36011056,CDM,981,RC,29515,HCPCS,Outpatient,,,114.74,91.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SPLINT SHORT LEG,43601130,CDM,521,RC,29515,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
SPLINT SHORT LEG,43701292,CDM,521,RC,29515,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
APPLICATION LOWER LEG SPLINT,44500075,CDM,761,RC,29515,HCPCS,Outpatient,,,194.48,155.58,,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,169.59,87.2,,,percent of total billed charges,87.2% of total billed charges,114.74,59,,91.79,percent of total billed charges,59% of total billed charges,169.59,87.2,,135.67,percent of total billed charges,87.2% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,158.09,81.29,,126.47,percent of total billed charges,81.29% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of totl billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,175.03,
APPLICATION LOWER LEG SPLINT,44510075,CDM,983,RC,29515,HCPCS,Outpatient,,,101.03,80.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TAPING - HIP,48105309,CDM,429,RC,29520,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - KNEE,48105310,CDM,429,RC,29530,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - ANKLE,48105311,CDM,429,RC,29540,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
TAPING - TOES,48105312,CDM,429,RC,29550,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
Unna Boot,43601396,CDM,521,RC,29580,HCPCS,Outpatient,,,103.63,82.9,,88.09,85,,70.47,percent of total billed charges,85% of total billed charges,88.09,85,,70.47,percent of total billed charges,85% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,90.37,87.2,,,percent of total billed charges,87.2% of total billed charges,61.14,59,,48.91,percent of total billed charges,59% of total billed charges,90.37,87.2,,72.3,percent of total billed charges,87.2% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,84.24,81.29,,67.39,percent of total billed charges,81.29% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of totl billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,53.89,93.27,
Unna Boot,43701396,CDM,521,RC,29580,HCPCS,Outpatient,,,103.63,82.9,,88.09,85,,70.47,percent of total billed charges,85% of total billed charges,88.09,85,,70.47,percent of total billed charges,85% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,76.98,74,,61.58,percent of total billed charges,74.28% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,90.37,87.2,,,percent of total billed charges,87.2% of total billed charges,61.14,59,,48.91,percent of total billed charges,59% of total billed charges,90.37,87.2,,72.3,percent of total billed charges,87.2% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,84.24,81.29,,67.39,percent of total billed charges,81.29% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of totl billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,93.27,90,,74.62,percent of total billed charges,90% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,63.21,61,,50.57,percent of total billed charges,61% of total billed charges,53.89,52,,43.11,percent of total billed charges,52% of total billed charges,53.89,93.27,
STRAPPING UNNA BOOT,44500076,CDM,761,RC,29580,HCPCS,Outpatient,,,194.48,155.58,,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,169.59,87.2,,,percent of total billed charges,87.2% of total billed charges,114.74,59,,91.79,percent of total billed charges,59% of total billed charges,169.59,87.2,,135.67,percent of total billed charges,87.2% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,158.09,81.29,,126.47,percent of total billed charges,81.29% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of totl billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,175.03,
STRAPPING UNNA BOOT,44510076,CDM,983,RC,29580,HCPCS,Outpatient,,,44.53,35.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
UNNA BOOT - PT,48105314,CDM,421,RC,29580,HCPCS,Outpatient,,,53.01,42.41,,45.06,85,,36.05,percent of total billed charges,85% of total billed charges,45.06,85,,36.05,percent of total billed charges,85% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,46.22,87.2,,,percent of total billed charges,87.2% of total billed charges,31.28,59,,25.02,percent of total billed charges,59% of total billed charges,46.22,87.2,,36.98,percent of total billed charges,87.2% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,43.09,81.29,,34.47,percent of total billed charges,81.29% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of totl billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,27.57,47.71,
UNNA BOOT - OT,48205314,CDM,431,RC,29580,HCPCS,Outpatient,,,53.01,42.41,,45.06,85,,36.05,percent of total billed charges,85% of total billed charges,45.06,85,,36.05,percent of total billed charges,85% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,39.38,74,,31.5,percent of total billed charges,74.28% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,46.22,87.2,,,percent of total billed charges,87.2% of total billed charges,31.28,59,,25.02,percent of total billed charges,59% of total billed charges,46.22,87.2,,36.98,percent of total billed charges,87.2% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,43.09,81.29,,34.47,percent of total billed charges,81.29% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of totl billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,47.71,90,,38.17,percent of total billed charges,90% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,32.34,61,,25.87,percent of total billed charges,61% of total billed charges,27.57,52,,22.06,percent of total billed charges,52% of total billed charges,27.57,47.71,
APPLY MULTLAY COMPRS LWR LEG,44500077,CDM,761,RC,29581,HCPCS,Outpatient,,,194.48,155.58,,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,165.31,85,,132.25,percent of total billed charges,85% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,144.46,74,,115.57,percent of total billed charges,74.28% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,169.59,87.2,,,percent of total billed charges,87.2% of total billed charges,114.74,59,,91.79,percent of total billed charges,59% of total billed charges,169.59,87.2,,135.67,percent of total billed charges,87.2% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,158.09,81.29,,126.47,percent of total billed charges,81.29% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of totl billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,175.03,90,,140.02,percent of total billed charges,90% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,118.63,61,,94.9,percent of total billed charges,61% of total billed charges,101.13,52,,80.9,percent of total billed charges,52% of total billed charges,101.13,175.03,
APPLY MULTLAY COMPRS LWR LEG,44510077,CDM,983,RC,29581,HCPCS,Outpatient,,,56.13,44.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL/REVISION OF CAST,44500078,CDM,761,RC,29700,HCPCS,Outpatient,,,332.08,265.66,,282.27,85,,225.82,percent of total billed charges,85% of total billed charges,282.27,85,,225.82,percent of total billed charges,85% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,246.67,74,,197.34,percent of total billed charges,74.28% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,289.57,87.2,,,percent of total billed charges,87.2% of total billed charges,195.93,59,,156.74,percent of total billed charges,59% of total billed charges,289.57,87.2,,231.66,percent of total billed charges,87.2% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,269.95,81.29,,215.96,percent of total billed charges,81.29% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of totl billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,298.87,90,,239.1,percent of total billed charges,90% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,202.57,61,,162.06,percent of total billed charges,61% of total billed charges,172.68,52,,138.14,percent of total billed charges,52% of total billed charges,172.68,298.87,
REMOVAL/REVISION OF CAST,44510078,CDM,983,RC,29700,HCPCS,Outpatient,,,68.06,54.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TAPING - LOW BACK,48105030,CDM,429,RC,29799,HCPCS,Outpatient,,,121.72,97.38,,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,103.46,85,,82.77,percent of total billed charges,85% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,90.41,74,,72.33,percent of total billed charges,74.28% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,106.14,87.2,,,percent of total billed charges,87.2% of total billed charges,71.81,59,,57.45,percent of total billed charges,59% of total billed charges,106.14,87.2,,84.91,percent of total billed charges,87.2% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,98.95,81.29,,79.16,percent of total billed charges,81.29% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of totl billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,109.55,90,,87.64,percent of total billed charges,90% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,74.25,61,,59.4,percent of total billed charges,61% of total billed charges,63.29,52,,50.63,percent of total billed charges,52% of total billed charges,63.29,109.55,
ARTHROSCOPY KNEE DX,35010108,CDM,975,RC,29870,HCPCS,Outpatient,,,1093.14,874.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTHROSCOPY KNEE DX,43830108,CDM,975,RC,29870,HCPCS,Outpatient,,,1093.14,874.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTHROSCOPY KNEE DRAINAGE,35010109,CDM,975,RC,29871,HCPCS,Outpatient,,,1026.56,821.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTHROSCOPY KNEE DRAINAGE,43830109,CDM,975,RC,29871,HCPCS,Outpatient,,,1026.56,821.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SYNOVECTOMY LIMITED (PLICA),35010110,CDM,975,RC,29875,HCPCS,Outpatient,,,1088.22,870.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SYNOVECTOMY LIMITED (PLICA),43830110,CDM,975,RC,29875,HCPCS,Outpatient,,,1088.22,870.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SYNOVECTOMY MAJOR 2 OR MORE CO,35010111,CDM,975,RC,29876,HCPCS,Outpatient,,,1426.52,1141.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SYNOVECTOMY MAJOR 2 OR MORE CO,43830111,CDM,975,RC,29876,HCPCS,Outpatient,,,1426.52,1141.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDE/SHAVING ARTICULAR ARTL,35010112,CDM,975,RC,29877,HCPCS,Outpatient,,,1359,1087.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DEBRIDE/SHAVING ARTICULAR ARTL,43830112,CDM,975,RC,29877,HCPCS,Outpatient,,,1359,1087.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MENISECTOMY MED&LAT INCL CHRON,35010113,CDM,975,RC,29880,HCPCS,Outpatient,,,1231.22,984.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MENISECTOMY MED&LAT INCL CHRON,43830113,CDM,975,RC,29880,HCPCS,Outpatient,,,1231.22,984.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MENISECTOMY MED OR LAT INC CHO,35010114,CDM,975,RC,29881,HCPCS,Outpatient,,,1185.51,948.41,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MENISECTOMY MED OR LAT INC CHO,43830114,CDM,975,RC,29881,HCPCS,Outpatient,,,1185.51,948.41,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTH W/MEN REPAIR MED OR LAT,35010115,CDM,975,RC,29882,HCPCS,Outpatient,,,1506.37,1205.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTH W/MEN REPAIR MED OR LAT,43830115,CDM,975,RC,29882,HCPCS,Outpatient,,,1506.37,1205.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTH W/MEN REPAIR MED&LAT,35010116,CDM,975,RC,29883,HCPCS,Outpatient,,,1672.03,1337.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ARTH W/MEN REPAIR MED&LAT,43830116,CDM,975,RC,29883,HCPCS,Outpatient,,,1672.03,1337.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"I&D ABSCESS/HEMT.NASAL,INT APP",36013035,CDM,981,RC,30000,HCPCS,Outpatient,,,253.09,202.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY INTRANASA,36010090,CDM,981,RC,30300,HCPCS,Outpatient,,,271.49,217.19,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY INTRANASA,43600113,CDM,983,RC,30300,HCPCS,Outpatient,,,359.96,287.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY INTRANASA,43600277,CDM,521,RC,30300,HCPCS,Outpatient,,,359.96,287.97,,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,313.89,87.2,,,percent of total billed charges,87.2% of total billed charges,212.38,59,,169.9,percent of total billed charges,59% of total billed charges,313.89,87.2,,251.11,percent of total billed charges,87.2% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,292.61,81.29,,234.09,percent of total billed charges,81.29% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of totl billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,323.96,
REMOVAL FOREIGN BODY INTRANASA,43700113,CDM,983,RC,30300,HCPCS,Outpatient,,,359.96,287.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY INTRANASA,43701263,CDM,521,RC,30300,HCPCS,Outpatient,,,359.96,287.97,,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,305.97,85,,244.78,percent of total billed charges,85% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,267.38,74,,213.9,percent of total billed charges,74.28% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,313.89,87.2,,,percent of total billed charges,87.2% of total billed charges,212.38,59,,169.9,percent of total billed charges,59% of total billed charges,313.89,87.2,,251.11,percent of total billed charges,87.2% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,292.61,81.29,,234.09,percent of total billed charges,81.29% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of totl billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,323.96,90,,259.17,percent of total billed charges,90% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,219.58,61,,175.66,percent of total billed charges,61% of total billed charges,187.18,52,,149.74,percent of total billed charges,52% of total billed charges,187.18,323.96,
NASAL PACKING/CAUTERY ANTERIOR,36010091,CDM,981,RC,30901,HCPCS,Outpatient,,,146.15,116.92,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Nasal Packing,43601359,CDM,521,RC,30901,HCPCS,Outpatient,,,57.81,46.25,,49.14,85,,39.31,percent of total billed charges,85% of total billed charges,49.14,85,,39.31,percent of total billed charges,85% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,50.41,87.2,,,percent of total billed charges,87.2% of total billed charges,34.11,59,,27.29,percent of total billed charges,59% of total billed charges,50.41,87.2,,40.33,percent of total billed charges,87.2% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,46.99,81.29,,37.59,percent of total billed charges,81.29% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of totl billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,30.06,52.03,
NASAL PACKING,43701330,CDM,521,RC,30901,HCPCS,Outpatient,,,57.81,46.25,,49.14,85,,39.31,percent of total billed charges,85% of total billed charges,49.14,85,,39.31,percent of total billed charges,85% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,42.94,74,,34.35,percent of total billed charges,74.28% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,50.41,87.2,,,percent of total billed charges,87.2% of total billed charges,34.11,59,,27.29,percent of total billed charges,59% of total billed charges,50.41,87.2,,40.33,percent of total billed charges,87.2% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,46.99,81.29,,37.59,percent of total billed charges,81.29% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of totl billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,52.03,90,,41.62,percent of total billed charges,90% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,35.26,61,,28.21,percent of total billed charges,61% of total billed charges,30.06,52,,24.05,percent of total billed charges,52% of total billed charges,30.06,52.03,
"NASAL PACKING/CAUTERY ANT, COM",36010093,CDM,981,RC,30903,HCPCS,Outpatient,,,190.89,152.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"NASAL PACKING/CAUTERY,INITL-PO",36010095,CDM,981,RC,30905,HCPCS,Outpatient,,,248.09,198.47,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NASAL PACKING/CAUTERY/SUBSQ-PO,36010096,CDM,981,RC,30906,HCPCS,Outpatient,,,325.23,260.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INTUBATION ENDOTRACHEAL EMER P,36010097,CDM,981,RC,31500,HCPCS,Outpatient,,,266.99,213.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INTUBATION ENDOTRACHEAL ANES,45001251,CDM,964,RC,31500,HCPCS,Outpatient,,,266.99,213.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"LARYNGOSCOPY, INDIRECT DIAGNOS",36011046,CDM,981,RC,31505,HCPCS,Outpatient,,,112.87,90.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
FIBEROPTIC LARYNGOSCOPE,36010192,CDM,981,RC,31575,HCPCS,Outpatient,,,180.97,144.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TUBE THORACOSTOMY,36010098,CDM,981,RC,32551,HCPCS,Outpatient,,,437.23,349.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
THORACENTESIS ASP W/IMAGING GD,42002141,CDM,761,RC,32555,HCPCS,Outpatient,,,989.12,791.3,,840.75,85,,672.6,percent of total billed charges,85% of total billed charges,840.75,85,,672.6,percent of total billed charges,85% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,734.72,74,,587.78,percent of total billed charges,74.28% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,734.72,74,,587.78,percent of total billed charges,74.28% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,734.72,74,,587.78,percent of total billed charges,74.28% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,890.21,90,,712.17,percent of total billed charges,90% of total billed charges,890.21,90,,712.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,862.51,87.2,,,percent of total billed charges,87.2% of total billed charges,583.58,59,,466.86,percent of total billed charges,59% of total billed charges,862.51,87.2,,690.01,percent of total billed charges,87.2% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,804.06,81.29,,643.25,percent of total billed charges,81.29% of total billed charges,890.21,90,,712.17,percent of total billed charges,90% of totl billed charges,890.21,90,,712.17,percent of total billed charges,90% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,890.21,90,,712.17,percent of total billed charges,90% of total billed charges,890.21,90,,712.17,percent of total billed charges,90% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,603.36,61,,482.69,percent of total billed charges,61% of total billed charges,514.34,52,,411.47,percent of total billed charges,52% of total billed charges,514.34,890.21,
PERICARDIOCENTESIS INITIAL,36010099,CDM,981,RC,33010,HCPCS,Outpatient,,,294.73,235.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PERICARDIOCENTESIS SUBSEQUENT,36010147,CDM,981,RC,33011,HCPCS,Outpatient,,,300.98,240.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR BLOOD VESSEL UPPER EXT.,36010179,CDM,981,RC,35206,HCPCS,Outpatient,,,1931.33,1545.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"REPAIR BLOOD VESSEL-FINGER,HAN",36010162,CDM,981,RC,35207,HCPCS,Outpatient,,,1731.45,1385.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR BLOOD VESSEL LOWER EXTR,36011034,CDM,981,RC,35226,HCPCS,Outpatient,,,2137.3,1709.84,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PICC MIDLINE INSERTION,32004018,CDM,361,RC,36000,HCPCS,Outpatient,,,1207.1,965.68,,1026.04,85,,820.83,percent of total billed charges,85% of total billed charges,1026.04,85,,820.83,percent of total billed charges,85% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,1052.59,87.2,,,percent of total billed charges,87.2% of total billed charges,712.19,59,,569.75,percent of total billed charges,59% of total billed charges,1052.59,87.2,,842.07,percent of total billed charges,87.2% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,981.25,81.29,,785,percent of total billed charges,81.29% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of totl billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,627.69,1086.39,
PICC MIDLINE INSERTION,32004018,CDM,361,RC,36000,HCPCS,Outpatient,,,1207.1,965.68,,1026.04,85,,820.83,percent of total billed charges,85% of total billed charges,1026.04,85,,820.83,percent of total billed charges,85% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,896.63,74,,717.3,percent of total billed charges,74.28% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,1052.59,87.2,,,percent of total billed charges,87.2% of total billed charges,712.19,59,,569.75,percent of total billed charges,59% of total billed charges,1052.59,87.2,,842.07,percent of total billed charges,87.2% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,981.25,81.29,,785,percent of total billed charges,81.29% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of totl billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,1086.39,90,,869.11,percent of total billed charges,90% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,736.33,61,,589.06,percent of total billed charges,61% of total billed charges,627.69,52,,502.15,percent of total billed charges,52% of total billed charges,627.69,1086.39,
PLACEMENT OF A CENTRAL LINE,36010100,CDM,981,RC,36010,HCPCS,Outpatient,,,306.35,245.08,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"VENIPUNCTURE,SINGLE CHARGE",41001161,CDM,300,RC,36415,HCPCS,Outpatient,,,11.95,9.56,,10.16,85,,8.13,percent of total billed charges,85% of total billed charges,10.16,85,,8.13,percent of total billed charges,85% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,8.88,74,,7.1,percent of total billed charges,74.28% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,8.88,74,,7.1,percent of total billed charges,74.28% of total billed charges,7.29,61,,5.83,percent of total billed charges,61% of total billed charges,8.88,74,,7.1,percent of total billed charges,74.28% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,10.76,90,,8.61,percent of total billed charges,90% of total billed charges,10.76,90,,8.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,10.42,87.2,,,percent of total billed charges,87.2% of total billed charges,7.05,59,,5.64,percent of total billed charges,59% of total billed charges,10.42,87.2,,8.34,percent of total billed charges,87.2% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,9.71,81.29,,7.77,percent of total billed charges,81.29% of total billed charges,10.76,90,,8.61,percent of total billed charges,90% of totl billed charges,10.76,90,,8.61,percent of total billed charges,90% of total billed charges,7.29,61,,5.83,percent of total billed charges,61% of total billed charges,7.29,61,,5.83,percent of total billed charges,61% of total billed charges,10.76,90,,8.61,percent of total billed charges,90% of total billed charges,10.76,90,,8.61,percent of total billed charges,90% of total billed charges,7.29,61,,5.83,percent of total billed charges,61% of total billed charges,7.29,61,,5.83,percent of total billed charges,61% of total billed charges,7.29,61,,,percent of total billed charges,61% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,7.05,10.76,
VENIPUNCTURE LEGAL,41001167,CDM,309,RC,36415,HCPCS,Outpatient,,,13.82,11.06,,11.75,85,,9.4,percent of total billed charges,85% of total billed charges,11.75,85,,9.4,percent of total billed charges,85% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,10.27,74,,8.22,percent of total billed charges,74.28% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,10.27,74,,8.22,percent of total billed charges,74.28% of total billed charges,8.43,61,,6.74,percent of total billed charges,61% of total billed charges,10.27,74,,8.22,percent of total billed charges,74.28% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,12.44,90,,9.95,percent of total billed charges,90% of total billed charges,12.44,90,,9.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.83,100,,,fee schedule,100% of CMS fee schedule,8.83,100,,,fee schedule,100% of CMS fee schedule,12.05,87.2,,,percent of total billed charges,87.2% of total billed charges,8.15,59,,6.52,percent of total billed charges,59% of total billed charges,12.05,87.2,,9.64,percent of total billed charges,87.2% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,11.23,81.29,,8.98,percent of total billed charges,81.29% of total billed charges,12.44,90,,9.95,percent of total billed charges,90% of totl billed charges,12.44,90,,9.95,percent of total billed charges,90% of total billed charges,8.43,61,,6.74,percent of total billed charges,61% of total billed charges,8.43,61,,6.74,percent of total billed charges,61% of total billed charges,12.44,90,,9.95,percent of total billed charges,90% of total billed charges,12.44,90,,9.95,percent of total billed charges,90% of total billed charges,8.43,61,,6.74,percent of total billed charges,61% of total billed charges,8.43,61,,6.74,percent of total billed charges,61% of total billed charges,8.43,61,,,percent of total billed charges,61% of total billed charges,8.83,100,,,fee schedule,100% of CMS fee schedule,8.15,12.44,
FINGER STICK COLLECTION,41000371,CDM,309,RC,36416,HCPCS,Outpatient,,,13.77,11.02,,11.7,85,,9.36,percent of total billed charges,85% of total billed charges,11.7,85,,9.36,percent of total billed charges,85% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,12.01,87.2,,,percent of total billed charges,87.2% of total billed charges,8.12,59,,6.5,percent of total billed charges,59% of total billed charges,12.01,87.2,,9.61,percent of total billed charges,87.2% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,11.19,81.29,,8.95,percent of total billed charges,81.29% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of totl billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,7.16,12.39,
HEEL STICK COLLECTION,41000372,CDM,309,RC,36416,HCPCS,Outpatient,,,13.77,11.02,,11.7,85,,9.36,percent of total billed charges,85% of total billed charges,11.7,85,,9.36,percent of total billed charges,85% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,10.23,74,,8.18,percent of total billed charges,74.28% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,12.01,87.2,,,percent of total billed charges,87.2% of total billed charges,8.12,59,,6.5,percent of total billed charges,59% of total billed charges,12.01,87.2,,9.61,percent of total billed charges,87.2% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,11.19,81.29,,8.95,percent of total billed charges,81.29% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of totl billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,12.39,90,,9.91,percent of total billed charges,90% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,8.4,61,,6.72,percent of total billed charges,61% of total billed charges,7.16,52,,5.73,percent of total billed charges,52% of total billed charges,7.16,12.39,
BLOOD/PLT TRANSFUSION 2 UNITS,32000016,CDM,391,RC,36430,HCPCS,Outpatient,,,1284.82,1027.86,,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1120.36,87.2,,,percent of total billed charges,87.2% of total billed charges,758.04,59,,606.43,percent of total billed charges,59% of total billed charges,1120.36,87.2,,896.29,percent of total billed charges,87.2% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1044.43,81.29,,835.54,percent of total billed charges,81.29% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of totl billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,1156.34,
BLOOD/PLT TRANSFUSION-1 UNIT,32000017,CDM,391,RC,36430,HCPCS,Outpatient,,,866.91,693.53,,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,755.95,87.2,,,percent of total billed charges,87.2% of total billed charges,511.48,59,,409.18,percent of total billed charges,59% of total billed charges,755.95,87.2,,604.76,percent of total billed charges,87.2% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,704.71,81.29,,563.77,percent of total billed charges,81.29% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of totl billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,780.22,
BLOOD/PLT TRANSFUSION 3 UNITS,32000019,CDM,391,RC,36430,HCPCS,Outpatient,,,1702.76,1362.21,,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1484.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1004.63,59,,803.7,percent of total billed charges,59% of total billed charges,1484.81,87.2,,1187.85,percent of total billed charges,87.2% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1384.17,81.29,,1107.34,percent of total billed charges,81.29% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of totl billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,1532.48,
BLOOD/PLT TRANSFUSION 4 UNITS,32000020,CDM,391,RC,36430,HCPCS,Outpatient,,,2120.63,1696.5,,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1849.19,87.2,,,percent of total billed charges,87.2% of total billed charges,1251.17,59,,1000.94,percent of total billed charges,59% of total billed charges,1849.19,87.2,,1479.35,percent of total billed charges,87.2% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1723.86,81.29,,1379.09,percent of total billed charges,81.29% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of totl billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,1908.57,
BLOOD/PLT TRANSFUSION 2 UNITS,36000016,CDM,391,RC,36430,HCPCS,Outpatient,,,1284.94,1027.95,,1092.2,85,,873.76,percent of total billed charges,85% of total billed charges,1092.2,85,,873.76,percent of total billed charges,85% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1120.47,87.2,,,percent of total billed charges,87.2% of total billed charges,758.11,59,,606.49,percent of total billed charges,59% of total billed charges,1120.47,87.2,,896.38,percent of total billed charges,87.2% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1044.53,81.29,,835.62,percent of total billed charges,81.29% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of totl billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,668.17,1156.45,
BLOOD/PLT TRANSFUSION-1 UNIT,36000017,CDM,391,RC,36430,HCPCS,Outpatient,,,867.05,693.64,,736.99,85,,589.59,percent of total billed charges,85% of total billed charges,736.99,85,,589.59,percent of total billed charges,85% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,756.07,87.2,,,percent of total billed charges,87.2% of total billed charges,511.56,59,,409.25,percent of total billed charges,59% of total billed charges,756.07,87.2,,604.86,percent of total billed charges,87.2% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,704.82,81.29,,563.86,percent of total billed charges,81.29% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of totl billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,450.87,780.35,
BLOOD/PLT TRANSFUSION 3-UNITS,36000026,CDM,391,RC,36430,HCPCS,Outpatient,,,1702.85,1362.28,,1447.42,85,,1157.94,percent of total billed charges,85% of total billed charges,1447.42,85,,1157.94,percent of total billed charges,85% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,1264.88,74,,1011.9,percent of total billed charges,74.28% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,1264.88,74,,1011.9,percent of total billed charges,74.28% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,1264.88,74,,1011.9,percent of total billed charges,74.28% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of total billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,1484.89,87.2,,,percent of total billed charges,87.2% of total billed charges,1004.68,59,,803.74,percent of total billed charges,59% of total billed charges,1484.89,87.2,,1187.91,percent of total billed charges,87.2% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,1384.25,81.29,,1107.4,percent of total billed charges,81.29% of total billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of totl billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of total billed charges,1532.57,90,,1226.06,percent of total billed charges,90% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,1038.74,61,,830.99,percent of total billed charges,61% of total billed charges,885.48,52,,708.38,percent of total billed charges,52% of total billed charges,885.48,1532.57,
BLOOD TRANSFUSION 2 UNITS ER,36009155,CDM,391,RC,36430,HCPCS,Outpatient,,,1284.94,1027.95,,1092.2,85,,873.76,percent of total billed charges,85% of total billed charges,1092.2,85,,873.76,percent of total billed charges,85% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,954.45,74,,763.56,percent of total billed charges,74.28% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1120.47,87.2,,,percent of total billed charges,87.2% of total billed charges,758.11,59,,606.49,percent of total billed charges,59% of total billed charges,1120.47,87.2,,896.38,percent of total billed charges,87.2% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,1044.53,81.29,,835.62,percent of total billed charges,81.29% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of totl billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,1156.45,90,,925.16,percent of total billed charges,90% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,783.81,61,,627.05,percent of total billed charges,61% of total billed charges,668.17,52,,534.54,percent of total billed charges,52% of total billed charges,668.17,1156.45,
BLOOD TRANSFUSION - 1 UNIT ER,36009160,CDM,391,RC,36430,HCPCS,Outpatient,,,867.05,693.64,,736.99,85,,589.59,percent of total billed charges,85% of total billed charges,736.99,85,,589.59,percent of total billed charges,85% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,644.04,74,,515.23,percent of total billed charges,74.28% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,756.07,87.2,,,percent of total billed charges,87.2% of total billed charges,511.56,59,,409.25,percent of total billed charges,59% of total billed charges,756.07,87.2,,604.86,percent of total billed charges,87.2% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,704.82,81.29,,563.86,percent of total billed charges,81.29% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of totl billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,780.35,90,,624.28,percent of total billed charges,90% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,528.9,61,,423.12,percent of total billed charges,61% of total billed charges,450.87,52,,360.7,percent of total billed charges,52% of total billed charges,450.87,780.35,
BLOOD/PLT TRANSFUSION 1 U HOP,43301096,CDM,391,RC,36430,HCPCS,Outpatient,,,866.91,693.53,,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,755.95,87.2,,,percent of total billed charges,87.2% of total billed charges,511.48,59,,409.18,percent of total billed charges,59% of total billed charges,755.95,87.2,,604.76,percent of total billed charges,87.2% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,704.71,81.29,,563.77,percent of total billed charges,81.29% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of totl billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,780.22,
BLOOD/PLT TRANSFUSION 2 U HOP,43301097,CDM,391,RC,36430,HCPCS,Outpatient,,,1284.82,1027.86,,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1120.36,87.2,,,percent of total billed charges,87.2% of total billed charges,758.04,59,,606.43,percent of total billed charges,59% of total billed charges,1120.36,87.2,,896.29,percent of total billed charges,87.2% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1044.43,81.29,,835.54,percent of total billed charges,81.29% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of totl billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,1156.34,
BLOOD/PLT TRANSFUSION 3 U HOP,43301098,CDM,391,RC,36430,HCPCS,Outpatient,,,1702.76,1362.21,,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1484.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1004.63,59,,803.7,percent of total billed charges,59% of total billed charges,1484.81,87.2,,1187.85,percent of total billed charges,87.2% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1384.17,81.29,,1107.34,percent of total billed charges,81.29% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of totl billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,1532.48,
BLOOD/PLT TRANSFUSION 4 U HOP,43301099,CDM,391,RC,36430,HCPCS,Outpatient,,,2120.63,1696.5,,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1849.19,87.2,,,percent of total billed charges,87.2% of total billed charges,1251.17,59,,1000.94,percent of total billed charges,59% of total billed charges,1849.19,87.2,,1479.35,percent of total billed charges,87.2% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1723.86,81.29,,1379.09,percent of total billed charges,81.29% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of totl billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,1908.57,
BLOOD/PLT TRANSFUSION 1 U HOP,43401096,CDM,391,RC,36430,HCPCS,Outpatient,,,866.91,693.53,,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,736.87,85,,589.5,percent of total billed charges,85% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,643.94,74,,515.15,percent of total billed charges,74.28% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,755.95,87.2,,,percent of total billed charges,87.2% of total billed charges,511.48,59,,409.18,percent of total billed charges,59% of total billed charges,755.95,87.2,,604.76,percent of total billed charges,87.2% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,704.71,81.29,,563.77,percent of total billed charges,81.29% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of totl billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,780.22,90,,624.18,percent of total billed charges,90% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,528.82,61,,423.06,percent of total billed charges,61% of total billed charges,450.79,52,,360.63,percent of total billed charges,52% of total billed charges,450.79,780.22,
BLOOD/PLT TRANSFUSION 2 U HOP,43401097,CDM,391,RC,36430,HCPCS,Outpatient,,,1284.82,1027.86,,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,1092.1,85,,873.68,percent of total billed charges,85% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,954.36,74,,763.49,percent of total billed charges,74.28% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1120.36,87.2,,,percent of total billed charges,87.2% of total billed charges,758.04,59,,606.43,percent of total billed charges,59% of total billed charges,1120.36,87.2,,896.29,percent of total billed charges,87.2% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,1044.43,81.29,,835.54,percent of total billed charges,81.29% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of totl billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,1156.34,90,,925.07,percent of total billed charges,90% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,783.74,61,,626.99,percent of total billed charges,61% of total billed charges,668.11,52,,534.49,percent of total billed charges,52% of total billed charges,668.11,1156.34,
BLOOD/PLT TRANSFUSION 3 U HOP,43401098,CDM,391,RC,36430,HCPCS,Outpatient,,,1702.76,1362.21,,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,1447.35,85,,1157.88,percent of total billed charges,85% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1264.81,74,,1011.85,percent of total billed charges,74.28% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1484.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1004.63,59,,803.7,percent of total billed charges,59% of total billed charges,1484.81,87.2,,1187.85,percent of total billed charges,87.2% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,1384.17,81.29,,1107.34,percent of total billed charges,81.29% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of totl billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1532.48,90,,1225.98,percent of total billed charges,90% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,1038.68,61,,830.94,percent of total billed charges,61% of total billed charges,885.44,52,,708.35,percent of total billed charges,52% of total billed charges,885.44,1532.48,
BLOOD/PLT TRANSFUSION 4 U HOP,43401099,CDM,391,RC,36430,HCPCS,Outpatient,,,2120.63,1696.5,,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1802.54,85,,1442.03,percent of total billed charges,85% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1575.2,74,,1260.16,percent of total billed charges,74.28% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1849.19,87.2,,,percent of total billed charges,87.2% of total billed charges,1251.17,59,,1000.94,percent of total billed charges,59% of total billed charges,1849.19,87.2,,1479.35,percent of total billed charges,87.2% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1723.86,81.29,,1379.09,percent of total billed charges,81.29% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of totl billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1908.57,90,,1526.86,percent of total billed charges,90% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1293.58,61,,1034.86,percent of total billed charges,61% of total billed charges,1102.73,52,,882.18,percent of total billed charges,52% of total billed charges,1102.73,1908.57,
PLCMT CVP LINE NON-TUN < 5 YRS,36010101,CDM,981,RC,36555,HCPCS,Outpatient,,,311.72,249.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PLCMT CVP LINE NON-TUN 5 YRS>,36010102,CDM,981,RC,36556,HCPCS,Outpatient,,,299.23,239.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PLACEMENT CVP LINE CUTDOWN<5YR,36010103,CDM,981,RC,36568,HCPCS,Outpatient,,,234.74,187.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PICC LINE INSERTION (MOBILEX),32001000,CDM,361,RC,36569,HCPCS,Outpatient,,,1345.2,1076.16,,1143.42,85,,914.74,percent of total billed charges,85% of total billed charges,1143.42,85,,914.74,percent of total billed charges,85% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,1173.01,87.2,,,percent of total billed charges,87.2% of total billed charges,793.67,59,,634.94,percent of total billed charges,59% of total billed charges,1173.01,87.2,,938.41,percent of total billed charges,87.2% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,1093.51,81.29,,874.81,percent of total billed charges,81.29% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of totl billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,699.5,52,,559.6,percent of total billed charges,52% of total billed charges,699.5,1210.68,
PLACEMENT PICC WO PORT 5YR+>,36010104,CDM,981,RC,36569,HCPCS,Outpatient,,,235.63,188.5,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PICC LINE INSERTION (ANES),45001250,CDM,361,RC,36569,HCPCS,Outpatient,,,530.85,424.68,,451.22,85,,360.98,percent of total billed charges,85% of total billed charges,451.22,85,,360.98,percent of total billed charges,85% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,394.32,74,,315.46,percent of total billed charges,74.28% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,394.32,74,,315.46,percent of total billed charges,74.28% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,394.32,74,,315.46,percent of total billed charges,74.28% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,477.77,90,,382.22,percent of total billed charges,90% of total billed charges,477.77,90,,382.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,462.9,87.2,,,percent of total billed charges,87.2% of total billed charges,313.2,59,,250.56,percent of total billed charges,59% of total billed charges,462.9,87.2,,370.32,percent of total billed charges,87.2% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,431.53,81.29,,345.22,percent of total billed charges,81.29% of total billed charges,477.77,90,,382.22,percent of total billed charges,90% of totl billed charges,477.77,90,,382.22,percent of total billed charges,90% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,477.77,90,,382.22,percent of total billed charges,90% of total billed charges,477.77,90,,382.22,percent of total billed charges,90% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,323.82,61,,259.06,percent of total billed charges,61% of total billed charges,276.04,52,,220.83,percent of total billed charges,52% of total billed charges,276.04,477.77,
PICC/REPLACEMENT INSERTION,32009053,CDM,361,RC,36584,HCPCS,Outpatient,,,1165.87,932.7,,990.99,85,,792.79,percent of total billed charges,85% of total billed charges,990.99,85,,792.79,percent of total billed charges,85% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,866.01,74,,692.81,percent of total billed charges,74.28% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,866.01,74,,692.81,percent of total billed charges,74.28% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,866.01,74,,692.81,percent of total billed charges,74.28% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,1049.28,90,,839.42,percent of total billed charges,90% of total billed charges,1049.28,90,,839.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,606.25,52,,485,percent of total billed charges,52% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,1016.64,87.2,,,percent of total billed charges,87.2% of total billed charges,687.86,59,,550.29,percent of total billed charges,59% of total billed charges,1016.64,87.2,,813.31,percent of total billed charges,87.2% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,947.74,81.29,,758.19,percent of total billed charges,81.29% of total billed charges,1049.28,90,,839.42,percent of total billed charges,90% of totl billed charges,1049.28,90,,839.42,percent of total billed charges,90% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,1049.28,90,,839.42,percent of total billed charges,90% of total billed charges,1049.28,90,,839.42,percent of total billed charges,90% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,711.18,61,,568.94,percent of total billed charges,61% of total billed charges,606.25,52,,485,percent of total billed charges,52% of total billed charges,606.25,1049.28,
PORT (IMPLANTABLE VAD) DRAW,32000103,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PORT (IMPLANTABLE VAD) DRAW,35009568,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PORT (IMPLANTABLE VAD) DRAW,36000027,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PORT (IMPLANTABLE VAD) DRAW,43300149,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PORT (IMPLANTABLE VAD) DRAW,43402161,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PORT (IMPLANTABLE VAD) DRAW,44500124,CDM,761,RC,36591,HCPCS,Outpatient,,,52.74,42.19,,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,44.83,85,,35.86,percent of total billed charges,85% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,39.18,74,,31.34,percent of total billed charges,74.28% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,45.99,87.2,,,percent of total billed charges,87.2% of total billed charges,31.12,59,,24.9,percent of total billed charges,59% of total billed charges,45.99,87.2,,36.79,percent of total billed charges,87.2% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,42.87,81.29,,34.3,percent of total billed charges,81.29% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of totl billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,47.47,90,,37.98,percent of total billed charges,90% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,32.17,61,,25.74,percent of total billed charges,61% of total billed charges,27.42,52,,21.94,percent of total billed charges,52% of total billed charges,27.42,47.47,
PICC (CENTRAL/PERIPHERAL) DRAW,32004017,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
PICC (CENTRAL/PERIPHERAL) DRAW,35009570,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
PICC (CENTRAL/PERIPHERAL) DRAW,36000028,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
PICC (CENTRAL/PERIPHERAL) DRAW,43300159,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
PICC (CENTRAL/PERIPHERAL) DRAW,43402162,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
PICC (CENTRAL/PERIPHERAL) DRAW,44500125,CDM,761,RC,36592,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,31.74,52,,25.39,percent of total billed charges,52% of total billed charges,31.74,54.93,
ARTERIAL PUNCTURE,41009053,CDM,410,RC,36600,HCPCS,Outpatient,,,67.95,54.36,,57.76,85,,46.21,percent of total billed charges,85% of total billed charges,57.76,85,,46.21,percent of total billed charges,85% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,50.47,74,,40.38,percent of total billed charges,74.28% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,50.47,74,,40.38,percent of total billed charges,74.28% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,50.47,74,,40.38,percent of total billed charges,74.28% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,61.16,90,,48.93,percent of total billed charges,90% of total billed charges,61.16,90,,48.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,59.25,87.2,,,percent of total billed charges,87.2% of total billed charges,40.09,59,,32.07,percent of total billed charges,59% of total billed charges,59.25,87.2,,47.4,percent of total billed charges,87.2% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,55.24,81.29,,44.19,percent of total billed charges,81.29% of total billed charges,61.16,90,,48.93,percent of total billed charges,90% of totl billed charges,61.16,90,,48.93,percent of total billed charges,90% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,61.16,90,,48.93,percent of total billed charges,90% of total billed charges,61.16,90,,48.93,percent of total billed charges,90% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,41.45,61,,33.16,percent of total billed charges,61% of total billed charges,35.33,52,,28.26,percent of total billed charges,52% of total billed charges,35.33,61.16,
ARTERIAL BLOOD GAS DRAW,43102009,CDM,410,RC,36600,HCPCS,Outpatient,,,67.55,54.04,,57.42,85,,45.94,percent of total billed charges,85% of total billed charges,57.42,85,,45.94,percent of total billed charges,85% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,50.18,74,,40.14,percent of total billed charges,74.28% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,50.18,74,,40.14,percent of total billed charges,74.28% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,50.18,74,,40.14,percent of total billed charges,74.28% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,60.8,90,,48.64,percent of total billed charges,90% of total billed charges,60.8,90,,48.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,58.9,87.2,,,percent of total billed charges,87.2% of total billed charges,39.85,59,,31.88,percent of total billed charges,59% of total billed charges,58.9,87.2,,47.12,percent of total billed charges,87.2% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,54.91,81.29,,43.93,percent of total billed charges,81.29% of total billed charges,60.8,90,,48.64,percent of total billed charges,90% of totl billed charges,60.8,90,,48.64,percent of total billed charges,90% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,60.8,90,,48.64,percent of total billed charges,90% of total billed charges,60.8,90,,48.64,percent of total billed charges,90% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,41.21,61,,32.97,percent of total billed charges,61% of total billed charges,35.13,52,,28.1,percent of total billed charges,52% of total billed charges,35.13,60.8,
ARTERIAL LINE,36010148,CDM,981,RC,36620,HCPCS,Outpatient,,,126.38,101.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PLCMT NEEDLE INTRAOSS INFUSION,36011054,CDM,981,RC,36680,HCPCS,Outpatient,,,152.37,121.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"LIGATION MAJOR ARTERY, EXTREMI",36010185,CDM,981,RC,37618,HCPCS,Outpatient,,,905.7,724.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
Bone Marrow Aspiration Only,43601360,CDM,521,RC,38220,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
BONE MARROW ASPIRATION ONLY,43700145,CDM,987,RC,38220,HCPCS,Outpatient,,,114.53,91.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MONE MARROW ASPIRATION ONLY,43701278,CDM,521,RC,38220,HCPCS,Outpatient,,,114.53,91.62,,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,97.35,85,,77.88,percent of total billed charges,85% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,99.87,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.87,87.2,,79.9,percent of total billed charges,87.2% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,93.1,81.29,,74.48,percent of total billed charges,81.29% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of totl billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,103.08,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,59.56,52,,47.65,percent of total billed charges,52% of total billed charges,59.56,103.08,
Bone Mar Biop Nedle or Trocar,43601361,CDM,521,RC,38221,HCPCS,Outpatient,,,141.8,113.44,,120.53,85,,96.42,percent of total billed charges,85% of total billed charges,120.53,85,,96.42,percent of total billed charges,85% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,123.65,87.2,,,percent of total billed charges,87.2% of total billed charges,83.66,59,,66.93,percent of total billed charges,59% of total billed charges,123.65,87.2,,98.92,percent of total billed charges,87.2% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,115.27,81.29,,92.22,percent of total billed charges,81.29% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of totl billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,73.74,127.62,
BONE MAR BIOP NEEDLE OR TROCAR,43700146,CDM,987,RC,38221,HCPCS,Outpatient,,,141.8,113.44,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BONE MAR BIOP NEDLE OR TROCAR,43701279,CDM,521,RC,38221,HCPCS,Outpatient,,,141.8,113.44,,120.53,85,,96.42,percent of total billed charges,85% of total billed charges,120.53,85,,96.42,percent of total billed charges,85% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,105.33,74,,84.26,percent of total billed charges,74.28% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,123.65,87.2,,,percent of total billed charges,87.2% of total billed charges,83.66,59,,66.93,percent of total billed charges,59% of total billed charges,123.65,87.2,,98.92,percent of total billed charges,87.2% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,115.27,81.29,,92.22,percent of total billed charges,81.29% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of totl billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,127.62,90,,102.1,percent of total billed charges,90% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,86.5,61,,69.2,percent of total billed charges,61% of total billed charges,73.74,52,,58.99,percent of total billed charges,52% of total billed charges,73.74,127.62,
"BIOPSY/EX LYMPHNODE:NEDL,SUPFI",42001073,CDM,631,RC,38505,HCPCS,Outpatient,,,178.99,143.19,,152.14,85,,121.71,percent of total billed charges,85% of total billed charges,152.14,85,,121.71,percent of total billed charges,85% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,132.95,74,,106.36,percent of total billed charges,74.28% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,132.95,74,,106.36,percent of total billed charges,74.28% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,132.95,74,,106.36,percent of total billed charges,74.28% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,161.09,90,,128.87,percent of total billed charges,90% of total billed charges,161.09,90,,128.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,156.08,87.2,,,percent of total billed charges,87.2% of total billed charges,105.6,59,,84.48,percent of total billed charges,59% of total billed charges,156.08,87.2,,124.86,percent of total billed charges,87.2% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,145.5,81.29,,116.4,percent of total billed charges,81.29% of total billed charges,161.09,90,,128.87,percent of total billed charges,90% of totl billed charges,161.09,90,,128.87,percent of total billed charges,90% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,161.09,90,,128.87,percent of total billed charges,90% of total billed charges,161.09,90,,128.87,percent of total billed charges,90% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,109.18,61,,87.34,percent of total billed charges,61% of total billed charges,93.07,52,,74.46,percent of total billed charges,52% of total billed charges,93.07,161.09,
REPR LIP FULL THCK VERMILLION,36013010,CDM,981,RC,40650,HCPCS,Outpatient,,,635.44,508.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPR LIP FLL THCKNSS 1/2 VT HT,36013020,CDM,981,RC,40652,HCPCS,Outpatient,,,844.23,675.38,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR >1/2 VERT HT (CHEILOPLA,36013015,CDM,981,RC,40654,HCPCS,Outpatient,,,1022.09,817.67,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"REMOVAL FB EMBEDDED, MOUTH SIM",36010203,CDM,981,RC,40804,HCPCS,Outpatient,,,288.5,230.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CLOSURE VESTIBULE MOUTH 2.5CM<,36013009,CDM,981,RC,40830,HCPCS,Outpatient,,,349.92,279.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"FRENECTOMY,LINGUAL",43601352,CDM,983,RC,41115,HCPCS,Outpatient,,,490.86,392.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"FRENECTOMY,LINGUAL",43701357,CDM,983,RC,41115,HCPCS,Outpatient,,,490.86,392.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR LAC 2.5 CM OR < MOUTH,36010300,CDM,981,RC,41250,HCPCS,Outpatient,,,313.61,250.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR LAC 2.5 CM OR < MOUTH,43600117,CDM,983,RC,41250,HCPCS,Outpatient,,,370.87,296.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR LAC 2.5 CM OR < MOUTH,43600281,CDM,521,RC,41250,HCPCS,Outpatient,,,370.87,296.7,,315.24,85,,252.19,percent of total billed charges,85% of total billed charges,315.24,85,,252.19,percent of total billed charges,85% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,323.4,87.2,,,percent of total billed charges,87.2% of total billed charges,218.81,59,,175.05,percent of total billed charges,59% of total billed charges,323.4,87.2,,258.72,percent of total billed charges,87.2% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,301.48,81.29,,241.18,percent of total billed charges,81.29% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of totl billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,192.85,333.78,
REPAIR LAC 2.5 CM OR < MOUTH,43700117,CDM,983,RC,41250,HCPCS,Outpatient,,,370.87,296.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPAIR LAC 2.5 CM OR < MOUTH,43701267,CDM,521,RC,41250,HCPCS,Outpatient,,,370.87,296.7,,315.24,85,,252.19,percent of total billed charges,85% of total billed charges,315.24,85,,252.19,percent of total billed charges,85% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,275.48,74,,220.38,percent of total billed charges,74.28% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,323.4,87.2,,,percent of total billed charges,87.2% of total billed charges,218.81,59,,175.05,percent of total billed charges,59% of total billed charges,323.4,87.2,,258.72,percent of total billed charges,87.2% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,301.48,81.29,,241.18,percent of total billed charges,81.29% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of totl billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,333.78,90,,267.02,percent of total billed charges,90% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,226.23,61,,180.98,percent of total billed charges,61% of total billed charges,192.85,52,,154.28,percent of total billed charges,52% of total billed charges,192.85,333.78,
REP LAC TONGUE FL MOUTH 2.6cm,36013034,CDM,981,RC,41252,HCPCS,Outpatient,,,494.35,395.48,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D ABS DENTAL ALVEOLAR STR,36010222,CDM,981,RC,41800,HCPCS,Outpatient,,,271.49,217.19,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE MOUTH ROOF LESION,36010317,CDM,981,RC,42000,HCPCS,Outpatient,,,301.36,241.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"PHARYNYX, ADENOIDS, TONSIL PRO",36010310,CDM,981,RC,42999,HCPCS,Outpatient,,,99.51,79.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
GASTRIC INTUBATION & ASPIRATIO,36010124,CDM,981,RC,43753,HCPCS,Outpatient,,,43,34.4,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
GASTRIC INTUBATION/LAVAGE,36010273,CDM,981,RC,43753,HCPCS,Outpatient,,,34.02,27.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
CHANGE GASTROSTOMY TUBE,36010216,CDM,981,RC,43760,HCPCS,Outpatient,,,123.65,98.92,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REPOSITNG NASO/OROGASTRIC TUBE,36010217,CDM,981,RC,43761,HCPCS,Outpatient,,,252.61,202.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RPLC GTUBE NO REVJ TRC,36010318,CDM,981,RC,43762,HCPCS,Outpatient,,,244.11,195.29,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REM FECAL IMPACTION UNDER ANES,36011053,CDM,981,RC,45915,HCPCS,Outpatient,,,494.45,395.56,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D PERI/ISCHIORECTAL ABSCESS,36010402,CDM,981,RC,46040,HCPCS,Outpatient,,,916.49,733.19,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D PERIANAL ABSCESS,36010175,CDM,981,RC,46050,HCPCS,Outpatient,,,202.48,161.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF THROMBOSED HEMORRHOID,36010187,CDM,981,RC,46083,HCPCS,Outpatient,,,224.88,179.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF THROMBOSED HEMORRHOID,43600062,CDM,983,RC,46083,HCPCS,Outpatient,,,283.61,226.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF THROMBOSED HEMORRHOID,43600227,CDM,521,RC,46083,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
I & D OF THROMBOSED HEMORRHOID,43700062,CDM,983,RC,46083,HCPCS,Outpatient,,,283.61,226.89,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I & D OF THROMBOSED HEMORRHOID,43701213,CDM,521,RC,46083,HCPCS,Outpatient,,,283.61,226.89,,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,241.07,85,,192.86,percent of total billed charges,85% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,210.67,74,,168.54,percent of total billed charges,74.28% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,247.31,87.2,,,percent of total billed charges,87.2% of total billed charges,167.33,59,,133.86,percent of total billed charges,59% of total billed charges,247.31,87.2,,197.85,percent of total billed charges,87.2% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,230.55,81.29,,184.44,percent of total billed charges,81.29% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of totl billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,255.25,90,,204.2,percent of total billed charges,90% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,173,61,,138.4,percent of total billed charges,61% of total billed charges,147.48,52,,117.98,percent of total billed charges,52% of total billed charges,147.48,255.25,
EXC EXTRNL PAPILLAE/TAGS ANUS,43600311,CDM,983,RC,46230,HCPCS,Outpatient,,,414.5,331.6,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC EXTRNL PAPILLAE/TAGS ANUS,43700311,CDM,983,RC,46230,HCPCS,Outpatient,,,414.5,331.6,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC EXTERNL PAPILLAE/TAGS ANUS,43701284,CDM,521,RC,46230,HCPCS,Outpatient,,,414.5,331.6,,352.33,85,,281.86,percent of total billed charges,85% of total billed charges,352.33,85,,281.86,percent of total billed charges,85% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,307.89,74,,246.31,percent of total billed charges,74.28% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,307.89,74,,246.31,percent of total billed charges,74.28% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,307.89,74,,246.31,percent of total billed charges,74.28% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,373.05,90,,298.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,361.44,87.2,,,percent of total billed charges,87.2% of total billed charges,244.56,59,,195.65,percent of total billed charges,59% of total billed charges,361.44,87.2,,289.15,percent of total billed charges,87.2% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,336.95,81.29,,269.56,percent of total billed charges,81.29% of total billed charges,373.05,90,,298.44,percent of total billed charges,90% of totl billed charges,373.05,90,,298.44,percent of total billed charges,90% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,373.05,90,,298.44,percent of total billed charges,90% of total billed charges,373.05,90,,298.44,percent of total billed charges,90% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,252.85,61,,202.28,percent of total billed charges,61% of total billed charges,215.54,52,,172.43,percent of total billed charges,52% of total billed charges,215.54,373.05,
EXC EXT THROM HEMORRHOID,36010204,CDM,981,RC,46320,HCPCS,Outpatient,,,238.38,190.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC EXT THROM HEMORRHOID,43600065,CDM,983,RC,46320,HCPCS,Outpatient,,,272.7,218.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC EXT THROM HEMORRHOID,43600230,CDM,521,RC,46320,HCPCS,Outpatient,,,272.7,218.16,,231.8,85,,185.44,percent of total billed charges,85% of total billed charges,231.8,85,,185.44,percent of total billed charges,85% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,237.79,87.2,,,percent of total billed charges,87.2% of total billed charges,160.89,59,,128.71,percent of total billed charges,59% of total billed charges,237.79,87.2,,190.23,percent of total billed charges,87.2% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,221.68,81.29,,177.34,percent of total billed charges,81.29% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of totl billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,141.8,245.43,
EXC EXT THROM HEMORRHOID,43700065,CDM,983,RC,46320,HCPCS,Outpatient,,,272.7,218.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXC EXT THROM HEMORRHOID,43701216,CDM,521,RC,46320,HCPCS,Outpatient,,,272.7,218.16,,231.8,85,,185.44,percent of total billed charges,85% of total billed charges,231.8,85,,185.44,percent of total billed charges,85% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,202.56,74,,162.05,percent of total billed charges,74.28% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,237.79,87.2,,,percent of total billed charges,87.2% of total billed charges,160.89,59,,128.71,percent of total billed charges,59% of total billed charges,237.79,87.2,,190.23,percent of total billed charges,87.2% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,221.68,81.29,,177.34,percent of total billed charges,81.29% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of totl billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,245.43,90,,196.34,percent of total billed charges,90% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,166.35,61,,133.08,percent of total billed charges,61% of total billed charges,141.8,52,,113.44,percent of total billed charges,52% of total billed charges,141.8,245.43,
ANOSCOPY DIAGNOSTIC,36011051,CDM,981,RC,46600,HCPCS,Outpatient,,,86.14,68.91,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ANOSCOPE,43601164,CDM,521,RC,46600,HCPCS,Outpatient,,,59.99,47.99,,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,52.31,87.2,,,percent of total billed charges,87.2% of total billed charges,35.39,59,,28.31,percent of total billed charges,59% of total billed charges,52.31,87.2,,41.85,percent of total billed charges,87.2% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of totl billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,53.99,
ANOSCOPE,43701314,CDM,521,RC,46600,HCPCS,Outpatient,,,59.99,47.99,,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,52.31,87.2,,,percent of total billed charges,87.2% of total billed charges,35.39,59,,28.31,percent of total billed charges,59% of total billed charges,52.31,87.2,,41.85,percent of total billed charges,87.2% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of totl billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,53.99,
ANOSCOPE WITH BIOPSY,43601165,CDM,521,RC,46606,HCPCS,Outpatient,,,141.26,113.01,,120.07,85,,96.06,percent of total billed charges,85% of total billed charges,120.07,85,,96.06,percent of total billed charges,85% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,123.18,87.2,,,percent of total billed charges,87.2% of total billed charges,83.34,59,,66.67,percent of total billed charges,59% of total billed charges,123.18,87.2,,98.54,percent of total billed charges,87.2% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,114.83,81.29,,91.86,percent of total billed charges,81.29% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of totl billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,73.46,127.13,
ANOSCOPE WITH BIOPSY,43701315,CDM,521,RC,46606,HCPCS,Outpatient,,,141.26,113.01,,120.07,85,,96.06,percent of total billed charges,85% of total billed charges,120.07,85,,96.06,percent of total billed charges,85% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,104.93,74,,83.94,percent of total billed charges,74.28% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,123.18,87.2,,,percent of total billed charges,87.2% of total billed charges,83.34,59,,66.67,percent of total billed charges,59% of total billed charges,123.18,87.2,,98.54,percent of total billed charges,87.2% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,114.83,81.29,,91.86,percent of total billed charges,81.29% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of totl billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,127.13,90,,101.7,percent of total billed charges,90% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,86.17,61,,68.94,percent of total billed charges,61% of total billed charges,73.46,52,,58.77,percent of total billed charges,52% of total billed charges,73.46,127.13,
PARACENTESIS w US GUIDANCE,42002100,CDM,940,RC,49083,HCPCS,Outpatient,,,719.37,575.5,,611.46,85,,489.17,percent of total billed charges,85% of total billed charges,611.46,85,,489.17,percent of total billed charges,85% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,534.35,74,,427.48,percent of total billed charges,74.28% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,534.35,74,,427.48,percent of total billed charges,74.28% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,534.35,74,,427.48,percent of total billed charges,74.28% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,647.43,90,,517.94,percent of total billed charges,90% of total billed charges,647.43,90,,517.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,627.29,87.2,,,percent of total billed charges,87.2% of total billed charges,424.43,59,,339.54,percent of total billed charges,59% of total billed charges,627.29,87.2,,501.83,percent of total billed charges,87.2% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,584.78,81.29,,467.82,percent of total billed charges,81.29% of total billed charges,647.43,90,,517.94,percent of total billed charges,90% of totl billed charges,647.43,90,,517.94,percent of total billed charges,90% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,647.43,90,,517.94,percent of total billed charges,90% of total billed charges,647.43,90,,517.94,percent of total billed charges,90% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,438.82,61,,351.06,percent of total billed charges,61% of total billed charges,374.07,52,,299.26,percent of total billed charges,52% of total billed charges,374.07,647.43,
REPLACE GASTROSTOMY TUBE FLUOR,36013019,CDM,981,RC,49450,HCPCS,Outpatient,,,164.16,131.33,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INSERT TEMP BLADDER CATHETER,36011020,CDM,981,RC,51702,HCPCS,Outpatient,,,74.36,59.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INSERTION OF CATHETER,43401091,CDM,761,RC,51702,HCPCS,Outpatient,,,81.88,65.5,,69.6,85,,55.68,percent of total billed charges,85% of total billed charges,69.6,85,,55.68,percent of total billed charges,85% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,71.4,87.2,,,percent of total billed charges,87.2% of total billed charges,48.31,59,,38.65,percent of total billed charges,59% of total billed charges,71.4,87.2,,57.12,percent of total billed charges,87.2% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,66.56,81.29,,53.25,percent of total billed charges,81.29% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of totl billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,42.58,73.69,
BLADDER VOLUME/PV RESIDUAL,32002160,CDM,361,RC,51798,HCPCS,Outpatient,,,163.95,131.16,,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,142.96,87.2,,,percent of total billed charges,87.2% of total billed charges,96.73,59,,77.38,percent of total billed charges,59% of total billed charges,142.96,87.2,,114.37,percent of total billed charges,87.2% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,133.27,81.29,,106.62,percent of total billed charges,81.29% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of totl billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,147.56,
BLADDER VOLUME/PV RESIDUAL,35002160,CDM,361,RC,51798,HCPCS,Outpatient,,,130.89,104.71,,111.26,85,,89.01,percent of total billed charges,85% of total billed charges,111.26,85,,89.01,percent of total billed charges,85% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,97.23,74,,77.78,percent of total billed charges,74.28% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,97.23,74,,77.78,percent of total billed charges,74.28% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,97.23,74,,77.78,percent of total billed charges,74.28% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,117.8,90,,94.24,percent of total billed charges,90% of total billed charges,117.8,90,,94.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,114.14,87.2,,,percent of total billed charges,87.2% of total billed charges,77.23,59,,61.78,percent of total billed charges,59% of total billed charges,114.14,87.2,,91.31,percent of total billed charges,87.2% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,106.4,81.29,,85.12,percent of total billed charges,81.29% of total billed charges,117.8,90,,94.24,percent of total billed charges,90% of totl billed charges,117.8,90,,94.24,percent of total billed charges,90% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,117.8,90,,94.24,percent of total billed charges,90% of total billed charges,117.8,90,,94.24,percent of total billed charges,90% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,79.84,61,,63.87,percent of total billed charges,61% of total billed charges,68.06,52,,54.45,percent of total billed charges,52% of total billed charges,68.06,117.8,
BLADDER VOLUME/PV RESIDUAL,36002160,CDM,450,RC,51798,HCPCS,Outpatient,,,163.95,131.16,,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,142.96,87.2,,,percent of total billed charges,87.2% of total billed charges,96.73,59,,77.38,percent of total billed charges,59% of total billed charges,142.96,87.2,,114.37,percent of total billed charges,87.2% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,133.27,81.29,,106.62,percent of total billed charges,81.29% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of totl billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,147.56,
BLADDER SCAN ER PHYSICIAN,36012160,CDM,984,RC,51798,HCPCS,Outpatient,,,234.05,187.24,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BLADDER VOLUME/PV RESIDUAL,42002160,CDM,402,RC,51798,HCPCS,Outpatient,,,163.95,131.16,,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,142.96,87.2,,,percent of total billed charges,87.2% of total billed charges,96.73,59,,77.38,percent of total billed charges,59% of total billed charges,142.96,87.2,,114.37,percent of total billed charges,87.2% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,133.27,81.29,,106.62,percent of total billed charges,81.29% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of totl billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,147.56,
BLADDER VOLUME/PV RESIDUAL,43402160,CDM,920,RC,51798,HCPCS,Outpatient,,,163.95,131.16,,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,139.36,85,,111.49,percent of total billed charges,85% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,121.78,74,,97.42,percent of total billed charges,74.28% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,142.96,87.2,,,percent of total billed charges,87.2% of total billed charges,96.73,59,,77.38,percent of total billed charges,59% of total billed charges,142.96,87.2,,114.37,percent of total billed charges,87.2% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,133.27,81.29,,106.62,percent of total billed charges,81.29% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of totl billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,147.56,90,,118.05,percent of total billed charges,90% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,100.01,61,,80.01,percent of total billed charges,61% of total billed charges,85.25,52,,68.2,percent of total billed charges,52% of total billed charges,85.25,147.56,
CYSTOSCOPY PROC,43401104,CDM,761,RC,52000,HCPCS,Outpatient,,,798.09,638.47,,678.38,85,,542.7,percent of total billed charges,85% of total billed charges,678.38,85,,542.7,percent of total billed charges,85% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,592.82,74,,474.26,percent of total billed charges,74.28% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,592.82,74,,474.26,percent of total billed charges,74.28% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,592.82,74,,474.26,percent of total billed charges,74.28% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,718.28,90,,574.62,percent of total billed charges,90% of total billed charges,718.28,90,,574.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,695.93,87.2,,,percent of total billed charges,87.2% of total billed charges,470.87,59,,376.7,percent of total billed charges,59% of total billed charges,695.93,87.2,,556.74,percent of total billed charges,87.2% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,648.77,81.29,,519.02,percent of total billed charges,81.29% of total billed charges,718.28,90,,574.62,percent of total billed charges,90% of totl billed charges,718.28,90,,574.62,percent of total billed charges,90% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,718.28,90,,574.62,percent of total billed charges,90% of total billed charges,718.28,90,,574.62,percent of total billed charges,90% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,486.83,61,,389.46,percent of total billed charges,61% of total billed charges,415.01,52,,332.01,percent of total billed charges,52% of total billed charges,415.01,718.28,
DESTR LESION PENIS CRYOSURGERY,43601658,CDM,521,RC,54056,HCPCS,Outpatient,,,206.15,164.92,,175.23,85,,140.18,percent of total billed charges,85% of total billed charges,175.23,85,,140.18,percent of total billed charges,85% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,179.76,87.2,,,percent of total billed charges,87.2% of total billed charges,121.63,59,,97.3,percent of total billed charges,59% of total billed charges,179.76,87.2,,143.81,percent of total billed charges,87.2% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,167.58,81.29,,134.06,percent of total billed charges,81.29% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of totl billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,107.2,185.54,
DESTR LESION PENIS CRYOSURGERY,43701658,CDM,521,RC,54056,HCPCS,Outpatient,,,206.15,164.92,,175.23,85,,140.18,percent of total billed charges,85% of total billed charges,175.23,85,,140.18,percent of total billed charges,85% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,153.13,74,,122.5,percent of total billed charges,74.28% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,179.76,87.2,,,percent of total billed charges,87.2% of total billed charges,121.63,59,,97.3,percent of total billed charges,59% of total billed charges,179.76,87.2,,143.81,percent of total billed charges,87.2% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,167.58,81.29,,134.06,percent of total billed charges,81.29% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of totl billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,185.54,90,,148.43,percent of total billed charges,90% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,125.75,61,,100.6,percent of total billed charges,61% of total billed charges,107.2,52,,85.76,percent of total billed charges,52% of total billed charges,107.2,185.54,
DESTR LESION PENIS SURG EXC,43601659,CDM,521,RC,54060,HCPCS,Outpatient,,,327.28,261.82,,278.19,85,,222.55,percent of total billed charges,85% of total billed charges,278.19,85,,222.55,percent of total billed charges,85% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,243.1,74,,194.48,percent of total billed charges,74.28% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,243.1,74,,194.48,percent of total billed charges,74.28% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,243.1,74,,194.48,percent of total billed charges,74.28% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,294.55,90,,235.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,285.39,87.2,,,percent of total billed charges,87.2% of total billed charges,193.1,59,,154.48,percent of total billed charges,59% of total billed charges,285.39,87.2,,228.31,percent of total billed charges,87.2% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,266.05,81.29,,212.84,percent of total billed charges,81.29% of total billed charges,294.55,90,,235.64,percent of total billed charges,90% of totl billed charges,294.55,90,,235.64,percent of total billed charges,90% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,294.55,90,,235.64,percent of total billed charges,90% of total billed charges,294.55,90,,235.64,percent of total billed charges,90% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,199.64,61,,159.71,percent of total billed charges,61% of total billed charges,170.19,52,,136.15,percent of total billed charges,52% of total billed charges,170.19,294.55,
DESTR LESION PENIS SURG EXC,43701659,CDM,521,RC,54060,HCPCS,Outpatient,,,357.28,285.82,,303.69,85,,242.95,percent of total billed charges,85% of total billed charges,303.69,85,,242.95,percent of total billed charges,85% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,265.39,74,,212.31,percent of total billed charges,74.28% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,265.39,74,,212.31,percent of total billed charges,74.28% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,265.39,74,,212.31,percent of total billed charges,74.28% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,321.55,90,,257.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,311.55,87.2,,,percent of total billed charges,87.2% of total billed charges,210.8,59,,168.64,percent of total billed charges,59% of total billed charges,311.55,87.2,,249.24,percent of total billed charges,87.2% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,290.43,81.29,,232.34,percent of total billed charges,81.29% of total billed charges,321.55,90,,257.24,percent of total billed charges,90% of totl billed charges,321.55,90,,257.24,percent of total billed charges,90% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,321.55,90,,257.24,percent of total billed charges,90% of total billed charges,321.55,90,,257.24,percent of total billed charges,90% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,217.94,61,,174.35,percent of total billed charges,61% of total billed charges,185.79,52,,148.63,percent of total billed charges,52% of total billed charges,185.79,321.55,
FORESKIN MANIP PREPUT STRETCHI,36003016,CDM,981,RC,54450,HCPCS,Outpatient,,,133.3,106.64,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D EPID TSTIS&/SCROTAL SPACE,43601687,CDM,521,RC,54700,HCPCS,Outpatient,,,389.75,311.8,,331.29,85,,265.03,percent of total billed charges,85% of total billed charges,331.29,85,,265.03,percent of total billed charges,85% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,339.86,87.2,,,percent of total billed charges,87.2% of total billed charges,229.95,59,,183.96,percent of total billed charges,59% of total billed charges,339.86,87.2,,271.89,percent of total billed charges,87.2% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,316.83,81.29,,253.46,percent of total billed charges,81.29% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of totl billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,202.67,350.78,
I&D EPID TSTIS&/SCROTAL SPACE,43701687,CDM,521,RC,54700,HCPCS,Outpatient,,,389.75,311.8,,331.29,85,,265.03,percent of total billed charges,85% of total billed charges,331.29,85,,265.03,percent of total billed charges,85% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,289.51,74,,231.61,percent of total billed charges,74.28% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,339.86,87.2,,,percent of total billed charges,87.2% of total billed charges,229.95,59,,183.96,percent of total billed charges,59% of total billed charges,339.86,87.2,,271.89,percent of total billed charges,87.2% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,316.83,81.29,,253.46,percent of total billed charges,81.29% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of totl billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,350.78,90,,280.62,percent of total billed charges,90% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,237.75,61,,190.2,percent of total billed charges,61% of total billed charges,202.67,52,,162.14,percent of total billed charges,52% of total billed charges,202.67,350.78,
DRAINAGE SCROTAL WALL ABSCESS,36010190,CDM,981,RC,55100,HCPCS,Outpatient,,,394.24,315.39,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PROSTATE BIOPSY NEEDLE OR PUNC,42001047,CDM,361,RC,55700,HCPCS,Outpatient,,,323.03,258.42,,274.58,85,,219.66,percent of total billed charges,85% of total billed charges,274.58,85,,219.66,percent of total billed charges,85% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,239.95,74,,191.96,percent of total billed charges,74.28% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,239.95,74,,191.96,percent of total billed charges,74.28% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,239.95,74,,191.96,percent of total billed charges,74.28% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,290.73,90,,232.58,percent of total billed charges,90% of total billed charges,290.73,90,,232.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,281.68,87.2,,,percent of total billed charges,87.2% of total billed charges,190.59,59,,152.47,percent of total billed charges,59% of total billed charges,281.68,87.2,,225.34,percent of total billed charges,87.2% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,262.59,81.29,,210.07,percent of total billed charges,81.29% of total billed charges,290.73,90,,232.58,percent of total billed charges,90% of totl billed charges,290.73,90,,232.58,percent of total billed charges,90% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,290.73,90,,232.58,percent of total billed charges,90% of total billed charges,290.73,90,,232.58,percent of total billed charges,90% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,197.05,61,,157.64,percent of total billed charges,61% of total billed charges,167.98,52,,134.38,percent of total billed charges,52% of total billed charges,167.98,290.73,
I & D OF VULVA OR PERINEAL ABS,36010225,CDM,981,RC,56405,HCPCS,Outpatient,,,249.1,199.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
I&D BARTHOLIN ABSCESS,36010119,CDM,981,RC,56420,HCPCS,Outpatient,,,222.25,177.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVE FOREIGN BODY VAGINA,43601177,CDM,983,RC,57415,HCPCS,Outpatient,,,313.98,251.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVE FOREIGN BODY VAGINA,43701356,CDM,983,RC,57415,HCPCS,Outpatient,,,313.98,251.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
COLPOSCOPY,43601166,CDM,521,RC,57420,HCPCS,Outpatient,,,170.16,136.13,,144.64,85,,115.71,percent of total billed charges,85% of total billed charges,144.64,85,,115.71,percent of total billed charges,85% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,148.38,87.2,,,percent of total billed charges,87.2% of total billed charges,100.39,59,,80.31,percent of total billed charges,59% of total billed charges,148.38,87.2,,118.7,percent of total billed charges,87.2% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,138.32,81.29,,110.66,percent of total billed charges,81.29% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of totl billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,88.48,153.14,
COLPOSCOPY,43701316,CDM,521,RC,57420,HCPCS,Outpatient,,,170.16,136.13,,144.64,85,,115.71,percent of total billed charges,85% of total billed charges,144.64,85,,115.71,percent of total billed charges,85% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,126.39,74,,101.11,percent of total billed charges,74.28% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,148.38,87.2,,,percent of total billed charges,87.2% of total billed charges,100.39,59,,80.31,percent of total billed charges,59% of total billed charges,148.38,87.2,,118.7,percent of total billed charges,87.2% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,138.32,81.29,,110.66,percent of total billed charges,81.29% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of totl billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,153.14,90,,122.51,percent of total billed charges,90% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,103.8,61,,83.04,percent of total billed charges,61% of total billed charges,88.48,52,,70.78,percent of total billed charges,52% of total billed charges,88.48,153.14,
COLPOSCOPY WITH BIOPSY,43601168,CDM,521,RC,57421,HCPCS,Outpatient,,,232.89,186.31,,197.96,85,,158.37,percent of total billed charges,85% of total billed charges,197.96,85,,158.37,percent of total billed charges,85% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,203.08,87.2,,,percent of total billed charges,87.2% of total billed charges,137.41,59,,109.93,percent of total billed charges,59% of total billed charges,203.08,87.2,,162.46,percent of total billed charges,87.2% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,189.32,81.29,,151.46,percent of total billed charges,81.29% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of totl billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,121.1,209.6,
COLPOSCOPY WITH BIOPSY,43701318,CDM,521,RC,57421,HCPCS,Outpatient,,,232.89,186.31,,197.96,85,,158.37,percent of total billed charges,85% of total billed charges,197.96,85,,158.37,percent of total billed charges,85% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,172.99,74,,138.39,percent of total billed charges,74.28% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,203.08,87.2,,,percent of total billed charges,87.2% of total billed charges,137.41,59,,109.93,percent of total billed charges,59% of total billed charges,203.08,87.2,,162.46,percent of total billed charges,87.2% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,189.32,81.29,,151.46,percent of total billed charges,81.29% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of totl billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,209.6,90,,167.68,percent of total billed charges,90% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,142.06,61,,113.65,percent of total billed charges,61% of total billed charges,121.1,52,,96.88,percent of total billed charges,52% of total billed charges,121.1,209.6,
BIOPSY CERVIX SING/MULT,43601667,CDM,521,RC,57500,HCPCS,Outpatient,,,223.86,179.09,,190.28,85,,152.22,percent of total billed charges,85% of total billed charges,190.28,85,,152.22,percent of total billed charges,85% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,195.21,87.2,,,percent of total billed charges,87.2% of total billed charges,132.08,59,,105.66,percent of total billed charges,59% of total billed charges,195.21,87.2,,156.17,percent of total billed charges,87.2% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,181.98,81.29,,145.58,percent of total billed charges,81.29% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of totl billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,116.41,201.47,
BIOPSY CERVIX SING/MULT,43701667,CDM,521,RC,57500,HCPCS,Outpatient,,,223.86,179.09,,190.28,85,,152.22,percent of total billed charges,85% of total billed charges,190.28,85,,152.22,percent of total billed charges,85% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,166.28,74,,133.02,percent of total billed charges,74.28% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,195.21,87.2,,,percent of total billed charges,87.2% of total billed charges,132.08,59,,105.66,percent of total billed charges,59% of total billed charges,195.21,87.2,,156.17,percent of total billed charges,87.2% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,181.98,81.29,,145.58,percent of total billed charges,81.29% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of totl billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,201.47,90,,161.18,percent of total billed charges,90% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,136.55,61,,109.24,percent of total billed charges,61% of total billed charges,116.41,52,,93.13,percent of total billed charges,52% of total billed charges,116.41,201.47,
ENDOMETRIAL BIOPSY,43601167,CDM,521,RC,58100,HCPCS,Outpatient,,,137.44,109.95,,116.82,85,,93.46,percent of total billed charges,85% of total billed charges,116.82,85,,93.46,percent of total billed charges,85% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,119.85,87.2,,,percent of total billed charges,87.2% of total billed charges,81.09,59,,64.87,percent of total billed charges,59% of total billed charges,119.85,87.2,,95.88,percent of total billed charges,87.2% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,111.72,81.29,,89.38,percent of total billed charges,81.29% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of totl billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,71.47,123.7,
ENDOMETRIAL BIOPSY,43701317,CDM,521,RC,58100,HCPCS,Outpatient,,,137.44,109.95,,116.82,85,,93.46,percent of total billed charges,85% of total billed charges,116.82,85,,93.46,percent of total billed charges,85% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,102.09,74,,81.67,percent of total billed charges,74.28% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,119.85,87.2,,,percent of total billed charges,87.2% of total billed charges,81.09,59,,64.87,percent of total billed charges,59% of total billed charges,119.85,87.2,,95.88,percent of total billed charges,87.2% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,111.72,81.29,,89.38,percent of total billed charges,81.29% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of totl billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,123.7,90,,98.96,percent of total billed charges,90% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,83.84,61,,67.07,percent of total billed charges,61% of total billed charges,71.47,52,,57.18,percent of total billed charges,52% of total billed charges,71.47,123.7,
ENDOMETRIAL BX W/COLPOSCOPY,43601169,CDM,521,RC,58110,HCPCS,Outpatient,,,78,62.4,,66.3,85,,53.04,percent of total billed charges,85% of total billed charges,66.3,85,,53.04,percent of total billed charges,85% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,68.02,87.2,,,percent of total billed charges,87.2% of total billed charges,46.02,59,,36.82,percent of total billed charges,59% of total billed charges,68.02,87.2,,54.42,percent of total billed charges,87.2% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,63.41,81.29,,50.73,percent of total billed charges,81.29% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of totl billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,40.56,70.2,
ENDOMETRIAL BX W/COLPOSCOPY,43701319,CDM,521,RC,58110,HCPCS,Outpatient,,,78,62.4,,66.3,85,,53.04,percent of total billed charges,85% of total billed charges,66.3,85,,53.04,percent of total billed charges,85% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,57.94,74,,46.35,percent of total billed charges,74.28% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,68.02,87.2,,,percent of total billed charges,87.2% of total billed charges,46.02,59,,36.82,percent of total billed charges,59% of total billed charges,68.02,87.2,,54.42,percent of total billed charges,87.2% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,63.41,81.29,,50.73,percent of total billed charges,81.29% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of totl billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,70.2,90,,56.16,percent of total billed charges,90% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,47.58,61,,38.06,percent of total billed charges,61% of total billed charges,40.56,52,,32.45,percent of total billed charges,52% of total billed charges,40.56,70.2,
MIRENA INSERTION,43601160,CDM,521,RC,58300,HCPCS,Outpatient,,,80.18,64.14,,68.15,85,,54.52,percent of total billed charges,85% of total billed charges,68.15,85,,54.52,percent of total billed charges,85% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,69.92,87.2,,,percent of total billed charges,87.2% of total billed charges,47.31,59,,37.85,percent of total billed charges,59% of total billed charges,69.92,87.2,,55.94,percent of total billed charges,87.2% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,65.18,81.29,,52.14,percent of total billed charges,81.29% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of totl billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,41.69,72.16,
MIRENA INSERTION,43701310,CDM,521,RC,58300,HCPCS,Outpatient,,,80.18,64.14,,68.15,85,,54.52,percent of total billed charges,85% of total billed charges,68.15,85,,54.52,percent of total billed charges,85% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,59.56,74,,47.65,percent of total billed charges,74.28% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,69.92,87.2,,,percent of total billed charges,87.2% of total billed charges,47.31,59,,37.85,percent of total billed charges,59% of total billed charges,69.92,87.2,,55.94,percent of total billed charges,87.2% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,65.18,81.29,,52.14,percent of total billed charges,81.29% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of totl billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,72.16,90,,57.73,percent of total billed charges,90% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,48.91,61,,39.13,percent of total billed charges,61% of total billed charges,41.69,52,,33.35,percent of total billed charges,52% of total billed charges,41.69,72.16,
MIRENA REMOVAL,43601161,CDM,521,RC,58301,HCPCS,Outpatient,,,129.54,103.63,,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,112.96,87.2,,,percent of total billed charges,87.2% of total billed charges,76.43,59,,61.14,percent of total billed charges,59% of total billed charges,112.96,87.2,,90.37,percent of total billed charges,87.2% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,105.3,81.29,,84.24,percent of total billed charges,81.29% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of totl billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,116.59,
MIRENA REMOVAL,43701311,CDM,521,RC,58301,HCPCS,Outpatient,,,129.54,103.63,,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,112.96,87.2,,,percent of total billed charges,87.2% of total billed charges,76.43,59,,61.14,percent of total billed charges,59% of total billed charges,112.96,87.2,,90.37,percent of total billed charges,87.2% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,105.3,81.29,,84.24,percent of total billed charges,81.29% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of totl billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,116.59,
OB Visit- Subsequent (4-7),43601362,CDM,521,RC,59425,HCPCS,Outpatient,,,1162,929.6,,987.7,85,,790.16,percent of total billed charges,85% of total billed charges,987.7,85,,790.16,percent of total billed charges,85% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,1013.26,87.2,,,percent of total billed charges,87.2% of total billed charges,685.58,59,,548.46,percent of total billed charges,59% of total billed charges,1013.26,87.2,,810.61,percent of total billed charges,87.2% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,944.59,81.29,,755.67,percent of total billed charges,81.29% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of totl billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,604.24,1045.8,
OB VISIT - SUBSEQUENT (4-7),43701361,CDM,521,RC,59425,HCPCS,Outpatient,,,1162,929.6,,987.7,85,,790.16,percent of total billed charges,85% of total billed charges,987.7,85,,790.16,percent of total billed charges,85% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,863.13,74,,690.5,percent of total billed charges,74.28% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,1013.26,87.2,,,percent of total billed charges,87.2% of total billed charges,685.58,59,,548.46,percent of total billed charges,59% of total billed charges,1013.26,87.2,,810.61,percent of total billed charges,87.2% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,944.59,81.29,,755.67,percent of total billed charges,81.29% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of totl billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,1045.8,90,,836.64,percent of total billed charges,90% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,708.82,61,,567.06,percent of total billed charges,61% of total billed charges,604.24,52,,483.39,percent of total billed charges,52% of total billed charges,604.24,1045.8,
OB Visit-Subsequent (7+),43601363,CDM,521,RC,59426,HCPCS,Outpatient,,,1660,1328,,1411,85,,1128.8,percent of total billed charges,85% of total billed charges,1411,85,,1128.8,percent of total billed charges,85% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1447.52,87.2,,,percent of total billed charges,87.2% of total billed charges,979.4,59,,783.52,percent of total billed charges,59% of total billed charges,1447.52,87.2,,1158.02,percent of total billed charges,87.2% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1349.41,81.29,,1079.53,percent of total billed charges,81.29% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of totl billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,863.2,1494,
OB VISIT - SUBSEQUENT (7+),43701362,CDM,521,RC,59426,HCPCS,Outpatient,,,1660,1328,,1411,85,,1128.8,percent of total billed charges,85% of total billed charges,1411,85,,1128.8,percent of total billed charges,85% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1233.05,74,,986.44,percent of total billed charges,74.28% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1447.52,87.2,,,percent of total billed charges,87.2% of total billed charges,979.4,59,,783.52,percent of total billed charges,59% of total billed charges,1447.52,87.2,,1158.02,percent of total billed charges,87.2% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,1349.41,81.29,,1079.53,percent of total billed charges,81.29% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of totl billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1494,90,,1195.2,percent of total billed charges,90% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,1012.6,61,,810.08,percent of total billed charges,61% of total billed charges,863.2,52,,690.56,percent of total billed charges,52% of total billed charges,863.2,1494,
OB Visit- Postpartum,43601364,CDM,521,RC,59430,HCPCS,Outpatient,,,370,296,,314.5,85,,251.6,percent of total billed charges,85% of total billed charges,314.5,85,,251.6,percent of total billed charges,85% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,333,90,,266.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,322.64,87.2,,,percent of total billed charges,87.2% of total billed charges,218.3,59,,174.64,percent of total billed charges,59% of total billed charges,322.64,87.2,,258.11,percent of total billed charges,87.2% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,300.77,81.29,,240.62,percent of total billed charges,81.29% of total billed charges,333,90,,266.4,percent of total billed charges,90% of totl billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,192.4,333,
OB VISIT - POSTPARTUM,43701363,CDM,521,RC,59430,HCPCS,Outpatient,,,370,296,,314.5,85,,251.6,percent of total billed charges,85% of total billed charges,314.5,85,,251.6,percent of total billed charges,85% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,274.84,74,,219.87,percent of total billed charges,74.28% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,333,90,,266.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,322.64,87.2,,,percent of total billed charges,87.2% of total billed charges,218.3,59,,174.64,percent of total billed charges,59% of total billed charges,322.64,87.2,,258.11,percent of total billed charges,87.2% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,300.77,81.29,,240.62,percent of total billed charges,81.29% of total billed charges,333,90,,266.4,percent of total billed charges,90% of totl billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,333,90,,266.4,percent of total billed charges,90% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,225.7,61,,180.56,percent of total billed charges,61% of total billed charges,192.4,52,,153.92,percent of total billed charges,52% of total billed charges,192.4,333,
VAG DELIV AFTER C/S W W/O EPI,36011036,CDM,981,RC,59612,HCPCS,Outpatient,,,2149.78,1719.82,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
THYROID w CORE NEEDLE BX,42002103,CDM,339,RC,60100,HCPCS,Outpatient,,,183.56,146.85,,156.03,85,,124.82,percent of total billed charges,85% of total billed charges,156.03,85,,124.82,percent of total billed charges,85% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,136.35,74,,109.08,percent of total billed charges,74.28% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,136.35,74,,109.08,percent of total billed charges,74.28% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,136.35,74,,109.08,percent of total billed charges,74.28% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,165.2,90,,132.16,percent of total billed charges,90% of total billed charges,165.2,90,,132.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,160.06,87.2,,,percent of total billed charges,87.2% of total billed charges,108.3,59,,86.64,percent of total billed charges,59% of total billed charges,160.06,87.2,,128.05,percent of total billed charges,87.2% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,149.22,81.29,,119.38,percent of total billed charges,81.29% of total billed charges,165.2,90,,132.16,percent of total billed charges,90% of totl billed charges,165.2,90,,132.16,percent of total billed charges,90% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,165.2,90,,132.16,percent of total billed charges,90% of total billed charges,165.2,90,,132.16,percent of total billed charges,90% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,111.97,61,,89.58,percent of total billed charges,61% of total billed charges,95.45,52,,76.36,percent of total billed charges,52% of total billed charges,95.45,165.2,
THYROID CYST ASPIRATION,42002104,CDM,339,RC,60300,HCPCS,Outpatient,,,268.12,214.5,,227.9,85,,182.32,percent of total billed charges,85% of total billed charges,227.9,85,,182.32,percent of total billed charges,85% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,199.16,74,,159.33,percent of total billed charges,74.28% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,199.16,74,,159.33,percent of total billed charges,74.28% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,199.16,74,,159.33,percent of total billed charges,74.28% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,241.31,90,,193.05,percent of total billed charges,90% of total billed charges,241.31,90,,193.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,233.8,87.2,,,percent of total billed charges,87.2% of total billed charges,158.19,59,,126.55,percent of total billed charges,59% of total billed charges,233.8,87.2,,187.04,percent of total billed charges,87.2% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,217.95,81.29,,174.36,percent of total billed charges,81.29% of total billed charges,241.31,90,,193.05,percent of total billed charges,90% of totl billed charges,241.31,90,,193.05,percent of total billed charges,90% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,241.31,90,,193.05,percent of total billed charges,90% of total billed charges,241.31,90,,193.05,percent of total billed charges,90% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,163.55,61,,130.84,percent of total billed charges,61% of total billed charges,139.42,52,,111.54,percent of total billed charges,52% of total billed charges,139.42,241.31,
LUMBAR PUNCTURE,36009170,CDM,510,RC,62270,HCPCS,Outpatient,,,821.29,657.03,,698.1,85,,558.48,percent of total billed charges,85% of total billed charges,698.1,85,,558.48,percent of total billed charges,85% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,716.16,87.2,,,percent of total billed charges,87.2% of total billed charges,484.56,59,,387.65,percent of total billed charges,59% of total billed charges,716.16,87.2,,572.93,percent of total billed charges,87.2% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,667.63,81.29,,534.1,percent of total billed charges,81.29% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of totl billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,427.07,739.16,
SPINAL PUNCTURE LUMBAR DIAGNOS,36010106,CDM,981,RC,62270,HCPCS,Outpatient,,,180.97,144.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"SPINAL PUNCTURE LUMBAR, CRNA",36010400,CDM,964,RC,62270,HCPCS,Outpatient,,,180.97,144.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJ BLOOD PATCH EPIDURAL,35002170,CDM,987,RC,62273,HCPCS,Outpatient,,,319.76,255.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJ BLOOD PATCH EPIDURAL (ER),45001242,CDM,981,RC,62273,HCPCS,Outpatient,,,400.5,320.4,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INJ BLOOD PATCH EPIDURAL (OR),45001244,CDM,964,RC,62273,HCPCS,Outpatient,,,400.5,320.4,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PROGRAMMABLE PUMP ANALYSIS,35009548,CDM,360,RC,62367,HCPCS,Outpatient,,,291.69,233.35,,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,254.35,87.2,,,percent of total billed charges,87.2% of total billed charges,172.1,59,,137.68,percent of total billed charges,59% of total billed charges,254.35,87.2,,203.48,percent of total billed charges,87.2% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,237.11,81.29,,189.69,percent of total billed charges,81.29% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of totl billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,262.52,
REPROGRAMMING/PROG.PUMP,35009549,CDM,920,RC,62368,HCPCS,Outpatient,,,291.69,233.35,,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,254.35,87.2,,,percent of total billed charges,87.2% of total billed charges,172.1,59,,137.68,percent of total billed charges,59% of total billed charges,254.35,87.2,,203.48,percent of total billed charges,87.2% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,237.11,81.29,,189.69,percent of total billed charges,81.29% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of totl billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,262.52,
"NERVE BLOCK, TRIGEMINAL NERVE",36010206,CDM,981,RC,64400,HCPCS,Outpatient,,,145.12,116.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"NERVE BLOCK, FACIAL NERVE",36011047,CDM,981,RC,64402,HCPCS,Outpatient,,,169.38,135.5,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"INJ, ANESTH AGENT GR OCCIPTAL",36011002,CDM,981,RC,64405,HCPCS,Outpatient,,,168.49,134.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DIGITAL BLOCK OTHR PERIPH. NER,36010107,CDM,981,RC,64450,HCPCS,Outpatient,,,168.49,134.79,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DIGITAL BLOCK OTHR PERIPH NERV,43600069,CDM,983,RC,64450,HCPCS,Outpatient,,,163.62,130.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DIGITAL BLOCK OTHR PERIPH NERV,43600234,CDM,521,RC,64450,HCPCS,Outpatient,,,163.62,130.9,,139.08,85,,111.26,percent of total billed charges,85% of total billed charges,139.08,85,,111.26,percent of total billed charges,85% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,142.68,87.2,,,percent of total billed charges,87.2% of total billed charges,96.54,59,,77.23,percent of total billed charges,59% of total billed charges,142.68,87.2,,114.14,percent of total billed charges,87.2% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,133.01,81.29,,106.41,percent of total billed charges,81.29% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of totl billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,85.08,147.26,
DIGITAL BLOCK OTHR PERIPH NERV,43700069,CDM,983,RC,64450,HCPCS,Outpatient,,,163.62,130.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DIGITAL BLOCK OTHR PERIPH NERV,43701220,CDM,521,RC,64450,HCPCS,Outpatient,,,163.62,130.9,,139.08,85,,111.26,percent of total billed charges,85% of total billed charges,139.08,85,,111.26,percent of total billed charges,85% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,121.54,74,,97.23,percent of total billed charges,74.28% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,142.68,87.2,,,percent of total billed charges,87.2% of total billed charges,96.54,59,,77.23,percent of total billed charges,59% of total billed charges,142.68,87.2,,114.14,percent of total billed charges,87.2% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,133.01,81.29,,106.41,percent of total billed charges,81.29% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of totl billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,147.26,90,,117.81,percent of total billed charges,90% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,99.81,61,,79.85,percent of total billed charges,61% of total billed charges,85.08,52,,68.06,percent of total billed charges,52% of total billed charges,85.08,147.26,
"Injection,Anes or Steroid,Plan",43601398,CDM,521,RC,64455,HCPCS,Outpatient,,,94.9,75.92,,80.67,85,,64.54,percent of total billed charges,85% of total billed charges,80.67,85,,64.54,percent of total billed charges,85% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,82.75,87.2,,,percent of total billed charges,87.2% of total billed charges,55.99,59,,44.79,percent of total billed charges,59% of total billed charges,82.75,87.2,,66.2,percent of total billed charges,87.2% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,77.14,81.29,,61.71,percent of total billed charges,81.29% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of totl billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,49.35,85.41,
"Injection,Anes or Steroid,Plan",43701398,CDM,521,RC,64455,HCPCS,Outpatient,,,94.9,75.92,,80.67,85,,64.54,percent of total billed charges,85% of total billed charges,80.67,85,,64.54,percent of total billed charges,85% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,70.49,74,,56.39,percent of total billed charges,74.28% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,82.75,87.2,,,percent of total billed charges,87.2% of total billed charges,55.99,59,,44.79,percent of total billed charges,59% of total billed charges,82.75,87.2,,66.2,percent of total billed charges,87.2% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,77.14,81.29,,61.71,percent of total billed charges,81.29% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of totl billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,85.41,90,,68.33,percent of total billed charges,90% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,57.89,61,,46.31,percent of total billed charges,61% of total billed charges,49.35,52,,39.48,percent of total billed charges,52% of total billed charges,49.35,85.41,
REMOVAL FOREIGN BODY EXTERNAL,36010108,CDM,981,RC,65205,HCPCS,Outpatient,,,93.28,74.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY EXTERNAL,43600112,CDM,983,RC,65205,HCPCS,Outpatient,,,87.26,69.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY EXTERNAL,43600276,CDM,521,RC,65205,HCPCS,Outpatient,,,87.26,69.81,,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,76.09,87.2,,,percent of total billed charges,87.2% of total billed charges,51.48,59,,41.18,percent of total billed charges,59% of total billed charges,76.09,87.2,,60.87,percent of total billed charges,87.2% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,70.93,81.29,,56.74,percent of total billed charges,81.29% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of totl billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,78.53,
REMOVAL FOREIGN BODY EXTERNAL,43700112,CDM,983,RC,65205,HCPCS,Outpatient,,,87.26,69.81,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FOREIGN BODY EXTERNAL,43701262,CDM,521,RC,65205,HCPCS,Outpatient,,,87.26,69.81,,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,74.17,85,,59.34,percent of total billed charges,85% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,64.82,74,,51.86,percent of total billed charges,74.28% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,76.09,87.2,,,percent of total billed charges,87.2% of total billed charges,51.48,59,,41.18,percent of total billed charges,59% of total billed charges,76.09,87.2,,60.87,percent of total billed charges,87.2% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,70.93,81.29,,56.74,percent of total billed charges,81.29% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of totl billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,53.23,61,,42.58,percent of total billed charges,61% of total billed charges,45.38,52,,36.3,percent of total billed charges,52% of total billed charges,45.38,78.53,
REMOVAL FB CORNEAL W/O SLIT LA,36010109,CDM,981,RC,65220,HCPCS,Outpatient,,,93.28,74.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB CORNEAL W/O SLIT LA,43600118,CDM,983,RC,65220,HCPCS,Outpatient,,,92.72,74.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB CORNEAL W/O SLIT LA,43600282,CDM,521,RC,65220,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
REMOVAL FB CORNEAL W/O SLIT LA,43700118,CDM,983,RC,65220,HCPCS,Outpatient,,,92.72,74.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL FB CORNEAL W/O SLIT LA,43701268,CDM,521,RC,65220,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
REMOVAL FB CORNEAL WITH SLIT L,36010110,CDM,981,RC,65222,HCPCS,Outpatient,,,122.74,98.19,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SCRAPING OF CORNEA (RUSTRING),36039203,CDM,981,RC,65430,HCPCS,Outpatient,,,154.89,123.91,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL CORNEAL EIPTHELIUM,36010111,CDM,981,RC,65435,HCPCS,Outpatient,,,146.99,117.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"BLEPHAROTOMY,DRNGE ABCS EYELID",36010272,CDM,981,RC,67700,HCPCS,Outpatient,,,226.32,181.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"DRAINAGE EXT EAR ABSC/HEMTMA,S",36010205,CDM,981,RC,69000,HCPCS,Outpatient,,,263.36,210.69,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE EXT EAR ABSC HEMTMA S,43600070,CDM,983,RC,69000,HCPCS,Outpatient,,,294.52,235.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE EXT EAR ABSC HEMTMA S,43600235,CDM,521,RC,69000,HCPCS,Outpatient,,,294.52,235.62,,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,256.82,87.2,,,percent of total billed charges,87.2% of total billed charges,173.77,59,,139.02,percent of total billed charges,59% of total billed charges,256.82,87.2,,205.46,percent of total billed charges,87.2% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,239.42,81.29,,191.54,percent of total billed charges,81.29% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of totl billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,265.07,
DRAINAGE EXT EAR ABSC HEMTMA S,43700070,CDM,983,RC,69000,HCPCS,Outpatient,,,294.52,235.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
DRAINAGE EXT EAR ABSC HEMTMA S,43701221,CDM,521,RC,69000,HCPCS,Outpatient,,,294.52,235.62,,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,250.34,85,,200.27,percent of total billed charges,85% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,218.77,74,,175.02,percent of total billed charges,74.28% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,256.82,87.2,,,percent of total billed charges,87.2% of total billed charges,173.77,59,,139.02,percent of total billed charges,59% of total billed charges,256.82,87.2,,205.46,percent of total billed charges,87.2% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,239.42,81.29,,191.54,percent of total billed charges,81.29% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of totl billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,265.07,90,,212.06,percent of total billed charges,90% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,179.66,61,,143.73,percent of total billed charges,61% of total billed charges,153.15,52,,122.52,percent of total billed charges,52% of total billed charges,153.15,265.07,
DRAINAGE EXTER AUD CANAL ABSC,36013013,CDM,981,RC,69020,HCPCS,Outpatient,,,304.58,243.66,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF F/B EAR W/O ANESTH,36010127,CDM,981,RC,69200,HCPCS,Outpatient,,,126.38,101.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF F/B EAR W/O ANESTH,43600115,CDM,983,RC,69200,HCPCS,Outpatient,,,201.8,161.44,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF F/B EAR W/O ANESTH,43600279,CDM,521,RC,69200,HCPCS,Outpatient,,,201.8,161.44,,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,175.97,87.2,,,percent of total billed charges,87.2% of total billed charges,119.06,59,,95.25,percent of total billed charges,59% of total billed charges,175.97,87.2,,140.78,percent of total billed charges,87.2% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,164.04,81.29,,131.23,percent of total billed charges,81.29% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of totl billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,181.62,
REMOVAL OF F/B EAR W/O ANESTH,43700115,CDM,983,RC,69200,HCPCS,Outpatient,,,201.8,161.44,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF F/B EAR W/O ANESTH,43701265,CDM,521,RC,69200,HCPCS,Outpatient,,,201.8,161.44,,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,175.97,87.2,,,percent of total billed charges,87.2% of total billed charges,119.06,59,,95.25,percent of total billed charges,59% of total billed charges,175.97,87.2,,140.78,percent of total billed charges,87.2% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,164.04,81.29,,131.23,percent of total billed charges,81.29% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of totl billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,181.62,
REMOVE INPACTED EAR WAX UNI,36010401,CDM,981,RC,69209,HCPCS,Outpatient,,,61.1,48.88,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"Removal Impacted Cerumen, Irri",43601399,CDM,521,RC,69209,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
"Removal Impacted Cerumen, Irri",43701399,CDM,521,RC,69209,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
REMOVAL OF EAR WAX,36010128,CDM,981,RC,69210,HCPCS,Outpatient,,,77.14,61.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF EAR WAX,43600114,CDM,983,RC,69210,HCPCS,Outpatient,,,76.36,61.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF EAR WAX,43600278,CDM,521,RC,69210,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
REMOVAL OF EAR WAX,43700114,CDM,983,RC,69210,HCPCS,Outpatient,,,76.36,61.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
REMOVAL OF EAR WAX,43701264,CDM,521,RC,69210,HCPCS,Outpatient,,,76.36,61.09,,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,64.91,85,,51.93,percent of total billed charges,85% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,56.72,74,,45.38,percent of total billed charges,74.28% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,66.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.59,87.2,,53.27,percent of total billed charges,87.2% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,62.07,81.29,,49.66,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,46.58,61,,37.26,percent of total billed charges,61% of total billed charges,39.71,52,,31.77,percent of total billed charges,52% of total billed charges,39.71,68.72,
ORBITS FB AND MRI SCREEN,42000600,CDM,320,RC,70030,HCPCS,Outpatient,,,248.19,198.55,,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,216.42,87.2,,,percent of total billed charges,87.2% of total billed charges,146.43,59,,117.14,percent of total billed charges,59% of total billed charges,216.42,87.2,,173.14,percent of total billed charges,87.2% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,201.75,81.29,,161.4,percent of total billed charges,81.29% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of totl billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,223.37,
MANDIBLE - MINIMUM 4 VIEWS,42000490,CDM,320,RC,70110,HCPCS,Outpatient,,,298.21,238.57,,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,260.04,87.2,,,percent of total billed charges,87.2% of total billed charges,175.94,59,,140.75,percent of total billed charges,59% of total billed charges,260.04,87.2,,208.03,percent of total billed charges,87.2% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,242.41,81.29,,193.93,percent of total billed charges,81.29% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of totl billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,268.39,
MASTOIDS - MINIMUM 3 VIEWS PER,42000495,CDM,320,RC,70130,HCPCS,Outpatient,,,229.25,183.4,,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,199.91,87.2,,,percent of total billed charges,87.2% of total billed charges,135.26,59,,108.21,percent of total billed charges,59% of total billed charges,199.91,87.2,,159.93,percent of total billed charges,87.2% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,186.36,81.29,,149.09,percent of total billed charges,81.29% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of totl billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,206.33,
FACIAL BONES - MINUMUM 3 VIEWS,42000295,CDM,320,RC,70150,HCPCS,Outpatient,,,298.21,238.57,,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,260.04,87.2,,,percent of total billed charges,87.2% of total billed charges,175.94,59,,140.75,percent of total billed charges,59% of total billed charges,260.04,87.2,,208.03,percent of total billed charges,87.2% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,242.41,81.29,,193.93,percent of total billed charges,81.29% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of totl billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,268.39,
NASAL BONES - MINIMUM 3 VIEWS,42000555,CDM,320,RC,70160,HCPCS,Outpatient,,,163.28,130.62,,138.79,85,,111.03,percent of total billed charges,85% of total billed charges,138.79,85,,111.03,percent of total billed charges,85% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,142.38,87.2,,,percent of total billed charges,87.2% of total billed charges,96.34,59,,77.07,percent of total billed charges,59% of total billed charges,142.38,87.2,,113.9,percent of total billed charges,87.2% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,132.73,81.29,,106.18,percent of total billed charges,81.29% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of totl billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,84.91,146.95,
ORBITS MINIMUM 4 VIEWS,42000605,CDM,320,RC,70200,HCPCS,Outpatient,,,298.21,238.57,,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,260.04,87.2,,,percent of total billed charges,87.2% of total billed charges,175.94,59,,140.75,percent of total billed charges,59% of total billed charges,260.04,87.2,,208.03,percent of total billed charges,87.2% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,242.41,81.29,,193.93,percent of total billed charges,81.29% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of totl billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,268.39,
SINUSES MIN 3 VIEWS,42000730,CDM,320,RC,70220,HCPCS,Outpatient,,,298.21,238.57,,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,253.48,85,,202.78,percent of total billed charges,85% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,221.51,74,,177.21,percent of total billed charges,74.28% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,260.04,87.2,,,percent of total billed charges,87.2% of total billed charges,175.94,59,,140.75,percent of total billed charges,59% of total billed charges,260.04,87.2,,208.03,percent of total billed charges,87.2% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,242.41,81.29,,193.93,percent of total billed charges,81.29% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of totl billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,268.39,90,,214.71,percent of total billed charges,90% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,181.91,61,,145.53,percent of total billed charges,61% of total billed charges,155.07,52,,124.06,percent of total billed charges,52% of total billed charges,155.07,268.39,
SKULL LESS THAN 4 VIEWS,42000740,CDM,320,RC,70250,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
SKULL MINIMUM 4 VIEWS,42000745,CDM,320,RC,70260,HCPCS,Outpatient,,,333.95,267.16,,283.86,85,,227.09,percent of total billed charges,85% of total billed charges,283.86,85,,227.09,percent of total billed charges,85% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,248.06,74,,198.45,percent of total billed charges,74.28% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,248.06,74,,198.45,percent of total billed charges,74.28% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,248.06,74,,198.45,percent of total billed charges,74.28% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,300.56,90,,240.45,percent of total billed charges,90% of total billed charges,300.56,90,,240.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,291.2,87.2,,,percent of total billed charges,87.2% of total billed charges,197.03,59,,157.62,percent of total billed charges,59% of total billed charges,291.2,87.2,,232.96,percent of total billed charges,87.2% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,271.47,81.29,,217.18,percent of total billed charges,81.29% of total billed charges,300.56,90,,240.45,percent of total billed charges,90% of totl billed charges,300.56,90,,240.45,percent of total billed charges,90% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,300.56,90,,240.45,percent of total billed charges,90% of total billed charges,300.56,90,,240.45,percent of total billed charges,90% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,203.71,61,,162.97,percent of total billed charges,61% of total billed charges,173.65,52,,138.92,percent of total billed charges,52% of total billed charges,173.65,300.56,
TMJ BILAT OPEN & CLOSED MOUTH,42000805,CDM,320,RC,70330,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
MRI-TMJ,42004350,CDM,614,RC,70336,HCPCS,Outpatient,,,1831.51,1465.21,,1556.78,85,,1245.42,percent of total billed charges,85% of total billed charges,1556.78,85,,1245.42,percent of total billed charges,85% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1597.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1080.59,59,,864.47,percent of total billed charges,59% of total billed charges,1597.08,87.2,,1277.66,percent of total billed charges,87.2% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1488.83,81.29,,1191.06,percent of total billed charges,81.29% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of totl billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,952.39,1648.36,
NECK SOFT TISSUE,42000560,CDM,320,RC,70360,HCPCS,Outpatient,,,194.42,155.54,,165.26,85,,132.21,percent of total billed charges,85% of total billed charges,165.26,85,,132.21,percent of total billed charges,85% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,169.53,87.2,,,percent of total billed charges,87.2% of total billed charges,114.71,59,,91.77,percent of total billed charges,59% of total billed charges,169.53,87.2,,135.62,percent of total billed charges,87.2% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,158.04,81.29,,126.43,percent of total billed charges,81.29% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of totl billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,101.1,174.98,
CT HEAD W/O CONTRAST,42003110,CDM,351,RC,70450,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
*STROKE ALERT* CT HEAD WO,42003111,CDM,351,RC,70450,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT HEAD W CONTRAST,42003120,CDM,351,RC,70460,HCPCS,Outpatient,,,1180.76,944.61,,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1029.62,87.2,,,percent of total billed charges,87.2% of total billed charges,696.65,59,,557.32,percent of total billed charges,59% of total billed charges,1029.62,87.2,,823.7,percent of total billed charges,87.2% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,959.84,81.29,,767.87,percent of total billed charges,81.29% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of totl billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,1062.68,
CT HEAD-WITH&W/OUT CONTRAST,42003130,CDM,351,RC,70470,HCPCS,Outpatient,,,1482.5,1186,,1260.13,85,,1008.1,percent of total billed charges,85% of total billed charges,1260.13,85,,1008.1,percent of total billed charges,85% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,1101.2,74,,880.96,percent of total billed charges,74.28% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,1101.2,74,,880.96,percent of total billed charges,74.28% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,1101.2,74,,880.96,percent of total billed charges,74.28% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of total billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,1292.74,87.2,,,percent of total billed charges,87.2% of total billed charges,874.68,59,,699.74,percent of total billed charges,59% of total billed charges,1292.74,87.2,,1034.19,percent of total billed charges,87.2% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,1205.12,81.29,,964.1,percent of total billed charges,81.29% of total billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of totl billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of total billed charges,1334.25,90,,1067.4,percent of total billed charges,90% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,904.33,61,,723.46,percent of total billed charges,61% of total billed charges,770.9,52,,616.72,percent of total billed charges,52% of total billed charges,770.9,1334.25,
CT INNER/MIDDLE EAR W/O CONTRA,42003160,CDM,351,RC,70480,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
"CT ORBITS,POST FOSSA,SELLA W/O",42003280,CDM,351,RC,70480,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT INNER/MIDDLE EAR W/CONTRAST,42003150,CDM,351,RC,70481,HCPCS,Outpatient,,,1180.76,944.61,,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1029.62,87.2,,,percent of total billed charges,87.2% of total billed charges,696.65,59,,557.32,percent of total billed charges,59% of total billed charges,1029.62,87.2,,823.7,percent of total billed charges,87.2% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,959.84,81.29,,767.87,percent of total billed charges,81.29% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of totl billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,1062.68,
"CT ORBITS,POST FOSSA,SELLA W/C",42003270,CDM,351,RC,70481,HCPCS,Outpatient,,,1180.76,944.61,,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1029.62,87.2,,,percent of total billed charges,87.2% of total billed charges,696.65,59,,557.32,percent of total billed charges,59% of total billed charges,1029.62,87.2,,823.7,percent of total billed charges,87.2% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,959.84,81.29,,767.87,percent of total billed charges,81.29% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of totl billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,1062.68,
CT INNER/MIDDLE EAR W & W/O CO,42003140,CDM,351,RC,70482,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
"CT ORBITS,POST FOSSA,SELLA W &",42003260,CDM,351,RC,70482,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CT MAXILLO FACIAL W/O (SINUSES,42003240,CDM,351,RC,70486,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT MAXILLO FACIAL W/CONTRAST,42003230,CDM,351,RC,70487,HCPCS,Outpatient,,,1180.76,944.61,,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,1003.65,85,,802.92,percent of total billed charges,85% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,877.07,74,,701.66,percent of total billed charges,74.28% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,1029.62,87.2,,,percent of total billed charges,87.2% of total billed charges,696.65,59,,557.32,percent of total billed charges,59% of total billed charges,1029.62,87.2,,823.7,percent of total billed charges,87.2% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,959.84,81.29,,767.87,percent of total billed charges,81.29% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of totl billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,1062.68,90,,850.14,percent of total billed charges,90% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,720.26,61,,576.21,percent of total billed charges,61% of total billed charges,614,52,,491.2,percent of total billed charges,52% of total billed charges,614,1062.68,
CT MAXILLOFACIAL W & W/O CONTR,42003250,CDM,351,RC,70488,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CT SOFT TISSUE NECK W/O CONTRA,42003350,CDM,351,RC,70490,HCPCS,Outpatient,,,865.81,692.65,,735.94,85,,588.75,percent of total billed charges,85% of total billed charges,735.94,85,,588.75,percent of total billed charges,85% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,643.12,74,,514.5,percent of total billed charges,74.28% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,643.12,74,,514.5,percent of total billed charges,74.28% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,643.12,74,,514.5,percent of total billed charges,74.28% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,779.23,90,,623.38,percent of total billed charges,90% of total billed charges,779.23,90,,623.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,754.99,87.2,,,percent of total billed charges,87.2% of total billed charges,510.83,59,,408.66,percent of total billed charges,59% of total billed charges,754.99,87.2,,603.99,percent of total billed charges,87.2% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,703.82,81.29,,563.06,percent of total billed charges,81.29% of total billed charges,779.23,90,,623.38,percent of total billed charges,90% of totl billed charges,779.23,90,,623.38,percent of total billed charges,90% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,779.23,90,,623.38,percent of total billed charges,90% of total billed charges,779.23,90,,623.38,percent of total billed charges,90% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,528.14,61,,422.51,percent of total billed charges,61% of total billed charges,450.22,52,,360.18,percent of total billed charges,52% of total billed charges,450.22,779.23,
CT SOFT TISSUE NECK W CONTRAST,42003340,CDM,350,RC,70491,HCPCS,Outpatient,,,1011.95,809.56,,860.16,85,,688.13,percent of total billed charges,85% of total billed charges,860.16,85,,688.13,percent of total billed charges,85% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,751.68,74,,601.34,percent of total billed charges,74.28% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,751.68,74,,601.34,percent of total billed charges,74.28% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,751.68,74,,601.34,percent of total billed charges,74.28% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,910.76,90,,728.61,percent of total billed charges,90% of total billed charges,910.76,90,,728.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,882.42,87.2,,,percent of total billed charges,87.2% of total billed charges,597.05,59,,477.64,percent of total billed charges,59% of total billed charges,882.42,87.2,,705.94,percent of total billed charges,87.2% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,822.61,81.29,,658.09,percent of total billed charges,81.29% of total billed charges,910.76,90,,728.61,percent of total billed charges,90% of totl billed charges,910.76,90,,728.61,percent of total billed charges,90% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,910.76,90,,728.61,percent of total billed charges,90% of total billed charges,910.76,90,,728.61,percent of total billed charges,90% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,617.29,61,,493.83,percent of total billed charges,61% of total billed charges,526.21,52,,420.97,percent of total billed charges,52% of total billed charges,526.21,910.76,
CT SOFT TISSUE NECK W & W/O CO,42003330,CDM,351,RC,70492,HCPCS,Outpatient,,,1291.09,1032.87,,1097.43,85,,877.94,percent of total billed charges,85% of total billed charges,1097.43,85,,877.94,percent of total billed charges,85% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,959.02,74,,767.22,percent of total billed charges,74.28% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,959.02,74,,767.22,percent of total billed charges,74.28% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,959.02,74,,767.22,percent of total billed charges,74.28% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,1161.98,90,,929.58,percent of total billed charges,90% of total billed charges,1161.98,90,,929.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,1125.83,87.2,,,percent of total billed charges,87.2% of total billed charges,761.74,59,,609.39,percent of total billed charges,59% of total billed charges,1125.83,87.2,,900.66,percent of total billed charges,87.2% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,1049.53,81.29,,839.62,percent of total billed charges,81.29% of total billed charges,1161.98,90,,929.58,percent of total billed charges,90% of totl billed charges,1161.98,90,,929.58,percent of total billed charges,90% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,1161.98,90,,929.58,percent of total billed charges,90% of total billed charges,1161.98,90,,929.58,percent of total billed charges,90% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,787.56,61,,630.05,percent of total billed charges,61% of total billed charges,671.37,52,,537.1,percent of total billed charges,52% of total billed charges,671.37,1161.98,
CTA HEAD W/ CONTRAST,42003000,CDM,351,RC,70496,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CTV Venogram Brain,42003800,CDM,351,RC,70496,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CTA NECK W/ CONTRAST,42003001,CDM,351,RC,70498,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
"MRI-ORBIT,FACT,NECK W/O CONTRA",42004260,CDM,614,RC,70540,HCPCS,Outpatient,,,1831.51,1465.21,,1556.78,85,,1245.42,percent of total billed charges,85% of total billed charges,1556.78,85,,1245.42,percent of total billed charges,85% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1360.45,74,,1088.36,percent of total billed charges,74.28% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1597.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1080.59,59,,864.47,percent of total billed charges,59% of total billed charges,1597.08,87.2,,1277.66,percent of total billed charges,87.2% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,1488.83,81.29,,1191.06,percent of total billed charges,81.29% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of totl billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1648.36,90,,1318.69,percent of total billed charges,90% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,1117.22,61,,893.78,percent of total billed charges,61% of total billed charges,952.39,52,,761.91,percent of total billed charges,52% of total billed charges,952.39,1648.36,
"MRI-ORBITS,FACE,NECK WITH CONT",42004270,CDM,614,RC,70542,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
"MRI-ORBITS,FACE,NECK,W & W/O C",42004280,CDM,614,RC,70543,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRA-HEAD W/O CONTRAST,42004570,CDM,615,RC,70544,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRA-HEAD WITH CONTRAST,42004580,CDM,615,RC,70545,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRA-HEAD W & W/O CONTRAST,42004560,CDM,615,RC,70546,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRA-NECK W/O CONTRAST,42000505,CDM,615,RC,70547,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRA-NECK WITH CONTRAST,42000510,CDM,615,RC,70548,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRA-NECK W & W/O CONTRAST,42000500,CDM,615,RC,70549,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI-BRAIN W/O CONTRAST,42004110,CDM,611,RC,70551,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI-BRAIN W/CONTRAST,42004100,CDM,611,RC,70552,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI PITUITARY WWO,42004081,CDM,611,RC,70553,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI-BRAIN W & W/O CONTRAST,42004090,CDM,611,RC,70553,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
CHEST 1 VIEW,42000165,CDM,324,RC,71045,HCPCS,Outpatient,,,121.76,97.41,,103.5,85,,82.8,percent of total billed charges,85% of total billed charges,103.5,85,,82.8,percent of total billed charges,85% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,90.44,74,,72.35,percent of total billed charges,74.28% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,90.44,74,,72.35,percent of total billed charges,74.28% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,90.44,74,,72.35,percent of total billed charges,74.28% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,109.58,90,,87.66,percent of total billed charges,90% of total billed charges,109.58,90,,87.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,106.17,87.2,,,percent of total billed charges,87.2% of total billed charges,71.84,59,,57.47,percent of total billed charges,59% of total billed charges,106.17,87.2,,84.94,percent of total billed charges,87.2% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,98.98,81.29,,79.18,percent of total billed charges,81.29% of total billed charges,109.58,90,,87.66,percent of total billed charges,90% of totl billed charges,109.58,90,,87.66,percent of total billed charges,90% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,109.58,90,,87.66,percent of total billed charges,90% of total billed charges,109.58,90,,87.66,percent of total billed charges,90% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,74.27,61,,59.42,percent of total billed charges,61% of total billed charges,63.32,52,,50.66,percent of total billed charges,52% of total billed charges,63.32,109.58,
CHEST 2 VIEWS,42000170,CDM,324,RC,71046,HCPCS,Outpatient,,,198.19,158.55,,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,172.82,87.2,,,percent of total billed charges,87.2% of total billed charges,116.93,59,,93.54,percent of total billed charges,59% of total billed charges,172.82,87.2,,138.26,percent of total billed charges,87.2% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,161.11,81.29,,128.89,percent of total billed charges,81.29% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of totl billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,178.37,
CHEST 3 VIEWS,42000171,CDM,324,RC,71047,HCPCS,Outpatient,,,239.61,191.69,,203.67,85,,162.94,percent of total billed charges,85% of total billed charges,203.67,85,,162.94,percent of total billed charges,85% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,208.94,87.2,,,percent of total billed charges,87.2% of total billed charges,141.37,59,,113.1,percent of total billed charges,59% of total billed charges,208.94,87.2,,167.15,percent of total billed charges,87.2% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,194.78,81.29,,155.82,percent of total billed charges,81.29% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of totl billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,124.6,215.65,
CHEST 4 OR MORE VIEWS,42000172,CDM,324,RC,71048,HCPCS,Outpatient,,,314.11,251.29,,266.99,85,,213.59,percent of total billed charges,85% of total billed charges,266.99,85,,213.59,percent of total billed charges,85% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,233.32,74,,186.66,percent of total billed charges,74.28% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,233.32,74,,186.66,percent of total billed charges,74.28% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,233.32,74,,186.66,percent of total billed charges,74.28% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,282.7,90,,226.16,percent of total billed charges,90% of total billed charges,282.7,90,,226.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,273.9,87.2,,,percent of total billed charges,87.2% of total billed charges,185.32,59,,148.26,percent of total billed charges,59% of total billed charges,273.9,87.2,,219.12,percent of total billed charges,87.2% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,255.34,81.29,,204.27,percent of total billed charges,81.29% of total billed charges,282.7,90,,226.16,percent of total billed charges,90% of totl billed charges,282.7,90,,226.16,percent of total billed charges,90% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,282.7,90,,226.16,percent of total billed charges,90% of total billed charges,282.7,90,,226.16,percent of total billed charges,90% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,191.61,61,,153.29,percent of total billed charges,61% of total billed charges,163.34,52,,130.67,percent of total billed charges,52% of total billed charges,163.34,282.7,
RIBS UNI - 2 VIEWS LEFT,42000676,CDM,320,RC,71100,HCPCS,Outpatient,,,218.02,174.42,,185.32,85,,148.26,percent of total billed charges,85% of total billed charges,185.32,85,,148.26,percent of total billed charges,85% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,190.11,87.2,,,percent of total billed charges,87.2% of total billed charges,128.63,59,,102.9,percent of total billed charges,59% of total billed charges,190.11,87.2,,152.09,percent of total billed charges,87.2% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,177.23,81.29,,141.78,percent of total billed charges,81.29% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of totl billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,113.37,196.22,
RIBS UNI - 2 VIEWS RIGHT,42000677,CDM,320,RC,71100,HCPCS,Outpatient,,,218.02,174.42,,185.32,85,,148.26,percent of total billed charges,85% of total billed charges,185.32,85,,148.26,percent of total billed charges,85% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,161.95,74,,129.56,percent of total billed charges,74.28% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,190.11,87.2,,,percent of total billed charges,87.2% of total billed charges,128.63,59,,102.9,percent of total billed charges,59% of total billed charges,190.11,87.2,,152.09,percent of total billed charges,87.2% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,177.23,81.29,,141.78,percent of total billed charges,81.29% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of totl billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,196.22,90,,156.98,percent of total billed charges,90% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,132.99,61,,106.39,percent of total billed charges,61% of total billed charges,113.37,52,,90.7,percent of total billed charges,52% of total billed charges,113.37,196.22,
RIBS 2 VIEWS BILATERAL,42004613,CDM,320,RC,71100,HCPCS,Outpatient,,,435.98,348.78,,370.58,85,,296.46,percent of total billed charges,85% of total billed charges,370.58,85,,296.46,percent of total billed charges,85% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,323.85,74,,259.08,percent of total billed charges,74.28% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,323.85,74,,259.08,percent of total billed charges,74.28% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,323.85,74,,259.08,percent of total billed charges,74.28% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,392.38,90,,313.9,percent of total billed charges,90% of total billed charges,392.38,90,,313.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,380.17,87.2,,,percent of total billed charges,87.2% of total billed charges,257.23,59,,205.78,percent of total billed charges,59% of total billed charges,380.17,87.2,,304.14,percent of total billed charges,87.2% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,354.41,81.29,,283.53,percent of total billed charges,81.29% of total billed charges,392.38,90,,313.9,percent of total billed charges,90% of totl billed charges,392.38,90,,313.9,percent of total billed charges,90% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,392.38,90,,313.9,percent of total billed charges,90% of total billed charges,392.38,90,,313.9,percent of total billed charges,90% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,265.95,61,,212.76,percent of total billed charges,61% of total billed charges,226.71,52,,181.37,percent of total billed charges,52% of total billed charges,226.71,392.38,
RIBS UNI W/PA CHEST MIN 3VW LT,42000681,CDM,320,RC,71101,HCPCS,Outpatient,,,292.35,233.88,,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,254.93,87.2,,,percent of total billed charges,87.2% of total billed charges,172.49,59,,137.99,percent of total billed charges,59% of total billed charges,254.93,87.2,,203.94,percent of total billed charges,87.2% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,237.65,81.29,,190.12,percent of total billed charges,81.29% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of totl billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,263.12,
RIBS UNI W/PA CHEST MIN 3VW RT,42000682,CDM,320,RC,71101,HCPCS,Outpatient,,,292.35,233.88,,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,254.93,87.2,,,percent of total billed charges,87.2% of total billed charges,172.49,59,,137.99,percent of total billed charges,59% of total billed charges,254.93,87.2,,203.94,percent of total billed charges,87.2% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,237.65,81.29,,190.12,percent of total billed charges,81.29% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of totl billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,263.12,
RIBS BIL. W/O PA CHEST,42000670,CDM,320,RC,71110,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
RIBS-BIL. W/PA CHEST (MIN 4 VI,42000685,CDM,320,RC,71111,HCPCS,Outpatient,,,415.06,332.05,,352.8,85,,282.24,percent of total billed charges,85% of total billed charges,352.8,85,,282.24,percent of total billed charges,85% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,308.31,74,,246.65,percent of total billed charges,74.28% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,308.31,74,,246.65,percent of total billed charges,74.28% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,308.31,74,,246.65,percent of total billed charges,74.28% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,373.55,90,,298.84,percent of total billed charges,90% of total billed charges,373.55,90,,298.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,361.93,87.2,,,percent of total billed charges,87.2% of total billed charges,244.89,59,,195.91,percent of total billed charges,59% of total billed charges,361.93,87.2,,289.54,percent of total billed charges,87.2% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,337.4,81.29,,269.92,percent of total billed charges,81.29% of total billed charges,373.55,90,,298.84,percent of total billed charges,90% of totl billed charges,373.55,90,,298.84,percent of total billed charges,90% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,373.55,90,,298.84,percent of total billed charges,90% of total billed charges,373.55,90,,298.84,percent of total billed charges,90% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,253.19,61,,202.55,percent of total billed charges,61% of total billed charges,215.83,52,,172.66,percent of total billed charges,52% of total billed charges,215.83,373.55,
STERNUM MINIMUM 2 VIEWS,42000775,CDM,320,RC,71120,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
STERNOCLAVICULAR JT MIN 3 VIEW,42000770,CDM,320,RC,71130,HCPCS,Outpatient,,,208.48,166.78,,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,181.79,87.2,,,percent of total billed charges,87.2% of total billed charges,123,59,,98.4,percent of total billed charges,59% of total billed charges,181.79,87.2,,145.43,percent of total billed charges,87.2% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,169.47,81.29,,135.58,percent of total billed charges,81.29% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of totl billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,187.63,
CT CHEST/THORAX/MEDIASTIN W/O,42003100,CDM,352,RC,71250,HCPCS,Outpatient,,,936.47,749.18,,796,85,,636.8,percent of total billed charges,85% of total billed charges,796,85,,636.8,percent of total billed charges,85% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,816.6,87.2,,,percent of total billed charges,87.2% of total billed charges,552.52,59,,442.02,percent of total billed charges,59% of total billed charges,816.6,87.2,,653.28,percent of total billed charges,87.2% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,761.26,81.29,,609.01,percent of total billed charges,81.29% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of totl billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,842.82,
CT CHEST WO HIGH RES,42003103,CDM,352,RC,71250,HCPCS,Outpatient,,,936.47,749.18,,796,85,,636.8,percent of total billed charges,85% of total billed charges,796,85,,636.8,percent of total billed charges,85% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,816.6,87.2,,,percent of total billed charges,87.2% of total billed charges,552.52,59,,442.02,percent of total billed charges,59% of total billed charges,816.6,87.2,,653.28,percent of total billed charges,87.2% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,761.26,81.29,,609.01,percent of total billed charges,81.29% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of totl billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,842.82,
CT LOW DOSE CHEST F/U,42003105,CDM,352,RC,71250,HCPCS,Outpatient,,,936.47,749.18,,796,85,,636.8,percent of total billed charges,85% of total billed charges,796,85,,636.8,percent of total billed charges,85% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,816.6,87.2,,,percent of total billed charges,87.2% of total billed charges,552.52,59,,442.02,percent of total billed charges,59% of total billed charges,816.6,87.2,,653.28,percent of total billed charges,87.2% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,761.26,81.29,,609.01,percent of total billed charges,81.29% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of totl billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,842.82,
CT CHEST/THORAX/MEDIASTIN W/CO,42003090,CDM,352,RC,71260,HCPCS,Outpatient,,,1205.31,964.25,,1024.51,85,,819.61,percent of total billed charges,85% of total billed charges,1024.51,85,,819.61,percent of total billed charges,85% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,895.3,74,,716.24,percent of total billed charges,74.28% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,895.3,74,,716.24,percent of total billed charges,74.28% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,895.3,74,,716.24,percent of total billed charges,74.28% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,1084.78,90,,867.82,percent of total billed charges,90% of total billed charges,1084.78,90,,867.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,1051.03,87.2,,,percent of total billed charges,87.2% of total billed charges,711.13,59,,568.9,percent of total billed charges,59% of total billed charges,1051.03,87.2,,840.82,percent of total billed charges,87.2% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,979.8,81.29,,783.84,percent of total billed charges,81.29% of total billed charges,1084.78,90,,867.82,percent of total billed charges,90% of totl billed charges,1084.78,90,,867.82,percent of total billed charges,90% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,1084.78,90,,867.82,percent of total billed charges,90% of total billed charges,1084.78,90,,867.82,percent of total billed charges,90% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,735.24,61,,588.19,percent of total billed charges,61% of total billed charges,626.76,52,,501.41,percent of total billed charges,52% of total billed charges,626.76,1084.78,
CT CHEST/THORAX/MEDIAST W&W/O,42003080,CDM,352,RC,71270,HCPCS,Outpatient,,,1508.89,1207.11,,1282.56,85,,1026.05,percent of total billed charges,85% of total billed charges,1282.56,85,,1026.05,percent of total billed charges,85% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,1120.8,74,,896.64,percent of total billed charges,74.28% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,1120.8,74,,896.64,percent of total billed charges,74.28% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,1120.8,74,,896.64,percent of total billed charges,74.28% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,1358,90,,1086.4,percent of total billed charges,90% of total billed charges,1358,90,,1086.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,1315.75,87.2,,,percent of total billed charges,87.2% of total billed charges,890.25,59,,712.2,percent of total billed charges,59% of total billed charges,1315.75,87.2,,1052.6,percent of total billed charges,87.2% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,1226.58,81.29,,981.26,percent of total billed charges,81.29% of total billed charges,1358,90,,1086.4,percent of total billed charges,90% of totl billed charges,1358,90,,1086.4,percent of total billed charges,90% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,1358,90,,1086.4,percent of total billed charges,90% of total billed charges,1358,90,,1086.4,percent of total billed charges,90% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,920.42,61,,736.34,percent of total billed charges,61% of total billed charges,784.62,52,,627.7,percent of total billed charges,52% of total billed charges,784.62,1358,
LUNG SCREENING LOW DOSE CT,42001072,CDM,350,RC,71271,HCPCS,Outpatient,,,936.47,749.18,,796,85,,636.8,percent of total billed charges,85% of total billed charges,796,85,,636.8,percent of total billed charges,85% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,695.61,74,,556.49,percent of total billed charges,74.28% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,816.6,87.2,,,percent of total billed charges,87.2% of total billed charges,552.52,59,,442.02,percent of total billed charges,59% of total billed charges,816.6,87.2,,653.28,percent of total billed charges,87.2% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,761.26,81.29,,609.01,percent of total billed charges,81.29% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of totl billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,842.82,90,,674.26,percent of total billed charges,90% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,571.25,61,,457,percent of total billed charges,61% of total billed charges,486.96,52,,389.57,percent of total billed charges,52% of total billed charges,486.96,842.82,
CTA CHEST W &/or WO CONTRAST,42003002,CDM,350,RC,71275,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
MRI-CHEST W/O CONTRAST,42004150,CDM,614,RC,71550,HCPCS,Outpatient,,,1817.12,1453.7,,1544.55,85,,1235.64,percent of total billed charges,85% of total billed charges,1544.55,85,,1235.64,percent of total billed charges,85% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,1349.76,74,,1079.81,percent of total billed charges,74.28% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,1349.76,74,,1079.81,percent of total billed charges,74.28% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,1349.76,74,,1079.81,percent of total billed charges,74.28% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of total billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,1584.53,87.2,,,percent of total billed charges,87.2% of total billed charges,1072.1,59,,857.68,percent of total billed charges,59% of total billed charges,1584.53,87.2,,1267.62,percent of total billed charges,87.2% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,1477.14,81.29,,1181.71,percent of total billed charges,81.29% of total billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of totl billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of total billed charges,1635.41,90,,1308.33,percent of total billed charges,90% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,1108.44,61,,886.75,percent of total billed charges,61% of total billed charges,944.9,52,,755.92,percent of total billed charges,52% of total billed charges,944.9,1635.41,
MRA-CHEST W AND W/O CONTRAST,42004530,CDM,618,RC,71555,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
"SPINE, SINGLE VIEW, SPECIFY LE",42000765,CDM,320,RC,72020,HCPCS,Outpatient,,,167.07,133.66,,142.01,85,,113.61,percent of total billed charges,85% of total billed charges,142.01,85,,113.61,percent of total billed charges,85% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,145.69,87.2,,,percent of total billed charges,87.2% of total billed charges,98.57,59,,78.86,percent of total billed charges,59% of total billed charges,145.69,87.2,,116.55,percent of total billed charges,87.2% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,135.81,81.29,,108.65,percent of total billed charges,81.29% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of totl billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,86.88,150.36,
"C-SPINE, TWO OR THREE VIEWS",42000240,CDM,320,RC,72040,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
C-SPINE MINIMUM 4 VIEWS,42000235,CDM,320,RC,72050,HCPCS,Outpatient,,,304.69,243.75,,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,265.69,87.2,,,percent of total billed charges,87.2% of total billed charges,179.77,59,,143.82,percent of total billed charges,59% of total billed charges,265.69,87.2,,212.55,percent of total billed charges,87.2% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,247.68,81.29,,198.14,percent of total billed charges,81.29% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of totl billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,274.22,
C-SPINE INCL OBL&FLEX &/OR EXT,42000230,CDM,320,RC,72052,HCPCS,Outpatient,,,365.07,292.06,,310.31,85,,248.25,percent of total billed charges,85% of total billed charges,310.31,85,,248.25,percent of total billed charges,85% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,271.17,74,,216.94,percent of total billed charges,74.28% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,271.17,74,,216.94,percent of total billed charges,74.28% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,271.17,74,,216.94,percent of total billed charges,74.28% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,328.56,90,,262.85,percent of total billed charges,90% of total billed charges,328.56,90,,262.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,318.34,87.2,,,percent of total billed charges,87.2% of total billed charges,215.39,59,,172.31,percent of total billed charges,59% of total billed charges,318.34,87.2,,254.67,percent of total billed charges,87.2% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,296.77,81.29,,237.42,percent of total billed charges,81.29% of total billed charges,328.56,90,,262.85,percent of total billed charges,90% of totl billed charges,328.56,90,,262.85,percent of total billed charges,90% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,328.56,90,,262.85,percent of total billed charges,90% of total billed charges,328.56,90,,262.85,percent of total billed charges,90% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,222.69,61,,178.15,percent of total billed charges,61% of total billed charges,189.84,52,,151.87,percent of total billed charges,52% of total billed charges,189.84,328.56,
T. SPINE AP/LAT,42000790,CDM,320,RC,72070,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
T SPINE AP/LAT AND SWIMMER'S,42000785,CDM,320,RC,72072,HCPCS,Outpatient,,,244.41,195.53,,207.75,85,,166.2,percent of total billed charges,85% of total billed charges,207.75,85,,166.2,percent of total billed charges,85% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,181.55,74,,145.24,percent of total billed charges,74.28% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,181.55,74,,145.24,percent of total billed charges,74.28% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,181.55,74,,145.24,percent of total billed charges,74.28% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,219.97,90,,175.98,percent of total billed charges,90% of total billed charges,219.97,90,,175.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,213.13,87.2,,,percent of total billed charges,87.2% of total billed charges,144.2,59,,115.36,percent of total billed charges,59% of total billed charges,213.13,87.2,,170.5,percent of total billed charges,87.2% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,198.68,81.29,,158.94,percent of total billed charges,81.29% of total billed charges,219.97,90,,175.98,percent of total billed charges,90% of totl billed charges,219.97,90,,175.98,percent of total billed charges,90% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,219.97,90,,175.98,percent of total billed charges,90% of total billed charges,219.97,90,,175.98,percent of total billed charges,90% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,149.09,61,,119.27,percent of total billed charges,61% of total billed charges,127.09,52,,101.67,percent of total billed charges,52% of total billed charges,127.09,219.97,
"T.SPINE AP, LATERAL & OBLIQUES",42000791,CDM,320,RC,72074,HCPCS,Outpatient,,,275.03,220.02,,233.78,85,,187.02,percent of total billed charges,85% of total billed charges,233.78,85,,187.02,percent of total billed charges,85% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,204.29,74,,163.43,percent of total billed charges,74.28% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,204.29,74,,163.43,percent of total billed charges,74.28% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,204.29,74,,163.43,percent of total billed charges,74.28% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,247.53,90,,198.02,percent of total billed charges,90% of total billed charges,247.53,90,,198.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,239.83,87.2,,,percent of total billed charges,87.2% of total billed charges,162.27,59,,129.82,percent of total billed charges,59% of total billed charges,239.83,87.2,,191.86,percent of total billed charges,87.2% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,223.57,81.29,,178.86,percent of total billed charges,81.29% of total billed charges,247.53,90,,198.02,percent of total billed charges,90% of totl billed charges,247.53,90,,198.02,percent of total billed charges,90% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,247.53,90,,198.02,percent of total billed charges,90% of total billed charges,247.53,90,,198.02,percent of total billed charges,90% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,167.77,61,,134.22,percent of total billed charges,61% of total billed charges,143.02,52,,114.42,percent of total billed charges,52% of total billed charges,143.02,247.53,
THORACOLUMBAR - 2 VIEWS,42000795,CDM,320,RC,72080,HCPCS,Outpatient,,,260.38,208.3,,221.32,85,,177.06,percent of total billed charges,85% of total billed charges,221.32,85,,177.06,percent of total billed charges,85% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,193.41,74,,154.73,percent of total billed charges,74.28% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,193.41,74,,154.73,percent of total billed charges,74.28% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,193.41,74,,154.73,percent of total billed charges,74.28% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,234.34,90,,187.47,percent of total billed charges,90% of total billed charges,234.34,90,,187.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,227.05,87.2,,,percent of total billed charges,87.2% of total billed charges,153.62,59,,122.9,percent of total billed charges,59% of total billed charges,227.05,87.2,,181.64,percent of total billed charges,87.2% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,211.66,81.29,,169.33,percent of total billed charges,81.29% of total billed charges,234.34,90,,187.47,percent of total billed charges,90% of totl billed charges,234.34,90,,187.47,percent of total billed charges,90% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,234.34,90,,187.47,percent of total billed charges,90% of total billed charges,234.34,90,,187.47,percent of total billed charges,90% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,158.83,61,,127.06,percent of total billed charges,61% of total billed charges,135.4,52,,108.32,percent of total billed charges,52% of total billed charges,135.4,234.34,
SCOLIOSIS SURVEY 1 VIEW,42001075,CDM,320,RC,72081,HCPCS,Outpatient,,,104.88,83.9,,89.15,85,,71.32,percent of total billed charges,85% of total billed charges,89.15,85,,71.32,percent of total billed charges,85% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,91.46,87.2,,,percent of total billed charges,87.2% of total billed charges,61.88,59,,49.5,percent of total billed charges,59% of total billed charges,91.46,87.2,,73.17,percent of total billed charges,87.2% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,85.26,81.29,,68.21,percent of total billed charges,81.29% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of totl billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,54.54,94.39,
SCOLIOSIS SURVEY 2-3 VIEWS,42001076,CDM,320,RC,72082,HCPCS,Outpatient,,,131.59,105.27,,111.85,85,,89.48,percent of total billed charges,85% of total billed charges,111.85,85,,89.48,percent of total billed charges,85% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,97.75,74,,78.2,percent of total billed charges,74.28% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,97.75,74,,78.2,percent of total billed charges,74.28% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,97.75,74,,78.2,percent of total billed charges,74.28% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,118.43,90,,94.74,percent of total billed charges,90% of total billed charges,118.43,90,,94.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,114.75,87.2,,,percent of total billed charges,87.2% of total billed charges,77.64,59,,62.11,percent of total billed charges,59% of total billed charges,114.75,87.2,,91.8,percent of total billed charges,87.2% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,106.97,81.29,,85.58,percent of total billed charges,81.29% of total billed charges,118.43,90,,94.74,percent of total billed charges,90% of totl billed charges,118.43,90,,94.74,percent of total billed charges,90% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,118.43,90,,94.74,percent of total billed charges,90% of total billed charges,118.43,90,,94.74,percent of total billed charges,90% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,80.27,61,,64.22,percent of total billed charges,61% of total billed charges,68.43,52,,54.74,percent of total billed charges,52% of total billed charges,68.43,118.43,
SCOLIOSIS SURVEY 4-5 VIEWS,42001077,CDM,320,RC,72083,HCPCS,Outpatient,,,166.61,133.29,,141.62,85,,113.3,percent of total billed charges,85% of total billed charges,141.62,85,,113.3,percent of total billed charges,85% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,123.76,74,,99.01,percent of total billed charges,74.28% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,123.76,74,,99.01,percent of total billed charges,74.28% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,123.76,74,,99.01,percent of total billed charges,74.28% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,149.95,90,,119.96,percent of total billed charges,90% of total billed charges,149.95,90,,119.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,145.28,87.2,,,percent of total billed charges,87.2% of total billed charges,98.3,59,,78.64,percent of total billed charges,59% of total billed charges,145.28,87.2,,116.22,percent of total billed charges,87.2% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,135.44,81.29,,108.35,percent of total billed charges,81.29% of total billed charges,149.95,90,,119.96,percent of total billed charges,90% of totl billed charges,149.95,90,,119.96,percent of total billed charges,90% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,149.95,90,,119.96,percent of total billed charges,90% of total billed charges,149.95,90,,119.96,percent of total billed charges,90% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,101.63,61,,81.3,percent of total billed charges,61% of total billed charges,86.64,52,,69.31,percent of total billed charges,52% of total billed charges,86.64,149.95,
SCOLIOSIS SURVEY 6+ VIEWS,42001078,CDM,320,RC,72084,HCPCS,Outpatient,,,169.72,135.78,,144.26,85,,115.41,percent of total billed charges,85% of total billed charges,144.26,85,,115.41,percent of total billed charges,85% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,126.07,74,,100.86,percent of total billed charges,74.28% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,126.07,74,,100.86,percent of total billed charges,74.28% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,126.07,74,,100.86,percent of total billed charges,74.28% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,152.75,90,,122.2,percent of total billed charges,90% of total billed charges,152.75,90,,122.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,148,87.2,,,percent of total billed charges,87.2% of total billed charges,100.13,59,,80.1,percent of total billed charges,59% of total billed charges,148,87.2,,118.4,percent of total billed charges,87.2% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,137.97,81.29,,110.38,percent of total billed charges,81.29% of total billed charges,152.75,90,,122.2,percent of total billed charges,90% of totl billed charges,152.75,90,,122.2,percent of total billed charges,90% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,152.75,90,,122.2,percent of total billed charges,90% of total billed charges,152.75,90,,122.2,percent of total billed charges,90% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,103.53,61,,82.82,percent of total billed charges,61% of total billed charges,88.25,52,,70.6,percent of total billed charges,52% of total billed charges,88.25,152.75,
L SPINE AP LAT,42000455,CDM,320,RC,72100,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
L SPINE MINIMUM 4 VIEWS,42000465,CDM,320,RC,72110,HCPCS,Outpatient,,,304.69,243.75,,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,265.69,87.2,,,percent of total billed charges,87.2% of total billed charges,179.77,59,,143.82,percent of total billed charges,59% of total billed charges,265.69,87.2,,212.55,percent of total billed charges,87.2% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,247.68,81.29,,198.14,percent of total billed charges,81.29% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of totl billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,274.22,
L-SPINE COMP W/BENDING MIN,42000480,CDM,320,RC,72114,HCPCS,Outpatient,,,504.66,403.73,,428.96,85,,343.17,percent of total billed charges,85% of total billed charges,428.96,85,,343.17,percent of total billed charges,85% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,374.86,74,,299.89,percent of total billed charges,74.28% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,374.86,74,,299.89,percent of total billed charges,74.28% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,374.86,74,,299.89,percent of total billed charges,74.28% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,454.19,90,,363.35,percent of total billed charges,90% of total billed charges,454.19,90,,363.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,440.06,87.2,,,percent of total billed charges,87.2% of total billed charges,297.75,59,,238.2,percent of total billed charges,59% of total billed charges,440.06,87.2,,352.05,percent of total billed charges,87.2% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,410.24,81.29,,328.19,percent of total billed charges,81.29% of total billed charges,454.19,90,,363.35,percent of total billed charges,90% of totl billed charges,454.19,90,,363.35,percent of total billed charges,90% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,454.19,90,,363.35,percent of total billed charges,90% of total billed charges,454.19,90,,363.35,percent of total billed charges,90% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,307.84,61,,246.27,percent of total billed charges,61% of total billed charges,262.42,52,,209.94,percent of total billed charges,52% of total billed charges,262.42,454.19,
L-SPINE BENDING ONLY 2-3 V,42000460,CDM,320,RC,72120,HCPCS,Outpatient,,,304.69,243.75,,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,258.99,85,,207.19,percent of total billed charges,85% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,226.32,74,,181.06,percent of total billed charges,74.28% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,265.69,87.2,,,percent of total billed charges,87.2% of total billed charges,179.77,59,,143.82,percent of total billed charges,59% of total billed charges,265.69,87.2,,212.55,percent of total billed charges,87.2% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,247.68,81.29,,198.14,percent of total billed charges,81.29% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of totl billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,274.22,90,,219.38,percent of total billed charges,90% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,185.86,61,,148.69,percent of total billed charges,61% of total billed charges,158.44,52,,126.75,percent of total billed charges,52% of total billed charges,158.44,274.22,
CT CERVICAL SPINE W/O CONTRAST,42003070,CDM,352,RC,72125,HCPCS,Outpatient,,,1329.74,1063.79,,1130.28,85,,904.22,percent of total billed charges,85% of total billed charges,1130.28,85,,904.22,percent of total billed charges,85% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,987.73,74,,790.18,percent of total billed charges,74.28% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,987.73,74,,790.18,percent of total billed charges,74.28% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,987.73,74,,790.18,percent of total billed charges,74.28% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,1196.77,90,,957.42,percent of total billed charges,90% of total billed charges,1196.77,90,,957.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,1159.53,87.2,,,percent of total billed charges,87.2% of total billed charges,784.55,59,,627.64,percent of total billed charges,59% of total billed charges,1159.53,87.2,,927.62,percent of total billed charges,87.2% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,1080.95,81.29,,864.76,percent of total billed charges,81.29% of total billed charges,1196.77,90,,957.42,percent of total billed charges,90% of totl billed charges,1196.77,90,,957.42,percent of total billed charges,90% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,1196.77,90,,957.42,percent of total billed charges,90% of total billed charges,1196.77,90,,957.42,percent of total billed charges,90% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,811.14,61,,648.91,percent of total billed charges,61% of total billed charges,691.46,52,,553.17,percent of total billed charges,52% of total billed charges,691.46,1196.77,
CT CERVICAL SPINE W/CONTRAST,42003060,CDM,352,RC,72126,HCPCS,Outpatient,,,1444.83,1155.86,,1228.11,85,,982.49,percent of total billed charges,85% of total billed charges,1228.11,85,,982.49,percent of total billed charges,85% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,1073.22,74,,858.58,percent of total billed charges,74.28% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,1073.22,74,,858.58,percent of total billed charges,74.28% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,1073.22,74,,858.58,percent of total billed charges,74.28% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of total billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,1259.89,87.2,,,percent of total billed charges,87.2% of total billed charges,852.45,59,,681.96,percent of total billed charges,59% of total billed charges,1259.89,87.2,,1007.91,percent of total billed charges,87.2% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,1174.5,81.29,,939.6,percent of total billed charges,81.29% of total billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of totl billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of total billed charges,1300.35,90,,1040.28,percent of total billed charges,90% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,881.35,61,,705.08,percent of total billed charges,61% of total billed charges,751.31,52,,601.05,percent of total billed charges,52% of total billed charges,751.31,1300.35,
CT CERVICAL SPINE W & W/O CONT,42003050,CDM,352,RC,72127,HCPCS,Outpatient,,,1500.32,1200.26,,1275.27,85,,1020.22,percent of total billed charges,85% of total billed charges,1275.27,85,,1020.22,percent of total billed charges,85% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,1114.44,74,,891.55,percent of total billed charges,74.28% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,1114.44,74,,891.55,percent of total billed charges,74.28% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,1114.44,74,,891.55,percent of total billed charges,74.28% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of total billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,1308.28,87.2,,,percent of total billed charges,87.2% of total billed charges,885.19,59,,708.15,percent of total billed charges,59% of total billed charges,1308.28,87.2,,1046.62,percent of total billed charges,87.2% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,1219.61,81.29,,975.69,percent of total billed charges,81.29% of total billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of totl billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of total billed charges,1350.29,90,,1080.23,percent of total billed charges,90% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,915.2,61,,732.16,percent of total billed charges,61% of total billed charges,780.17,52,,624.14,percent of total billed charges,52% of total billed charges,780.17,1350.29,
CT THORACIC SPINE W/O CONTRAST,42003380,CDM,352,RC,72128,HCPCS,Outpatient,,,1148.71,918.97,,976.4,85,,781.12,percent of total billed charges,85% of total billed charges,976.4,85,,781.12,percent of total billed charges,85% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,853.26,74,,682.61,percent of total billed charges,74.28% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,853.26,74,,682.61,percent of total billed charges,74.28% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,853.26,74,,682.61,percent of total billed charges,74.28% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,1033.84,90,,827.07,percent of total billed charges,90% of total billed charges,1033.84,90,,827.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,1001.68,87.2,,,percent of total billed charges,87.2% of total billed charges,677.74,59,,542.19,percent of total billed charges,59% of total billed charges,1001.68,87.2,,801.34,percent of total billed charges,87.2% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,933.79,81.29,,747.03,percent of total billed charges,81.29% of total billed charges,1033.84,90,,827.07,percent of total billed charges,90% of totl billed charges,1033.84,90,,827.07,percent of total billed charges,90% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,1033.84,90,,827.07,percent of total billed charges,90% of total billed charges,1033.84,90,,827.07,percent of total billed charges,90% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,700.71,61,,560.57,percent of total billed charges,61% of total billed charges,597.33,52,,477.86,percent of total billed charges,52% of total billed charges,597.33,1033.84,
CT THORACIC SPINE W/CONTRAST,42003370,CDM,352,RC,72129,HCPCS,Outpatient,,,1274.1,1019.28,,1082.99,85,,866.39,percent of total billed charges,85% of total billed charges,1082.99,85,,866.39,percent of total billed charges,85% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,946.4,74,,757.12,percent of total billed charges,74.28% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,946.4,74,,757.12,percent of total billed charges,74.28% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,946.4,74,,757.12,percent of total billed charges,74.28% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,1146.69,90,,917.35,percent of total billed charges,90% of total billed charges,1146.69,90,,917.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,1111.02,87.2,,,percent of total billed charges,87.2% of total billed charges,751.72,59,,601.38,percent of total billed charges,59% of total billed charges,1111.02,87.2,,888.82,percent of total billed charges,87.2% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,1035.72,81.29,,828.58,percent of total billed charges,81.29% of total billed charges,1146.69,90,,917.35,percent of total billed charges,90% of totl billed charges,1146.69,90,,917.35,percent of total billed charges,90% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,1146.69,90,,917.35,percent of total billed charges,90% of total billed charges,1146.69,90,,917.35,percent of total billed charges,90% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,777.2,61,,621.76,percent of total billed charges,61% of total billed charges,662.53,52,,530.02,percent of total billed charges,52% of total billed charges,662.53,1146.69,
CT THORACIC SPINE W & W/O CONT,42003360,CDM,352,RC,72130,HCPCS,Outpatient,,,1332.57,1066.06,,1132.68,85,,906.14,percent of total billed charges,85% of total billed charges,1132.68,85,,906.14,percent of total billed charges,85% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,989.83,74,,791.86,percent of total billed charges,74.28% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,989.83,74,,791.86,percent of total billed charges,74.28% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,989.83,74,,791.86,percent of total billed charges,74.28% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,1199.31,90,,959.45,percent of total billed charges,90% of total billed charges,1199.31,90,,959.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,1162,87.2,,,percent of total billed charges,87.2% of total billed charges,786.22,59,,628.98,percent of total billed charges,59% of total billed charges,1162,87.2,,929.6,percent of total billed charges,87.2% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,1083.25,81.29,,866.6,percent of total billed charges,81.29% of total billed charges,1199.31,90,,959.45,percent of total billed charges,90% of totl billed charges,1199.31,90,,959.45,percent of total billed charges,90% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,1199.31,90,,959.45,percent of total billed charges,90% of total billed charges,1199.31,90,,959.45,percent of total billed charges,90% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,812.87,61,,650.3,percent of total billed charges,61% of total billed charges,692.94,52,,554.35,percent of total billed charges,52% of total billed charges,692.94,1199.31,
CT LUMBAR SPINE W/O CONTRAST,42003220,CDM,352,RC,72131,HCPCS,Outpatient,,,1238.21,990.57,,1052.48,85,,841.98,percent of total billed charges,85% of total billed charges,1052.48,85,,841.98,percent of total billed charges,85% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,919.74,74,,735.79,percent of total billed charges,74.28% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,919.74,74,,735.79,percent of total billed charges,74.28% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,919.74,74,,735.79,percent of total billed charges,74.28% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,1114.39,90,,891.51,percent of total billed charges,90% of total billed charges,1114.39,90,,891.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,1079.72,87.2,,,percent of total billed charges,87.2% of total billed charges,730.54,59,,584.43,percent of total billed charges,59% of total billed charges,1079.72,87.2,,863.78,percent of total billed charges,87.2% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,1006.54,81.29,,805.23,percent of total billed charges,81.29% of total billed charges,1114.39,90,,891.51,percent of total billed charges,90% of totl billed charges,1114.39,90,,891.51,percent of total billed charges,90% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,1114.39,90,,891.51,percent of total billed charges,90% of total billed charges,1114.39,90,,891.51,percent of total billed charges,90% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,755.31,61,,604.25,percent of total billed charges,61% of total billed charges,643.87,52,,515.1,percent of total billed charges,52% of total billed charges,643.87,1114.39,
CT LUMBAR SPINE W/CONTRAST,42003210,CDM,352,RC,72132,HCPCS,Outpatient,,,1303.32,1042.66,,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1136.5,87.2,,,percent of total billed charges,87.2% of total billed charges,768.96,59,,615.17,percent of total billed charges,59% of total billed charges,1136.5,87.2,,909.2,percent of total billed charges,87.2% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1059.47,81.29,,847.58,percent of total billed charges,81.29% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of totl billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,1172.99,
CT LUMBAR SPINE W & W/O CONTRA,42003200,CDM,352,RC,72133,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
MRI-CERVICAL SPINE W/O CONTRAS,42004140,CDM,612,RC,72141,HCPCS,Outpatient,,,1769.18,1415.34,,1503.8,85,,1203.04,percent of total billed charges,85% of total billed charges,1503.8,85,,1203.04,percent of total billed charges,85% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,1314.15,74,,1051.32,percent of total billed charges,74.28% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,1314.15,74,,1051.32,percent of total billed charges,74.28% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,1314.15,74,,1051.32,percent of total billed charges,74.28% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of total billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,1542.72,87.2,,,percent of total billed charges,87.2% of total billed charges,1043.82,59,,835.06,percent of total billed charges,59% of total billed charges,1542.72,87.2,,1234.18,percent of total billed charges,87.2% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,1438.17,81.29,,1150.54,percent of total billed charges,81.29% of total billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of totl billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of total billed charges,1592.26,90,,1273.81,percent of total billed charges,90% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,1079.2,61,,863.36,percent of total billed charges,61% of total billed charges,919.97,52,,735.98,percent of total billed charges,52% of total billed charges,919.97,1592.26,
MRI-CERVICAL SPINE W/CONTRAST,42004130,CDM,612,RC,72142,HCPCS,Outpatient,,,1860.76,1488.61,,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1622.58,87.2,,,percent of total billed charges,87.2% of total billed charges,1097.85,59,,878.28,percent of total billed charges,59% of total billed charges,1622.58,87.2,,1298.06,percent of total billed charges,87.2% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1512.61,81.29,,1210.09,percent of total billed charges,81.29% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of totl billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,1674.68,
MRI-THORACIC SPINE W/O CONTRAS,42004340,CDM,612,RC,72146,HCPCS,Outpatient,,,1665.46,1332.37,,1415.64,85,,1132.51,percent of total billed charges,85% of total billed charges,1415.64,85,,1132.51,percent of total billed charges,85% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,1237.1,74,,989.68,percent of total billed charges,74.28% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,1237.1,74,,989.68,percent of total billed charges,74.28% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,1237.1,74,,989.68,percent of total billed charges,74.28% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of total billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,1452.28,87.2,,,percent of total billed charges,87.2% of total billed charges,982.62,59,,786.1,percent of total billed charges,59% of total billed charges,1452.28,87.2,,1161.82,percent of total billed charges,87.2% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,1353.85,81.29,,1083.08,percent of total billed charges,81.29% of total billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of totl billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of total billed charges,1498.91,90,,1199.13,percent of total billed charges,90% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,1015.93,61,,812.74,percent of total billed charges,61% of total billed charges,866.04,52,,692.83,percent of total billed charges,52% of total billed charges,866.04,1498.91,
MRI-THORACIC SPINE W/CONTRAST,42004330,CDM,612,RC,72147,HCPCS,Outpatient,,,1860.76,1488.61,,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1622.58,87.2,,,percent of total billed charges,87.2% of total billed charges,1097.85,59,,878.28,percent of total billed charges,59% of total billed charges,1622.58,87.2,,1298.06,percent of total billed charges,87.2% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1512.61,81.29,,1210.09,percent of total billed charges,81.29% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of totl billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,1674.68,
MRI-LUMBAR SPINE W/O CONTRAST,42004240,CDM,612,RC,72148,HCPCS,Outpatient,,,1860.76,1488.61,,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,1581.65,85,,1265.32,percent of total billed charges,85% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1382.17,74,,1105.74,percent of total billed charges,74.28% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1622.58,87.2,,,percent of total billed charges,87.2% of total billed charges,1097.85,59,,878.28,percent of total billed charges,59% of total billed charges,1622.58,87.2,,1298.06,percent of total billed charges,87.2% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,1512.61,81.29,,1210.09,percent of total billed charges,81.29% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of totl billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1674.68,90,,1339.74,percent of total billed charges,90% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,1135.06,61,,908.05,percent of total billed charges,61% of total billed charges,967.6,52,,774.08,percent of total billed charges,52% of total billed charges,967.6,1674.68,
MRI-LUMBAR SPINE W/CONTRAST,42004230,CDM,612,RC,72149,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI-CERVICAL SPINE W & W/O CON,42004120,CDM,612,RC,72156,HCPCS,Outpatient,,,2813.17,2250.54,,2391.19,85,,1912.95,percent of total billed charges,85% of total billed charges,2391.19,85,,1912.95,percent of total billed charges,85% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2453.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1659.77,59,,1327.82,percent of total billed charges,59% of total billed charges,2453.08,87.2,,1962.46,percent of total billed charges,87.2% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2286.83,81.29,,1829.46,percent of total billed charges,81.29% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of totl billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,1462.85,2531.85,
MRI-THORACIC SPINE W & W/O CON,42004320,CDM,612,RC,72157,HCPCS,Outpatient,,,2813.17,2250.54,,2391.19,85,,1912.95,percent of total billed charges,85% of total billed charges,2391.19,85,,1912.95,percent of total billed charges,85% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,2089.62,74,,1671.7,percent of total billed charges,74.28% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2453.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1659.77,59,,1327.82,percent of total billed charges,59% of total billed charges,2453.08,87.2,,1962.46,percent of total billed charges,87.2% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,2286.83,81.29,,1829.46,percent of total billed charges,81.29% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of totl billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,2531.85,90,,2025.48,percent of total billed charges,90% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1716.03,61,,1372.82,percent of total billed charges,61% of total billed charges,1462.85,52,,1170.28,percent of total billed charges,52% of total billed charges,1462.85,2531.85,
MRI-LUMBAR SPINE W & W/O CONTR,42004220,CDM,612,RC,72158,HCPCS,Outpatient,,,3292.19,2633.75,,2798.36,85,,2238.69,percent of total billed charges,85% of total billed charges,2798.36,85,,2238.69,percent of total billed charges,85% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,2445.44,74,,1956.35,percent of total billed charges,74.28% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,2445.44,74,,1956.35,percent of total billed charges,74.28% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,2445.44,74,,1956.35,percent of total billed charges,74.28% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of total billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,2870.79,87.2,,,percent of total billed charges,87.2% of total billed charges,1942.39,59,,1553.91,percent of total billed charges,59% of total billed charges,2870.79,87.2,,2296.63,percent of total billed charges,87.2% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,2676.22,81.29,,2140.98,percent of total billed charges,81.29% of total billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of totl billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of total billed charges,2962.97,90,,2370.38,percent of total billed charges,90% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,2008.24,61,,1606.59,percent of total billed charges,61% of total billed charges,1711.94,52,,1369.55,percent of total billed charges,52% of total billed charges,1711.94,2962.97,
"PELVIS, AP ONLY",42000635,CDM,320,RC,72170,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
PELVIS COMPLETE MINIMUM 3 VIEW,42000630,CDM,320,RC,72190,HCPCS,Outpatient,,,194.42,155.54,,165.26,85,,132.21,percent of total billed charges,85% of total billed charges,165.26,85,,132.21,percent of total billed charges,85% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,144.42,74,,115.54,percent of total billed charges,74.28% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,169.53,87.2,,,percent of total billed charges,87.2% of total billed charges,114.71,59,,91.77,percent of total billed charges,59% of total billed charges,169.53,87.2,,135.62,percent of total billed charges,87.2% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,158.04,81.29,,126.43,percent of total billed charges,81.29% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of totl billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,174.98,90,,139.98,percent of total billed charges,90% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,118.6,61,,94.88,percent of total billed charges,61% of total billed charges,101.1,52,,80.88,percent of total billed charges,52% of total billed charges,101.1,174.98,
CTA PELVIS W/ CONTRAST,42003003,CDM,352,RC,72191,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CT PELVIS W/O CONTRAST,42003290,CDM,352,RC,72192,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT PELVIS W/CONTRAST,42003310,CDM,352,RC,72193,HCPCS,Outpatient,,,1317.56,1054.05,,1119.93,85,,895.94,percent of total billed charges,85% of total billed charges,1119.93,85,,895.94,percent of total billed charges,85% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,978.68,74,,782.94,percent of total billed charges,74.28% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,978.68,74,,782.94,percent of total billed charges,74.28% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,978.68,74,,782.94,percent of total billed charges,74.28% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,1185.8,90,,948.64,percent of total billed charges,90% of total billed charges,1185.8,90,,948.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,1148.91,87.2,,,percent of total billed charges,87.2% of total billed charges,777.36,59,,621.89,percent of total billed charges,59% of total billed charges,1148.91,87.2,,919.13,percent of total billed charges,87.2% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,1071.04,81.29,,856.83,percent of total billed charges,81.29% of total billed charges,1185.8,90,,948.64,percent of total billed charges,90% of totl billed charges,1185.8,90,,948.64,percent of total billed charges,90% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,1185.8,90,,948.64,percent of total billed charges,90% of total billed charges,1185.8,90,,948.64,percent of total billed charges,90% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,803.71,61,,642.97,percent of total billed charges,61% of total billed charges,685.13,52,,548.1,percent of total billed charges,52% of total billed charges,685.13,1185.8,
CT PELVIS W & W/O CONTRAST,42003300,CDM,352,RC,72194,HCPCS,Outpatient,,,1361.8,1089.44,,1157.53,85,,926.02,percent of total billed charges,85% of total billed charges,1157.53,85,,926.02,percent of total billed charges,85% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,1011.55,74,,809.24,percent of total billed charges,74.28% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,1011.55,74,,809.24,percent of total billed charges,74.28% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,1011.55,74,,809.24,percent of total billed charges,74.28% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,1225.62,90,,980.5,percent of total billed charges,90% of total billed charges,1225.62,90,,980.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,1187.49,87.2,,,percent of total billed charges,87.2% of total billed charges,803.46,59,,642.77,percent of total billed charges,59% of total billed charges,1187.49,87.2,,949.99,percent of total billed charges,87.2% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,1107.01,81.29,,885.61,percent of total billed charges,81.29% of total billed charges,1225.62,90,,980.5,percent of total billed charges,90% of totl billed charges,1225.62,90,,980.5,percent of total billed charges,90% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,1225.62,90,,980.5,percent of total billed charges,90% of total billed charges,1225.62,90,,980.5,percent of total billed charges,90% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,830.7,61,,664.56,percent of total billed charges,61% of total billed charges,708.14,52,,566.51,percent of total billed charges,52% of total billed charges,708.14,1225.62,
MRI-PELVIS W/O CONTRAST,42004310,CDM,614,RC,72195,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI-PELVIS W/CONTRAST,42004290,CDM,614,RC,72196,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI-PELVIS W/O AND W/CONTRAST,42004300,CDM,614,RC,72197,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
SACROILIAC JOINTS - MIN 3 VIEW,42000690,CDM,320,RC,72202,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
SACRUM AND COCCYX MIN 2 VIEWS,42000695,CDM,320,RC,72220,HCPCS,Outpatient,,,163.28,130.62,,138.79,85,,111.03,percent of total billed charges,85% of total billed charges,138.79,85,,111.03,percent of total billed charges,85% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,121.28,74,,97.02,percent of total billed charges,74.28% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,142.38,87.2,,,percent of total billed charges,87.2% of total billed charges,96.34,59,,77.07,percent of total billed charges,59% of total billed charges,142.38,87.2,,113.9,percent of total billed charges,87.2% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,132.73,81.29,,106.18,percent of total billed charges,81.29% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of totl billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,146.95,90,,117.56,percent of total billed charges,90% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,99.6,61,,79.68,percent of total billed charges,61% of total billed charges,84.91,52,,67.93,percent of total billed charges,52% of total billed charges,84.91,146.95,
CLAVICLE LEFT,42000206,CDM,320,RC,73000,HCPCS,Outpatient,,,177.36,141.89,,150.76,85,,120.61,percent of total billed charges,85% of total billed charges,150.76,85,,120.61,percent of total billed charges,85% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,154.66,87.2,,,percent of total billed charges,87.2% of total billed charges,104.64,59,,83.71,percent of total billed charges,59% of total billed charges,154.66,87.2,,123.73,percent of total billed charges,87.2% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,144.18,81.29,,115.34,percent of total billed charges,81.29% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of totl billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,92.23,159.62,
CLAVICLE RIGHT,42000207,CDM,320,RC,73000,HCPCS,Outpatient,,,177.36,141.89,,150.76,85,,120.61,percent of total billed charges,85% of total billed charges,150.76,85,,120.61,percent of total billed charges,85% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,131.74,74,,105.39,percent of total billed charges,74.28% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,154.66,87.2,,,percent of total billed charges,87.2% of total billed charges,104.64,59,,83.71,percent of total billed charges,59% of total billed charges,154.66,87.2,,123.73,percent of total billed charges,87.2% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,144.18,81.29,,115.34,percent of total billed charges,81.29% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of totl billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,159.62,90,,127.7,percent of total billed charges,90% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,108.19,61,,86.55,percent of total billed charges,61% of total billed charges,92.23,52,,73.78,percent of total billed charges,52% of total billed charges,92.23,159.62,
SCAPULA LEFT,42000701,CDM,320,RC,73010,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
SCAPULA RIGHT,42000702,CDM,320,RC,73010,HCPCS,Outpatient,,,200.05,160.04,,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,170.04,85,,136.03,percent of total billed charges,85% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,148.6,74,,118.88,percent of total billed charges,74.28% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,174.44,87.2,,,percent of total billed charges,87.2% of total billed charges,118.03,59,,94.42,percent of total billed charges,59% of total billed charges,174.44,87.2,,139.55,percent of total billed charges,87.2% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,162.62,81.29,,130.1,percent of total billed charges,81.29% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of totl billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,180.05,90,,144.04,percent of total billed charges,90% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,122.03,61,,97.62,percent of total billed charges,61% of total billed charges,104.03,52,,83.22,percent of total billed charges,52% of total billed charges,104.03,180.05,
XR SHOULDER LEFT 1V POST-OP,42000281,CDM,320,RC,73020,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,22.29,38.57,
XR SHOULDER RIGHT 1V POST-OP,42000282,CDM,320,RC,73020,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,22.29,52,,17.83,percent of total billed charges,52% of total billed charges,22.29,38.57,
SHLDER CMPT MIN 2 VIEWS LEFT,42000716,CDM,320,RC,73030,HCPCS,Outpatient,,,225.54,180.43,,191.71,85,,153.37,percent of total billed charges,85% of total billed charges,191.71,85,,153.37,percent of total billed charges,85% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,196.67,87.2,,,percent of total billed charges,87.2% of total billed charges,133.07,59,,106.46,percent of total billed charges,59% of total billed charges,196.67,87.2,,157.34,percent of total billed charges,87.2% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,183.34,81.29,,146.67,percent of total billed charges,81.29% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of totl billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,117.28,202.99,
SHLDER CMPT MIN 2 VIEWS RIGHT,42000717,CDM,320,RC,73030,HCPCS,Outpatient,,,225.54,180.43,,191.71,85,,153.37,percent of total billed charges,85% of total billed charges,191.71,85,,153.37,percent of total billed charges,85% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,167.53,74,,134.02,percent of total billed charges,74.28% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,196.67,87.2,,,percent of total billed charges,87.2% of total billed charges,133.07,59,,106.46,percent of total billed charges,59% of total billed charges,196.67,87.2,,157.34,percent of total billed charges,87.2% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,183.34,81.29,,146.67,percent of total billed charges,81.29% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of totl billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,202.99,90,,162.39,percent of total billed charges,90% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,137.58,61,,110.06,percent of total billed charges,61% of total billed charges,117.28,52,,93.82,percent of total billed charges,52% of total billed charges,117.28,202.99,
"A C JOINTS,BILATERAL W OR W/O",42000005,CDM,320,RC,73050,HCPCS,Outpatient,,,192.51,154.01,,163.63,85,,130.9,percent of total billed charges,85% of total billed charges,163.63,85,,130.9,percent of total billed charges,85% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,143,74,,114.4,percent of total billed charges,74.28% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,143,74,,114.4,percent of total billed charges,74.28% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,143,74,,114.4,percent of total billed charges,74.28% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,173.26,90,,138.61,percent of total billed charges,90% of total billed charges,173.26,90,,138.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,167.87,87.2,,,percent of total billed charges,87.2% of total billed charges,113.58,59,,90.86,percent of total billed charges,59% of total billed charges,167.87,87.2,,134.3,percent of total billed charges,87.2% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,156.49,81.29,,125.19,percent of total billed charges,81.29% of total billed charges,173.26,90,,138.61,percent of total billed charges,90% of totl billed charges,173.26,90,,138.61,percent of total billed charges,90% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,173.26,90,,138.61,percent of total billed charges,90% of total billed charges,173.26,90,,138.61,percent of total billed charges,90% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,117.43,61,,93.94,percent of total billed charges,61% of total billed charges,100.11,52,,80.09,percent of total billed charges,52% of total billed charges,100.11,173.26,
HUMEROUS -MINIMUM 2 VIEWS LEFT,42000381,CDM,320,RC,73060,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
HUMERUS -MINIMUM 2 VIEWS RIGHT,42000382,CDM,320,RC,73060,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
ELBOW 2 VIEWS LEFT,42000266,CDM,320,RC,73070,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
ELBOW 2 VIEWS RIGHT,42000267,CDM,320,RC,73070,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
"ELBOW COMPLETE,MIN 3VIEWS LEFT",42000271,CDM,320,RC,73080,HCPCS,Outpatient,,,218.87,175.1,,186.04,85,,148.83,percent of total billed charges,85% of total billed charges,186.04,85,,148.83,percent of total billed charges,85% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,190.85,87.2,,,percent of total billed charges,87.2% of total billed charges,129.13,59,,103.3,percent of total billed charges,59% of total billed charges,190.85,87.2,,152.68,percent of total billed charges,87.2% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,177.92,81.29,,142.34,percent of total billed charges,81.29% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of totl billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,113.81,196.98,
"ELBOW COMPLETE,MIN 3VIEWS RT",42000272,CDM,320,RC,73080,HCPCS,Outpatient,,,218.87,175.1,,186.04,85,,148.83,percent of total billed charges,85% of total billed charges,186.04,85,,148.83,percent of total billed charges,85% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,162.58,74,,130.06,percent of total billed charges,74.28% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,190.85,87.2,,,percent of total billed charges,87.2% of total billed charges,129.13,59,,103.3,percent of total billed charges,59% of total billed charges,190.85,87.2,,152.68,percent of total billed charges,87.2% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,177.92,81.29,,142.34,percent of total billed charges,81.29% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of totl billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,196.98,90,,157.58,percent of total billed charges,90% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,133.51,61,,106.81,percent of total billed charges,61% of total billed charges,113.81,52,,91.05,percent of total billed charges,52% of total billed charges,113.81,196.98,
ELBOW COMPLETE MIN 3VIEW BILAT,42000273,CDM,320,RC,73080,HCPCS,Outpatient,,,437.7,350.16,,372.05,85,,297.64,percent of total billed charges,85% of total billed charges,372.05,85,,297.64,percent of total billed charges,85% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,325.12,74,,260.1,percent of total billed charges,74.28% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,325.12,74,,260.1,percent of total billed charges,74.28% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,325.12,74,,260.1,percent of total billed charges,74.28% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,393.93,90,,315.14,percent of total billed charges,90% of total billed charges,393.93,90,,315.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,381.67,87.2,,,percent of total billed charges,87.2% of total billed charges,258.24,59,,206.59,percent of total billed charges,59% of total billed charges,381.67,87.2,,305.34,percent of total billed charges,87.2% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,355.81,81.29,,284.65,percent of total billed charges,81.29% of total billed charges,393.93,90,,315.14,percent of total billed charges,90% of totl billed charges,393.93,90,,315.14,percent of total billed charges,90% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,393.93,90,,315.14,percent of total billed charges,90% of total billed charges,393.93,90,,315.14,percent of total billed charges,90% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,267,61,,213.6,percent of total billed charges,61% of total billed charges,227.6,52,,182.08,percent of total billed charges,52% of total billed charges,227.6,393.93,
FOREARM 2 VIEWS LEFT,42000346,CDM,320,RC,73090,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
FOREARM 2 VIEWS RIGHT,42000347,CDM,320,RC,73090,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
HUMEROUS 2 VIEWS BILATERAL,42004614,CDM,320,RC,73090,HCPCS,Outpatient,,,309.58,247.66,,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,269.95,87.2,,,percent of total billed charges,87.2% of total billed charges,182.65,59,,146.12,percent of total billed charges,59% of total billed charges,269.95,87.2,,215.96,percent of total billed charges,87.2% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,251.66,81.29,,201.33,percent of total billed charges,81.29% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of totl billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,278.62,
UPP EXT INF (364 DAYS) LEFT,42000851,CDM,320,RC,73092,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
UPP EXT INF (364 DAYS) RIGHT,42000852,CDM,320,RC,73092,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
WRIST 2 VIEWS LEFT,42000886,CDM,320,RC,73100,HCPCS,Outpatient,,,198.19,158.55,,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,172.82,87.2,,,percent of total billed charges,87.2% of total billed charges,116.93,59,,93.54,percent of total billed charges,59% of total billed charges,172.82,87.2,,138.26,percent of total billed charges,87.2% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,161.11,81.29,,128.89,percent of total billed charges,81.29% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of totl billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,178.37,
WRIST 2 VIEWS RIGHT,42000887,CDM,320,RC,73100,HCPCS,Outpatient,,,198.19,158.55,,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,172.82,87.2,,,percent of total billed charges,87.2% of total billed charges,116.93,59,,93.54,percent of total billed charges,59% of total billed charges,172.82,87.2,,138.26,percent of total billed charges,87.2% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,161.11,81.29,,128.89,percent of total billed charges,81.29% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of totl billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,178.37,
WRIST 2 VIEWS BILATERAL,42000888,CDM,320,RC,73100,HCPCS,Outpatient,,,396.38,317.1,,336.92,85,,269.54,percent of total billed charges,85% of total billed charges,336.92,85,,269.54,percent of total billed charges,85% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,294.43,74,,235.54,percent of total billed charges,74.28% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,294.43,74,,235.54,percent of total billed charges,74.28% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,294.43,74,,235.54,percent of total billed charges,74.28% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,356.74,90,,285.39,percent of total billed charges,90% of total billed charges,356.74,90,,285.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,345.64,87.2,,,percent of total billed charges,87.2% of total billed charges,233.86,59,,187.09,percent of total billed charges,59% of total billed charges,345.64,87.2,,276.51,percent of total billed charges,87.2% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,322.22,81.29,,257.78,percent of total billed charges,81.29% of total billed charges,356.74,90,,285.39,percent of total billed charges,90% of totl billed charges,356.74,90,,285.39,percent of total billed charges,90% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,356.74,90,,285.39,percent of total billed charges,90% of total billed charges,356.74,90,,285.39,percent of total billed charges,90% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,241.79,61,,193.43,percent of total billed charges,61% of total billed charges,206.12,52,,164.9,percent of total billed charges,52% of total billed charges,206.12,356.74,
WRIST MINIMUM 3 VIEWS LEFT,42000892,CDM,320,RC,73110,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
WRIST MINIMUM 3 VIEWS RIGHT,42000893,CDM,320,RC,73110,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
WRIST MINIMUM 3 VIEWS BILAT,42000894,CDM,320,RC,73110,HCPCS,Outpatient,,,430.32,344.26,,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,375.24,87.2,,,percent of total billed charges,87.2% of total billed charges,253.89,59,,203.11,percent of total billed charges,59% of total billed charges,375.24,87.2,,300.19,percent of total billed charges,87.2% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,349.81,81.29,,279.85,percent of total billed charges,81.29% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of totl billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,387.29,
HAND - 2 VIEWS LEFT,42000356,CDM,320,RC,73120,HCPCS,Outpatient,,,129.34,103.47,,109.94,85,,87.95,percent of total billed charges,85% of total billed charges,109.94,85,,87.95,percent of total billed charges,85% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,112.78,87.2,,,percent of total billed charges,87.2% of total billed charges,76.31,59,,61.05,percent of total billed charges,59% of total billed charges,112.78,87.2,,90.22,percent of total billed charges,87.2% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,105.14,81.29,,84.11,percent of total billed charges,81.29% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of totl billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,67.26,116.41,
HAND - 2 VIEWS RIGHT,42000357,CDM,320,RC,73120,HCPCS,Outpatient,,,129.34,103.47,,109.94,85,,87.95,percent of total billed charges,85% of total billed charges,109.94,85,,87.95,percent of total billed charges,85% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,96.07,74,,76.86,percent of total billed charges,74.28% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,112.78,87.2,,,percent of total billed charges,87.2% of total billed charges,76.31,59,,61.05,percent of total billed charges,59% of total billed charges,112.78,87.2,,90.22,percent of total billed charges,87.2% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,105.14,81.29,,84.11,percent of total billed charges,81.29% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of totl billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,116.41,90,,93.13,percent of total billed charges,90% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,78.9,61,,63.12,percent of total billed charges,61% of total billed charges,67.26,52,,53.81,percent of total billed charges,52% of total billed charges,67.26,116.41,
HAND -MINIMUM 3 VIEWS LEFT,42000361,CDM,320,RC,73130,HCPCS,Outpatient,,,158.57,126.86,,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,138.27,87.2,,,percent of total billed charges,87.2% of total billed charges,93.56,59,,74.85,percent of total billed charges,59% of total billed charges,138.27,87.2,,110.62,percent of total billed charges,87.2% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,128.9,81.29,,103.12,percent of total billed charges,81.29% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of totl billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,142.71,
HAND -MINIMUM 3 VIEWS RIGHT,42000362,CDM,320,RC,73130,HCPCS,Outpatient,,,158.57,126.86,,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,138.27,87.2,,,percent of total billed charges,87.2% of total billed charges,93.56,59,,74.85,percent of total billed charges,59% of total billed charges,138.27,87.2,,110.62,percent of total billed charges,87.2% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,128.9,81.29,,103.12,percent of total billed charges,81.29% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of totl billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,142.71,
HAND - MINIMUM 3 VIEWS BILAT,42000363,CDM,320,RC,73130,HCPCS,Outpatient,,,317.13,253.7,,269.56,85,,215.65,percent of total billed charges,85% of total billed charges,269.56,85,,215.65,percent of total billed charges,85% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,276.54,87.2,,,percent of total billed charges,87.2% of total billed charges,187.11,59,,149.69,percent of total billed charges,59% of total billed charges,276.54,87.2,,221.23,percent of total billed charges,87.2% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,257.79,81.29,,206.23,percent of total billed charges,81.29% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of totl billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,164.91,285.42,
"FINGER(S), LEFT",42000910,CDM,320,RC,73140,HCPCS,Outpatient,,,148.21,118.57,,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,129.24,87.2,,,percent of total billed charges,87.2% of total billed charges,87.44,59,,69.95,percent of total billed charges,59% of total billed charges,129.24,87.2,,103.39,percent of total billed charges,87.2% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,120.48,81.29,,96.38,percent of total billed charges,81.29% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of totl billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,133.39,
"LEFT HAND, THUMB",42000920,CDM,320,RC,73140,HCPCS,Outpatient,,,148.21,118.57,,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,129.24,87.2,,,percent of total billed charges,87.2% of total billed charges,87.44,59,,69.95,percent of total billed charges,59% of total billed charges,129.24,87.2,,103.39,percent of total billed charges,87.2% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,120.48,81.29,,96.38,percent of total billed charges,81.29% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of totl billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,133.39,
"RIGHT HAND, THUMB",42000925,CDM,320,RC,73140,HCPCS,Outpatient,,,148.21,118.57,,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,129.24,87.2,,,percent of total billed charges,87.2% of total billed charges,87.44,59,,69.95,percent of total billed charges,59% of total billed charges,129.24,87.2,,103.39,percent of total billed charges,87.2% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,120.48,81.29,,96.38,percent of total billed charges,81.29% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of totl billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,133.39,
"FINGER(S), RIGHT",42000940,CDM,320,RC,73140,HCPCS,Outpatient,,,148.21,118.57,,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,125.98,85,,100.78,percent of total billed charges,85% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,110.09,74,,88.07,percent of total billed charges,74.28% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,129.24,87.2,,,percent of total billed charges,87.2% of total billed charges,87.44,59,,69.95,percent of total billed charges,59% of total billed charges,129.24,87.2,,103.39,percent of total billed charges,87.2% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,120.48,81.29,,96.38,percent of total billed charges,81.29% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of totl billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,133.39,90,,106.71,percent of total billed charges,90% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,90.41,61,,72.33,percent of total billed charges,61% of total billed charges,77.07,52,,61.66,percent of total billed charges,52% of total billed charges,77.07,133.39,
CT UPPER EXT WO CONTRAST,42004312,CDM,352,RC,73200,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT UPPER EXT W CONTRAST LEFT,42003401,CDM,352,RC,73201,HCPCS,Outpatient,,,1303.32,1042.66,,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1136.5,87.2,,,percent of total billed charges,87.2% of total billed charges,768.96,59,,615.17,percent of total billed charges,59% of total billed charges,1136.5,87.2,,909.2,percent of total billed charges,87.2% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1059.47,81.29,,847.58,percent of total billed charges,81.29% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of totl billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,1172.99,
CT UPPER EXT W CONTRAST,42003402,CDM,352,RC,73201,HCPCS,Outpatient,,,1303.32,1042.66,,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,1107.82,85,,886.26,percent of total billed charges,85% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,968.11,74,,774.49,percent of total billed charges,74.28% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1136.5,87.2,,,percent of total billed charges,87.2% of total billed charges,768.96,59,,615.17,percent of total billed charges,59% of total billed charges,1136.5,87.2,,909.2,percent of total billed charges,87.2% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,1059.47,81.29,,847.58,percent of total billed charges,81.29% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of totl billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,1172.99,90,,938.39,percent of total billed charges,90% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,795.03,61,,636.02,percent of total billed charges,61% of total billed charges,677.73,52,,542.18,percent of total billed charges,52% of total billed charges,677.73,1172.99,
CT UPPER EXT WWO CONTRAST LEFT,42003391,CDM,352,RC,73202,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CT UPPER EXT WWO CONTRAST RT,42003392,CDM,352,RC,73202,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CTA UPPER EXT W/CONTRAST LEFT,42003014,CDM,352,RC,73206,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CTA UPPER EXT W/CONTRAST RIGHT,42003015,CDM,352,RC,73206,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
MRI-UPPER EXT NO JOINT WO LEFT,42004401,CDM,614,RC,73218,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI-UPPER EXT NO JOINT W LEFT,42004411,CDM,614,RC,73219,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI-UP EXT NO JOINT WWO LEFT,42004371,CDM,614,RC,73220,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI-UPPER EXT JOINT WO,42004381,CDM,614,RC,73221,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI UPPER EXT JOINT WO BILAT,42004593,CDM,614,RC,73221,HCPCS,Outpatient,,,3796.64,3037.31,,3227.14,85,,2581.71,percent of total billed charges,85% of total billed charges,3227.14,85,,2581.71,percent of total billed charges,85% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3310.67,87.2,,,percent of total billed charges,87.2% of total billed charges,2240.02,59,,1792.02,percent of total billed charges,59% of total billed charges,3310.67,87.2,,2648.54,percent of total billed charges,87.2% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3086.29,81.29,,2469.03,percent of total billed charges,81.29% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of totl billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,1974.25,3416.98,
MRI RIGHT SHOULDER WO,42004620,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI LEFT SHOULDER WO,42004623,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI RIGHT ELBOW WO,42004626,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI LEFT ELBOW WO,42004629,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI RIGHT WRIST WO,42004632,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI LEFT WRIST WO,42004635,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI RIGHT CLAVICLE WO,42004638,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI LEFT CLAVICLE WO,42004641,CDM,614,RC,73221,HCPCS,Outpatient,,,314.75,251.8,,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,267.54,85,,214.03,percent of total billed charges,85% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,233.8,74,,187.04,percent of total billed charges,74.28% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,274.46,87.2,,,percent of total billed charges,87.2% of total billed charges,185.7,59,,148.56,percent of total billed charges,59% of total billed charges,274.46,87.2,,219.57,percent of total billed charges,87.2% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,255.86,81.29,,204.69,percent of total billed charges,81.29% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of totl billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,283.28,90,,226.62,percent of total billed charges,90% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,192,61,,153.6,percent of total billed charges,61% of total billed charges,163.67,52,,130.94,percent of total billed charges,52% of total billed charges,163.67,283.28,
MRI-UPPER EXT JOINT W LEFT,42004391,CDM,614,RC,73222,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI RIGHT SHOULDER W,42004621,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT SHOULDER W,42004624,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI RIGHT ELBOW W,42004627,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT ELBOW W,42004630,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI RIGHT WRIST W,42004633,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT WRIST W,42004636,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI RIGHT CLAVICLE W,42004639,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT CLAVICLE W,42004642,CDM,614,RC,73222,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI-UPPER EXT JOINT WWO LEFT,42004361,CDM,614,RC,73223,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI RIGHT SHOULDER W/WO,42004622,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI LEFT SHOULDER W/WO,42004625,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI RIGHT ELBOW W/WO,42004628,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI LEFT ELBOW W/WO,42004631,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI RIGHT WRIST W/WO,42004634,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI LEFT WRIST W/WO,42004637,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI RIGHT CLAVICLE W/WO,42004640,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
MRI LEFT CLAVICLE W/WO,42004643,CDM,614,RC,73223,HCPCS,Outpatient,,,653.15,522.52,,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,555.18,85,,444.14,percent of total billed charges,85% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,485.16,74,,388.13,percent of total billed charges,74.28% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,569.55,87.2,,,percent of total billed charges,87.2% of total billed charges,385.36,59,,308.29,percent of total billed charges,59% of total billed charges,569.55,87.2,,455.64,percent of total billed charges,87.2% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,530.95,81.29,,424.76,percent of total billed charges,81.29% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of totl billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,587.84,90,,470.27,percent of total billed charges,90% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,398.42,61,,318.74,percent of total billed charges,61% of total billed charges,339.64,52,,271.71,percent of total billed charges,52% of total billed charges,339.64,587.84,
"HIP,UNILAT, 1 VIEW LEFT",42001063,CDM,320,RC,73501,HCPCS,Outpatient,,,97.45,77.96,,82.83,85,,66.26,percent of total billed charges,85% of total billed charges,82.83,85,,66.26,percent of total billed charges,85% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,84.98,87.2,,,percent of total billed charges,87.2% of total billed charges,57.5,59,,46,percent of total billed charges,59% of total billed charges,84.98,87.2,,67.98,percent of total billed charges,87.2% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,79.22,81.29,,63.38,percent of total billed charges,81.29% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of totl billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,50.67,87.71,
"HIP,UNILAT, 1 VIEW RIGHT",42001064,CDM,320,RC,73501,HCPCS,Outpatient,,,97.45,77.96,,82.83,85,,66.26,percent of total billed charges,85% of total billed charges,82.83,85,,66.26,percent of total billed charges,85% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,72.39,74,,57.91,percent of total billed charges,74.28% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,84.98,87.2,,,percent of total billed charges,87.2% of total billed charges,57.5,59,,46,percent of total billed charges,59% of total billed charges,84.98,87.2,,67.98,percent of total billed charges,87.2% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,79.22,81.29,,63.38,percent of total billed charges,81.29% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of totl billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,87.71,90,,70.17,percent of total billed charges,90% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,59.44,61,,47.55,percent of total billed charges,61% of total billed charges,50.67,52,,40.54,percent of total billed charges,52% of total billed charges,50.67,87.71,
"HIP,UNILAT, 2-3 VIEW LEFT",42001065,CDM,320,RC,73502,HCPCS,Outpatient,,,292.35,233.88,,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,254.93,87.2,,,percent of total billed charges,87.2% of total billed charges,172.49,59,,137.99,percent of total billed charges,59% of total billed charges,254.93,87.2,,203.94,percent of total billed charges,87.2% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,237.65,81.29,,190.12,percent of total billed charges,81.29% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of totl billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,263.12,
"HIP,UNILAT, 2-3 VIEW RIGHT",42001066,CDM,320,RC,73502,HCPCS,Outpatient,,,292.35,233.88,,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,248.5,85,,198.8,percent of total billed charges,85% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,217.16,74,,173.73,percent of total billed charges,74.28% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,254.93,87.2,,,percent of total billed charges,87.2% of total billed charges,172.49,59,,137.99,percent of total billed charges,59% of total billed charges,254.93,87.2,,203.94,percent of total billed charges,87.2% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,237.65,81.29,,190.12,percent of total billed charges,81.29% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of totl billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,263.12,90,,210.5,percent of total billed charges,90% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,178.33,61,,142.66,percent of total billed charges,61% of total billed charges,152.02,52,,121.62,percent of total billed charges,52% of total billed charges,152.02,263.12,
"HIP,UNILAT, MIN 4 VIEWS LEFT",42001067,CDM,320,RC,73503,HCPCS,Outpatient,,,389.83,311.86,,331.36,85,,265.09,percent of total billed charges,85% of total billed charges,331.36,85,,265.09,percent of total billed charges,85% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,339.93,87.2,,,percent of total billed charges,87.2% of total billed charges,230,59,,184,percent of total billed charges,59% of total billed charges,339.93,87.2,,271.94,percent of total billed charges,87.2% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,316.89,81.29,,253.51,percent of total billed charges,81.29% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of totl billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,202.71,350.85,
"HIP,UNILAT, MIN 4 VIEWS RIGHT",42001068,CDM,320,RC,73503,HCPCS,Outpatient,,,389.83,311.86,,331.36,85,,265.09,percent of total billed charges,85% of total billed charges,331.36,85,,265.09,percent of total billed charges,85% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,289.57,74,,231.66,percent of total billed charges,74.28% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,339.93,87.2,,,percent of total billed charges,87.2% of total billed charges,230,59,,184,percent of total billed charges,59% of total billed charges,339.93,87.2,,271.94,percent of total billed charges,87.2% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,316.89,81.29,,253.51,percent of total billed charges,81.29% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of totl billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,350.85,90,,280.68,percent of total billed charges,90% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,237.8,61,,190.24,percent of total billed charges,61% of total billed charges,202.71,52,,162.17,percent of total billed charges,52% of total billed charges,202.71,350.85,
"HIP,BILATERAL W/PELVIS 2 VIEWS",42001069,CDM,320,RC,73521,HCPCS,Outpatient,,,415.93,332.74,,353.54,85,,282.83,percent of total billed charges,85% of total billed charges,353.54,85,,282.83,percent of total billed charges,85% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,308.95,74,,247.16,percent of total billed charges,74.28% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,308.95,74,,247.16,percent of total billed charges,74.28% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,308.95,74,,247.16,percent of total billed charges,74.28% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,374.34,90,,299.47,percent of total billed charges,90% of total billed charges,374.34,90,,299.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,362.69,87.2,,,percent of total billed charges,87.2% of total billed charges,245.4,59,,196.32,percent of total billed charges,59% of total billed charges,362.69,87.2,,290.15,percent of total billed charges,87.2% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,338.11,81.29,,270.49,percent of total billed charges,81.29% of total billed charges,374.34,90,,299.47,percent of total billed charges,90% of totl billed charges,374.34,90,,299.47,percent of total billed charges,90% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,374.34,90,,299.47,percent of total billed charges,90% of total billed charges,374.34,90,,299.47,percent of total billed charges,90% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,253.72,61,,202.98,percent of total billed charges,61% of total billed charges,216.28,52,,173.02,percent of total billed charges,52% of total billed charges,216.28,374.34,
"HIP,BILATRL W/PELVIS 3-4 VIEWS",42001070,CDM,320,RC,73522,HCPCS,Outpatient,,,831.89,665.51,,707.11,85,,565.69,percent of total billed charges,85% of total billed charges,707.11,85,,565.69,percent of total billed charges,85% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,617.93,74,,494.34,percent of total billed charges,74.28% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,617.93,74,,494.34,percent of total billed charges,74.28% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,617.93,74,,494.34,percent of total billed charges,74.28% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,748.7,90,,598.96,percent of total billed charges,90% of total billed charges,748.7,90,,598.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,725.41,87.2,,,percent of total billed charges,87.2% of total billed charges,490.82,59,,392.66,percent of total billed charges,59% of total billed charges,725.41,87.2,,580.33,percent of total billed charges,87.2% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,676.24,81.29,,540.99,percent of total billed charges,81.29% of total billed charges,748.7,90,,598.96,percent of total billed charges,90% of totl billed charges,748.7,90,,598.96,percent of total billed charges,90% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,748.7,90,,598.96,percent of total billed charges,90% of total billed charges,748.7,90,,598.96,percent of total billed charges,90% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,507.45,61,,405.96,percent of total billed charges,61% of total billed charges,432.58,52,,346.06,percent of total billed charges,52% of total billed charges,432.58,748.7,
"HIP,BILAT W/PELVIS MIN 5 VIEWS",42001071,CDM,320,RC,73523,HCPCS,Outpatient,,,1039.84,831.87,,883.86,85,,707.09,percent of total billed charges,85% of total billed charges,883.86,85,,707.09,percent of total billed charges,85% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,772.39,74,,617.91,percent of total billed charges,74.28% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,772.39,74,,617.91,percent of total billed charges,74.28% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,772.39,74,,617.91,percent of total billed charges,74.28% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,935.86,90,,748.69,percent of total billed charges,90% of total billed charges,935.86,90,,748.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,906.74,87.2,,,percent of total billed charges,87.2% of total billed charges,613.51,59,,490.81,percent of total billed charges,59% of total billed charges,906.74,87.2,,725.39,percent of total billed charges,87.2% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,845.29,81.29,,676.23,percent of total billed charges,81.29% of total billed charges,935.86,90,,748.69,percent of total billed charges,90% of totl billed charges,935.86,90,,748.69,percent of total billed charges,90% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,935.86,90,,748.69,percent of total billed charges,90% of total billed charges,935.86,90,,748.69,percent of total billed charges,90% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,634.3,61,,507.44,percent of total billed charges,61% of total billed charges,540.72,52,,432.58,percent of total billed charges,52% of total billed charges,540.72,935.86,
FEMUR 1 VIEW DXA-ATYPICAL FX,42001089,CDM,320,RC,73551,HCPCS,Outpatient,,,60.21,48.17,,51.18,85,,40.94,percent of total billed charges,85% of total billed charges,51.18,85,,40.94,percent of total billed charges,85% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,44.72,74,,35.78,percent of total billed charges,74.28% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,44.72,74,,35.78,percent of total billed charges,74.28% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,44.72,74,,35.78,percent of total billed charges,74.28% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,54.19,90,,43.35,percent of total billed charges,90% of total billed charges,54.19,90,,43.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,52.5,87.2,,,percent of total billed charges,87.2% of total billed charges,35.52,59,,28.42,percent of total billed charges,59% of total billed charges,52.5,87.2,,42,percent of total billed charges,87.2% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,48.94,81.29,,39.15,percent of total billed charges,81.29% of total billed charges,54.19,90,,43.35,percent of total billed charges,90% of totl billed charges,54.19,90,,43.35,percent of total billed charges,90% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,54.19,90,,43.35,percent of total billed charges,90% of total billed charges,54.19,90,,43.35,percent of total billed charges,90% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,36.73,61,,29.38,percent of total billed charges,61% of total billed charges,31.31,52,,25.05,percent of total billed charges,52% of total billed charges,31.31,54.19,
"FEMUR 2 VIEWS, LEFT",42000301,CDM,320,RC,73552,HCPCS,Outpatient,,,198.19,158.55,,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,172.82,87.2,,,percent of total billed charges,87.2% of total billed charges,116.93,59,,93.54,percent of total billed charges,59% of total billed charges,172.82,87.2,,138.26,percent of total billed charges,87.2% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,161.11,81.29,,128.89,percent of total billed charges,81.29% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of totl billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,178.37,
"FEMUR 2 VIEWS, RIGHT",42000302,CDM,320,RC,73552,HCPCS,Outpatient,,,198.19,158.55,,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,168.46,85,,134.77,percent of total billed charges,85% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,147.22,74,,117.78,percent of total billed charges,74.28% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,172.82,87.2,,,percent of total billed charges,87.2% of total billed charges,116.93,59,,93.54,percent of total billed charges,59% of total billed charges,172.82,87.2,,138.26,percent of total billed charges,87.2% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,161.11,81.29,,128.89,percent of total billed charges,81.29% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of totl billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,178.37,90,,142.7,percent of total billed charges,90% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,120.9,61,,96.72,percent of total billed charges,61% of total billed charges,103.06,52,,82.45,percent of total billed charges,52% of total billed charges,103.06,178.37,
KNEE 1 OR 2 VIEWS LEFT,42000431,CDM,320,RC,73560,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
KNEE 1 OR 2 VIEWS RIGHT,42000432,CDM,320,RC,73560,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
KNEE 3 VIEWS LEFT,42000441,CDM,320,RC,73562,HCPCS,Outpatient,,,208.48,166.78,,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,181.79,87.2,,,percent of total billed charges,87.2% of total billed charges,123,59,,98.4,percent of total billed charges,59% of total billed charges,181.79,87.2,,145.43,percent of total billed charges,87.2% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,169.47,81.29,,135.58,percent of total billed charges,81.29% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of totl billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,187.63,
KNEE 3 VIEWS RIGHT,42000442,CDM,320,RC,73562,HCPCS,Outpatient,,,208.48,166.78,,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,177.21,85,,141.77,percent of total billed charges,85% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,154.86,74,,123.89,percent of total billed charges,74.28% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,181.79,87.2,,,percent of total billed charges,87.2% of total billed charges,123,59,,98.4,percent of total billed charges,59% of total billed charges,181.79,87.2,,145.43,percent of total billed charges,87.2% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,169.47,81.29,,135.58,percent of total billed charges,81.29% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of totl billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,187.63,90,,150.1,percent of total billed charges,90% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,127.17,61,,101.74,percent of total billed charges,61% of total billed charges,108.41,52,,86.73,percent of total billed charges,52% of total billed charges,108.41,187.63,
KNEE 3 VIEWS BILATERAL,42000443,CDM,320,RC,73562,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
KNEE 4 OR MORE VIEWS LEFT,42000436,CDM,320,RC,73564,HCPCS,Outpatient,,,248.19,198.55,,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,216.42,87.2,,,percent of total billed charges,87.2% of total billed charges,146.43,59,,117.14,percent of total billed charges,59% of total billed charges,216.42,87.2,,173.14,percent of total billed charges,87.2% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,201.75,81.29,,161.4,percent of total billed charges,81.29% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of totl billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,223.37,
KNEE 4 OR MORE VIEWS RIGHT,42000437,CDM,320,RC,73564,HCPCS,Outpatient,,,248.19,198.55,,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,210.96,85,,168.77,percent of total billed charges,85% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,184.36,74,,147.49,percent of total billed charges,74.28% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,216.42,87.2,,,percent of total billed charges,87.2% of total billed charges,146.43,59,,117.14,percent of total billed charges,59% of total billed charges,216.42,87.2,,173.14,percent of total billed charges,87.2% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,201.75,81.29,,161.4,percent of total billed charges,81.29% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of totl billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,223.37,90,,178.7,percent of total billed charges,90% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,151.4,61,,121.12,percent of total billed charges,61% of total billed charges,129.06,52,,103.25,percent of total billed charges,52% of total billed charges,129.06,223.37,
KNEES-STANDING AP BIL.,42000445,CDM,320,RC,73565,HCPCS,Outpatient,,,104.88,83.9,,89.15,85,,71.32,percent of total billed charges,85% of total billed charges,89.15,85,,71.32,percent of total billed charges,85% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,77.9,74,,62.32,percent of total billed charges,74.28% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,91.46,87.2,,,percent of total billed charges,87.2% of total billed charges,61.88,59,,49.5,percent of total billed charges,59% of total billed charges,91.46,87.2,,73.17,percent of total billed charges,87.2% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,85.26,81.29,,68.21,percent of total billed charges,81.29% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of totl billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,94.39,90,,75.51,percent of total billed charges,90% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,63.98,61,,51.18,percent of total billed charges,61% of total billed charges,54.54,52,,43.63,percent of total billed charges,52% of total billed charges,54.54,94.39,
TIBIA AND FIBULA 2 VIEWS LEFT,42000801,CDM,320,RC,73590,HCPCS,Outpatient,,,158.57,126.86,,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,138.27,87.2,,,percent of total billed charges,87.2% of total billed charges,93.56,59,,74.85,percent of total billed charges,59% of total billed charges,138.27,87.2,,110.62,percent of total billed charges,87.2% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,128.9,81.29,,103.12,percent of total billed charges,81.29% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of totl billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,142.71,
TIBIA AND FIBULA 2 VIEWS RIGHT,42000802,CDM,320,RC,73590,HCPCS,Outpatient,,,158.57,126.86,,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,134.78,85,,107.82,percent of total billed charges,85% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,117.79,74,,94.23,percent of total billed charges,74.28% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,138.27,87.2,,,percent of total billed charges,87.2% of total billed charges,93.56,59,,74.85,percent of total billed charges,59% of total billed charges,138.27,87.2,,110.62,percent of total billed charges,87.2% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,128.9,81.29,,103.12,percent of total billed charges,81.29% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of totl billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,142.71,90,,114.17,percent of total billed charges,90% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,96.73,61,,77.38,percent of total billed charges,61% of total billed charges,82.46,52,,65.97,percent of total billed charges,52% of total billed charges,82.46,142.71,
TIBIA/FIBULA 2 VIEWS BILATERAL,42001043,CDM,320,RC,73590,HCPCS,Outpatient,,,317.13,253.7,,269.56,85,,215.65,percent of total billed charges,85% of total billed charges,269.56,85,,215.65,percent of total billed charges,85% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,235.56,74,,188.45,percent of total billed charges,74.28% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,276.54,87.2,,,percent of total billed charges,87.2% of total billed charges,187.11,59,,149.69,percent of total billed charges,59% of total billed charges,276.54,87.2,,221.23,percent of total billed charges,87.2% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,257.79,81.29,,206.23,percent of total billed charges,81.29% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of totl billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,285.42,90,,228.34,percent of total billed charges,90% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,193.45,61,,154.76,percent of total billed charges,61% of total billed charges,164.91,52,,131.93,percent of total billed charges,52% of total billed charges,164.91,285.42,
LWR EXT INFANT < 364 DAYS LEFT,42000476,CDM,320,RC,73592,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
LWR EXT INFANT <364 DAYS RIGHT,42000477,CDM,320,RC,73592,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
ANKLE 2 VIEWS LEFT,42000031,CDM,320,RC,73600,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
ANKLE 2 VIEWS RIGHT,42000032,CDM,320,RC,73600,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
ANKLE 2 VIEWS BILATERAL,42001044,CDM,320,RC,73600,HCPCS,Outpatient,,,309.57,247.66,,263.13,85,,210.5,percent of total billed charges,85% of total billed charges,263.13,85,,210.5,percent of total billed charges,85% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.95,74,,183.96,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.95,74,,183.96,percent of total billed charges,74.28% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,229.95,74,,183.96,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,278.61,90,,222.89,percent of total billed charges,90% of total billed charges,278.61,90,,222.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,269.95,87.2,,,percent of total billed charges,87.2% of total billed charges,182.65,59,,146.12,percent of total billed charges,59% of total billed charges,269.95,87.2,,215.96,percent of total billed charges,87.2% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,251.65,81.29,,201.32,percent of total billed charges,81.29% of total billed charges,278.61,90,,222.89,percent of total billed charges,90% of totl billed charges,278.61,90,,222.89,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,278.61,90,,222.89,percent of total billed charges,90% of total billed charges,278.61,90,,222.89,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,278.61,
ANKLE MIN 3 VIEWS LEFT,42000036,CDM,320,RC,73610,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
ANKLE MIN 3 VIEWS RIGHT,42000037,CDM,320,RC,73610,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
ANKLE MIN 3 VIEWS BILATERAL,42000038,CDM,320,RC,73610,HCPCS,Outpatient,,,430.32,344.26,,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,375.24,87.2,,,percent of total billed charges,87.2% of total billed charges,253.89,59,,203.11,percent of total billed charges,59% of total billed charges,375.24,87.2,,300.19,percent of total billed charges,87.2% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,349.81,81.29,,279.85,percent of total billed charges,81.29% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of totl billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,387.29,
FOOT - 2 VIEWS LEFT,42000341,CDM,320,RC,73620,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
FOOT - 2 VIEWS RIGHT,42000342,CDM,320,RC,73620,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
FOOT- 2 VIEWS BILATERAL,42008003,CDM,320,RC,73620,HCPCS,Outpatient,,,309.58,247.66,,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,269.95,87.2,,,percent of total billed charges,87.2% of total billed charges,182.65,59,,146.12,percent of total billed charges,59% of total billed charges,269.95,87.2,,215.96,percent of total billed charges,87.2% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,251.66,81.29,,201.33,percent of total billed charges,81.29% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of totl billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,278.62,
FOOT MINIMUM 3 VIEWS LEFT,42000336,CDM,320,RC,73630,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
FOOT MINIMUM 3 VIEWS RIGHT,42000337,CDM,320,RC,73630,HCPCS,Outpatient,,,215.14,172.11,,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,182.87,85,,146.3,percent of total billed charges,85% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,159.81,74,,127.85,percent of total billed charges,74.28% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,187.6,87.2,,,percent of total billed charges,87.2% of total billed charges,126.93,59,,101.54,percent of total billed charges,59% of total billed charges,187.6,87.2,,150.08,percent of total billed charges,87.2% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,174.89,81.29,,139.91,percent of total billed charges,81.29% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of totl billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,193.63,90,,154.9,percent of total billed charges,90% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,131.24,61,,104.99,percent of total billed charges,61% of total billed charges,111.87,52,,89.5,percent of total billed charges,52% of total billed charges,111.87,193.63,
FOOT 3 VIEWS BIL,42008004,CDM,320,RC,73630,HCPCS,Outpatient,,,430.32,344.26,,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,365.77,85,,292.62,percent of total billed charges,85% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,319.64,74,,255.71,percent of total billed charges,74.28% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,375.24,87.2,,,percent of total billed charges,87.2% of total billed charges,253.89,59,,203.11,percent of total billed charges,59% of total billed charges,375.24,87.2,,300.19,percent of total billed charges,87.2% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,349.81,81.29,,279.85,percent of total billed charges,81.29% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of totl billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,387.29,90,,309.83,percent of total billed charges,90% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,262.5,61,,210,percent of total billed charges,61% of total billed charges,223.77,52,,179.02,percent of total billed charges,52% of total billed charges,223.77,387.29,
OS CALCIS MIN 2 VIEWS LEFT,42000611,CDM,320,RC,73650,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
OS CALCIS MIN 2 VIEWS RIGHT,42000612,CDM,320,RC,73650,HCPCS,Outpatient,,,154.77,123.82,,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,131.55,85,,105.24,percent of total billed charges,85% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,114.96,74,,91.97,percent of total billed charges,74.28% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,134.96,87.2,,,percent of total billed charges,87.2% of total billed charges,91.31,59,,73.05,percent of total billed charges,59% of total billed charges,134.96,87.2,,107.97,percent of total billed charges,87.2% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,125.81,81.29,,100.65,percent of total billed charges,81.29% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of totl billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,139.29,90,,111.43,percent of total billed charges,90% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,94.41,61,,75.53,percent of total billed charges,61% of total billed charges,80.48,52,,64.38,percent of total billed charges,52% of total billed charges,80.48,139.29,
OS CALCIS MIN 2 VIEWS BILAT,42000613,CDM,320,RC,73650,HCPCS,Outpatient,,,309.58,247.66,,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,263.14,85,,210.51,percent of total billed charges,85% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,229.96,74,,183.97,percent of total billed charges,74.28% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,269.95,87.2,,,percent of total billed charges,87.2% of total billed charges,182.65,59,,146.12,percent of total billed charges,59% of total billed charges,269.95,87.2,,215.96,percent of total billed charges,87.2% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,251.66,81.29,,201.33,percent of total billed charges,81.29% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of totl billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,278.62,90,,222.9,percent of total billed charges,90% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,188.84,61,,151.07,percent of total billed charges,61% of total billed charges,160.98,52,,128.78,percent of total billed charges,52% of total billed charges,160.98,278.62,
"TOES, LEFT",42000970,CDM,320,RC,73660,HCPCS,Outpatient,,,125.57,100.46,,106.73,85,,85.38,percent of total billed charges,85% of total billed charges,106.73,85,,85.38,percent of total billed charges,85% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,109.5,87.2,,,percent of total billed charges,87.2% of total billed charges,74.09,59,,59.27,percent of total billed charges,59% of total billed charges,109.5,87.2,,87.6,percent of total billed charges,87.2% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,102.08,81.29,,81.66,percent of total billed charges,81.29% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of totl billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,65.3,113.01,
"TOES, RIGHT",42000975,CDM,320,RC,73660,HCPCS,Outpatient,,,125.57,100.46,,106.73,85,,85.38,percent of total billed charges,85% of total billed charges,106.73,85,,85.38,percent of total billed charges,85% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,93.27,74,,74.62,percent of total billed charges,74.28% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,109.5,87.2,,,percent of total billed charges,87.2% of total billed charges,74.09,59,,59.27,percent of total billed charges,59% of total billed charges,109.5,87.2,,87.6,percent of total billed charges,87.2% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,102.08,81.29,,81.66,percent of total billed charges,81.29% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of totl billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,113.01,90,,90.41,percent of total billed charges,90% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,76.6,61,,61.28,percent of total billed charges,61% of total billed charges,65.3,52,,52.24,percent of total billed charges,52% of total billed charges,65.3,113.01,
CT LOW EXT WO CONTRAST LEFT,42003191,CDM,352,RC,73700,HCPCS,Outpatient,,,1041.26,833.01,,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,885.07,85,,708.06,percent of total billed charges,85% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,773.45,74,,618.76,percent of total billed charges,74.28% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,907.98,87.2,,,percent of total billed charges,87.2% of total billed charges,614.34,59,,491.47,percent of total billed charges,59% of total billed charges,907.98,87.2,,726.38,percent of total billed charges,87.2% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,846.44,81.29,,677.15,percent of total billed charges,81.29% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of totl billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,937.13,90,,749.7,percent of total billed charges,90% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,635.17,61,,508.14,percent of total billed charges,61% of total billed charges,541.46,52,,433.17,percent of total billed charges,52% of total billed charges,541.46,937.13,
CT LOW EXT W CONTRAST,42003181,CDM,352,RC,73701,HCPCS,Outpatient,,,1113.81,891.05,,946.74,85,,757.39,percent of total billed charges,85% of total billed charges,946.74,85,,757.39,percent of total billed charges,85% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,827.34,74,,661.87,percent of total billed charges,74.28% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,827.34,74,,661.87,percent of total billed charges,74.28% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,827.34,74,,661.87,percent of total billed charges,74.28% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,1002.43,90,,801.94,percent of total billed charges,90% of total billed charges,1002.43,90,,801.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,971.24,87.2,,,percent of total billed charges,87.2% of total billed charges,657.15,59,,525.72,percent of total billed charges,59% of total billed charges,971.24,87.2,,776.99,percent of total billed charges,87.2% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,905.42,81.29,,724.34,percent of total billed charges,81.29% of total billed charges,1002.43,90,,801.94,percent of total billed charges,90% of totl billed charges,1002.43,90,,801.94,percent of total billed charges,90% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,1002.43,90,,801.94,percent of total billed charges,90% of total billed charges,1002.43,90,,801.94,percent of total billed charges,90% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,679.42,61,,543.54,percent of total billed charges,61% of total billed charges,579.18,52,,463.34,percent of total billed charges,52% of total billed charges,579.18,1002.43,
CT LOW EXT WWO CONTRAST LEFT,42003171,CDM,352,RC,73702,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CT LOW EXT W&WO CONTRAST RIGHT,42003172,CDM,352,RC,73702,HCPCS,Outpatient,,,1353.32,1082.66,,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,1150.32,85,,920.26,percent of total billed charges,85% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1005.25,74,,804.2,percent of total billed charges,74.28% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1180.1,87.2,,,percent of total billed charges,87.2% of total billed charges,798.46,59,,638.77,percent of total billed charges,59% of total billed charges,1180.1,87.2,,944.08,percent of total billed charges,87.2% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,1100.11,81.29,,880.09,percent of total billed charges,81.29% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of totl billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,1217.99,90,,974.39,percent of total billed charges,90% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,825.53,61,,660.42,percent of total billed charges,61% of total billed charges,703.73,52,,562.98,percent of total billed charges,52% of total billed charges,703.73,1217.99,
CTA LOWER EXT W/CONTRAST LEFT,42003011,CDM,352,RC,73706,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CTA LOWER EXT W/CONTRAST RIGHT,42003012,CDM,352,RC,73706,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
CTA LOWER EXT W/CONTRAST BILAT,42003013,CDM,352,RC,73706,HCPCS,Outpatient,,,3345.46,2676.37,,2843.64,85,,2274.91,percent of total billed charges,85% of total billed charges,2843.64,85,,2274.91,percent of total billed charges,85% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,2485.01,74,,1988.01,percent of total billed charges,74.28% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,2485.01,74,,1988.01,percent of total billed charges,74.28% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,2485.01,74,,1988.01,percent of total billed charges,74.28% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of total billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,2917.24,87.2,,,percent of total billed charges,87.2% of total billed charges,1973.82,59,,1579.06,percent of total billed charges,59% of total billed charges,2917.24,87.2,,2333.79,percent of total billed charges,87.2% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,2719.52,81.29,,2175.62,percent of total billed charges,81.29% of total billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of totl billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of total billed charges,3010.91,90,,2408.73,percent of total billed charges,90% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,2040.73,61,,1632.58,percent of total billed charges,61% of total billed charges,1739.64,52,,1391.71,percent of total billed charges,52% of total billed charges,1739.64,3010.91,
MRI-LOW EXT NO JOINT WO LEFT,42004201,CDM,614,RC,73718,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI-LOWER EXT NO JOINT W LEFT,42004211,CDM,614,RC,73719,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI-LOW EXT NO JOINT WWO LEFT,42004171,CDM,614,RC,73720,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI-LOWER EXT JOINT WO,42004181,CDM,614,RC,73721,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRI LOWER EXT JOINT WO BIL,42004183,CDM,614,RC,73721,HCPCS,Outpatient,,,3796.64,3037.31,,3227.14,85,,2581.71,percent of total billed charges,85% of total billed charges,3227.14,85,,2581.71,percent of total billed charges,85% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2820.14,74,,2256.11,percent of total billed charges,74.28% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3310.67,87.2,,,percent of total billed charges,87.2% of total billed charges,2240.02,59,,1792.02,percent of total billed charges,59% of total billed charges,3310.67,87.2,,2648.54,percent of total billed charges,87.2% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,3086.29,81.29,,2469.03,percent of total billed charges,81.29% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of totl billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,3416.98,90,,2733.58,percent of total billed charges,90% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,2315.95,61,,1852.76,percent of total billed charges,61% of total billed charges,1974.25,52,,1579.4,percent of total billed charges,52% of total billed charges,1974.25,3416.98,
MRI RIGHT HIP WO,42004644,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI LEFT HIP WO,42004647,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI RIGHT KNEE WO,42004650,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI LEFT KNEE WO,42004653,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI RIGHT ANKLE WO,42004656,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI LEFT ANKLE WO,42004659,CDM,614,RC,73721,HCPCS,Outpatient,,,314.72,251.78,,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,267.51,85,,214.01,percent of total billed charges,85% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,233.77,74,,187.02,percent of total billed charges,74.28% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,274.44,87.2,,,percent of total billed charges,87.2% of total billed charges,185.68,59,,148.54,percent of total billed charges,59% of total billed charges,274.44,87.2,,219.55,percent of total billed charges,87.2% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,255.84,81.29,,204.67,percent of total billed charges,81.29% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of totl billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,283.25,90,,226.6,percent of total billed charges,90% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,191.98,61,,153.58,percent of total billed charges,61% of total billed charges,163.65,52,,130.92,percent of total billed charges,52% of total billed charges,163.65,283.25,
MRI-LOWER EXT JOINT W LEFT,42004191,CDM,614,RC,73722,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI RIGHT HIP W,42004645,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT HIP W,42004648,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI RIGHT KNEE W,42004651,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT KNEE W,42004654,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI RIGHT ANKLE W,42004657,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI LEFT ANKLE W,42004660,CDM,614,RC,73722,HCPCS,Outpatient,,,998.41,798.73,,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,848.65,85,,678.92,percent of total billed charges,85% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,741.62,74,,593.3,percent of total billed charges,74.28% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,870.61,87.2,,,percent of total billed charges,87.2% of total billed charges,589.06,59,,471.25,percent of total billed charges,59% of total billed charges,870.61,87.2,,696.49,percent of total billed charges,87.2% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,811.61,81.29,,649.29,percent of total billed charges,81.29% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of totl billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,898.57,90,,718.86,percent of total billed charges,90% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,609.03,61,,487.22,percent of total billed charges,61% of total billed charges,519.17,52,,415.34,percent of total billed charges,52% of total billed charges,519.17,898.57,
MRI-LOWER EXT JOINT WWO LEFT,42004161,CDM,614,RC,73723,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI-LOWER EXT JOINT W&WO RIGHT,42004162,CDM,614,RC,73723,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRI RIGHT HIP W/WO,42004646,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRI LEFT HIP W/WO,42004649,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRI RIGHT KNEE W/WO,42004652,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRI LEFT KNEE W/WO,42004655,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRI RIGHT ANKLE W/WO,42004658,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRI LEFT ANKLE WWO,42004661,CDM,614,RC,73723,HCPCS,Outpatient,,,651.01,520.81,,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,553.36,85,,442.69,percent of total billed charges,85% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,483.57,74,,386.86,percent of total billed charges,74.28% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,567.68,87.2,,,percent of total billed charges,87.2% of total billed charges,384.1,59,,307.28,percent of total billed charges,59% of total billed charges,567.68,87.2,,454.14,percent of total billed charges,87.2% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,529.21,81.29,,423.37,percent of total billed charges,81.29% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of totl billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,585.91,90,,468.73,percent of total billed charges,90% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,397.12,61,,317.7,percent of total billed charges,61% of total billed charges,338.53,52,,270.82,percent of total billed charges,52% of total billed charges,338.53,585.91,
MRA-LOWER EXT WWO LEFT,42004601,CDM,616,RC,73725,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
ABDOMEN 1 VIEW,42000010,CDM,320,RC,74018,HCPCS,Outpatient,,,239.61,191.69,,203.67,85,,162.94,percent of total billed charges,85% of total billed charges,203.67,85,,162.94,percent of total billed charges,85% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,177.98,74,,142.38,percent of total billed charges,74.28% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,208.94,87.2,,,percent of total billed charges,87.2% of total billed charges,141.37,59,,113.1,percent of total billed charges,59% of total billed charges,208.94,87.2,,167.15,percent of total billed charges,87.2% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,194.78,81.29,,155.82,percent of total billed charges,81.29% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of totl billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,215.65,90,,172.52,percent of total billed charges,90% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,146.16,61,,116.93,percent of total billed charges,61% of total billed charges,124.6,52,,99.68,percent of total billed charges,52% of total billed charges,124.6,215.65,
ABDOMEN 2 VIEW,42000015,CDM,320,RC,74019,HCPCS,Outpatient,,,285.85,228.68,,242.97,85,,194.38,percent of total billed charges,85% of total billed charges,242.97,85,,194.38,percent of total billed charges,85% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,212.33,74,,169.86,percent of total billed charges,74.28% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,212.33,74,,169.86,percent of total billed charges,74.28% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,212.33,74,,169.86,percent of total billed charges,74.28% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,257.27,90,,205.82,percent of total billed charges,90% of total billed charges,257.27,90,,205.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,249.26,87.2,,,percent of total billed charges,87.2% of total billed charges,168.65,59,,134.92,percent of total billed charges,59% of total billed charges,249.26,87.2,,199.41,percent of total billed charges,87.2% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,232.37,81.29,,185.9,percent of total billed charges,81.29% of total billed charges,257.27,90,,205.82,percent of total billed charges,90% of totl billed charges,257.27,90,,205.82,percent of total billed charges,90% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,257.27,90,,205.82,percent of total billed charges,90% of total billed charges,257.27,90,,205.82,percent of total billed charges,90% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,174.37,61,,139.5,percent of total billed charges,61% of total billed charges,148.64,52,,118.91,percent of total billed charges,52% of total billed charges,148.64,257.27,
ABDOMEN 3 OR MORE VIEWS,42000016,CDM,320,RC,74021,HCPCS,Outpatient,,,406.59,325.27,,345.6,85,,276.48,percent of total billed charges,85% of total billed charges,345.6,85,,276.48,percent of total billed charges,85% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,354.55,87.2,,,percent of total billed charges,87.2% of total billed charges,239.89,59,,191.91,percent of total billed charges,59% of total billed charges,354.55,87.2,,283.64,percent of total billed charges,87.2% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,330.52,81.29,,264.42,percent of total billed charges,81.29% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of totl billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,211.43,365.93,
ABDOMEN-ACUTE SERIES-2V&PA CXR,42000025,CDM,320,RC,74022,HCPCS,Outpatient,,,406.59,325.27,,345.6,85,,276.48,percent of total billed charges,85% of total billed charges,345.6,85,,276.48,percent of total billed charges,85% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,302.02,74,,241.62,percent of total billed charges,74.28% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,354.55,87.2,,,percent of total billed charges,87.2% of total billed charges,239.89,59,,191.91,percent of total billed charges,59% of total billed charges,354.55,87.2,,283.64,percent of total billed charges,87.2% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,330.52,81.29,,264.42,percent of total billed charges,81.29% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of totl billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,365.93,90,,292.74,percent of total billed charges,90% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,248.02,61,,198.42,percent of total billed charges,61% of total billed charges,211.43,52,,169.14,percent of total billed charges,52% of total billed charges,211.43,365.93,
CT ABDOMEN W/O CONTRAST,42003040,CDM,352,RC,74150,HCPCS,Outpatient,,,1191.15,952.92,,1012.48,85,,809.98,percent of total billed charges,85% of total billed charges,1012.48,85,,809.98,percent of total billed charges,85% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,884.79,74,,707.83,percent of total billed charges,74.28% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,884.79,74,,707.83,percent of total billed charges,74.28% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,884.79,74,,707.83,percent of total billed charges,74.28% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,1072.04,90,,857.63,percent of total billed charges,90% of total billed charges,1072.04,90,,857.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,1038.68,87.2,,,percent of total billed charges,87.2% of total billed charges,702.78,59,,562.22,percent of total billed charges,59% of total billed charges,1038.68,87.2,,830.94,percent of total billed charges,87.2% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,968.29,81.29,,774.63,percent of total billed charges,81.29% of total billed charges,1072.04,90,,857.63,percent of total billed charges,90% of totl billed charges,1072.04,90,,857.63,percent of total billed charges,90% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,1072.04,90,,857.63,percent of total billed charges,90% of total billed charges,1072.04,90,,857.63,percent of total billed charges,90% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,726.6,61,,581.28,percent of total billed charges,61% of total billed charges,619.4,52,,495.52,percent of total billed charges,52% of total billed charges,619.4,1072.04,
CT ABDOMEN W/CONTRAST,42003030,CDM,352,RC,74160,HCPCS,Outpatient,,,1430.7,1144.56,,1216.1,85,,972.88,percent of total billed charges,85% of total billed charges,1216.1,85,,972.88,percent of total billed charges,85% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,1062.72,74,,850.18,percent of total billed charges,74.28% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,1062.72,74,,850.18,percent of total billed charges,74.28% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,1062.72,74,,850.18,percent of total billed charges,74.28% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of total billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,1247.57,87.2,,,percent of total billed charges,87.2% of total billed charges,844.11,59,,675.29,percent of total billed charges,59% of total billed charges,1247.57,87.2,,998.06,percent of total billed charges,87.2% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,1163.02,81.29,,930.42,percent of total billed charges,81.29% of total billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of totl billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of total billed charges,1287.63,90,,1030.1,percent of total billed charges,90% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,872.73,61,,698.18,percent of total billed charges,61% of total billed charges,743.96,52,,595.17,percent of total billed charges,52% of total billed charges,743.96,1287.63,
CT ABD. WITH/WITHOUT CONTRA,42003020,CDM,352,RC,74170,HCPCS,Outpatient,,,1657,1325.6,,1408.45,85,,1126.76,percent of total billed charges,85% of total billed charges,1408.45,85,,1126.76,percent of total billed charges,85% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,1230.82,74,,984.66,percent of total billed charges,74.28% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,1230.82,74,,984.66,percent of total billed charges,74.28% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,1230.82,74,,984.66,percent of total billed charges,74.28% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of total billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,1444.9,87.2,,,percent of total billed charges,87.2% of total billed charges,977.63,59,,782.1,percent of total billed charges,59% of total billed charges,1444.9,87.2,,1155.92,percent of total billed charges,87.2% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,1346.98,81.29,,1077.58,percent of total billed charges,81.29% of total billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of totl billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of total billed charges,1491.3,90,,1193.04,percent of total billed charges,90% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,1010.77,61,,808.62,percent of total billed charges,61% of total billed charges,861.64,52,,689.31,percent of total billed charges,52% of total billed charges,861.64,1491.3,
CTA ABDOMEN PELVIS W &/or WO,42008000,CDM,350,RC,74174,HCPCS,Outpatient,,,3349.34,2679.47,,2846.94,85,,2277.55,percent of total billed charges,85% of total billed charges,2846.94,85,,2277.55,percent of total billed charges,85% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,2487.89,74,,1990.31,percent of total billed charges,74.28% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,2487.89,74,,1990.31,percent of total billed charges,74.28% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,2487.89,74,,1990.31,percent of total billed charges,74.28% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of total billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,2920.62,87.2,,,percent of total billed charges,87.2% of total billed charges,1976.11,59,,1580.89,percent of total billed charges,59% of total billed charges,2920.62,87.2,,2336.5,percent of total billed charges,87.2% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,2722.68,81.29,,2178.14,percent of total billed charges,81.29% of total billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of totl billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of total billed charges,3014.41,90,,2411.53,percent of total billed charges,90% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,2043.1,61,,1634.48,percent of total billed charges,61% of total billed charges,1741.66,52,,1393.33,percent of total billed charges,52% of total billed charges,1741.66,3014.41,
CTA ABDOMEN W/ CONTRAST,42003006,CDM,359,RC,74175,HCPCS,Outpatient,,,1672.74,1338.19,,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,1421.83,85,,1137.46,percent of total billed charges,85% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1242.51,74,,994.01,percent of total billed charges,74.28% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1458.63,87.2,,,percent of total billed charges,87.2% of total billed charges,986.92,59,,789.54,percent of total billed charges,59% of total billed charges,1458.63,87.2,,1166.9,percent of total billed charges,87.2% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,1359.77,81.29,,1087.82,percent of total billed charges,81.29% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of totl billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1505.47,90,,1204.38,percent of total billed charges,90% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,1020.37,61,,816.3,percent of total billed charges,61% of total billed charges,869.82,52,,695.86,percent of total billed charges,52% of total billed charges,869.82,1505.47,
"CT ABD W/O, PELVIS W/O",42030100,CDM,352,RC,74176,HCPCS,Outpatient,,,2239.08,1791.26,,1903.22,85,,1522.58,percent of total billed charges,85% of total billed charges,1903.22,85,,1522.58,percent of total billed charges,85% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1663.19,74,,1330.55,percent of total billed charges,74.28% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1663.19,74,,1330.55,percent of total billed charges,74.28% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,1663.19,74,,1330.55,percent of total billed charges,74.28% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of total billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1952.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1321.06,59,,1056.85,percent of total billed charges,59% of total billed charges,1952.48,87.2,,1561.98,percent of total billed charges,87.2% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1820.15,81.29,,1456.12,percent of total billed charges,81.29% of total billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of totl billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of total billed charges,2015.17,90,,1612.14,percent of total billed charges,90% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,1365.84,61,,1092.67,percent of total billed charges,61% of total billed charges,1164.32,52,,931.46,percent of total billed charges,52% of total billed charges,1164.32,2015.17,
CT ABD W & PELVIS W,42030300,CDM,352,RC,74177,HCPCS,Outpatient,,,2338.26,1870.61,,1987.52,85,,1590.02,percent of total billed charges,85% of total billed charges,1987.52,85,,1590.02,percent of total billed charges,85% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,1736.86,74,,1389.49,percent of total billed charges,74.28% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,1736.86,74,,1389.49,percent of total billed charges,74.28% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,1736.86,74,,1389.49,percent of total billed charges,74.28% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of total billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,2038.96,87.2,,,percent of total billed charges,87.2% of total billed charges,1379.57,59,,1103.66,percent of total billed charges,59% of total billed charges,2038.96,87.2,,1631.17,percent of total billed charges,87.2% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,1900.77,81.29,,1520.62,percent of total billed charges,81.29% of total billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of totl billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of total billed charges,2104.43,90,,1683.54,percent of total billed charges,90% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,1426.34,61,,1141.07,percent of total billed charges,61% of total billed charges,1215.9,52,,972.72,percent of total billed charges,52% of total billed charges,1215.9,2104.43,
"CT ABD W/,W/O, PELVIS W",42030200,CDM,352,RC,74178,HCPCS,Outpatient,,,2621.7,2097.36,,2228.45,85,,1782.76,percent of total billed charges,85% of total billed charges,2228.45,85,,1782.76,percent of total billed charges,85% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2286.12,87.2,,,percent of total billed charges,87.2% of total billed charges,1546.8,59,,1237.44,percent of total billed charges,59% of total billed charges,2286.12,87.2,,1828.9,percent of total billed charges,87.2% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2131.18,81.29,,1704.94,percent of total billed charges,81.29% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of totl billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1363.28,2359.53,
CT UROGRAM WWO,42030210,CDM,352,RC,74178,HCPCS,Outpatient,,,2621.7,2097.36,,2228.45,85,,1782.76,percent of total billed charges,85% of total billed charges,2228.45,85,,1782.76,percent of total billed charges,85% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1947.4,74,,1557.92,percent of total billed charges,74.28% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2286.12,87.2,,,percent of total billed charges,87.2% of total billed charges,1546.8,59,,1237.44,percent of total billed charges,59% of total billed charges,2286.12,87.2,,1828.9,percent of total billed charges,87.2% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,2131.18,81.29,,1704.94,percent of total billed charges,81.29% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of totl billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,2359.53,90,,1887.62,percent of total billed charges,90% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1599.24,61,,1279.39,percent of total billed charges,61% of total billed charges,1363.28,52,,1090.62,percent of total billed charges,52% of total billed charges,1363.28,2359.53,
MRI-ABDOMEN WITHOUT CONTRAST,42004030,CDM,614,RC,74181,HCPCS,Outpatient,,,1935.19,1548.15,,1644.91,85,,1315.93,percent of total billed charges,85% of total billed charges,1644.91,85,,1315.93,percent of total billed charges,85% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1437.46,74,,1149.97,percent of total billed charges,74.28% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1437.46,74,,1149.97,percent of total billed charges,74.28% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1437.46,74,,1149.97,percent of total billed charges,74.28% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of total billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1687.49,87.2,,,percent of total billed charges,87.2% of total billed charges,1141.76,59,,913.41,percent of total billed charges,59% of total billed charges,1687.49,87.2,,1349.99,percent of total billed charges,87.2% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1573.12,81.29,,1258.5,percent of total billed charges,81.29% of total billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of totl billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of total billed charges,1741.67,90,,1393.34,percent of total billed charges,90% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1180.47,61,,944.38,percent of total billed charges,61% of total billed charges,1006.3,52,,805.04,percent of total billed charges,52% of total billed charges,1006.3,1741.67,
MRI-ABDOMEN WITH CONTRAST,42004020,CDM,614,RC,74182,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
MRI-ABDOMEN WITH & WITHOUT CON,42004010,CDM,614,RC,74183,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRA-ABDOMEN W AND W/O CONTRAST,42004500,CDM,618,RC,74185,HCPCS,Outpatient,,,2545.26,2036.21,,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,2163.47,85,,1730.78,percent of total billed charges,85% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1890.62,74,,1512.5,percent of total billed charges,74.28% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2219.47,87.2,,,percent of total billed charges,87.2% of total billed charges,1501.7,59,,1201.36,percent of total billed charges,59% of total billed charges,2219.47,87.2,,1775.58,percent of total billed charges,87.2% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,2069.04,81.29,,1655.23,percent of total billed charges,81.29% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of totl billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,2290.73,90,,1832.58,percent of total billed charges,90% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1552.61,61,,1242.09,percent of total billed charges,61% of total billed charges,1323.54,52,,1058.83,percent of total billed charges,52% of total billed charges,1323.54,2290.73,
MRA-ABDOMEN W/O,42004510,CDM,618,RC,74185,HCPCS,Outpatient,,,1898.32,1518.66,,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,1613.57,85,,1290.86,percent of total billed charges,85% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1410.07,74,,1128.06,percent of total billed charges,74.28% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1655.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1120.01,59,,896.01,percent of total billed charges,59% of total billed charges,1655.34,87.2,,1324.27,percent of total billed charges,87.2% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,1543.14,81.29,,1234.51,percent of total billed charges,81.29% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of totl billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1708.49,90,,1366.79,percent of total billed charges,90% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,1157.98,61,,926.38,percent of total billed charges,61% of total billed charges,987.13,52,,789.7,percent of total billed charges,52% of total billed charges,987.13,1708.49,
MRA-ABDOMEN WITH,42004520,CDM,618,RC,74185,HCPCS,Outpatient,,,2039.91,1631.93,,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1733.92,85,,1387.14,percent of total billed charges,85% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1515.25,74,,1212.2,percent of total billed charges,74.28% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1778.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1203.55,59,,962.84,percent of total billed charges,59% of total billed charges,1778.8,87.2,,1423.04,percent of total billed charges,87.2% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1658.24,81.29,,1326.59,percent of total billed charges,81.29% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of totl billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1835.92,90,,1468.74,percent of total billed charges,90% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1244.35,61,,995.48,percent of total billed charges,61% of total billed charges,1060.75,52,,848.6,percent of total billed charges,52% of total billed charges,1060.75,1835.92,
ESOPHAGUS,42000275,CDM,320,RC,74220,HCPCS,Outpatient,,,341.49,273.19,,290.27,85,,232.22,percent of total billed charges,85% of total billed charges,290.27,85,,232.22,percent of total billed charges,85% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,253.66,74,,202.93,percent of total billed charges,74.28% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,253.66,74,,202.93,percent of total billed charges,74.28% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,253.66,74,,202.93,percent of total billed charges,74.28% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,307.34,90,,245.87,percent of total billed charges,90% of total billed charges,307.34,90,,245.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,297.78,87.2,,,percent of total billed charges,87.2% of total billed charges,201.48,59,,161.18,percent of total billed charges,59% of total billed charges,297.78,87.2,,238.22,percent of total billed charges,87.2% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,277.6,81.29,,222.08,percent of total billed charges,81.29% of total billed charges,307.34,90,,245.87,percent of total billed charges,90% of totl billed charges,307.34,90,,245.87,percent of total billed charges,90% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,307.34,90,,245.87,percent of total billed charges,90% of total billed charges,307.34,90,,245.87,percent of total billed charges,90% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,208.31,61,,166.65,percent of total billed charges,61% of total billed charges,177.57,52,,142.06,percent of total billed charges,52% of total billed charges,177.57,307.34,
UGI (NO AIR) WITH KUB,42000825,CDM,320,RC,74241,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
UGI/SMALL BOWEL (NO AIR),42000840,CDM,320,RC,74245,HCPCS,Outpatient,,,624.4,499.52,,530.74,85,,424.59,percent of total billed charges,85% of total billed charges,530.74,85,,424.59,percent of total billed charges,85% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,463.8,74,,371.04,percent of total billed charges,74.28% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,463.8,74,,371.04,percent of total billed charges,74.28% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,463.8,74,,371.04,percent of total billed charges,74.28% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,561.96,90,,449.57,percent of total billed charges,90% of total billed charges,561.96,90,,449.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,544.48,87.2,,,percent of total billed charges,87.2% of total billed charges,368.4,59,,294.72,percent of total billed charges,59% of total billed charges,544.48,87.2,,435.58,percent of total billed charges,87.2% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,507.57,81.29,,406.06,percent of total billed charges,81.29% of total billed charges,561.96,90,,449.57,percent of total billed charges,90% of totl billed charges,561.96,90,,449.57,percent of total billed charges,90% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,561.96,90,,449.57,percent of total billed charges,90% of total billed charges,561.96,90,,449.57,percent of total billed charges,90% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,380.88,61,,304.7,percent of total billed charges,61% of total billed charges,324.69,52,,259.75,percent of total billed charges,52% of total billed charges,324.69,561.96,
UGI WITH AIR & KUB,42000835,CDM,320,RC,74246,HCPCS,Outpatient,,,520.61,416.49,,442.52,85,,354.02,percent of total billed charges,85% of total billed charges,442.52,85,,354.02,percent of total billed charges,85% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,453.97,87.2,,,percent of total billed charges,87.2% of total billed charges,307.16,59,,245.73,percent of total billed charges,59% of total billed charges,453.97,87.2,,363.18,percent of total billed charges,87.2% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,423.2,81.29,,338.56,percent of total billed charges,81.29% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of totl billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,270.72,468.55,
UGI SMALL BOWEL WITH AIR,42000830,CDM,320,RC,74249,HCPCS,Outpatient,,,729.11,583.29,,619.74,85,,495.79,percent of total billed charges,85% of total billed charges,619.74,85,,495.79,percent of total billed charges,85% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,541.58,74,,433.26,percent of total billed charges,74.28% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,541.58,74,,433.26,percent of total billed charges,74.28% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,541.58,74,,433.26,percent of total billed charges,74.28% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,656.2,90,,524.96,percent of total billed charges,90% of total billed charges,656.2,90,,524.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,635.78,87.2,,,percent of total billed charges,87.2% of total billed charges,430.17,59,,344.14,percent of total billed charges,59% of total billed charges,635.78,87.2,,508.62,percent of total billed charges,87.2% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,592.69,81.29,,474.15,percent of total billed charges,81.29% of total billed charges,656.2,90,,524.96,percent of total billed charges,90% of totl billed charges,656.2,90,,524.96,percent of total billed charges,90% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,656.2,90,,524.96,percent of total billed charges,90% of total billed charges,656.2,90,,524.96,percent of total billed charges,90% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,444.76,61,,355.81,percent of total billed charges,61% of total billed charges,379.14,52,,303.31,percent of total billed charges,52% of total billed charges,379.14,656.2,
SMALL BOWEL,42000750,CDM,320,RC,74250,HCPCS,Outpatient,,,327.32,261.86,,278.22,85,,222.58,percent of total billed charges,85% of total billed charges,278.22,85,,222.58,percent of total billed charges,85% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,243.13,74,,194.5,percent of total billed charges,74.28% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,243.13,74,,194.5,percent of total billed charges,74.28% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,243.13,74,,194.5,percent of total billed charges,74.28% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,294.59,90,,235.67,percent of total billed charges,90% of total billed charges,294.59,90,,235.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,285.42,87.2,,,percent of total billed charges,87.2% of total billed charges,193.12,59,,154.5,percent of total billed charges,59% of total billed charges,285.42,87.2,,228.34,percent of total billed charges,87.2% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,266.08,81.29,,212.86,percent of total billed charges,81.29% of total billed charges,294.59,90,,235.67,percent of total billed charges,90% of totl billed charges,294.59,90,,235.67,percent of total billed charges,90% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,294.59,90,,235.67,percent of total billed charges,90% of total billed charges,294.59,90,,235.67,percent of total billed charges,90% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,199.67,61,,159.74,percent of total billed charges,61% of total billed charges,170.21,52,,136.17,percent of total billed charges,52% of total billed charges,170.21,294.59,
COLON B E,42000210,CDM,320,RC,74270,HCPCS,Outpatient,,,494.23,395.38,,420.1,85,,336.08,percent of total billed charges,85% of total billed charges,420.1,85,,336.08,percent of total billed charges,85% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,367.11,74,,293.69,percent of total billed charges,74.28% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,367.11,74,,293.69,percent of total billed charges,74.28% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,367.11,74,,293.69,percent of total billed charges,74.28% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,444.81,90,,355.85,percent of total billed charges,90% of total billed charges,444.81,90,,355.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257,52,,205.6,percent of total billed charges,52% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,430.97,87.2,,,percent of total billed charges,87.2% of total billed charges,291.6,59,,233.28,percent of total billed charges,59% of total billed charges,430.97,87.2,,344.78,percent of total billed charges,87.2% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,401.76,81.29,,321.41,percent of total billed charges,81.29% of total billed charges,444.81,90,,355.85,percent of total billed charges,90% of totl billed charges,444.81,90,,355.85,percent of total billed charges,90% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,444.81,90,,355.85,percent of total billed charges,90% of total billed charges,444.81,90,,355.85,percent of total billed charges,90% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,301.48,61,,241.18,percent of total billed charges,61% of total billed charges,257,52,,205.6,percent of total billed charges,52% of total billed charges,257,444.81,
COLON B E - WITH AIR,42000215,CDM,320,RC,74280,HCPCS,Outpatient,,,558.28,446.62,,474.54,85,,379.63,percent of total billed charges,85% of total billed charges,474.54,85,,379.63,percent of total billed charges,85% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,414.69,74,,331.75,percent of total billed charges,74.28% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,414.69,74,,331.75,percent of total billed charges,74.28% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,414.69,74,,331.75,percent of total billed charges,74.28% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,502.45,90,,401.96,percent of total billed charges,90% of total billed charges,502.45,90,,401.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,486.82,87.2,,,percent of total billed charges,87.2% of total billed charges,329.39,59,,263.51,percent of total billed charges,59% of total billed charges,486.82,87.2,,389.46,percent of total billed charges,87.2% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,453.83,81.29,,363.06,percent of total billed charges,81.29% of total billed charges,502.45,90,,401.96,percent of total billed charges,90% of totl billed charges,502.45,90,,401.96,percent of total billed charges,90% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,502.45,90,,401.96,percent of total billed charges,90% of total billed charges,502.45,90,,401.96,percent of total billed charges,90% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,340.55,61,,272.44,percent of total billed charges,61% of total billed charges,290.31,52,,232.25,percent of total billed charges,52% of total billed charges,290.31,502.45,
OR CHOLANGIOGRAM,42000595,CDM,369,RC,74300,HCPCS,Outpatient,,,792.25,633.8,,673.41,85,,538.73,percent of total billed charges,85% of total billed charges,673.41,85,,538.73,percent of total billed charges,85% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,588.48,74,,470.78,percent of total billed charges,74.28% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,588.48,74,,470.78,percent of total billed charges,74.28% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,588.48,74,,470.78,percent of total billed charges,74.28% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,713.03,90,,570.42,percent of total billed charges,90% of total billed charges,713.03,90,,570.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,690.84,87.2,,,percent of total billed charges,87.2% of total billed charges,467.43,59,,373.94,percent of total billed charges,59% of total billed charges,690.84,87.2,,552.67,percent of total billed charges,87.2% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,644.02,81.29,,515.22,percent of total billed charges,81.29% of total billed charges,713.03,90,,570.42,percent of total billed charges,90% of totl billed charges,713.03,90,,570.42,percent of total billed charges,90% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,713.03,90,,570.42,percent of total billed charges,90% of total billed charges,713.03,90,,570.42,percent of total billed charges,90% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,483.27,61,,386.62,percent of total billed charges,61% of total billed charges,411.97,52,,329.58,percent of total billed charges,52% of total billed charges,411.97,713.03,
IVP W OR W/O TOMOGRAPHY,42000420,CDM,320,RC,74400,HCPCS,Outpatient,,,646.1,516.88,,549.19,85,,439.35,percent of total billed charges,85% of total billed charges,549.19,85,,439.35,percent of total billed charges,85% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,479.92,74,,383.94,percent of total billed charges,74.28% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,479.92,74,,383.94,percent of total billed charges,74.28% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,479.92,74,,383.94,percent of total billed charges,74.28% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,581.49,90,,465.19,percent of total billed charges,90% of total billed charges,581.49,90,,465.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,563.4,87.2,,,percent of total billed charges,87.2% of total billed charges,381.2,59,,304.96,percent of total billed charges,59% of total billed charges,563.4,87.2,,450.72,percent of total billed charges,87.2% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,525.21,81.29,,420.17,percent of total billed charges,81.29% of total billed charges,581.49,90,,465.19,percent of total billed charges,90% of totl billed charges,581.49,90,,465.19,percent of total billed charges,90% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,581.49,90,,465.19,percent of total billed charges,90% of total billed charges,581.49,90,,465.19,percent of total billed charges,90% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,394.12,61,,315.3,percent of total billed charges,61% of total billed charges,335.97,52,,268.78,percent of total billed charges,52% of total billed charges,335.97,581.49,
URINARY TRACT WITH CONTRAST,42001080,CDM,320,RC,74420,HCPCS,Outpatient,,,680.69,544.55,,578.59,85,,462.87,percent of total billed charges,85% of total billed charges,578.59,85,,462.87,percent of total billed charges,85% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,505.62,74,,404.5,percent of total billed charges,74.28% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,505.62,74,,404.5,percent of total billed charges,74.28% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,505.62,74,,404.5,percent of total billed charges,74.28% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,612.62,90,,490.1,percent of total billed charges,90% of total billed charges,612.62,90,,490.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,593.56,87.2,,,percent of total billed charges,87.2% of total billed charges,401.61,59,,321.29,percent of total billed charges,59% of total billed charges,593.56,87.2,,474.85,percent of total billed charges,87.2% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,553.33,81.29,,442.66,percent of total billed charges,81.29% of total billed charges,612.62,90,,490.1,percent of total billed charges,90% of totl billed charges,612.62,90,,490.1,percent of total billed charges,90% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,612.62,90,,490.1,percent of total billed charges,90% of total billed charges,612.62,90,,490.1,percent of total billed charges,90% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,415.22,61,,332.18,percent of total billed charges,61% of total billed charges,353.96,52,,283.17,percent of total billed charges,52% of total billed charges,353.96,612.62,
CYSTOGRAPHY-MIN 3 VIEWS,42000250,CDM,320,RC,74430,HCPCS,Outpatient,,,301.6,241.28,,256.36,85,,205.09,percent of total billed charges,85% of total billed charges,256.36,85,,205.09,percent of total billed charges,85% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,224.03,74,,179.22,percent of total billed charges,74.28% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,224.03,74,,179.22,percent of total billed charges,74.28% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,224.03,74,,179.22,percent of total billed charges,74.28% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,271.44,90,,217.15,percent of total billed charges,90% of total billed charges,271.44,90,,217.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,263,87.2,,,percent of total billed charges,87.2% of total billed charges,177.94,59,,142.35,percent of total billed charges,59% of total billed charges,263,87.2,,210.4,percent of total billed charges,87.2% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,245.17,81.29,,196.14,percent of total billed charges,81.29% of total billed charges,271.44,90,,217.15,percent of total billed charges,90% of totl billed charges,271.44,90,,217.15,percent of total billed charges,90% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,271.44,90,,217.15,percent of total billed charges,90% of total billed charges,271.44,90,,217.15,percent of total billed charges,90% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,183.98,61,,147.18,percent of total billed charges,61% of total billed charges,156.83,52,,125.46,percent of total billed charges,52% of total billed charges,156.83,271.44,
VOIDING CYSTOURETHRAGRAM-COMPL,42000880,CDM,369,RC,74455,HCPCS,Outpatient,,,541.37,433.1,,460.16,85,,368.13,percent of total billed charges,85% of total billed charges,460.16,85,,368.13,percent of total billed charges,85% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,472.07,87.2,,,percent of total billed charges,87.2% of total billed charges,319.41,59,,255.53,percent of total billed charges,59% of total billed charges,472.07,87.2,,377.66,percent of total billed charges,87.2% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,440.08,81.29,,352.06,percent of total billed charges,81.29% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of totl billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,281.51,487.23,
SNIFF TEST-FLUORO,42000320,CDM,320,RC,76000,HCPCS,Outpatient,,,749.87,599.9,,637.39,85,,509.91,percent of total billed charges,85% of total billed charges,637.39,85,,509.91,percent of total billed charges,85% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,557,74,,445.6,percent of total billed charges,74.28% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,557,74,,445.6,percent of total billed charges,74.28% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,557,74,,445.6,percent of total billed charges,74.28% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,674.88,90,,539.9,percent of total billed charges,90% of total billed charges,674.88,90,,539.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,653.89,87.2,,,percent of total billed charges,87.2% of total billed charges,442.42,59,,353.94,percent of total billed charges,59% of total billed charges,653.89,87.2,,523.11,percent of total billed charges,87.2% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,609.57,81.29,,487.66,percent of total billed charges,81.29% of total billed charges,674.88,90,,539.9,percent of total billed charges,90% of totl billed charges,674.88,90,,539.9,percent of total billed charges,90% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,674.88,90,,539.9,percent of total billed charges,90% of total billed charges,674.88,90,,539.9,percent of total billed charges,90% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,457.42,61,,365.94,percent of total billed charges,61% of total billed charges,389.93,52,,311.94,percent of total billed charges,52% of total billed charges,389.93,674.88,
CHILD FOREIGN BODY - 1 VIEW,42000185,CDM,320,RC,76010,HCPCS,Outpatient,,,112.27,89.82,,95.43,85,,76.34,percent of total billed charges,85% of total billed charges,95.43,85,,76.34,percent of total billed charges,85% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,83.39,74,,66.71,percent of total billed charges,74.28% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,83.39,74,,66.71,percent of total billed charges,74.28% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,83.39,74,,66.71,percent of total billed charges,74.28% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,101.04,90,,80.83,percent of total billed charges,90% of total billed charges,101.04,90,,80.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,97.9,87.2,,,percent of total billed charges,87.2% of total billed charges,66.24,59,,52.99,percent of total billed charges,59% of total billed charges,97.9,87.2,,78.32,percent of total billed charges,87.2% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,91.26,81.29,,73.01,percent of total billed charges,81.29% of total billed charges,101.04,90,,80.83,percent of total billed charges,90% of totl billed charges,101.04,90,,80.83,percent of total billed charges,90% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,101.04,90,,80.83,percent of total billed charges,90% of total billed charges,101.04,90,,80.83,percent of total billed charges,90% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,68.48,61,,54.78,percent of total billed charges,61% of total billed charges,58.38,52,,46.7,percent of total billed charges,52% of total billed charges,58.38,101.04,
FISTULAGRAM,42000310,CDM,320,RC,76080,HCPCS,Outpatient,,,229.25,183.4,,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,199.91,87.2,,,percent of total billed charges,87.2% of total billed charges,135.26,59,,108.21,percent of total billed charges,59% of total billed charges,199.91,87.2,,159.93,percent of total billed charges,87.2% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,186.36,81.29,,149.09,percent of total billed charges,81.29% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of totl billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,206.33,
BREAST SPECIMEN,42000146,CDM,320,RC,76098,HCPCS,Outpatient,,,139.8,111.84,,118.83,85,,95.06,percent of total billed charges,85% of total billed charges,118.83,85,,95.06,percent of total billed charges,85% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,103.84,74,,83.07,percent of total billed charges,74.28% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,103.84,74,,83.07,percent of total billed charges,74.28% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,103.84,74,,83.07,percent of total billed charges,74.28% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,125.82,90,,100.66,percent of total billed charges,90% of total billed charges,125.82,90,,100.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,121.91,87.2,,,percent of total billed charges,87.2% of total billed charges,82.48,59,,65.98,percent of total billed charges,59% of total billed charges,121.91,87.2,,97.53,percent of total billed charges,87.2% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,113.64,81.29,,90.91,percent of total billed charges,81.29% of total billed charges,125.82,90,,100.66,percent of total billed charges,90% of totl billed charges,125.82,90,,100.66,percent of total billed charges,90% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,125.82,90,,100.66,percent of total billed charges,90% of total billed charges,125.82,90,,100.66,percent of total billed charges,90% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,85.28,61,,68.22,percent of total billed charges,61% of total billed charges,72.7,52,,58.16,percent of total billed charges,52% of total billed charges,72.7,125.82,
CONSULT ON FILMS MADE ELSEWHER,42000225,CDM,320,RC,76140,HCPCS,Outpatient,,,10.44,8.35,,8.87,85,,7.1,percent of total billed charges,85% of total billed charges,8.87,85,,7.1,percent of total billed charges,85% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,7.75,74,,6.2,percent of total billed charges,74.28% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,7.75,74,,6.2,percent of total billed charges,74.28% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,7.75,74,,6.2,percent of total billed charges,74.28% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,9.4,90,,7.52,percent of total billed charges,90% of total billed charges,9.4,90,,7.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,9.1,87.2,,,percent of total billed charges,87.2% of total billed charges,6.16,59,,4.93,percent of total billed charges,59% of total billed charges,9.1,87.2,,7.28,percent of total billed charges,87.2% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,8.49,81.29,,6.79,percent of total billed charges,81.29% of total billed charges,9.4,90,,7.52,percent of total billed charges,90% of totl billed charges,9.4,90,,7.52,percent of total billed charges,90% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,9.4,90,,7.52,percent of total billed charges,90% of total billed charges,9.4,90,,7.52,percent of total billed charges,90% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,6.37,61,,5.1,percent of total billed charges,61% of total billed charges,5.43,52,,4.34,percent of total billed charges,52% of total billed charges,5.43,9.4,
CT POST PROCESSING W/3D RENDER,42031800,CDM,350,RC,76377,HCPCS,Outpatient,,,231.11,184.89,,196.44,85,,157.15,percent of total billed charges,85% of total billed charges,196.44,85,,157.15,percent of total billed charges,85% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,171.67,74,,137.34,percent of total billed charges,74.28% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,171.67,74,,137.34,percent of total billed charges,74.28% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,171.67,74,,137.34,percent of total billed charges,74.28% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,208,90,,166.4,percent of total billed charges,90% of total billed charges,208,90,,166.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,201.53,87.2,,,percent of total billed charges,87.2% of total billed charges,136.35,59,,109.08,percent of total billed charges,59% of total billed charges,201.53,87.2,,161.22,percent of total billed charges,87.2% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,187.87,81.29,,150.3,percent of total billed charges,81.29% of total billed charges,208,90,,166.4,percent of total billed charges,90% of totl billed charges,208,90,,166.4,percent of total billed charges,90% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,208,90,,166.4,percent of total billed charges,90% of total billed charges,208,90,,166.4,percent of total billed charges,90% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,140.98,61,,112.78,percent of total billed charges,61% of total billed charges,120.18,52,,96.14,percent of total billed charges,52% of total billed charges,120.18,208,
U/S SFT TISS HD/NK/THYROID,42002220,CDM,402,RC,76536,HCPCS,Outpatient,,,437.68,350.14,,372.03,85,,297.62,percent of total billed charges,85% of total billed charges,372.03,85,,297.62,percent of total billed charges,85% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,381.66,87.2,,,percent of total billed charges,87.2% of total billed charges,258.23,59,,206.58,percent of total billed charges,59% of total billed charges,381.66,87.2,,305.33,percent of total billed charges,87.2% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,355.79,81.29,,284.63,percent of total billed charges,81.29% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of totl billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,227.59,393.91,
US CHEST,36000029,CDM,320,RC,76604,HCPCS,Outpatient,,,136.98,109.58,,116.43,85,,93.14,percent of total billed charges,85% of total billed charges,116.43,85,,93.14,percent of total billed charges,85% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.75,74,,81.4,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.75,74,,81.4,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.75,74,,81.4,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,123.28,90,,98.62,percent of total billed charges,90% of total billed charges,123.28,90,,98.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,119.45,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.45,87.2,,95.56,percent of total billed charges,87.2% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,111.35,81.29,,89.08,percent of total billed charges,81.29% of total billed charges,123.28,90,,98.62,percent of total billed charges,90% of totl billed charges,123.28,90,,98.62,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.28,90,,98.62,percent of total billed charges,90% of total billed charges,123.28,90,,98.62,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,123.28,
INTER US CHEST,36010262,CDM,981,RC,76604,HCPCS,Outpatient,,,65.52,52.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
US CHEST INCL MEDIASTINUM,42008005,CDM,402,RC,76604,HCPCS,Outpatient,,,339.71,271.77,,288.75,85,,231,percent of total billed charges,85% of total billed charges,288.75,85,,231,percent of total billed charges,85% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,252.34,74,,201.87,percent of total billed charges,74.28% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,252.34,74,,201.87,percent of total billed charges,74.28% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,252.34,74,,201.87,percent of total billed charges,74.28% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,305.74,90,,244.59,percent of total billed charges,90% of total billed charges,305.74,90,,244.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,296.23,87.2,,,percent of total billed charges,87.2% of total billed charges,200.43,59,,160.34,percent of total billed charges,59% of total billed charges,296.23,87.2,,236.98,percent of total billed charges,87.2% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,276.15,81.29,,220.92,percent of total billed charges,81.29% of total billed charges,305.74,90,,244.59,percent of total billed charges,90% of totl billed charges,305.74,90,,244.59,percent of total billed charges,90% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,305.74,90,,244.59,percent of total billed charges,90% of total billed charges,305.74,90,,244.59,percent of total billed charges,90% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,207.22,61,,165.78,percent of total billed charges,61% of total billed charges,176.65,52,,141.32,percent of total billed charges,52% of total billed charges,176.65,305.74,
BREAST COMPLETE LEFT,42001081,CDM,402,RC,76641,HCPCS,Outpatient,,,228.02,182.42,,193.82,85,,155.06,percent of total billed charges,85% of total billed charges,193.82,85,,155.06,percent of total billed charges,85% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,198.83,87.2,,,percent of total billed charges,87.2% of total billed charges,134.53,59,,107.62,percent of total billed charges,59% of total billed charges,198.83,87.2,,159.06,percent of total billed charges,87.2% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,185.36,81.29,,148.29,percent of total billed charges,81.29% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of totl billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,118.57,205.22,
BREAST COMPLETE RIGHT,42001082,CDM,402,RC,76641,HCPCS,Outpatient,,,228.02,182.42,,193.82,85,,155.06,percent of total billed charges,85% of total billed charges,193.82,85,,155.06,percent of total billed charges,85% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,169.37,74,,135.5,percent of total billed charges,74.28% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,198.83,87.2,,,percent of total billed charges,87.2% of total billed charges,134.53,59,,107.62,percent of total billed charges,59% of total billed charges,198.83,87.2,,159.06,percent of total billed charges,87.2% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,185.36,81.29,,148.29,percent of total billed charges,81.29% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of totl billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,205.22,90,,164.18,percent of total billed charges,90% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,139.09,61,,111.27,percent of total billed charges,61% of total billed charges,118.57,52,,94.86,percent of total billed charges,52% of total billed charges,118.57,205.22,
BREAST COMPLETE BILATERAL,42001091,CDM,402,RC,76641,HCPCS,Outpatient,,,240.09,192.07,,204.08,85,,163.26,percent of total billed charges,85% of total billed charges,204.08,85,,163.26,percent of total billed charges,85% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,178.34,74,,142.67,percent of total billed charges,74.28% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,178.34,74,,142.67,percent of total billed charges,74.28% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,178.34,74,,142.67,percent of total billed charges,74.28% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,216.08,90,,172.86,percent of total billed charges,90% of total billed charges,216.08,90,,172.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,209.36,87.2,,,percent of total billed charges,87.2% of total billed charges,141.65,59,,113.32,percent of total billed charges,59% of total billed charges,209.36,87.2,,167.49,percent of total billed charges,87.2% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,195.17,81.29,,156.14,percent of total billed charges,81.29% of total billed charges,216.08,90,,172.86,percent of total billed charges,90% of totl billed charges,216.08,90,,172.86,percent of total billed charges,90% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,216.08,90,,172.86,percent of total billed charges,90% of total billed charges,216.08,90,,172.86,percent of total billed charges,90% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,146.45,61,,117.16,percent of total billed charges,61% of total billed charges,124.85,52,,99.88,percent of total billed charges,52% of total billed charges,124.85,216.08,
BREAST LIMITED LEFT,42001083,CDM,402,RC,76642,HCPCS,Outpatient,,,187.66,150.13,,159.51,85,,127.61,percent of total billed charges,85% of total billed charges,159.51,85,,127.61,percent of total billed charges,85% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,163.64,87.2,,,percent of total billed charges,87.2% of total billed charges,110.72,59,,88.58,percent of total billed charges,59% of total billed charges,163.64,87.2,,130.91,percent of total billed charges,87.2% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,152.55,81.29,,122.04,percent of total billed charges,81.29% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of totl billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,97.58,168.89,
BREAST LIMITED RIGHT,42001084,CDM,402,RC,76642,HCPCS,Outpatient,,,187.66,150.13,,159.51,85,,127.61,percent of total billed charges,85% of total billed charges,159.51,85,,127.61,percent of total billed charges,85% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,139.39,74,,111.51,percent of total billed charges,74.28% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,163.64,87.2,,,percent of total billed charges,87.2% of total billed charges,110.72,59,,88.58,percent of total billed charges,59% of total billed charges,163.64,87.2,,130.91,percent of total billed charges,87.2% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,152.55,81.29,,122.04,percent of total billed charges,81.29% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of totl billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,168.89,90,,135.11,percent of total billed charges,90% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,114.47,61,,91.58,percent of total billed charges,61% of total billed charges,97.58,52,,78.06,percent of total billed charges,52% of total billed charges,97.58,168.89,
BREAST LIMITED BILATERAL,42001090,CDM,402,RC,76642,HCPCS,Outpatient,,,195.17,156.14,,165.89,85,,132.71,percent of total billed charges,85% of total billed charges,165.89,85,,132.71,percent of total billed charges,85% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,144.97,74,,115.98,percent of total billed charges,74.28% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,144.97,74,,115.98,percent of total billed charges,74.28% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,144.97,74,,115.98,percent of total billed charges,74.28% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,175.65,90,,140.52,percent of total billed charges,90% of total billed charges,175.65,90,,140.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,170.19,87.2,,,percent of total billed charges,87.2% of total billed charges,115.15,59,,92.12,percent of total billed charges,59% of total billed charges,170.19,87.2,,136.15,percent of total billed charges,87.2% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,158.65,81.29,,126.92,percent of total billed charges,81.29% of total billed charges,175.65,90,,140.52,percent of total billed charges,90% of totl billed charges,175.65,90,,140.52,percent of total billed charges,90% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,175.65,90,,140.52,percent of total billed charges,90% of total billed charges,175.65,90,,140.52,percent of total billed charges,90% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,119.05,61,,95.24,percent of total billed charges,61% of total billed charges,101.49,52,,81.19,percent of total billed charges,52% of total billed charges,101.49,175.65,
U/S ABDOMEN COMPLETE,36000030,CDM,320,RC,76700,HCPCS,Outpatient,,,223.78,179.02,,190.21,85,,152.17,percent of total billed charges,85% of total billed charges,190.21,85,,152.17,percent of total billed charges,85% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,166.22,74,,132.98,percent of total billed charges,74.28% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,166.22,74,,132.98,percent of total billed charges,74.28% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,166.22,74,,132.98,percent of total billed charges,74.28% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,201.4,90,,161.12,percent of total billed charges,90% of total billed charges,201.4,90,,161.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,195.14,87.2,,,percent of total billed charges,87.2% of total billed charges,132.03,59,,105.62,percent of total billed charges,59% of total billed charges,195.14,87.2,,156.11,percent of total billed charges,87.2% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,181.91,81.29,,145.53,percent of total billed charges,81.29% of total billed charges,201.4,90,,161.12,percent of total billed charges,90% of totl billed charges,201.4,90,,161.12,percent of total billed charges,90% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,201.4,90,,161.12,percent of total billed charges,90% of total billed charges,201.4,90,,161.12,percent of total billed charges,90% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,136.51,61,,109.21,percent of total billed charges,61% of total billed charges,116.37,52,,93.1,percent of total billed charges,52% of total billed charges,116.37,201.4,
U/S ABDOMEN COMPLETE INTER,36010263,CDM,981,RC,76700,HCPCS,Outpatient,,,96.98,77.58,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
U/S ABDOMEN COMPLETE PHY,36019154,CDM,981,RC,76700,HCPCS,Outpatient,,,684.89,547.91,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
U/S ABDOMEN COMP,42002040,CDM,402,RC,76700,HCPCS,Outpatient,,,603.66,482.93,,513.11,85,,410.49,percent of total billed charges,85% of total billed charges,513.11,85,,410.49,percent of total billed charges,85% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,448.4,74,,358.72,percent of total billed charges,74.28% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,448.4,74,,358.72,percent of total billed charges,74.28% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,448.4,74,,358.72,percent of total billed charges,74.28% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,543.29,90,,434.63,percent of total billed charges,90% of total billed charges,543.29,90,,434.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,526.39,87.2,,,percent of total billed charges,87.2% of total billed charges,356.16,59,,284.93,percent of total billed charges,59% of total billed charges,526.39,87.2,,421.11,percent of total billed charges,87.2% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,490.72,81.29,,392.58,percent of total billed charges,81.29% of total billed charges,543.29,90,,434.63,percent of total billed charges,90% of totl billed charges,543.29,90,,434.63,percent of total billed charges,90% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,543.29,90,,434.63,percent of total billed charges,90% of total billed charges,543.29,90,,434.63,percent of total billed charges,90% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,368.23,61,,294.58,percent of total billed charges,61% of total billed charges,313.9,52,,251.12,percent of total billed charges,52% of total billed charges,313.9,543.29,
US ABDOMEN LIMITED,36000031,CDM,320,RC,76705,HCPCS,Outpatient,,,171.89,137.51,,146.11,85,,116.89,percent of total billed charges,85% of total billed charges,146.11,85,,116.89,percent of total billed charges,85% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,127.68,74,,102.14,percent of total billed charges,74.28% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,127.68,74,,102.14,percent of total billed charges,74.28% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,127.68,74,,102.14,percent of total billed charges,74.28% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,154.7,90,,123.76,percent of total billed charges,90% of total billed charges,154.7,90,,123.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,149.89,87.2,,,percent of total billed charges,87.2% of total billed charges,101.42,59,,81.14,percent of total billed charges,59% of total billed charges,149.89,87.2,,119.91,percent of total billed charges,87.2% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,139.73,81.29,,111.78,percent of total billed charges,81.29% of total billed charges,154.7,90,,123.76,percent of total billed charges,90% of totl billed charges,154.7,90,,123.76,percent of total billed charges,90% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,154.7,90,,123.76,percent of total billed charges,90% of total billed charges,154.7,90,,123.76,percent of total billed charges,90% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,104.85,61,,83.88,percent of total billed charges,61% of total billed charges,89.38,52,,71.5,percent of total billed charges,52% of total billed charges,89.38,154.7,
INTER US ABDOMEN LIMITED,36010264,CDM,981,RC,76705,HCPCS,Outpatient,,,71.47,57.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ULTRASOUND ABD.LIMITED PHY,36019153,CDM,981,RC,76705,HCPCS,Outpatient,,,390.05,312.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
"U/S ABD, SINGLE ORGAN/QUAD OR",42002030,CDM,402,RC,76705,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
AORTA AAA SCREENING,42001045,CDM,402,RC,76706,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
HS-AORTA AAA SCREENING,43509036,CDM,402,RC,76706,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
US ABDOM BCK WALL CMPLT,36000032,CDM,320,RC,76770,HCPCS,Outpatient,,,218.63,174.9,,185.84,85,,148.67,percent of total billed charges,85% of total billed charges,185.84,85,,148.67,percent of total billed charges,85% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,162.4,74,,129.92,percent of total billed charges,74.28% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,162.4,74,,129.92,percent of total billed charges,74.28% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,162.4,74,,129.92,percent of total billed charges,74.28% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,196.77,90,,157.42,percent of total billed charges,90% of total billed charges,196.77,90,,157.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,190.65,87.2,,,percent of total billed charges,87.2% of total billed charges,128.99,59,,103.19,percent of total billed charges,59% of total billed charges,190.65,87.2,,152.52,percent of total billed charges,87.2% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,177.72,81.29,,142.18,percent of total billed charges,81.29% of total billed charges,196.77,90,,157.42,percent of total billed charges,90% of totl billed charges,196.77,90,,157.42,percent of total billed charges,90% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,196.77,90,,157.42,percent of total billed charges,90% of total billed charges,196.77,90,,157.42,percent of total billed charges,90% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,133.36,61,,106.69,percent of total billed charges,61% of total billed charges,113.69,52,,90.95,percent of total billed charges,52% of total billed charges,113.69,196.77,
INTERP US ABDOM BCK WALL CMPLT,36010265,CDM,981,RC,76770,HCPCS,Outpatient,,,88.46,70.77,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
U/S ABD-RETROPERIT FOR UT PATH,42002050,CDM,402,RC,76770,HCPCS,Outpatient,,,537.71,430.17,,457.05,85,,365.64,percent of total billed charges,85% of total billed charges,457.05,85,,365.64,percent of total billed charges,85% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,399.41,74,,319.53,percent of total billed charges,74.28% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,399.41,74,,319.53,percent of total billed charges,74.28% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,399.41,74,,319.53,percent of total billed charges,74.28% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,483.94,90,,387.15,percent of total billed charges,90% of total billed charges,483.94,90,,387.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,468.88,87.2,,,percent of total billed charges,87.2% of total billed charges,317.25,59,,253.8,percent of total billed charges,59% of total billed charges,468.88,87.2,,375.1,percent of total billed charges,87.2% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,437.1,81.29,,349.68,percent of total billed charges,81.29% of total billed charges,483.94,90,,387.15,percent of total billed charges,90% of totl billed charges,483.94,90,,387.15,percent of total billed charges,90% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,483.94,90,,387.15,percent of total billed charges,90% of total billed charges,483.94,90,,387.15,percent of total billed charges,90% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,328,61,,262.4,percent of total billed charges,61% of total billed charges,279.61,52,,223.69,percent of total billed charges,52% of total billed charges,279.61,483.94,
U/S AORTA DIAGNOSTIC,42002060,CDM,402,RC,76775,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
U/S KIDNEY (RENAL),42002120,CDM,402,RC,76775,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
US KIDNEY TRANSP W/DOPPLER,36000034,CDM,320,RC,76776,HCPCS,Outpatient,,,250.14,200.11,,212.62,85,,170.1,percent of total billed charges,85% of total billed charges,212.62,85,,170.1,percent of total billed charges,85% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,185.8,74,,148.64,percent of total billed charges,74.28% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,185.8,74,,148.64,percent of total billed charges,74.28% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,185.8,74,,148.64,percent of total billed charges,74.28% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,225.13,90,,180.1,percent of total billed charges,90% of total billed charges,225.13,90,,180.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,218.12,87.2,,,percent of total billed charges,87.2% of total billed charges,147.58,59,,118.06,percent of total billed charges,59% of total billed charges,218.12,87.2,,174.5,percent of total billed charges,87.2% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,203.34,81.29,,162.67,percent of total billed charges,81.29% of total billed charges,225.13,90,,180.1,percent of total billed charges,90% of totl billed charges,225.13,90,,180.1,percent of total billed charges,90% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,225.13,90,,180.1,percent of total billed charges,90% of total billed charges,225.13,90,,180.1,percent of total billed charges,90% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,152.59,61,,122.07,percent of total billed charges,61% of total billed charges,130.07,52,,104.06,percent of total billed charges,52% of total billed charges,130.07,225.13,
INTER US KIDNEY TRANSP W/DOPP,36010267,CDM,981,RC,76776,HCPCS,Outpatient,,,91.06,72.85,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TRANSPLANT KIDNEY W DOPPLER,42001058,CDM,920,RC,76776,HCPCS,Outpatient,,,359.87,287.9,,305.89,85,,244.71,percent of total billed charges,85% of total billed charges,305.89,85,,244.71,percent of total billed charges,85% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,267.31,74,,213.85,percent of total billed charges,74.28% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,267.31,74,,213.85,percent of total billed charges,74.28% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,267.31,74,,213.85,percent of total billed charges,74.28% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,323.88,90,,259.1,percent of total billed charges,90% of total billed charges,323.88,90,,259.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,313.81,87.2,,,percent of total billed charges,87.2% of total billed charges,212.32,59,,169.86,percent of total billed charges,59% of total billed charges,313.81,87.2,,251.05,percent of total billed charges,87.2% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,292.54,81.29,,234.03,percent of total billed charges,81.29% of total billed charges,323.88,90,,259.1,percent of total billed charges,90% of totl billed charges,323.88,90,,259.1,percent of total billed charges,90% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,323.88,90,,259.1,percent of total billed charges,90% of total billed charges,323.88,90,,259.1,percent of total billed charges,90% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,219.52,61,,175.62,percent of total billed charges,61% of total billed charges,187.13,52,,149.7,percent of total billed charges,52% of total billed charges,187.13,323.88,
U/S PREG UTERUS < 14 WEEKS,42002236,CDM,402,RC,76801,HCPCS,Outpatient,,,190.9,152.72,,162.27,85,,129.82,percent of total billed charges,85% of total billed charges,162.27,85,,129.82,percent of total billed charges,85% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,141.8,74,,113.44,percent of total billed charges,74.28% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,141.8,74,,113.44,percent of total billed charges,74.28% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,141.8,74,,113.44,percent of total billed charges,74.28% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,171.81,90,,137.45,percent of total billed charges,90% of total billed charges,171.81,90,,137.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,166.46,87.2,,,percent of total billed charges,87.2% of total billed charges,112.63,59,,90.1,percent of total billed charges,59% of total billed charges,166.46,87.2,,133.17,percent of total billed charges,87.2% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,155.18,81.29,,124.14,percent of total billed charges,81.29% of total billed charges,171.81,90,,137.45,percent of total billed charges,90% of totl billed charges,171.81,90,,137.45,percent of total billed charges,90% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,171.81,90,,137.45,percent of total billed charges,90% of total billed charges,171.81,90,,137.45,percent of total billed charges,90% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,116.45,61,,93.16,percent of total billed charges,61% of total billed charges,99.27,52,,79.42,percent of total billed charges,52% of total billed charges,99.27,171.81,
EACH ADDIT GEST < 14 WEEKS,42002237,CDM,402,RC,76802,HCPCS,Outpatient,,,122.81,98.25,,104.39,85,,83.51,percent of total billed charges,85% of total billed charges,104.39,85,,83.51,percent of total billed charges,85% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,91.22,74,,72.98,percent of total billed charges,74.28% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,91.22,74,,72.98,percent of total billed charges,74.28% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,91.22,74,,72.98,percent of total billed charges,74.28% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,110.53,90,,88.42,percent of total billed charges,90% of total billed charges,110.53,90,,88.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,107.09,87.2,,,percent of total billed charges,87.2% of total billed charges,72.46,59,,57.97,percent of total billed charges,59% of total billed charges,107.09,87.2,,85.67,percent of total billed charges,87.2% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,99.83,81.29,,79.86,percent of total billed charges,81.29% of total billed charges,110.53,90,,88.42,percent of total billed charges,90% of totl billed charges,110.53,90,,88.42,percent of total billed charges,90% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,110.53,90,,88.42,percent of total billed charges,90% of total billed charges,110.53,90,,88.42,percent of total billed charges,90% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,74.91,61,,59.93,percent of total billed charges,61% of total billed charges,63.86,52,,51.09,percent of total billed charges,52% of total billed charges,63.86,110.53,
U/S PREG UTERUS > 14 WEEKS,42002180,CDM,402,RC,76805,HCPCS,Outpatient,,,593.29,474.63,,504.3,85,,403.44,percent of total billed charges,85% of total billed charges,504.3,85,,403.44,percent of total billed charges,85% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,440.7,74,,352.56,percent of total billed charges,74.28% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,440.7,74,,352.56,percent of total billed charges,74.28% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,440.7,74,,352.56,percent of total billed charges,74.28% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,533.96,90,,427.17,percent of total billed charges,90% of total billed charges,533.96,90,,427.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,517.35,87.2,,,percent of total billed charges,87.2% of total billed charges,350.04,59,,280.03,percent of total billed charges,59% of total billed charges,517.35,87.2,,413.88,percent of total billed charges,87.2% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,482.29,81.29,,385.83,percent of total billed charges,81.29% of total billed charges,533.96,90,,427.17,percent of total billed charges,90% of totl billed charges,533.96,90,,427.17,percent of total billed charges,90% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,533.96,90,,427.17,percent of total billed charges,90% of total billed charges,533.96,90,,427.17,percent of total billed charges,90% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,361.91,61,,289.53,percent of total billed charges,61% of total billed charges,308.51,52,,246.81,percent of total billed charges,52% of total billed charges,308.51,533.96,
U/S PREG UTERUS ADDTL >14 WEEK,42002185,CDM,402,RC,76810,HCPCS,Outpatient,,,91.58,73.26,,77.84,85,,62.27,percent of total billed charges,85% of total billed charges,77.84,85,,62.27,percent of total billed charges,85% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,68.03,74,,54.42,percent of total billed charges,74.28% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,68.03,74,,54.42,percent of total billed charges,74.28% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,68.03,74,,54.42,percent of total billed charges,74.28% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,82.42,90,,65.94,percent of total billed charges,90% of total billed charges,82.42,90,,65.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,79.86,87.2,,,percent of total billed charges,87.2% of total billed charges,54.03,59,,43.22,percent of total billed charges,59% of total billed charges,79.86,87.2,,63.89,percent of total billed charges,87.2% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,74.45,81.29,,59.56,percent of total billed charges,81.29% of total billed charges,82.42,90,,65.94,percent of total billed charges,90% of totl billed charges,82.42,90,,65.94,percent of total billed charges,90% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,82.42,90,,65.94,percent of total billed charges,90% of total billed charges,82.42,90,,65.94,percent of total billed charges,90% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,55.86,61,,44.69,percent of total billed charges,61% of total billed charges,47.62,52,,38.1,percent of total billed charges,52% of total billed charges,47.62,82.42,
U/S PREG. UTERUS LIMITED,42002190,CDM,402,RC,76815,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
U/S (OB) F.U. OR RE-EVALUATION,42002020,CDM,402,RC,76816,HCPCS,Outpatient,,,495.15,396.12,,420.88,85,,336.7,percent of total billed charges,85% of total billed charges,420.88,85,,336.7,percent of total billed charges,85% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,367.8,74,,294.24,percent of total billed charges,74.28% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,367.8,74,,294.24,percent of total billed charges,74.28% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,367.8,74,,294.24,percent of total billed charges,74.28% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,445.64,90,,356.51,percent of total billed charges,90% of total billed charges,445.64,90,,356.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,431.77,87.2,,,percent of total billed charges,87.2% of total billed charges,292.14,59,,233.71,percent of total billed charges,59% of total billed charges,431.77,87.2,,345.42,percent of total billed charges,87.2% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,402.51,81.29,,322.01,percent of total billed charges,81.29% of total billed charges,445.64,90,,356.51,percent of total billed charges,90% of totl billed charges,445.64,90,,356.51,percent of total billed charges,90% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,445.64,90,,356.51,percent of total billed charges,90% of total billed charges,445.64,90,,356.51,percent of total billed charges,90% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,302.04,61,,241.63,percent of total billed charges,61% of total billed charges,257.48,52,,205.98,percent of total billed charges,52% of total billed charges,257.48,445.64,
U/S OB TRANSVAGINAL,42002235,CDM,402,RC,76817,HCPCS,Outpatient,,,482.96,386.37,,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,421.14,87.2,,,percent of total billed charges,87.2% of total billed charges,284.95,59,,227.96,percent of total billed charges,59% of total billed charges,421.14,87.2,,336.91,percent of total billed charges,87.2% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,392.6,81.29,,314.08,percent of total billed charges,81.29% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of totl billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,434.66,
BIOPHYSICAL PROFILE W/O NST,42008025,CDM,402,RC,76819,HCPCS,Outpatient,,,202.5,162,,172.13,85,,137.7,percent of total billed charges,85% of total billed charges,172.13,85,,137.7,percent of total billed charges,85% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,150.42,74,,120.34,percent of total billed charges,74.28% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,150.42,74,,120.34,percent of total billed charges,74.28% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,150.42,74,,120.34,percent of total billed charges,74.28% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,182.25,90,,145.8,percent of total billed charges,90% of total billed charges,182.25,90,,145.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,176.58,87.2,,,percent of total billed charges,87.2% of total billed charges,119.48,59,,95.58,percent of total billed charges,59% of total billed charges,176.58,87.2,,141.26,percent of total billed charges,87.2% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,164.61,81.29,,131.69,percent of total billed charges,81.29% of total billed charges,182.25,90,,145.8,percent of total billed charges,90% of totl billed charges,182.25,90,,145.8,percent of total billed charges,90% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,182.25,90,,145.8,percent of total billed charges,90% of total billed charges,182.25,90,,145.8,percent of total billed charges,90% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,123.53,61,,98.82,percent of total billed charges,61% of total billed charges,105.3,52,,84.24,percent of total billed charges,52% of total billed charges,105.3,182.25,
U/S TRANSVAGINAL,42002230,CDM,402,RC,76830,HCPCS,Outpatient,,,482.96,386.37,,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,421.14,87.2,,,percent of total billed charges,87.2% of total billed charges,284.95,59,,227.96,percent of total billed charges,59% of total billed charges,421.14,87.2,,336.91,percent of total billed charges,87.2% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,392.6,81.29,,314.08,percent of total billed charges,81.29% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of totl billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,434.66,
US UTERUS,36000035,CDM,320,RC,76831,HCPCS,Outpatient,,,198.24,158.59,,168.5,85,,134.8,percent of total billed charges,85% of total billed charges,168.5,85,,134.8,percent of total billed charges,85% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,147.25,74,,117.8,percent of total billed charges,74.28% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,147.25,74,,117.8,percent of total billed charges,74.28% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,147.25,74,,117.8,percent of total billed charges,74.28% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,178.42,90,,142.74,percent of total billed charges,90% of total billed charges,178.42,90,,142.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,172.87,87.2,,,percent of total billed charges,87.2% of total billed charges,116.96,59,,93.57,percent of total billed charges,59% of total billed charges,172.87,87.2,,138.3,percent of total billed charges,87.2% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,161.15,81.29,,128.92,percent of total billed charges,81.29% of total billed charges,178.42,90,,142.74,percent of total billed charges,90% of totl billed charges,178.42,90,,142.74,percent of total billed charges,90% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,178.42,90,,142.74,percent of total billed charges,90% of total billed charges,178.42,90,,142.74,percent of total billed charges,90% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,120.93,61,,96.74,percent of total billed charges,61% of total billed charges,103.08,52,,82.46,percent of total billed charges,52% of total billed charges,103.08,178.42,
INTER US UTERUS,36010268,CDM,981,RC,76831,HCPCS,Outpatient,,,83.39,66.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
US PELVIS COMPLETE,36000036,CDM,320,RC,76856,HCPCS,Outpatient,,,200.79,160.63,,170.67,85,,136.54,percent of total billed charges,85% of total billed charges,170.67,85,,136.54,percent of total billed charges,85% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,149.15,74,,119.32,percent of total billed charges,74.28% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,149.15,74,,119.32,percent of total billed charges,74.28% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,149.15,74,,119.32,percent of total billed charges,74.28% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,180.71,90,,144.57,percent of total billed charges,90% of total billed charges,180.71,90,,144.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,175.09,87.2,,,percent of total billed charges,87.2% of total billed charges,118.47,59,,94.78,percent of total billed charges,59% of total billed charges,175.09,87.2,,140.07,percent of total billed charges,87.2% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,163.22,81.29,,130.58,percent of total billed charges,81.29% of total billed charges,180.71,90,,144.57,percent of total billed charges,90% of totl billed charges,180.71,90,,144.57,percent of total billed charges,90% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,180.71,90,,144.57,percent of total billed charges,90% of total billed charges,180.71,90,,144.57,percent of total billed charges,90% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,122.48,61,,97.98,percent of total billed charges,61% of total billed charges,104.41,52,,83.53,percent of total billed charges,52% of total billed charges,104.41,180.71,
INTER US PELVIS COMPLETE,36010269,CDM,981,RC,76856,HCPCS,Outpatient,,,82.54,66.03,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
U/S PELVIS (NON OB),42002170,CDM,402,RC,76856,HCPCS,Outpatient,,,541.37,433.1,,460.16,85,,368.13,percent of total billed charges,85% of total billed charges,460.16,85,,368.13,percent of total billed charges,85% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,402.13,74,,321.7,percent of total billed charges,74.28% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,472.07,87.2,,,percent of total billed charges,87.2% of total billed charges,319.41,59,,255.53,percent of total billed charges,59% of total billed charges,472.07,87.2,,377.66,percent of total billed charges,87.2% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,440.08,81.29,,352.06,percent of total billed charges,81.29% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of totl billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,487.23,90,,389.78,percent of total billed charges,90% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,330.24,61,,264.19,percent of total billed charges,61% of total billed charges,281.51,52,,225.21,percent of total billed charges,52% of total billed charges,281.51,487.23,
U/S PELVIS (NON-OB) LIMITED OR,42002150,CDM,402,RC,76857,HCPCS,Outpatient,,,446.21,356.97,,379.28,85,,303.42,percent of total billed charges,85% of total billed charges,379.28,85,,303.42,percent of total billed charges,85% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,331.44,74,,265.15,percent of total billed charges,74.28% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,331.44,74,,265.15,percent of total billed charges,74.28% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,331.44,74,,265.15,percent of total billed charges,74.28% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,401.59,90,,321.27,percent of total billed charges,90% of total billed charges,401.59,90,,321.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,389.1,87.2,,,percent of total billed charges,87.2% of total billed charges,263.26,59,,210.61,percent of total billed charges,59% of total billed charges,389.1,87.2,,311.28,percent of total billed charges,87.2% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,362.72,81.29,,290.18,percent of total billed charges,81.29% of total billed charges,401.59,90,,321.27,percent of total billed charges,90% of totl billed charges,401.59,90,,321.27,percent of total billed charges,90% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,401.59,90,,321.27,percent of total billed charges,90% of total billed charges,401.59,90,,321.27,percent of total billed charges,90% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,272.19,61,,217.75,percent of total billed charges,61% of total billed charges,232.03,52,,185.62,percent of total billed charges,52% of total billed charges,232.03,401.59,
US SCROTUM,36000038,CDM,320,RC,76870,HCPCS,Outpatient,,,203.35,162.68,,172.85,85,,138.28,percent of total billed charges,85% of total billed charges,172.85,85,,138.28,percent of total billed charges,85% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,151.05,74,,120.84,percent of total billed charges,74.28% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,151.05,74,,120.84,percent of total billed charges,74.28% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,151.05,74,,120.84,percent of total billed charges,74.28% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,183.02,90,,146.42,percent of total billed charges,90% of total billed charges,183.02,90,,146.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,177.32,87.2,,,percent of total billed charges,87.2% of total billed charges,119.98,59,,95.98,percent of total billed charges,59% of total billed charges,177.32,87.2,,141.86,percent of total billed charges,87.2% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,165.3,81.29,,132.24,percent of total billed charges,81.29% of total billed charges,183.02,90,,146.42,percent of total billed charges,90% of totl billed charges,183.02,90,,146.42,percent of total billed charges,90% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,183.02,90,,146.42,percent of total billed charges,90% of total billed charges,183.02,90,,146.42,percent of total billed charges,90% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,124.04,61,,99.23,percent of total billed charges,61% of total billed charges,105.74,52,,84.59,percent of total billed charges,52% of total billed charges,105.74,183.02,
INTER US SCROTUM,36010271,CDM,981,RC,76870,HCPCS,Outpatient,,,77.44,61.95,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
U/S PROSTATE,42002200,CDM,402,RC,76870,HCPCS,Outpatient,,,499.91,399.93,,424.92,85,,339.94,percent of total billed charges,85% of total billed charges,424.92,85,,339.94,percent of total billed charges,85% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,371.33,74,,297.06,percent of total billed charges,74.28% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,371.33,74,,297.06,percent of total billed charges,74.28% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,371.33,74,,297.06,percent of total billed charges,74.28% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,449.92,90,,359.94,percent of total billed charges,90% of total billed charges,449.92,90,,359.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,435.92,87.2,,,percent of total billed charges,87.2% of total billed charges,294.95,59,,235.96,percent of total billed charges,59% of total billed charges,435.92,87.2,,348.74,percent of total billed charges,87.2% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,406.38,81.29,,325.1,percent of total billed charges,81.29% of total billed charges,449.92,90,,359.94,percent of total billed charges,90% of totl billed charges,449.92,90,,359.94,percent of total billed charges,90% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,449.92,90,,359.94,percent of total billed charges,90% of total billed charges,449.92,90,,359.94,percent of total billed charges,90% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,304.95,61,,243.96,percent of total billed charges,61% of total billed charges,259.95,52,,207.96,percent of total billed charges,52% of total billed charges,259.95,449.92,
U/S SCROTUM,42002210,CDM,402,RC,76870,HCPCS,Outpatient,,,437.68,350.14,,372.03,85,,297.62,percent of total billed charges,85% of total billed charges,372.03,85,,297.62,percent of total billed charges,85% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,325.11,74,,260.09,percent of total billed charges,74.28% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,381.66,87.2,,,percent of total billed charges,87.2% of total billed charges,258.23,59,,206.58,percent of total billed charges,59% of total billed charges,381.66,87.2,,305.33,percent of total billed charges,87.2% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,355.79,81.29,,284.63,percent of total billed charges,81.29% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of totl billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,393.91,90,,315.13,percent of total billed charges,90% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,266.98,61,,213.58,percent of total billed charges,61% of total billed charges,227.59,52,,182.07,percent of total billed charges,52% of total billed charges,227.59,393.91,
US AXILLA LEFT,42002075,CDM,402,RC,76882,HCPCS,Outpatient,,,281.11,224.89,,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,245.13,87.2,,,percent of total billed charges,87.2% of total billed charges,165.85,59,,132.68,percent of total billed charges,59% of total billed charges,245.13,87.2,,196.1,percent of total billed charges,87.2% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,228.51,81.29,,182.81,percent of total billed charges,81.29% of total billed charges,253,90,,202.4,percent of total billed charges,90% of totl billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,253,
US AXILLA RIGHT,42002076,CDM,402,RC,76882,HCPCS,Outpatient,,,281.11,224.89,,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,245.13,87.2,,,percent of total billed charges,87.2% of total billed charges,165.85,59,,132.68,percent of total billed charges,59% of total billed charges,245.13,87.2,,196.1,percent of total billed charges,87.2% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,228.51,81.29,,182.81,percent of total billed charges,81.29% of total billed charges,253,90,,202.4,percent of total billed charges,90% of totl billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,253,
US EXTREMITY / LOWER,42002081,CDM,402,RC,76882,HCPCS,Outpatient,,,281.11,224.89,,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,245.13,87.2,,,percent of total billed charges,87.2% of total billed charges,165.85,59,,132.68,percent of total billed charges,59% of total billed charges,245.13,87.2,,196.1,percent of total billed charges,87.2% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,228.51,81.29,,182.81,percent of total billed charges,81.29% of total billed charges,253,90,,202.4,percent of total billed charges,90% of totl billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,253,
U/S EXTREMITY UPPER,42002083,CDM,402,RC,76882,HCPCS,Outpatient,,,281.11,224.89,,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,238.94,85,,191.15,percent of total billed charges,85% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,208.81,74,,167.05,percent of total billed charges,74.28% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,245.13,87.2,,,percent of total billed charges,87.2% of total billed charges,165.85,59,,132.68,percent of total billed charges,59% of total billed charges,245.13,87.2,,196.1,percent of total billed charges,87.2% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,228.51,81.29,,182.81,percent of total billed charges,81.29% of total billed charges,253,90,,202.4,percent of total billed charges,90% of totl billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,253,90,,202.4,percent of total billed charges,90% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,171.48,61,,137.18,percent of total billed charges,61% of total billed charges,146.18,52,,116.94,percent of total billed charges,52% of total billed charges,146.18,253,
NEEDLE PLACEMENT w US GUIDANCE,42002110,CDM,402,RC,76942,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
NEEDLE PLACEMENT W US GUID ANS,45001249,CDM,402,RC,76942,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
FLOURO GUIDE CENTRAL LINE,42000331,CDM,320,RC,77001,HCPCS,Outpatient,,,435.42,348.34,,370.11,85,,296.09,percent of total billed charges,85% of total billed charges,370.11,85,,296.09,percent of total billed charges,85% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,323.43,74,,258.74,percent of total billed charges,74.28% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,323.43,74,,258.74,percent of total billed charges,74.28% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,323.43,74,,258.74,percent of total billed charges,74.28% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,391.88,90,,313.5,percent of total billed charges,90% of total billed charges,391.88,90,,313.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,379.69,87.2,,,percent of total billed charges,87.2% of total billed charges,256.9,59,,205.52,percent of total billed charges,59% of total billed charges,379.69,87.2,,303.75,percent of total billed charges,87.2% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,353.95,81.29,,283.16,percent of total billed charges,81.29% of total billed charges,391.88,90,,313.5,percent of total billed charges,90% of totl billed charges,391.88,90,,313.5,percent of total billed charges,90% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,391.88,90,,313.5,percent of total billed charges,90% of total billed charges,391.88,90,,313.5,percent of total billed charges,90% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,265.61,61,,212.49,percent of total billed charges,61% of total billed charges,226.42,52,,181.14,percent of total billed charges,52% of total billed charges,226.42,391.88,
FLUORO GUIDANCE NEEDLE PLACEME,42000325,CDM,320,RC,77002,HCPCS,Outpatient,,,283.07,226.46,,240.61,85,,192.49,percent of total billed charges,85% of total billed charges,240.61,85,,192.49,percent of total billed charges,85% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,246.84,87.2,,,percent of total billed charges,87.2% of total billed charges,167.01,59,,133.61,percent of total billed charges,59% of total billed charges,246.84,87.2,,197.47,percent of total billed charges,87.2% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,230.11,81.29,,184.09,percent of total billed charges,81.29% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of totl billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,147.2,254.76,
BREAST LOCALIZATION LEFT,42000131,CDM,320,RC,77032,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
BREAST LOCALIZATION RIGHT,42000132,CDM,320,RC,77032,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
TOMOSYNTHESIS-SCR BILAT 3D,42008016,CDM,403,RC,77063,HCPCS,Outpatient,,,117.8,94.24,,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,102.72,87.2,,,percent of total billed charges,87.2% of total billed charges,69.5,59,,55.6,percent of total billed charges,59% of total billed charges,102.72,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,95.76,81.29,,76.61,percent of total billed charges,81.29% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of totl billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,106.02,
TOMOSYNTHESIS-SCR UNILAT 3D,42008017,CDM,403,RC,77063,HCPCS,Outpatient,,,117.8,94.24,,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,102.72,87.2,,,percent of total billed charges,87.2% of total billed charges,69.5,59,,55.6,percent of total billed charges,59% of total billed charges,102.72,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,95.76,81.29,,76.61,percent of total billed charges,81.29% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of totl billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,106.02,
"MAMMO DIAGNOSTIC, UNILAT",42001021,CDM,401,RC,77065,HCPCS,Outpatient,,,291.45,233.16,,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,254.14,87.2,,,percent of total billed charges,87.2% of total billed charges,171.96,59,,137.57,percent of total billed charges,59% of total billed charges,254.14,87.2,,203.31,percent of total billed charges,87.2% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,236.92,81.29,,189.54,percent of total billed charges,81.29% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of totl billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,262.31,
MAMM DIAGNOSTIC LEFT,42008012,CDM,401,RC,77065,HCPCS,Outpatient,,,291.45,233.16,,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,254.14,87.2,,,percent of total billed charges,87.2% of total billed charges,171.96,59,,137.57,percent of total billed charges,59% of total billed charges,254.14,87.2,,203.31,percent of total billed charges,87.2% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,236.92,81.29,,189.54,percent of total billed charges,81.29% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of totl billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,262.31,
MAMM DIAGNOSTIC RIGHT,42008013,CDM,401,RC,77065,HCPCS,Outpatient,,,291.45,233.16,,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,254.14,87.2,,,percent of total billed charges,87.2% of total billed charges,171.96,59,,137.57,percent of total billed charges,59% of total billed charges,254.14,87.2,,203.31,percent of total billed charges,87.2% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,236.92,81.29,,189.54,percent of total billed charges,81.29% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of totl billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,262.31,
MAMM DIAGNOSTIC LEFT 3DEX,42008019,CDM,401,RC,77065,HCPCS,Outpatient,,,291.45,233.16,,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,254.14,87.2,,,percent of total billed charges,87.2% of total billed charges,171.96,59,,137.57,percent of total billed charges,59% of total billed charges,254.14,87.2,,203.31,percent of total billed charges,87.2% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,236.92,81.29,,189.54,percent of total billed charges,81.29% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of totl billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,262.31,
MAMM DIAGNOSTIC RIGHT 3DEX,42008020,CDM,401,RC,77065,HCPCS,Outpatient,,,291.45,233.16,,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,247.73,85,,198.18,percent of total billed charges,85% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,216.49,74,,173.19,percent of total billed charges,74.28% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,254.14,87.2,,,percent of total billed charges,87.2% of total billed charges,171.96,59,,137.57,percent of total billed charges,59% of total billed charges,254.14,87.2,,203.31,percent of total billed charges,87.2% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,236.92,81.29,,189.54,percent of total billed charges,81.29% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of totl billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,262.31,90,,209.85,percent of total billed charges,90% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,177.78,61,,142.22,percent of total billed charges,61% of total billed charges,151.55,52,,121.24,percent of total billed charges,52% of total billed charges,151.55,262.31,
"MAMMO DIAGNOSTIC, BILAT",42001020,CDM,401,RC,77066,HCPCS,Outpatient,,,351.85,281.48,,299.07,85,,239.26,percent of total billed charges,85% of total billed charges,299.07,85,,239.26,percent of total billed charges,85% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,306.81,87.2,,,percent of total billed charges,87.2% of total billed charges,207.59,59,,166.07,percent of total billed charges,59% of total billed charges,306.81,87.2,,245.45,percent of total billed charges,87.2% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,286.02,81.29,,228.82,percent of total billed charges,81.29% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of totl billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,182.96,316.67,
"MAMMO DIAGNOSTIC, BILAT 3DEX",42008021,CDM,401,RC,77066,HCPCS,Outpatient,,,351.85,281.48,,299.07,85,,239.26,percent of total billed charges,85% of total billed charges,299.07,85,,239.26,percent of total billed charges,85% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,261.35,74,,209.08,percent of total billed charges,74.28% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,306.81,87.2,,,percent of total billed charges,87.2% of total billed charges,207.59,59,,166.07,percent of total billed charges,59% of total billed charges,306.81,87.2,,245.45,percent of total billed charges,87.2% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,286.02,81.29,,228.82,percent of total billed charges,81.29% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of totl billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,316.67,90,,253.34,percent of total billed charges,90% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,214.63,61,,171.7,percent of total billed charges,61% of total billed charges,182.96,52,,146.37,percent of total billed charges,52% of total billed charges,182.96,316.67,
"MAMMO SCREENING, UNILAT",42001029,CDM,403,RC,77067,HCPCS,Outpatient,,,207.52,166.02,,176.39,85,,141.11,percent of total billed charges,85% of total billed charges,176.39,85,,141.11,percent of total billed charges,85% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,154.15,74,,123.32,percent of total billed charges,74.28% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,154.15,74,,123.32,percent of total billed charges,74.28% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,154.15,74,,123.32,percent of total billed charges,74.28% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,186.77,90,,149.42,percent of total billed charges,90% of total billed charges,186.77,90,,149.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,180.96,87.2,,,percent of total billed charges,87.2% of total billed charges,122.44,59,,97.95,percent of total billed charges,59% of total billed charges,180.96,87.2,,144.77,percent of total billed charges,87.2% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,168.69,81.29,,134.95,percent of total billed charges,81.29% of total billed charges,186.77,90,,149.42,percent of total billed charges,90% of totl billed charges,186.77,90,,149.42,percent of total billed charges,90% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,186.77,90,,149.42,percent of total billed charges,90% of total billed charges,186.77,90,,149.42,percent of total billed charges,90% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,126.59,61,,101.27,percent of total billed charges,61% of total billed charges,107.91,52,,86.33,percent of total billed charges,52% of total billed charges,107.91,186.77,
"MAMMO SCREENING, BILAT",42001030,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
MAMM SCREENING LEFT,42008014,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
MAMM SCREENING RIGHT,42008015,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
MAMM SCREENING LEFT 3DEX,42008022,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
MAMM SCREENING LEFT 3DEX,42008023,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
"MAMMO SCREENING, BILAT 3DEX",42008024,CDM,403,RC,77067,HCPCS,Outpatient,,,272.65,218.12,,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,231.75,85,,185.4,percent of total billed charges,85% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,202.52,74,,162.02,percent of total billed charges,74.28% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,237.75,87.2,,,percent of total billed charges,87.2% of total billed charges,160.86,59,,128.69,percent of total billed charges,59% of total billed charges,237.75,87.2,,190.2,percent of total billed charges,87.2% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,221.64,81.29,,177.31,percent of total billed charges,81.29% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of totl billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,245.39,90,,196.31,percent of total billed charges,90% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,166.32,61,,133.06,percent of total billed charges,61% of total billed charges,141.78,52,,113.42,percent of total billed charges,52% of total billed charges,141.78,245.39,
BONE AGE,42000105,CDM,320,RC,77072,HCPCS,Outpatient,,,229.25,183.4,,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,194.86,85,,155.89,percent of total billed charges,85% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,170.29,74,,136.23,percent of total billed charges,74.28% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,199.91,87.2,,,percent of total billed charges,87.2% of total billed charges,135.26,59,,108.21,percent of total billed charges,59% of total billed charges,199.91,87.2,,159.93,percent of total billed charges,87.2% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,186.36,81.29,,149.09,percent of total billed charges,81.29% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of totl billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,206.33,90,,165.06,percent of total billed charges,90% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,139.84,61,,111.87,percent of total billed charges,61% of total billed charges,119.21,52,,95.37,percent of total billed charges,52% of total billed charges,119.21,206.33,
BONE LENGTH STUDY,42000110,CDM,320,RC,77073,HCPCS,Outpatient,,,283.07,226.46,,240.61,85,,192.49,percent of total billed charges,85% of total billed charges,240.61,85,,192.49,percent of total billed charges,85% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,210.26,74,,168.21,percent of total billed charges,74.28% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,246.84,87.2,,,percent of total billed charges,87.2% of total billed charges,167.01,59,,133.61,percent of total billed charges,59% of total billed charges,246.84,87.2,,197.47,percent of total billed charges,87.2% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,230.11,81.29,,184.09,percent of total billed charges,81.29% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of totl billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,254.76,90,,203.81,percent of total billed charges,90% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,172.67,61,,138.14,percent of total billed charges,61% of total billed charges,147.2,52,,117.76,percent of total billed charges,52% of total billed charges,147.2,254.76,
"BONE SURVEY, COMPLETE AXIAL &",42000115,CDM,320,RC,77075,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
CHILD TRAUMA BONE SURVEY,42000116,CDM,320,RC,77075,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
"BONE SURVEY, INFANT (UNDER 364",42000120,CDM,320,RC,77076,HCPCS,Outpatient,,,167.07,133.66,,142.01,85,,113.61,percent of total billed charges,85% of total billed charges,142.01,85,,113.61,percent of total billed charges,85% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,124.1,74,,99.28,percent of total billed charges,74.28% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,145.69,87.2,,,percent of total billed charges,87.2% of total billed charges,98.57,59,,78.86,percent of total billed charges,59% of total billed charges,145.69,87.2,,116.55,percent of total billed charges,87.2% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,135.81,81.29,,108.65,percent of total billed charges,81.29% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of totl billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,150.36,90,,120.29,percent of total billed charges,90% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,101.91,61,,81.53,percent of total billed charges,61% of total billed charges,86.88,52,,69.5,percent of total billed charges,52% of total billed charges,86.88,150.36,
BONE DENSITY-AXIAL SKELETON,42001085,CDM,320,RC,77080,HCPCS,Outpatient,,,88.55,70.84,,75.27,85,,60.22,percent of total billed charges,85% of total billed charges,75.27,85,,60.22,percent of total billed charges,85% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,65.77,74,,52.62,percent of total billed charges,74.28% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,65.77,74,,52.62,percent of total billed charges,74.28% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,65.77,74,,52.62,percent of total billed charges,74.28% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,79.7,90,,63.76,percent of total billed charges,90% of total billed charges,79.7,90,,63.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,77.22,87.2,,,percent of total billed charges,87.2% of total billed charges,52.24,59,,41.79,percent of total billed charges,59% of total billed charges,77.22,87.2,,61.78,percent of total billed charges,87.2% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,71.98,81.29,,57.58,percent of total billed charges,81.29% of total billed charges,79.7,90,,63.76,percent of total billed charges,90% of totl billed charges,79.7,90,,63.76,percent of total billed charges,90% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,79.7,90,,63.76,percent of total billed charges,90% of total billed charges,79.7,90,,63.76,percent of total billed charges,90% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,54.02,61,,43.22,percent of total billed charges,61% of total billed charges,46.05,52,,36.84,percent of total billed charges,52% of total billed charges,46.05,79.7,
BONE DENSITY-APPENDICULAR SKEL,42001086,CDM,320,RC,77081,HCPCS,Outpatient,,,61.38,49.1,,52.17,85,,41.74,percent of total billed charges,85% of total billed charges,52.17,85,,41.74,percent of total billed charges,85% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,45.59,74,,36.47,percent of total billed charges,74.28% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,45.59,74,,36.47,percent of total billed charges,74.28% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,45.59,74,,36.47,percent of total billed charges,74.28% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,55.24,90,,44.19,percent of total billed charges,90% of total billed charges,55.24,90,,44.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,53.52,87.2,,,percent of total billed charges,87.2% of total billed charges,36.21,59,,28.97,percent of total billed charges,59% of total billed charges,53.52,87.2,,42.82,percent of total billed charges,87.2% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,49.9,81.29,,39.92,percent of total billed charges,81.29% of total billed charges,55.24,90,,44.19,percent of total billed charges,90% of totl billed charges,55.24,90,,44.19,percent of total billed charges,90% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,55.24,90,,44.19,percent of total billed charges,90% of total billed charges,55.24,90,,44.19,percent of total billed charges,90% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,37.44,61,,29.95,percent of total billed charges,61% of total billed charges,31.92,52,,25.54,percent of total billed charges,52% of total billed charges,31.92,55.24,
BONE DENSITY-PLUS VFA,42001088,CDM,320,RC,77085,HCPCS,Outpatient,,,121.58,97.26,,103.34,85,,82.67,percent of total billed charges,85% of total billed charges,103.34,85,,82.67,percent of total billed charges,85% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,90.31,74,,72.25,percent of total billed charges,74.28% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,90.31,74,,72.25,percent of total billed charges,74.28% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,90.31,74,,72.25,percent of total billed charges,74.28% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,109.42,90,,87.54,percent of total billed charges,90% of total billed charges,109.42,90,,87.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,106.02,87.2,,,percent of total billed charges,87.2% of total billed charges,71.73,59,,57.38,percent of total billed charges,59% of total billed charges,106.02,87.2,,84.82,percent of total billed charges,87.2% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,98.83,81.29,,79.06,percent of total billed charges,81.29% of total billed charges,109.42,90,,87.54,percent of total billed charges,90% of totl billed charges,109.42,90,,87.54,percent of total billed charges,90% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,109.42,90,,87.54,percent of total billed charges,90% of total billed charges,109.42,90,,87.54,percent of total billed charges,90% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,74.16,61,,59.33,percent of total billed charges,61% of total billed charges,63.22,52,,50.58,percent of total billed charges,52% of total billed charges,63.22,109.42,
BONE DENSITY-VERTEBRAL FX ASSE,42001087,CDM,320,RC,77086,HCPCS,Outpatient,,,77.91,62.33,,66.22,85,,52.98,percent of total billed charges,85% of total billed charges,66.22,85,,52.98,percent of total billed charges,85% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,57.87,74,,46.3,percent of total billed charges,74.28% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,57.87,74,,46.3,percent of total billed charges,74.28% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,57.87,74,,46.3,percent of total billed charges,74.28% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,70.12,90,,56.1,percent of total billed charges,90% of total billed charges,70.12,90,,56.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,67.94,87.2,,,percent of total billed charges,87.2% of total billed charges,45.97,59,,36.78,percent of total billed charges,59% of total billed charges,67.94,87.2,,54.35,percent of total billed charges,87.2% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,63.33,81.29,,50.66,percent of total billed charges,81.29% of total billed charges,70.12,90,,56.1,percent of total billed charges,90% of totl billed charges,70.12,90,,56.1,percent of total billed charges,90% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,70.12,90,,56.1,percent of total billed charges,90% of total billed charges,70.12,90,,56.1,percent of total billed charges,90% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,47.53,61,,38.02,percent of total billed charges,61% of total billed charges,40.51,52,,32.41,percent of total billed charges,52% of total billed charges,40.51,70.12,
THYROID UPTAKE,42101001,CDM,341,RC,78012,HCPCS,Outpatient,,,176.53,141.22,,150.05,85,,120.04,percent of total billed charges,85% of total billed charges,150.05,85,,120.04,percent of total billed charges,85% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,131.13,74,,104.9,percent of total billed charges,74.28% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,131.13,74,,104.9,percent of total billed charges,74.28% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,131.13,74,,104.9,percent of total billed charges,74.28% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,158.88,90,,127.1,percent of total billed charges,90% of total billed charges,158.88,90,,127.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,153.93,87.2,,,percent of total billed charges,87.2% of total billed charges,104.15,59,,83.32,percent of total billed charges,59% of total billed charges,153.93,87.2,,123.14,percent of total billed charges,87.2% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,143.5,81.29,,114.8,percent of total billed charges,81.29% of total billed charges,158.88,90,,127.1,percent of total billed charges,90% of totl billed charges,158.88,90,,127.1,percent of total billed charges,90% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,158.88,90,,127.1,percent of total billed charges,90% of total billed charges,158.88,90,,127.1,percent of total billed charges,90% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,107.68,61,,86.14,percent of total billed charges,61% of total billed charges,91.8,52,,73.44,percent of total billed charges,52% of total billed charges,91.8,158.88,
THYROID SCAN,42101002,CDM,341,RC,78013,HCPCS,Outpatient,,,444.85,355.88,,378.12,85,,302.5,percent of total billed charges,85% of total billed charges,378.12,85,,302.5,percent of total billed charges,85% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,330.43,74,,264.34,percent of total billed charges,74.28% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,330.43,74,,264.34,percent of total billed charges,74.28% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,330.43,74,,264.34,percent of total billed charges,74.28% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,400.37,90,,320.3,percent of total billed charges,90% of total billed charges,400.37,90,,320.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,387.91,87.2,,,percent of total billed charges,87.2% of total billed charges,262.46,59,,209.97,percent of total billed charges,59% of total billed charges,387.91,87.2,,310.33,percent of total billed charges,87.2% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,361.62,81.29,,289.3,percent of total billed charges,81.29% of total billed charges,400.37,90,,320.3,percent of total billed charges,90% of totl billed charges,400.37,90,,320.3,percent of total billed charges,90% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,400.37,90,,320.3,percent of total billed charges,90% of total billed charges,400.37,90,,320.3,percent of total billed charges,90% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,271.36,61,,217.09,percent of total billed charges,61% of total billed charges,231.32,52,,185.06,percent of total billed charges,52% of total billed charges,231.32,400.37,
THYROID UPTAKE AND SCAN,42101003,CDM,341,RC,78014,HCPCS,Outpatient,,,538.57,430.86,,457.78,85,,366.22,percent of total billed charges,85% of total billed charges,457.78,85,,366.22,percent of total billed charges,85% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,400.05,74,,320.04,percent of total billed charges,74.28% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,400.05,74,,320.04,percent of total billed charges,74.28% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,400.05,74,,320.04,percent of total billed charges,74.28% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,484.71,90,,387.77,percent of total billed charges,90% of total billed charges,484.71,90,,387.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,469.63,87.2,,,percent of total billed charges,87.2% of total billed charges,317.76,59,,254.21,percent of total billed charges,59% of total billed charges,469.63,87.2,,375.7,percent of total billed charges,87.2% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,437.8,81.29,,350.24,percent of total billed charges,81.29% of total billed charges,484.71,90,,387.77,percent of total billed charges,90% of totl billed charges,484.71,90,,387.77,percent of total billed charges,90% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,484.71,90,,387.77,percent of total billed charges,90% of total billed charges,484.71,90,,387.77,percent of total billed charges,90% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,328.53,61,,262.82,percent of total billed charges,61% of total billed charges,280.06,52,,224.05,percent of total billed charges,52% of total billed charges,280.06,484.71,
PARATHYROID SPECT SCAN,42100005,CDM,341,RC,78071,HCPCS,Outpatient,,,800.4,640.32,,680.34,85,,544.27,percent of total billed charges,85% of total billed charges,680.34,85,,544.27,percent of total billed charges,85% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,594.54,74,,475.63,percent of total billed charges,74.28% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,594.54,74,,475.63,percent of total billed charges,74.28% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,594.54,74,,475.63,percent of total billed charges,74.28% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,720.36,90,,576.29,percent of total billed charges,90% of total billed charges,720.36,90,,576.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,697.95,87.2,,,percent of total billed charges,87.2% of total billed charges,472.24,59,,377.79,percent of total billed charges,59% of total billed charges,697.95,87.2,,558.36,percent of total billed charges,87.2% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,650.65,81.29,,520.52,percent of total billed charges,81.29% of total billed charges,720.36,90,,576.29,percent of total billed charges,90% of totl billed charges,720.36,90,,576.29,percent of total billed charges,90% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,720.36,90,,576.29,percent of total billed charges,90% of total billed charges,720.36,90,,576.29,percent of total billed charges,90% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,488.24,61,,390.59,percent of total billed charges,61% of total billed charges,416.21,52,,332.97,percent of total billed charges,52% of total billed charges,416.21,720.36,
NM LIVER/SPLEEN IMAGING STATIC,42101042,CDM,341,RC,78215,HCPCS,Outpatient,,,517.15,413.72,,439.58,85,,351.66,percent of total billed charges,85% of total billed charges,439.58,85,,351.66,percent of total billed charges,85% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,384.14,74,,307.31,percent of total billed charges,74.28% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,384.14,74,,307.31,percent of total billed charges,74.28% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,384.14,74,,307.31,percent of total billed charges,74.28% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,465.44,90,,372.35,percent of total billed charges,90% of total billed charges,465.44,90,,372.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,450.95,87.2,,,percent of total billed charges,87.2% of total billed charges,305.12,59,,244.1,percent of total billed charges,59% of total billed charges,450.95,87.2,,360.76,percent of total billed charges,87.2% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,420.39,81.29,,336.31,percent of total billed charges,81.29% of total billed charges,465.44,90,,372.35,percent of total billed charges,90% of totl billed charges,465.44,90,,372.35,percent of total billed charges,90% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,465.44,90,,372.35,percent of total billed charges,90% of total billed charges,465.44,90,,372.35,percent of total billed charges,90% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,315.46,61,,252.37,percent of total billed charges,61% of total billed charges,268.92,52,,215.14,percent of total billed charges,52% of total billed charges,268.92,465.44,
HIDA W/O KINEVAC,42109043,CDM,341,RC,78226,HCPCS,Outpatient,,,517.05,413.64,,439.49,85,,351.59,percent of total billed charges,85% of total billed charges,439.49,85,,351.59,percent of total billed charges,85% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,384.06,74,,307.25,percent of total billed charges,74.28% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,384.06,74,,307.25,percent of total billed charges,74.28% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,384.06,74,,307.25,percent of total billed charges,74.28% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,465.35,90,,372.28,percent of total billed charges,90% of total billed charges,465.35,90,,372.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,450.87,87.2,,,percent of total billed charges,87.2% of total billed charges,305.06,59,,244.05,percent of total billed charges,59% of total billed charges,450.87,87.2,,360.7,percent of total billed charges,87.2% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,420.31,81.29,,336.25,percent of total billed charges,81.29% of total billed charges,465.35,90,,372.28,percent of total billed charges,90% of totl billed charges,465.35,90,,372.28,percent of total billed charges,90% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,465.35,90,,372.28,percent of total billed charges,90% of total billed charges,465.35,90,,372.28,percent of total billed charges,90% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,315.4,61,,252.32,percent of total billed charges,61% of total billed charges,268.87,52,,215.1,percent of total billed charges,52% of total billed charges,268.87,465.35,
HIDA WITH FUNCTION,42109044,CDM,341,RC,78227,HCPCS,Outpatient,,,775.56,620.45,,659.23,85,,527.38,percent of total billed charges,85% of total billed charges,659.23,85,,527.38,percent of total billed charges,85% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,576.09,74,,460.87,percent of total billed charges,74.28% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,576.09,74,,460.87,percent of total billed charges,74.28% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,576.09,74,,460.87,percent of total billed charges,74.28% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,698,90,,558.4,percent of total billed charges,90% of total billed charges,698,90,,558.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,676.29,87.2,,,percent of total billed charges,87.2% of total billed charges,457.58,59,,366.06,percent of total billed charges,59% of total billed charges,676.29,87.2,,541.03,percent of total billed charges,87.2% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,630.45,81.29,,504.36,percent of total billed charges,81.29% of total billed charges,698,90,,558.4,percent of total billed charges,90% of totl billed charges,698,90,,558.4,percent of total billed charges,90% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,698,90,,558.4,percent of total billed charges,90% of total billed charges,698,90,,558.4,percent of total billed charges,90% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,473.09,61,,378.47,percent of total billed charges,61% of total billed charges,403.29,52,,322.63,percent of total billed charges,52% of total billed charges,403.29,698,
NM GASTRIC EMPTYING,42107689,CDM,341,RC,78264,HCPCS,Outpatient,,,415.78,332.62,,353.41,85,,282.73,percent of total billed charges,85% of total billed charges,353.41,85,,282.73,percent of total billed charges,85% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,308.84,74,,247.07,percent of total billed charges,74.28% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,308.84,74,,247.07,percent of total billed charges,74.28% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,308.84,74,,247.07,percent of total billed charges,74.28% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,374.2,90,,299.36,percent of total billed charges,90% of total billed charges,374.2,90,,299.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,362.56,87.2,,,percent of total billed charges,87.2% of total billed charges,245.31,59,,196.25,percent of total billed charges,59% of total billed charges,362.56,87.2,,290.05,percent of total billed charges,87.2% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,337.99,81.29,,270.39,percent of total billed charges,81.29% of total billed charges,374.2,90,,299.36,percent of total billed charges,90% of totl billed charges,374.2,90,,299.36,percent of total billed charges,90% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,374.2,90,,299.36,percent of total billed charges,90% of total billed charges,374.2,90,,299.36,percent of total billed charges,90% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,253.63,61,,202.9,percent of total billed charges,61% of total billed charges,216.21,52,,172.97,percent of total billed charges,52% of total billed charges,216.21,374.2,
NM MECKEL'S SCAN,42109034,CDM,341,RC,78290,HCPCS,Outpatient,,,490.9,392.72,,417.27,85,,333.82,percent of total billed charges,85% of total billed charges,417.27,85,,333.82,percent of total billed charges,85% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,364.64,74,,291.71,percent of total billed charges,74.28% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,364.64,74,,291.71,percent of total billed charges,74.28% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,364.64,74,,291.71,percent of total billed charges,74.28% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,441.81,90,,353.45,percent of total billed charges,90% of total billed charges,441.81,90,,353.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,428.06,87.2,,,percent of total billed charges,87.2% of total billed charges,289.63,59,,231.7,percent of total billed charges,59% of total billed charges,428.06,87.2,,342.45,percent of total billed charges,87.2% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,399.05,81.29,,319.24,percent of total billed charges,81.29% of total billed charges,441.81,90,,353.45,percent of total billed charges,90% of totl billed charges,441.81,90,,353.45,percent of total billed charges,90% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,441.81,90,,353.45,percent of total billed charges,90% of total billed charges,441.81,90,,353.45,percent of total billed charges,90% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,299.45,61,,239.56,percent of total billed charges,61% of total billed charges,255.27,52,,204.22,percent of total billed charges,52% of total billed charges,255.27,441.81,
"NM BONE SCAN, LIMITED",42107678,CDM,341,RC,78300,HCPCS,Outpatient,,,374.6,299.68,,318.41,85,,254.73,percent of total billed charges,85% of total billed charges,318.41,85,,254.73,percent of total billed charges,85% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,278.25,74,,222.6,percent of total billed charges,74.28% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,278.25,74,,222.6,percent of total billed charges,74.28% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,278.25,74,,222.6,percent of total billed charges,74.28% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,337.14,90,,269.71,percent of total billed charges,90% of total billed charges,337.14,90,,269.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,326.65,87.2,,,percent of total billed charges,87.2% of total billed charges,221.01,59,,176.81,percent of total billed charges,59% of total billed charges,326.65,87.2,,261.32,percent of total billed charges,87.2% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,304.51,81.29,,243.61,percent of total billed charges,81.29% of total billed charges,337.14,90,,269.71,percent of total billed charges,90% of totl billed charges,337.14,90,,269.71,percent of total billed charges,90% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,337.14,90,,269.71,percent of total billed charges,90% of total billed charges,337.14,90,,269.71,percent of total billed charges,90% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,228.51,61,,182.81,percent of total billed charges,61% of total billed charges,194.79,52,,155.83,percent of total billed charges,52% of total billed charges,194.79,337.14,
NM BONE SCAN - WHOLE BODY,42107687,CDM,341,RC,78306,HCPCS,Outpatient,,,520.61,416.49,,442.52,85,,354.02,percent of total billed charges,85% of total billed charges,442.52,85,,354.02,percent of total billed charges,85% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,386.71,74,,309.37,percent of total billed charges,74.28% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,453.97,87.2,,,percent of total billed charges,87.2% of total billed charges,307.16,59,,245.73,percent of total billed charges,59% of total billed charges,453.97,87.2,,363.18,percent of total billed charges,87.2% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,423.2,81.29,,338.56,percent of total billed charges,81.29% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of totl billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,468.55,90,,374.84,percent of total billed charges,90% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,317.57,61,,254.06,percent of total billed charges,61% of total billed charges,270.72,52,,216.58,percent of total billed charges,52% of total billed charges,270.72,468.55,
NM BONE SCAN 3 PHASE,42107686,CDM,341,RC,78315,HCPCS,Outpatient,,,604.93,483.94,,514.19,85,,411.35,percent of total billed charges,85% of total billed charges,514.19,85,,411.35,percent of total billed charges,85% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,449.34,74,,359.47,percent of total billed charges,74.28% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,449.34,74,,359.47,percent of total billed charges,74.28% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,449.34,74,,359.47,percent of total billed charges,74.28% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,544.44,90,,435.55,percent of total billed charges,90% of total billed charges,544.44,90,,435.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,527.5,87.2,,,percent of total billed charges,87.2% of total billed charges,356.91,59,,285.53,percent of total billed charges,59% of total billed charges,527.5,87.2,,422,percent of total billed charges,87.2% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,491.75,81.29,,393.4,percent of total billed charges,81.29% of total billed charges,544.44,90,,435.55,percent of total billed charges,90% of totl billed charges,544.44,90,,435.55,percent of total billed charges,90% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,544.44,90,,435.55,percent of total billed charges,90% of total billed charges,544.44,90,,435.55,percent of total billed charges,90% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,369.01,61,,295.21,percent of total billed charges,61% of total billed charges,314.56,52,,251.65,percent of total billed charges,52% of total billed charges,314.56,544.44,
NM BONE SCAN 3-PHASE TOMOGRPHS,42107681,CDM,341,RC,78320,HCPCS,Outpatient,,,705.71,564.57,,599.85,85,,479.88,percent of total billed charges,85% of total billed charges,599.85,85,,479.88,percent of total billed charges,85% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,524.2,74,,419.36,percent of total billed charges,74.28% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,524.2,74,,419.36,percent of total billed charges,74.28% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,524.2,74,,419.36,percent of total billed charges,74.28% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,635.14,90,,508.11,percent of total billed charges,90% of total billed charges,635.14,90,,508.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,615.38,87.2,,,percent of total billed charges,87.2% of total billed charges,416.37,59,,333.1,percent of total billed charges,59% of total billed charges,615.38,87.2,,492.3,percent of total billed charges,87.2% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,573.67,81.29,,458.94,percent of total billed charges,81.29% of total billed charges,635.14,90,,508.11,percent of total billed charges,90% of totl billed charges,635.14,90,,508.11,percent of total billed charges,90% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,635.14,90,,508.11,percent of total billed charges,90% of total billed charges,635.14,90,,508.11,percent of total billed charges,90% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,430.48,61,,344.38,percent of total billed charges,61% of total billed charges,366.97,52,,293.58,percent of total billed charges,52% of total billed charges,366.97,635.14,
NM VASCULAR FLOW IMAGING,42107679,CDM,341,RC,78445,HCPCS,Outpatient,,,346.47,277.18,,294.5,85,,235.6,percent of total billed charges,85% of total billed charges,294.5,85,,235.6,percent of total billed charges,85% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,257.36,74,,205.89,percent of total billed charges,74.28% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,257.36,74,,205.89,percent of total billed charges,74.28% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,257.36,74,,205.89,percent of total billed charges,74.28% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,311.82,90,,249.46,percent of total billed charges,90% of total billed charges,311.82,90,,249.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,302.12,87.2,,,percent of total billed charges,87.2% of total billed charges,204.42,59,,163.54,percent of total billed charges,59% of total billed charges,302.12,87.2,,241.7,percent of total billed charges,87.2% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,281.65,81.29,,225.32,percent of total billed charges,81.29% of total billed charges,311.82,90,,249.46,percent of total billed charges,90% of totl billed charges,311.82,90,,249.46,percent of total billed charges,90% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,311.82,90,,249.46,percent of total billed charges,90% of total billed charges,311.82,90,,249.46,percent of total billed charges,90% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,211.35,61,,169.08,percent of total billed charges,61% of total billed charges,180.16,52,,144.13,percent of total billed charges,52% of total billed charges,180.16,311.82,
MYOC PERFUSION IMAG SPECT SNGL,42109023,CDM,341,RC,78451,HCPCS,Outpatient,,,1160.42,928.34,,986.36,85,,789.09,percent of total billed charges,85% of total billed charges,986.36,85,,789.09,percent of total billed charges,85% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,861.96,74,,689.57,percent of total billed charges,74.28% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,861.96,74,,689.57,percent of total billed charges,74.28% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,861.96,74,,689.57,percent of total billed charges,74.28% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,1044.38,90,,835.5,percent of total billed charges,90% of total billed charges,1044.38,90,,835.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,1011.89,87.2,,,percent of total billed charges,87.2% of total billed charges,684.65,59,,547.72,percent of total billed charges,59% of total billed charges,1011.89,87.2,,809.51,percent of total billed charges,87.2% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,943.31,81.29,,754.65,percent of total billed charges,81.29% of total billed charges,1044.38,90,,835.5,percent of total billed charges,90% of totl billed charges,1044.38,90,,835.5,percent of total billed charges,90% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,1044.38,90,,835.5,percent of total billed charges,90% of total billed charges,1044.38,90,,835.5,percent of total billed charges,90% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,707.86,61,,566.29,percent of total billed charges,61% of total billed charges,603.42,52,,482.74,percent of total billed charges,52% of total billed charges,603.42,1044.38,
MYOC PERFUSION IMAG(SPECT)MULT,42109024,CDM,341,RC,78452,HCPCS,Outpatient,,,1690.17,1352.14,,1436.64,85,,1149.31,percent of total billed charges,85% of total billed charges,1436.64,85,,1149.31,percent of total billed charges,85% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,1255.46,74,,1004.37,percent of total billed charges,74.28% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,1255.46,74,,1004.37,percent of total billed charges,74.28% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,1255.46,74,,1004.37,percent of total billed charges,74.28% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of total billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,1473.83,87.2,,,percent of total billed charges,87.2% of total billed charges,997.2,59,,797.76,percent of total billed charges,59% of total billed charges,1473.83,87.2,,1179.06,percent of total billed charges,87.2% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,1373.94,81.29,,1099.15,percent of total billed charges,81.29% of total billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of totl billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of total billed charges,1521.15,90,,1216.92,percent of total billed charges,90% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,1031,61,,824.8,percent of total billed charges,61% of total billed charges,878.89,52,,703.11,percent of total billed charges,52% of total billed charges,878.89,1521.15,
GATED HEART PLANAR SINGLE-MUGA,42109022,CDM,341,RC,78472,HCPCS,Outpatient,,,632.48,505.98,,537.61,85,,430.09,percent of total billed charges,85% of total billed charges,537.61,85,,430.09,percent of total billed charges,85% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,469.81,74,,375.85,percent of total billed charges,74.28% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,469.81,74,,375.85,percent of total billed charges,74.28% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,469.81,74,,375.85,percent of total billed charges,74.28% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,569.23,90,,455.38,percent of total billed charges,90% of total billed charges,569.23,90,,455.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,551.52,87.2,,,percent of total billed charges,87.2% of total billed charges,373.16,59,,298.53,percent of total billed charges,59% of total billed charges,551.52,87.2,,441.22,percent of total billed charges,87.2% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,514.14,81.29,,411.31,percent of total billed charges,81.29% of total billed charges,569.23,90,,455.38,percent of total billed charges,90% of totl billed charges,569.23,90,,455.38,percent of total billed charges,90% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,569.23,90,,455.38,percent of total billed charges,90% of total billed charges,569.23,90,,455.38,percent of total billed charges,90% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,385.81,61,,308.65,percent of total billed charges,61% of total billed charges,328.89,52,,263.11,percent of total billed charges,52% of total billed charges,328.89,569.23,
US PELVIS LIMITED,36000037,CDM,320,RC,78657,HCPCS,Outpatient,,,188.87,151.1,,160.54,85,,128.43,percent of total billed charges,85% of total billed charges,160.54,85,,128.43,percent of total billed charges,85% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,140.29,74,,112.23,percent of total billed charges,74.28% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,140.29,74,,112.23,percent of total billed charges,74.28% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,140.29,74,,112.23,percent of total billed charges,74.28% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,169.98,90,,135.98,percent of total billed charges,90% of total billed charges,169.98,90,,135.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,164.69,87.2,,,percent of total billed charges,87.2% of total billed charges,111.43,59,,89.14,percent of total billed charges,59% of total billed charges,164.69,87.2,,131.75,percent of total billed charges,87.2% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,153.53,81.29,,122.82,percent of total billed charges,81.29% of total billed charges,169.98,90,,135.98,percent of total billed charges,90% of totl billed charges,169.98,90,,135.98,percent of total billed charges,90% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,169.98,90,,135.98,percent of total billed charges,90% of total billed charges,169.98,90,,135.98,percent of total billed charges,90% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,115.21,61,,92.17,percent of total billed charges,61% of total billed charges,98.21,52,,78.57,percent of total billed charges,52% of total billed charges,98.21,169.98,
INTER US PELVIS LIMITED,36010270,CDM,981,RC,78657,HCPCS,Outpatient,,,46.81,37.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NM KIDNEY FLOW/FUNC SCAN SGL,42107682,CDM,341,RC,78707,HCPCS,Outpatient,,,509.66,407.73,,433.21,85,,346.57,percent of total billed charges,85% of total billed charges,433.21,85,,346.57,percent of total billed charges,85% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,444.42,87.2,,,percent of total billed charges,87.2% of total billed charges,300.7,59,,240.56,percent of total billed charges,59% of total billed charges,444.42,87.2,,355.54,percent of total billed charges,87.2% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,414.3,81.29,,331.44,percent of total billed charges,81.29% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of totl billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,265.02,458.69,
LASIX RENAL SCAN,42109041,CDM,341,RC,78708,HCPCS,Outpatient,,,546.63,437.3,,464.64,85,,371.71,percent of total billed charges,85% of total billed charges,464.64,85,,371.71,percent of total billed charges,85% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,406.04,74,,324.83,percent of total billed charges,74.28% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,406.04,74,,324.83,percent of total billed charges,74.28% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,406.04,74,,324.83,percent of total billed charges,74.28% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,491.97,90,,393.58,percent of total billed charges,90% of total billed charges,491.97,90,,393.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,476.66,87.2,,,percent of total billed charges,87.2% of total billed charges,322.51,59,,258.01,percent of total billed charges,59% of total billed charges,476.66,87.2,,381.33,percent of total billed charges,87.2% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,444.36,81.29,,355.49,percent of total billed charges,81.29% of total billed charges,491.97,90,,393.58,percent of total billed charges,90% of totl billed charges,491.97,90,,393.58,percent of total billed charges,90% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,491.97,90,,393.58,percent of total billed charges,90% of total billed charges,491.97,90,,393.58,percent of total billed charges,90% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,333.44,61,,266.75,percent of total billed charges,61% of total billed charges,284.25,52,,227.4,percent of total billed charges,52% of total billed charges,284.25,491.97,
NM TESTICULAR SCAN W/ FLOW,42107688,CDM,341,RC,78761,HCPCS,Outpatient,,,509.66,407.73,,433.21,85,,346.57,percent of total billed charges,85% of total billed charges,433.21,85,,346.57,percent of total billed charges,85% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,378.58,74,,302.86,percent of total billed charges,74.28% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,444.42,87.2,,,percent of total billed charges,87.2% of total billed charges,300.7,59,,240.56,percent of total billed charges,59% of total billed charges,444.42,87.2,,355.54,percent of total billed charges,87.2% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,414.3,81.29,,331.44,percent of total billed charges,81.29% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of totl billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,458.69,90,,366.95,percent of total billed charges,90% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,310.89,61,,248.71,percent of total billed charges,61% of total billed charges,265.02,52,,212.02,percent of total billed charges,52% of total billed charges,265.02,458.69,
PLANAR ONLY AMYLOIDOSIS SCAN,42109047,CDM,341,RC,78800,HCPCS,Outpatient,,,480.42,384.34,,408.36,85,,326.69,percent of total billed charges,85% of total billed charges,408.36,85,,326.69,percent of total billed charges,85% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,356.86,74,,285.49,percent of total billed charges,74.28% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,356.86,74,,285.49,percent of total billed charges,74.28% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,356.86,74,,285.49,percent of total billed charges,74.28% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,432.38,90,,345.9,percent of total billed charges,90% of total billed charges,432.38,90,,345.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,418.93,87.2,,,percent of total billed charges,87.2% of total billed charges,283.45,59,,226.76,percent of total billed charges,59% of total billed charges,418.93,87.2,,335.14,percent of total billed charges,87.2% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,390.53,81.29,,312.42,percent of total billed charges,81.29% of total billed charges,432.38,90,,345.9,percent of total billed charges,90% of totl billed charges,432.38,90,,345.9,percent of total billed charges,90% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,432.38,90,,345.9,percent of total billed charges,90% of total billed charges,432.38,90,,345.9,percent of total billed charges,90% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,293.06,61,,234.45,percent of total billed charges,61% of total billed charges,249.82,52,,199.86,percent of total billed charges,52% of total billed charges,249.82,432.38,
PLANAR&SPECT AMYLOIDOSIS SCAN,42109046,CDM,341,RC,78803,HCPCS,Outpatient,,,712.85,570.28,,605.92,85,,484.74,percent of total billed charges,85% of total billed charges,605.92,85,,484.74,percent of total billed charges,85% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,529.5,74,,423.6,percent of total billed charges,74.28% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,529.5,74,,423.6,percent of total billed charges,74.28% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,529.5,74,,423.6,percent of total billed charges,74.28% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,641.57,90,,513.26,percent of total billed charges,90% of total billed charges,641.57,90,,513.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,621.61,87.2,,,percent of total billed charges,87.2% of total billed charges,420.58,59,,336.46,percent of total billed charges,59% of total billed charges,621.61,87.2,,497.29,percent of total billed charges,87.2% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,579.48,81.29,,463.58,percent of total billed charges,81.29% of total billed charges,641.57,90,,513.26,percent of total billed charges,90% of totl billed charges,641.57,90,,513.26,percent of total billed charges,90% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,641.57,90,,513.26,percent of total billed charges,90% of total billed charges,641.57,90,,513.26,percent of total billed charges,90% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,434.84,61,,347.87,percent of total billed charges,61% of total billed charges,370.68,52,,296.54,percent of total billed charges,52% of total billed charges,370.68,641.57,
BASIC METABOLIC PANEL,41000365,CDM,301,RC,80048,HCPCS,Outpatient,,,72.06,57.65,,61.25,85,,49,percent of total billed charges,85% of total billed charges,61.25,85,,49,percent of total billed charges,85% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.46,100,,,fee schedule,100% of CMS fee schedule,8.46,100,,,fee schedule,100% of CMS fee schedule,62.84,87.2,,,percent of total billed charges,87.2% of total billed charges,42.52,59,,34.02,percent of total billed charges,59% of total billed charges,62.84,87.2,,50.27,percent of total billed charges,87.2% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,58.58,81.29,,46.86,percent of total billed charges,81.29% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of totl billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,,percent of total billed charges,61% of total billed charges,8.46,100,,,fee schedule,100% of CMS fee schedule,8.46,64.85,
ELECTROLYTES,41000346,CDM,301,RC,80051,HCPCS,Outpatient,,,72.06,57.65,,61.25,85,,49,percent of total billed charges,85% of total billed charges,61.25,85,,49,percent of total billed charges,85% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.01,100,,,fee schedule,100% of CMS fee schedule,7.01,100,,,fee schedule,100% of CMS fee schedule,62.84,87.2,,,percent of total billed charges,87.2% of total billed charges,42.52,59,,34.02,percent of total billed charges,59% of total billed charges,62.84,87.2,,50.27,percent of total billed charges,87.2% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,58.58,81.29,,46.86,percent of total billed charges,81.29% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of totl billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,,percent of total billed charges,61% of total billed charges,7.01,100,,,fee schedule,100% of CMS fee schedule,7.01,64.85,
COMPREHENSIVE METABOLIC PANEL,41000366,CDM,301,RC,80053,HCPCS,Outpatient,,,112.43,89.94,,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.56,100,,,fee schedule,100% of CMS fee schedule,10.56,100,,,fee schedule,100% of CMS fee schedule,98.04,87.2,,,percent of total billed charges,87.2% of total billed charges,66.33,59,,53.06,percent of total billed charges,59% of total billed charges,98.04,87.2,,78.43,percent of total billed charges,87.2% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,91.39,81.29,,73.11,percent of total billed charges,81.29% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of totl billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,,percent of total billed charges,61% of total billed charges,10.56,100,,,fee schedule,100% of CMS fee schedule,10.56,101.19,
LIPID PROFILE,41000757,CDM,301,RC,80061,HCPCS,Outpatient,,,128.69,102.95,,109.39,85,,87.51,percent of total billed charges,85% of total billed charges,109.39,85,,87.51,percent of total billed charges,85% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.39,100,,,fee schedule,100% of CMS fee schedule,13.39,100,,,fee schedule,100% of CMS fee schedule,112.22,87.2,,,percent of total billed charges,87.2% of total billed charges,75.93,59,,60.74,percent of total billed charges,59% of total billed charges,112.22,87.2,,89.78,percent of total billed charges,87.2% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,104.61,81.29,,83.69,percent of total billed charges,81.29% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of totl billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,,percent of total billed charges,61% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,13.39,115.82,
RENAL PANEL,41009148,CDM,301,RC,80069,HCPCS,Outpatient,,,59.34,47.47,,50.44,85,,40.35,percent of total billed charges,85% of total billed charges,50.44,85,,40.35,percent of total billed charges,85% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,44.08,74,,35.26,percent of total billed charges,74.28% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,44.08,74,,35.26,percent of total billed charges,74.28% of total billed charges,36.2,61,,28.96,percent of total billed charges,61% of total billed charges,44.08,74,,35.26,percent of total billed charges,74.28% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,53.41,90,,42.73,percent of total billed charges,90% of total billed charges,53.41,90,,42.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.68,100,,,fee schedule,100% of CMS fee schedule,8.68,100,,,fee schedule,100% of CMS fee schedule,51.74,87.2,,,percent of total billed charges,87.2% of total billed charges,35.01,59,,28.01,percent of total billed charges,59% of total billed charges,51.74,87.2,,41.39,percent of total billed charges,87.2% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,48.24,81.29,,38.59,percent of total billed charges,81.29% of total billed charges,53.41,90,,42.73,percent of total billed charges,90% of totl billed charges,53.41,90,,42.73,percent of total billed charges,90% of total billed charges,36.2,61,,28.96,percent of total billed charges,61% of total billed charges,36.2,61,,28.96,percent of total billed charges,61% of total billed charges,53.41,90,,42.73,percent of total billed charges,90% of total billed charges,53.41,90,,42.73,percent of total billed charges,90% of total billed charges,36.2,61,,28.96,percent of total billed charges,61% of total billed charges,36.2,61,,28.96,percent of total billed charges,61% of total billed charges,36.2,61,,,percent of total billed charges,61% of total billed charges,8.68,100,,,fee schedule,100% of CMS fee schedule,8.68,53.41,
HEPATITIS PANEL,41000912,CDM,302,RC,80074,HCPCS,Outpatient,,,167.13,133.7,,142.06,85,,113.65,percent of total billed charges,85% of total billed charges,142.06,85,,113.65,percent of total billed charges,85% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,124.14,74,,99.31,percent of total billed charges,74.28% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,124.14,74,,99.31,percent of total billed charges,74.28% of total billed charges,101.95,61,,81.56,percent of total billed charges,61% of total billed charges,124.14,74,,99.31,percent of total billed charges,74.28% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,150.42,90,,120.34,percent of total billed charges,90% of total billed charges,150.42,90,,120.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.63,100,,,fee schedule,100% of CMS fee schedule,47.63,100,,,fee schedule,100% of CMS fee schedule,145.74,87.2,,,percent of total billed charges,87.2% of total billed charges,98.61,59,,78.89,percent of total billed charges,59% of total billed charges,145.74,87.2,,116.59,percent of total billed charges,87.2% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,135.86,81.29,,108.69,percent of total billed charges,81.29% of total billed charges,150.42,90,,120.34,percent of total billed charges,90% of totl billed charges,150.42,90,,120.34,percent of total billed charges,90% of total billed charges,101.95,61,,81.56,percent of total billed charges,61% of total billed charges,101.95,61,,81.56,percent of total billed charges,61% of total billed charges,150.42,90,,120.34,percent of total billed charges,90% of total billed charges,150.42,90,,120.34,percent of total billed charges,90% of total billed charges,101.95,61,,81.56,percent of total billed charges,61% of total billed charges,101.95,61,,81.56,percent of total billed charges,61% of total billed charges,101.95,61,,,percent of total billed charges,61% of total billed charges,47.63,100,,,fee schedule,100% of CMS fee schedule,47.63,150.42,
HEPATIC FUNCTION PANEL,41000139,CDM,301,RC,80076,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,74.05,
GC/MS CONFIRMATION-EACH,41000218,CDM,301,RC,80102,HCPCS,Outpatient,,,102.39,81.91,,87.03,85,,69.62,percent of total billed charges,85% of total billed charges,87.03,85,,69.62,percent of total billed charges,85% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,76.06,74,,60.85,percent of total billed charges,74.28% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,76.06,74,,60.85,percent of total billed charges,74.28% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,76.06,74,,60.85,percent of total billed charges,74.28% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,92.15,90,,73.72,percent of total billed charges,90% of total billed charges,92.15,90,,73.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,89.28,87.2,,,percent of total billed charges,87.2% of total billed charges,60.41,59,,48.33,percent of total billed charges,59% of total billed charges,89.28,87.2,,71.42,percent of total billed charges,87.2% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,83.23,81.29,,66.58,percent of total billed charges,81.29% of total billed charges,92.15,90,,73.72,percent of total billed charges,90% of totl billed charges,92.15,90,,73.72,percent of total billed charges,90% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,92.15,90,,73.72,percent of total billed charges,90% of total billed charges,92.15,90,,73.72,percent of total billed charges,90% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,62.46,61,,49.97,percent of total billed charges,61% of total billed charges,53.24,52,,42.59,percent of total billed charges,52% of total billed charges,53.24,92.15,
THC CONFIRMATION,41000312,CDM,301,RC,80102,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,37.52,
BENZODIAZEPINE CONFIRMATION,41000314,CDM,301,RC,80102,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,37.52,
"BARBITURATES,GSIMS",41000315,CDM,301,RC,80102,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,21.68,52,,17.34,percent of total billed charges,52% of total billed charges,21.68,37.52,
AMIKACIN,41000303,CDM,301,RC,80150,HCPCS,Outpatient,,,34.1,27.28,,28.99,85,,23.19,percent of total billed charges,85% of total billed charges,28.99,85,,23.19,percent of total billed charges,85% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,25.33,74,,20.26,percent of total billed charges,74.28% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,25.33,74,,20.26,percent of total billed charges,74.28% of total billed charges,20.8,61,,16.64,percent of total billed charges,61% of total billed charges,25.33,74,,20.26,percent of total billed charges,74.28% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,30.69,90,,24.55,percent of total billed charges,90% of total billed charges,30.69,90,,24.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.08,100,,,fee schedule,100% of CMS fee schedule,15.08,100,,,fee schedule,100% of CMS fee schedule,29.74,87.2,,,percent of total billed charges,87.2% of total billed charges,20.12,59,,16.1,percent of total billed charges,59% of total billed charges,29.74,87.2,,23.79,percent of total billed charges,87.2% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,27.72,81.29,,22.18,percent of total billed charges,81.29% of total billed charges,30.69,90,,24.55,percent of total billed charges,90% of totl billed charges,30.69,90,,24.55,percent of total billed charges,90% of total billed charges,20.8,61,,16.64,percent of total billed charges,61% of total billed charges,20.8,61,,16.64,percent of total billed charges,61% of total billed charges,30.69,90,,24.55,percent of total billed charges,90% of total billed charges,30.69,90,,24.55,percent of total billed charges,90% of total billed charges,20.8,61,,16.64,percent of total billed charges,61% of total billed charges,20.8,61,,16.64,percent of total billed charges,61% of total billed charges,20.8,61,,,percent of total billed charges,61% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,15.08,30.69,
AMITRYPTILINE,41009074,CDM,301,RC,80152,HCPCS,Outpatient,,,72.62,58.1,,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,63.32,87.2,,,percent of total billed charges,87.2% of total billed charges,42.85,59,,34.28,percent of total billed charges,59% of total billed charges,63.32,87.2,,50.66,percent of total billed charges,87.2% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,59.03,81.29,,47.22,percent of total billed charges,81.29% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of totl billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,37.76,52,,30.21,percent of total billed charges,52% of total billed charges,37.76,65.36,
CLONAZEPAM(KLONOPIN),41000087,CDM,301,RC,80154,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,126.1,
CLONAPINE,41000277,CDM,301,RC,80154,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,32.35,52,,25.88,percent of total billed charges,52% of total billed charges,32.35,55.99,
ATIVAN,41000278,CDM,301,RC,80154,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,32.57,52,,26.06,percent of total billed charges,52% of total billed charges,32.57,56.38,
BENZODIAZEPINE QUANT.,41000343,CDM,301,RC,80154,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,26.07,52,,20.86,percent of total billed charges,52% of total billed charges,26.07,45.12,
LIBRIUM,41009077,CDM,301,RC,80154,HCPCS,Outpatient,,,52.1,41.68,,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,45.43,87.2,,,percent of total billed charges,87.2% of total billed charges,30.74,59,,24.59,percent of total billed charges,59% of total billed charges,45.43,87.2,,36.34,percent of total billed charges,87.2% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,42.35,81.29,,33.88,percent of total billed charges,81.29% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of totl billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,27.09,52,,21.67,percent of total billed charges,52% of total billed charges,27.09,46.89,
VALIUM,41009079,CDM,301,RC,80154,HCPCS,Outpatient,,,53.04,42.43,,45.08,85,,36.06,percent of total billed charges,85% of total billed charges,45.08,85,,36.06,percent of total billed charges,85% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,46.25,87.2,,,percent of total billed charges,87.2% of total billed charges,31.29,59,,25.03,percent of total billed charges,59% of total billed charges,46.25,87.2,,37,percent of total billed charges,87.2% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,43.12,81.29,,34.5,percent of total billed charges,81.29% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of totl billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,27.58,47.74,
TEGRETOL,41009048,CDM,301,RC,80156,HCPCS,Outpatient,,,144.65,115.72,,122.95,85,,98.36,percent of total billed charges,85% of total billed charges,122.95,85,,98.36,percent of total billed charges,85% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,126.13,87.2,,,percent of total billed charges,87.2% of total billed charges,85.34,59,,68.27,percent of total billed charges,59% of total billed charges,126.13,87.2,,100.9,percent of total billed charges,87.2% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,117.59,81.29,,94.07,percent of total billed charges,81.29% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of totl billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,,percent of total billed charges,61% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,130.19,
CYCLOSPORIN,41000426,CDM,301,RC,80158,HCPCS,Outpatient,,,112.43,89.94,,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.05,100,,,fee schedule,100% of CMS fee schedule,18.05,100,,,fee schedule,100% of CMS fee schedule,98.04,87.2,,,percent of total billed charges,87.2% of total billed charges,66.33,59,,53.06,percent of total billed charges,59% of total billed charges,98.04,87.2,,78.43,percent of total billed charges,87.2% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,91.39,81.29,,73.11,percent of total billed charges,81.29% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of totl billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,,percent of total billed charges,61% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,18.05,101.19,
DESIMPRAMINE LEVEL,41000150,CDM,301,RC,80160,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,126.1,
LANOXIN,41000454,CDM,301,RC,80162,HCPCS,Outpatient,,,160.68,128.54,,136.58,85,,109.26,percent of total billed charges,85% of total billed charges,136.58,85,,109.26,percent of total billed charges,85% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.28,100,,,fee schedule,100% of CMS fee schedule,13.28,100,,,fee schedule,100% of CMS fee schedule,140.11,87.2,,,percent of total billed charges,87.2% of total billed charges,94.8,59,,75.84,percent of total billed charges,59% of total billed charges,140.11,87.2,,112.09,percent of total billed charges,87.2% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,130.62,81.29,,104.5,percent of total billed charges,81.29% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of totl billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,,percent of total billed charges,61% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,13.28,144.61,
DIGOXIN LEVEL,41009031,CDM,301,RC,80162,HCPCS,Outpatient,,,160.68,128.54,,136.58,85,,109.26,percent of total billed charges,85% of total billed charges,136.58,85,,109.26,percent of total billed charges,85% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,119.35,74,,95.48,percent of total billed charges,74.28% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.28,100,,,fee schedule,100% of CMS fee schedule,13.28,100,,,fee schedule,100% of CMS fee schedule,140.11,87.2,,,percent of total billed charges,87.2% of total billed charges,94.8,59,,75.84,percent of total billed charges,59% of total billed charges,140.11,87.2,,112.09,percent of total billed charges,87.2% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,130.62,81.29,,104.5,percent of total billed charges,81.29% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of totl billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,144.61,90,,115.69,percent of total billed charges,90% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,78.41,percent of total billed charges,61% of total billed charges,98.01,61,,,percent of total billed charges,61% of total billed charges,13.28,100,,,fee schedule,100% of CMS fee schedule,13.28,144.61,
FREE VALPROIC ACID,41001241,CDM,301,RC,80164,HCPCS,Outpatient,,,12.68,10.14,,10.78,85,,8.62,percent of total billed charges,85% of total billed charges,10.78,85,,8.62,percent of total billed charges,85% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,9.42,74,,7.54,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,9.42,74,,7.54,percent of total billed charges,74.28% of total billed charges,7.73,61,,6.18,percent of total billed charges,61% of total billed charges,9.42,74,,7.54,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,11.41,90,,9.13,percent of total billed charges,90% of total billed charges,11.41,90,,9.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,11.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7.48,59,,5.98,percent of total billed charges,59% of total billed charges,11.06,87.2,,8.85,percent of total billed charges,87.2% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,10.31,81.29,,8.25,percent of total billed charges,81.29% of total billed charges,11.41,90,,9.13,percent of total billed charges,90% of totl billed charges,11.41,90,,9.13,percent of total billed charges,90% of total billed charges,7.73,61,,6.18,percent of total billed charges,61% of total billed charges,7.73,61,,6.18,percent of total billed charges,61% of total billed charges,11.41,90,,9.13,percent of total billed charges,90% of total billed charges,11.41,90,,9.13,percent of total billed charges,90% of total billed charges,7.73,61,,6.18,percent of total billed charges,61% of total billed charges,7.73,61,,6.18,percent of total billed charges,61% of total billed charges,7.73,61,,,percent of total billed charges,61% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,7.48,13.54,
VALPROIC ACID,41009047,CDM,301,RC,80164,HCPCS,Outpatient,,,124.76,99.81,,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,108.79,87.2,,,percent of total billed charges,87.2% of total billed charges,73.61,59,,58.89,percent of total billed charges,59% of total billed charges,108.79,87.2,,87.03,percent of total billed charges,87.2% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,101.42,81.29,,81.14,percent of total billed charges,81.29% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of totl billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,,percent of total billed charges,61% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,112.28,
"DOXEPIN, SERUM",41000137,CDM,301,RC,80166,HCPCS,Outpatient,,,157.56,126.05,,133.93,85,,107.14,percent of total billed charges,85% of total billed charges,133.93,85,,107.14,percent of total billed charges,85% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,137.39,87.2,,,percent of total billed charges,87.2% of total billed charges,92.96,59,,74.37,percent of total billed charges,59% of total billed charges,137.39,87.2,,109.91,percent of total billed charges,87.2% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,128.08,81.29,,102.46,percent of total billed charges,81.29% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of totl billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,81.93,52,,65.54,percent of total billed charges,52% of total billed charges,81.93,141.8,
SINEQUIN,41009080,CDM,301,RC,80166,HCPCS,Outpatient,,,53.04,42.43,,45.08,85,,36.06,percent of total billed charges,85% of total billed charges,45.08,85,,36.06,percent of total billed charges,85% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,39.4,74,,31.52,percent of total billed charges,74.28% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,46.25,87.2,,,percent of total billed charges,87.2% of total billed charges,31.29,59,,25.03,percent of total billed charges,59% of total billed charges,46.25,87.2,,37,percent of total billed charges,87.2% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,43.12,81.29,,34.5,percent of total billed charges,81.29% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of totl billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,47.74,90,,38.19,percent of total billed charges,90% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,32.35,61,,25.88,percent of total billed charges,61% of total billed charges,27.58,52,,22.06,percent of total billed charges,52% of total billed charges,27.58,47.74,
ETHOSUXAMIDE,41000192,CDM,301,RC,80168,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,126.1,
GENTAMICIN,41009050,CDM,301,RC,80170,HCPCS,Outpatient,,,101.82,81.46,,86.55,85,,69.24,percent of total billed charges,85% of total billed charges,86.55,85,,69.24,percent of total billed charges,85% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,75.63,74,,60.5,percent of total billed charges,74.28% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,75.63,74,,60.5,percent of total billed charges,74.28% of total billed charges,62.11,61,,49.69,percent of total billed charges,61% of total billed charges,75.63,74,,60.5,percent of total billed charges,74.28% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,91.64,90,,73.31,percent of total billed charges,90% of total billed charges,91.64,90,,73.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.38,100,,,fee schedule,100% of CMS fee schedule,16.38,100,,,fee schedule,100% of CMS fee schedule,88.79,87.2,,,percent of total billed charges,87.2% of total billed charges,60.07,59,,48.06,percent of total billed charges,59% of total billed charges,88.79,87.2,,71.03,percent of total billed charges,87.2% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,82.77,81.29,,66.22,percent of total billed charges,81.29% of total billed charges,91.64,90,,73.31,percent of total billed charges,90% of totl billed charges,91.64,90,,73.31,percent of total billed charges,90% of total billed charges,62.11,61,,49.69,percent of total billed charges,61% of total billed charges,62.11,61,,49.69,percent of total billed charges,61% of total billed charges,91.64,90,,73.31,percent of total billed charges,90% of total billed charges,91.64,90,,73.31,percent of total billed charges,90% of total billed charges,62.11,61,,49.69,percent of total billed charges,61% of total billed charges,62.11,61,,49.69,percent of total billed charges,61% of total billed charges,62.11,61,,,percent of total billed charges,61% of total billed charges,16.38,100,,,fee schedule,100% of CMS fee schedule,16.38,91.64,
"HALOPERIDOL,(HALDOL) SERUM",41000146,CDM,301,RC,80173,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,15.78,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,15.78,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,15.78,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.78,100,,,fee schedule,100% of CMS fee schedule,15.78,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,15.78,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,15.78,100,,,fee schedule,100% of CMS fee schedule,15.78,126.1,
IMIPRAMINE LEVEL,41000142,CDM,301,RC,80174,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,72.86,52,,58.29,percent of total billed charges,52% of total billed charges,72.86,126.1,
LIDOCAINE,41000116,CDM,301,RC,80176,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,14.69,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,14.69,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,14.69,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.69,100,,,fee schedule,100% of CMS fee schedule,14.69,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,14.69,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,14.69,100,,,fee schedule,100% of CMS fee schedule,14.69,74.05,
LITHIUM,41009036,CDM,301,RC,80178,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,30.5,
NORTRIPTYLENE LEVEL,41000157,CDM,301,RC,80182,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,57.73,52,,46.18,percent of total billed charges,52% of total billed charges,57.73,99.91,
PHENOBARB,41009032,CDM,301,RC,80184,HCPCS,Outpatient,,,192.97,154.38,,164.02,85,,131.22,percent of total billed charges,85% of total billed charges,164.02,85,,131.22,percent of total billed charges,85% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,143.34,74,,114.67,percent of total billed charges,74.28% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,143.34,74,,114.67,percent of total billed charges,74.28% of total billed charges,117.71,61,,94.17,percent of total billed charges,61% of total billed charges,143.34,74,,114.67,percent of total billed charges,74.28% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,173.67,90,,138.94,percent of total billed charges,90% of total billed charges,173.67,90,,138.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.3,100,,,fee schedule,100% of CMS fee schedule,15.3,100,,,fee schedule,100% of CMS fee schedule,168.27,87.2,,,percent of total billed charges,87.2% of total billed charges,113.85,59,,91.08,percent of total billed charges,59% of total billed charges,168.27,87.2,,134.62,percent of total billed charges,87.2% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,156.87,81.29,,125.5,percent of total billed charges,81.29% of total billed charges,173.67,90,,138.94,percent of total billed charges,90% of totl billed charges,173.67,90,,138.94,percent of total billed charges,90% of total billed charges,117.71,61,,94.17,percent of total billed charges,61% of total billed charges,117.71,61,,94.17,percent of total billed charges,61% of total billed charges,173.67,90,,138.94,percent of total billed charges,90% of total billed charges,173.67,90,,138.94,percent of total billed charges,90% of total billed charges,117.71,61,,94.17,percent of total billed charges,61% of total billed charges,117.71,61,,94.17,percent of total billed charges,61% of total billed charges,117.71,61,,,percent of total billed charges,61% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,15.3,173.67,
DILANTIN-PHENYTOIN,41009029,CDM,301,RC,80185,HCPCS,Outpatient,,,120.62,96.5,,102.53,85,,82.02,percent of total billed charges,85% of total billed charges,102.53,85,,82.02,percent of total billed charges,85% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,89.6,74,,71.68,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,89.6,74,,71.68,percent of total billed charges,74.28% of total billed charges,73.58,61,,58.86,percent of total billed charges,61% of total billed charges,89.6,74,,71.68,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,108.56,90,,86.85,percent of total billed charges,90% of total billed charges,108.56,90,,86.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,105.18,87.2,,,percent of total billed charges,87.2% of total billed charges,71.17,59,,56.94,percent of total billed charges,59% of total billed charges,105.18,87.2,,84.14,percent of total billed charges,87.2% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,98.05,81.29,,78.44,percent of total billed charges,81.29% of total billed charges,108.56,90,,86.85,percent of total billed charges,90% of totl billed charges,108.56,90,,86.85,percent of total billed charges,90% of total billed charges,73.58,61,,58.86,percent of total billed charges,61% of total billed charges,73.58,61,,58.86,percent of total billed charges,61% of total billed charges,108.56,90,,86.85,percent of total billed charges,90% of total billed charges,108.56,90,,86.85,percent of total billed charges,90% of total billed charges,73.58,61,,58.86,percent of total billed charges,61% of total billed charges,73.58,61,,58.86,percent of total billed charges,61% of total billed charges,73.58,61,,,percent of total billed charges,61% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,108.56,
"PHENYTOIN, PROTEIN FREE",41001042,CDM,301,RC,80186,HCPCS,Outpatient,,,54.92,43.94,,46.68,85,,37.34,percent of total billed charges,85% of total billed charges,46.68,85,,37.34,percent of total billed charges,85% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,40.79,74,,32.63,percent of total billed charges,74.28% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,40.79,74,,32.63,percent of total billed charges,74.28% of total billed charges,33.5,61,,26.8,percent of total billed charges,61% of total billed charges,40.79,74,,32.63,percent of total billed charges,74.28% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,49.43,90,,39.54,percent of total billed charges,90% of total billed charges,49.43,90,,39.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.76,100,,,fee schedule,100% of CMS fee schedule,13.76,100,,,fee schedule,100% of CMS fee schedule,47.89,87.2,,,percent of total billed charges,87.2% of total billed charges,32.4,59,,25.92,percent of total billed charges,59% of total billed charges,47.89,87.2,,38.31,percent of total billed charges,87.2% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,44.64,81.29,,35.71,percent of total billed charges,81.29% of total billed charges,49.43,90,,39.54,percent of total billed charges,90% of totl billed charges,49.43,90,,39.54,percent of total billed charges,90% of total billed charges,33.5,61,,26.8,percent of total billed charges,61% of total billed charges,33.5,61,,26.8,percent of total billed charges,61% of total billed charges,49.43,90,,39.54,percent of total billed charges,90% of total billed charges,49.43,90,,39.54,percent of total billed charges,90% of total billed charges,33.5,61,,26.8,percent of total billed charges,61% of total billed charges,33.5,61,,26.8,percent of total billed charges,61% of total billed charges,33.5,61,,,percent of total billed charges,61% of total billed charges,13.76,100,,,fee schedule,100% of CMS fee schedule,13.76,49.43,
PRIMIDONE,41009049,CDM,301,RC,80188,HCPCS,Outpatient,,,110.93,88.74,,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,16.59,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,16.59,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,16.59,100,,,fee schedule,100% of CMS fee schedule,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.59,100,,,fee schedule,100% of CMS fee schedule,16.59,100,,,fee schedule,100% of CMS fee schedule,96.73,87.2,,,percent of total billed charges,87.2% of total billed charges,65.45,59,,52.36,percent of total billed charges,59% of total billed charges,96.73,87.2,,77.38,percent of total billed charges,87.2% of total billed charges,16.59,100,,,fee schedule,100% of CMS fee schedule,90.17,81.29,,72.14,percent of total billed charges,81.29% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of totl billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,,percent of total billed charges,61% of total billed charges,16.59,100,,,fee schedule,100% of CMS fee schedule,16.59,99.84,
PROCAINAMIDE (WITH NAPA),41009035,CDM,301,RC,80192,HCPCS,Outpatient,,,220.6,176.48,,187.51,85,,150.01,percent of total billed charges,85% of total billed charges,187.51,85,,150.01,percent of total billed charges,85% of total billed charges,16.75,100,,,fee schedule,100% of CMS fee schedule,163.86,74,,131.09,percent of total billed charges,74.28% of total billed charges,16.75,100,,,fee schedule,100% of CMS fee schedule,163.86,74,,131.09,percent of total billed charges,74.28% of total billed charges,134.57,61,,107.66,percent of total billed charges,61% of total billed charges,163.86,74,,131.09,percent of total billed charges,74.28% of total billed charges,16.75,100,,,fee schedule,100% of CMS fee schedule,198.54,90,,158.83,percent of total billed charges,90% of total billed charges,198.54,90,,158.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.75,100,,,fee schedule,100% of CMS fee schedule,16.75,100,,,fee schedule,100% of CMS fee schedule,192.36,87.2,,,percent of total billed charges,87.2% of total billed charges,130.15,59,,104.12,percent of total billed charges,59% of total billed charges,192.36,87.2,,153.89,percent of total billed charges,87.2% of total billed charges,16.75,100,,,fee schedule,100% of CMS fee schedule,179.33,81.29,,143.46,percent of total billed charges,81.29% of total billed charges,198.54,90,,158.83,percent of total billed charges,90% of totl billed charges,198.54,90,,158.83,percent of total billed charges,90% of total billed charges,134.57,61,,107.66,percent of total billed charges,61% of total billed charges,134.57,61,,107.66,percent of total billed charges,61% of total billed charges,198.54,90,,158.83,percent of total billed charges,90% of total billed charges,198.54,90,,158.83,percent of total billed charges,90% of total billed charges,134.57,61,,107.66,percent of total billed charges,61% of total billed charges,134.57,61,,107.66,percent of total billed charges,61% of total billed charges,134.57,61,,,percent of total billed charges,61% of total billed charges,16.75,100,,,fee schedule,100% of CMS fee schedule,16.75,198.54,
QUINIDINE,41009051,CDM,301,RC,80194,HCPCS,Outpatient,,,115.23,92.18,,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,100.48,87.2,,,percent of total billed charges,87.2% of total billed charges,67.99,59,,54.39,percent of total billed charges,59% of total billed charges,100.48,87.2,,80.38,percent of total billed charges,87.2% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,93.67,81.29,,74.94,percent of total billed charges,81.29% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of totl billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,,percent of total billed charges,61% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,103.71,
"SIROLIMUS(RAPAMUNE), BLOOD",41001210,CDM,301,RC,80195,HCPCS,Outpatient,,,36.39,29.11,,30.93,85,,24.74,percent of total billed charges,85% of total billed charges,30.93,85,,24.74,percent of total billed charges,85% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,27.03,74,,21.62,percent of total billed charges,74.28% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,27.03,74,,21.62,percent of total billed charges,74.28% of total billed charges,22.2,61,,17.76,percent of total billed charges,61% of total billed charges,27.03,74,,21.62,percent of total billed charges,74.28% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,32.75,90,,26.2,percent of total billed charges,90% of total billed charges,32.75,90,,26.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,31.73,87.2,,,percent of total billed charges,87.2% of total billed charges,21.47,59,,17.18,percent of total billed charges,59% of total billed charges,31.73,87.2,,25.38,percent of total billed charges,87.2% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,29.58,81.29,,23.66,percent of total billed charges,81.29% of total billed charges,32.75,90,,26.2,percent of total billed charges,90% of totl billed charges,32.75,90,,26.2,percent of total billed charges,90% of total billed charges,22.2,61,,17.76,percent of total billed charges,61% of total billed charges,22.2,61,,17.76,percent of total billed charges,61% of total billed charges,32.75,90,,26.2,percent of total billed charges,90% of total billed charges,32.75,90,,26.2,percent of total billed charges,90% of total billed charges,22.2,61,,17.76,percent of total billed charges,61% of total billed charges,22.2,61,,17.76,percent of total billed charges,61% of total billed charges,22.2,61,,,percent of total billed charges,61% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,32.75,
TACROLIMUS FK 506,41009102,CDM,301,RC,80197,HCPCS,Outpatient,,,99.09,79.27,,84.23,85,,67.38,percent of total billed charges,85% of total billed charges,84.23,85,,67.38,percent of total billed charges,85% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,100,,,fee schedule,100% of CMS fee schedule,86.41,87.2,,,percent of total billed charges,87.2% of total billed charges,58.46,59,,46.77,percent of total billed charges,59% of total billed charges,86.41,87.2,,69.13,percent of total billed charges,87.2% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,80.55,81.29,,64.44,percent of total billed charges,81.29% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of totl billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,,percent of total billed charges,61% of total billed charges,13.73,100,,,fee schedule,100% of CMS fee schedule,13.73,89.18,
AMINOPHYLLIN,41000455,CDM,301,RC,80198,HCPCS,Outpatient,,,134.42,107.54,,114.26,85,,91.41,percent of total billed charges,85% of total billed charges,114.26,85,,91.41,percent of total billed charges,85% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.14,100,,,fee schedule,100% of CMS fee schedule,14.14,100,,,fee schedule,100% of CMS fee schedule,117.21,87.2,,,percent of total billed charges,87.2% of total billed charges,79.31,59,,63.45,percent of total billed charges,59% of total billed charges,117.21,87.2,,93.77,percent of total billed charges,87.2% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,109.27,81.29,,87.42,percent of total billed charges,81.29% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of totl billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,,percent of total billed charges,61% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,14.14,120.98,
THEOPHYLLINE,41009030,CDM,301,RC,80198,HCPCS,Outpatient,,,134.42,107.54,,114.26,85,,91.41,percent of total billed charges,85% of total billed charges,114.26,85,,91.41,percent of total billed charges,85% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,99.85,74,,79.88,percent of total billed charges,74.28% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.14,100,,,fee schedule,100% of CMS fee schedule,14.14,100,,,fee schedule,100% of CMS fee schedule,117.21,87.2,,,percent of total billed charges,87.2% of total billed charges,79.31,59,,63.45,percent of total billed charges,59% of total billed charges,117.21,87.2,,93.77,percent of total billed charges,87.2% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,109.27,81.29,,87.42,percent of total billed charges,81.29% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of totl billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,120.98,90,,96.78,percent of total billed charges,90% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,65.6,percent of total billed charges,61% of total billed charges,82,61,,,percent of total billed charges,61% of total billed charges,14.14,100,,,fee schedule,100% of CMS fee schedule,14.14,120.98,
TOBRAMYCIN LEVEL,41000166,CDM,301,RC,80200,HCPCS,Outpatient,,,89.21,71.37,,75.83,85,,60.66,percent of total billed charges,85% of total billed charges,75.83,85,,60.66,percent of total billed charges,85% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,66.27,74,,53.02,percent of total billed charges,74.28% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,66.27,74,,53.02,percent of total billed charges,74.28% of total billed charges,54.42,61,,43.54,percent of total billed charges,61% of total billed charges,66.27,74,,53.02,percent of total billed charges,74.28% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,80.29,90,,64.23,percent of total billed charges,90% of total billed charges,80.29,90,,64.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.13,100,,,fee schedule,100% of CMS fee schedule,16.13,100,,,fee schedule,100% of CMS fee schedule,77.79,87.2,,,percent of total billed charges,87.2% of total billed charges,52.63,59,,42.1,percent of total billed charges,59% of total billed charges,77.79,87.2,,62.23,percent of total billed charges,87.2% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,72.52,81.29,,58.02,percent of total billed charges,81.29% of total billed charges,80.29,90,,64.23,percent of total billed charges,90% of totl billed charges,80.29,90,,64.23,percent of total billed charges,90% of total billed charges,54.42,61,,43.54,percent of total billed charges,61% of total billed charges,54.42,61,,43.54,percent of total billed charges,61% of total billed charges,80.29,90,,64.23,percent of total billed charges,90% of total billed charges,80.29,90,,64.23,percent of total billed charges,90% of total billed charges,54.42,61,,43.54,percent of total billed charges,61% of total billed charges,54.42,61,,43.54,percent of total billed charges,61% of total billed charges,54.42,61,,,percent of total billed charges,61% of total billed charges,16.13,100,,,fee schedule,100% of CMS fee schedule,16.13,80.29,
VANCOMYCIN,41000441,CDM,301,RC,80202,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,100,,,fee schedule,100% of CMS fee schedule,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,,percent of total billed charges,61% of total billed charges,13.54,100,,,fee schedule,100% of CMS fee schedule,13.54,160.81,
DIGITOXIN,41000125,CDM,301,RC,80299,HCPCS,Outpatient,,,157.56,126.05,,133.93,85,,107.14,percent of total billed charges,85% of total billed charges,133.93,85,,107.14,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,117.04,74,,93.63,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,137.39,87.2,,,percent of total billed charges,87.2% of total billed charges,92.96,59,,74.37,percent of total billed charges,59% of total billed charges,137.39,87.2,,109.91,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,128.08,81.29,,102.46,percent of total billed charges,81.29% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of totl billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,141.8,90,,113.44,percent of total billed charges,90% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,76.89,percent of total billed charges,61% of total billed charges,96.11,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,141.8,
PROLIXIN,41000132,CDM,301,RC,80299,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,38.57,
FLUPHENAZINE,41000135,CDM,301,RC,80299,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,38.57,
MELLARIL LEVEL,41000148,CDM,301,RC,80299,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,126.1,
ROCEPHIN,41000156,CDM,301,RC,80299,HCPCS,Outpatient,,,91.34,73.07,,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,79.65,87.2,,,percent of total billed charges,87.2% of total billed charges,53.89,59,,43.11,percent of total billed charges,59% of total billed charges,79.65,87.2,,63.72,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,74.25,81.29,,59.4,percent of total billed charges,81.29% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of totl billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,82.21,
TOCAINIDE LEVEL,41000165,CDM,301,RC,80299,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,126.1,
AMIODARONE LEVEL,41000170,CDM,301,RC,80299,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,38.57,
LOXITANE LEVEL,41000175,CDM,301,RC,80299,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,126.1,
CYLERT LEVEL,41000185,CDM,301,RC,80299,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,126.1,
DISOPYRAMIDE,41000198,CDM,301,RC,80299,HCPCS,Outpatient,,,119.32,95.46,,101.42,85,,81.14,percent of total billed charges,85% of total billed charges,101.42,85,,81.14,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,88.63,74,,70.9,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,88.63,74,,70.9,percent of total billed charges,74.28% of total billed charges,72.79,61,,58.23,percent of total billed charges,61% of total billed charges,88.63,74,,70.9,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,107.39,90,,85.91,percent of total billed charges,90% of total billed charges,107.39,90,,85.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,104.05,87.2,,,percent of total billed charges,87.2% of total billed charges,70.4,59,,56.32,percent of total billed charges,59% of total billed charges,104.05,87.2,,83.24,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,97,81.29,,77.6,percent of total billed charges,81.29% of total billed charges,107.39,90,,85.91,percent of total billed charges,90% of totl billed charges,107.39,90,,85.91,percent of total billed charges,90% of total billed charges,72.79,61,,58.23,percent of total billed charges,61% of total billed charges,72.79,61,,58.23,percent of total billed charges,61% of total billed charges,107.39,90,,85.91,percent of total billed charges,90% of total billed charges,107.39,90,,85.91,percent of total billed charges,90% of total billed charges,72.79,61,,58.23,percent of total billed charges,61% of total billed charges,72.79,61,,58.23,percent of total billed charges,61% of total billed charges,72.79,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,107.39,
LEVODOPA,41000201,CDM,301,RC,80299,HCPCS,Outpatient,,,89.33,71.46,,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,77.9,87.2,,,percent of total billed charges,87.2% of total billed charges,52.7,59,,42.16,percent of total billed charges,59% of total billed charges,77.9,87.2,,62.32,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,72.62,81.29,,58.1,percent of total billed charges,81.29% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of totl billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,80.4,
SINEMET,41000202,CDM,301,RC,80299,HCPCS,Outpatient,,,89.33,71.46,,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,77.9,87.2,,,percent of total billed charges,87.2% of total billed charges,52.7,59,,42.16,percent of total billed charges,59% of total billed charges,77.9,87.2,,62.32,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,72.62,81.29,,58.1,percent of total billed charges,81.29% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of totl billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,80.4,
TRICYCLIC ANTIDEPRESSANT,41000240,CDM,301,RC,80299,HCPCS,Outpatient,,,58.45,46.76,,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,50.97,87.2,,,percent of total billed charges,87.2% of total billed charges,34.49,59,,27.59,percent of total billed charges,59% of total billed charges,50.97,87.2,,40.78,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,47.51,81.29,,38.01,percent of total billed charges,81.29% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of totl billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,52.61,
ANAFRANIL,41000241,CDM,301,RC,80299,HCPCS,Outpatient,,,58.45,46.76,,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,50.97,87.2,,,percent of total billed charges,87.2% of total billed charges,34.49,59,,27.59,percent of total billed charges,59% of total billed charges,50.97,87.2,,40.78,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,47.51,81.29,,38.01,percent of total billed charges,81.29% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of totl billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,52.61,
CLOMIPRAMINE,41000242,CDM,301,RC,80299,HCPCS,Outpatient,,,58.45,46.76,,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,50.97,87.2,,,percent of total billed charges,87.2% of total billed charges,34.49,59,,27.59,percent of total billed charges,59% of total billed charges,50.97,87.2,,40.78,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,47.51,81.29,,38.01,percent of total billed charges,81.29% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of totl billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,52.61,
METHOTREXATE,41000245,CDM,301,RC,80299,HCPCS,Outpatient,,,98.4,78.72,,83.64,85,,66.91,percent of total billed charges,85% of total billed charges,83.64,85,,66.91,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,85.8,87.2,,,percent of total billed charges,87.2% of total billed charges,58.06,59,,46.45,percent of total billed charges,59% of total billed charges,85.8,87.2,,68.64,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,79.99,81.29,,63.99,percent of total billed charges,81.29% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of totl billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,88.56,
FELBATOL,41000262,CDM,301,RC,80299,HCPCS,Outpatient,,,141.7,113.36,,120.45,85,,96.36,percent of total billed charges,85% of total billed charges,120.45,85,,96.36,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,123.56,87.2,,,percent of total billed charges,87.2% of total billed charges,83.6,59,,66.88,percent of total billed charges,59% of total billed charges,123.56,87.2,,98.85,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,115.19,81.29,,92.15,percent of total billed charges,81.29% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of totl billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,127.53,
TRAZODONE,41000276,CDM,301,RC,80299,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,55.99,
SERTRALINE,41000279,CDM,301,RC,80299,HCPCS,Outpatient,,,141.7,113.36,,120.45,85,,96.36,percent of total billed charges,85% of total billed charges,120.45,85,,96.36,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,105.25,74,,84.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,123.56,87.2,,,percent of total billed charges,87.2% of total billed charges,83.6,59,,66.88,percent of total billed charges,59% of total billed charges,123.56,87.2,,98.85,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,115.19,81.29,,92.15,percent of total billed charges,81.29% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of totl billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,127.53,90,,102.02,percent of total billed charges,90% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,69.15,percent of total billed charges,61% of total billed charges,86.44,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,127.53,
CORDARONE,41000287,CDM,301,RC,80299,HCPCS,Outpatient,,,93.35,74.68,,79.35,85,,63.48,percent of total billed charges,85% of total billed charges,79.35,85,,63.48,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,69.34,74,,55.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,69.34,74,,55.47,percent of total billed charges,74.28% of total billed charges,56.94,61,,45.55,percent of total billed charges,61% of total billed charges,69.34,74,,55.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,84.02,90,,67.22,percent of total billed charges,90% of total billed charges,84.02,90,,67.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,81.4,87.2,,,percent of total billed charges,87.2% of total billed charges,55.08,59,,44.06,percent of total billed charges,59% of total billed charges,81.4,87.2,,65.12,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,75.88,81.29,,60.7,percent of total billed charges,81.29% of total billed charges,84.02,90,,67.22,percent of total billed charges,90% of totl billed charges,84.02,90,,67.22,percent of total billed charges,90% of total billed charges,56.94,61,,45.55,percent of total billed charges,61% of total billed charges,56.94,61,,45.55,percent of total billed charges,61% of total billed charges,84.02,90,,67.22,percent of total billed charges,90% of total billed charges,84.02,90,,67.22,percent of total billed charges,90% of total billed charges,56.94,61,,45.55,percent of total billed charges,61% of total billed charges,56.94,61,,45.55,percent of total billed charges,61% of total billed charges,56.94,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,84.02,
RITALINE,41000291,CDM,301,RC,80299,HCPCS,Outpatient,,,122.6,98.08,,104.21,85,,83.37,percent of total billed charges,85% of total billed charges,104.21,85,,83.37,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,91.07,74,,72.86,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,91.07,74,,72.86,percent of total billed charges,74.28% of total billed charges,74.79,61,,59.83,percent of total billed charges,61% of total billed charges,91.07,74,,72.86,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,110.34,90,,88.27,percent of total billed charges,90% of total billed charges,110.34,90,,88.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,106.91,87.2,,,percent of total billed charges,87.2% of total billed charges,72.33,59,,57.86,percent of total billed charges,59% of total billed charges,106.91,87.2,,85.53,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,99.66,81.29,,79.73,percent of total billed charges,81.29% of total billed charges,110.34,90,,88.27,percent of total billed charges,90% of totl billed charges,110.34,90,,88.27,percent of total billed charges,90% of total billed charges,74.79,61,,59.83,percent of total billed charges,61% of total billed charges,74.79,61,,59.83,percent of total billed charges,61% of total billed charges,110.34,90,,88.27,percent of total billed charges,90% of total billed charges,110.34,90,,88.27,percent of total billed charges,90% of total billed charges,74.79,61,,59.83,percent of total billed charges,61% of total billed charges,74.79,61,,59.83,percent of total billed charges,61% of total billed charges,74.79,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,110.34,
CIPROFLAXCIN,41000292,CDM,301,RC,80299,HCPCS,Outpatient,,,107.5,86,,91.38,85,,73.1,percent of total billed charges,85% of total billed charges,91.38,85,,73.1,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,79.85,74,,63.88,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,79.85,74,,63.88,percent of total billed charges,74.28% of total billed charges,65.58,61,,52.46,percent of total billed charges,61% of total billed charges,79.85,74,,63.88,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,96.75,90,,77.4,percent of total billed charges,90% of total billed charges,96.75,90,,77.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,93.74,87.2,,,percent of total billed charges,87.2% of total billed charges,63.43,59,,50.74,percent of total billed charges,59% of total billed charges,93.74,87.2,,74.99,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,87.39,81.29,,69.91,percent of total billed charges,81.29% of total billed charges,96.75,90,,77.4,percent of total billed charges,90% of totl billed charges,96.75,90,,77.4,percent of total billed charges,90% of total billed charges,65.58,61,,52.46,percent of total billed charges,61% of total billed charges,65.58,61,,52.46,percent of total billed charges,61% of total billed charges,96.75,90,,77.4,percent of total billed charges,90% of total billed charges,96.75,90,,77.4,percent of total billed charges,90% of total billed charges,65.58,61,,52.46,percent of total billed charges,61% of total billed charges,65.58,61,,52.46,percent of total billed charges,61% of total billed charges,65.58,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,96.75,
NEUROTIN,41000308,CDM,301,RC,80299,HCPCS,Outpatient,,,109.9,87.92,,93.42,85,,74.74,percent of total billed charges,85% of total billed charges,93.42,85,,74.74,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,81.63,74,,65.3,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,81.63,74,,65.3,percent of total billed charges,74.28% of total billed charges,67.04,61,,53.63,percent of total billed charges,61% of total billed charges,81.63,74,,65.3,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,98.91,90,,79.13,percent of total billed charges,90% of total billed charges,98.91,90,,79.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,95.83,87.2,,,percent of total billed charges,87.2% of total billed charges,64.84,59,,51.87,percent of total billed charges,59% of total billed charges,95.83,87.2,,76.66,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,89.34,81.29,,71.47,percent of total billed charges,81.29% of total billed charges,98.91,90,,79.13,percent of total billed charges,90% of totl billed charges,98.91,90,,79.13,percent of total billed charges,90% of total billed charges,67.04,61,,53.63,percent of total billed charges,61% of total billed charges,67.04,61,,53.63,percent of total billed charges,61% of total billed charges,98.91,90,,79.13,percent of total billed charges,90% of total billed charges,98.91,90,,79.13,percent of total billed charges,90% of total billed charges,67.04,61,,53.63,percent of total billed charges,61% of total billed charges,67.04,61,,53.63,percent of total billed charges,61% of total billed charges,67.04,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,98.91,
"SULFANOYLUREA, URINE",41000322,CDM,301,RC,80299,HCPCS,Outpatient,,,188.95,151.16,,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,164.76,87.2,,,percent of total billed charges,87.2% of total billed charges,111.48,59,,89.18,percent of total billed charges,59% of total billed charges,164.76,87.2,,131.81,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,153.6,81.29,,122.88,percent of total billed charges,81.29% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of totl billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,170.06,
PROZAC LEVEL,41000350,CDM,301,RC,80299,HCPCS,Outpatient,,,82.79,66.23,,70.37,85,,56.3,percent of total billed charges,85% of total billed charges,70.37,85,,56.3,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,61.5,74,,49.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,61.5,74,,49.2,percent of total billed charges,74.28% of total billed charges,50.5,61,,40.4,percent of total billed charges,61% of total billed charges,61.5,74,,49.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,74.51,90,,59.61,percent of total billed charges,90% of total billed charges,74.51,90,,59.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,72.19,87.2,,,percent of total billed charges,87.2% of total billed charges,48.85,59,,39.08,percent of total billed charges,59% of total billed charges,72.19,87.2,,57.75,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,67.3,81.29,,53.84,percent of total billed charges,81.29% of total billed charges,74.51,90,,59.61,percent of total billed charges,90% of totl billed charges,74.51,90,,59.61,percent of total billed charges,90% of total billed charges,50.5,61,,40.4,percent of total billed charges,61% of total billed charges,50.5,61,,40.4,percent of total billed charges,61% of total billed charges,74.51,90,,59.61,percent of total billed charges,90% of total billed charges,74.51,90,,59.61,percent of total billed charges,90% of total billed charges,50.5,61,,40.4,percent of total billed charges,61% of total billed charges,50.5,61,,40.4,percent of total billed charges,61% of total billed charges,50.5,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,74.51,
BETAPACE,41000353,CDM,301,RC,80299,HCPCS,Outpatient,,,157.72,126.18,,134.06,85,,107.25,percent of total billed charges,85% of total billed charges,134.06,85,,107.25,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,117.15,74,,93.72,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,117.15,74,,93.72,percent of total billed charges,74.28% of total billed charges,96.21,61,,76.97,percent of total billed charges,61% of total billed charges,117.15,74,,93.72,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,141.95,90,,113.56,percent of total billed charges,90% of total billed charges,141.95,90,,113.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,137.53,87.2,,,percent of total billed charges,87.2% of total billed charges,93.05,59,,74.44,percent of total billed charges,59% of total billed charges,137.53,87.2,,110.02,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,128.21,81.29,,102.57,percent of total billed charges,81.29% of total billed charges,141.95,90,,113.56,percent of total billed charges,90% of totl billed charges,141.95,90,,113.56,percent of total billed charges,90% of total billed charges,96.21,61,,76.97,percent of total billed charges,61% of total billed charges,96.21,61,,76.97,percent of total billed charges,61% of total billed charges,141.95,90,,113.56,percent of total billed charges,90% of total billed charges,141.95,90,,113.56,percent of total billed charges,90% of total billed charges,96.21,61,,76.97,percent of total billed charges,61% of total billed charges,96.21,61,,76.97,percent of total billed charges,61% of total billed charges,96.21,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,141.95,
IBUPROFEN LEVEL,41000355,CDM,301,RC,80299,HCPCS,Outpatient,,,114.52,91.62,,97.34,85,,77.87,percent of total billed charges,85% of total billed charges,97.34,85,,77.87,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,85.07,74,,68.06,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,103.07,90,,82.46,percent of total billed charges,90% of total billed charges,103.07,90,,82.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,99.86,87.2,,,percent of total billed charges,87.2% of total billed charges,67.57,59,,54.06,percent of total billed charges,59% of total billed charges,99.86,87.2,,79.89,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,93.09,81.29,,74.47,percent of total billed charges,81.29% of total billed charges,103.07,90,,82.46,percent of total billed charges,90% of totl billed charges,103.07,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,103.07,90,,82.46,percent of total billed charges,90% of total billed charges,103.07,90,,82.46,percent of total billed charges,90% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,55.89,percent of total billed charges,61% of total billed charges,69.86,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,103.07,
COGENTIN,41000423,CDM,301,RC,80299,HCPCS,Outpatient,,,115.23,92.18,,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,100.48,87.2,,,percent of total billed charges,87.2% of total billed charges,67.99,59,,54.39,percent of total billed charges,59% of total billed charges,100.48,87.2,,80.38,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,93.67,81.29,,74.94,percent of total billed charges,81.29% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of totl billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,103.71,
MYSOLINE,41000431,CDM,301,RC,80299,HCPCS,Outpatient,,,110.93,88.74,,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,96.73,87.2,,,percent of total billed charges,87.2% of total billed charges,65.45,59,,52.36,percent of total billed charges,59% of total billed charges,96.73,87.2,,77.38,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,90.17,81.29,,72.14,percent of total billed charges,81.29% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of totl billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,99.84,
THERAPUTIC DRUG,41000461,CDM,301,RC,80299,HCPCS,Outpatient,,,136.65,109.32,,116.15,85,,92.92,percent of total billed charges,85% of total billed charges,116.15,85,,92.92,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,101.5,74,,81.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,101.5,74,,81.2,percent of total billed charges,74.28% of total billed charges,83.36,61,,66.69,percent of total billed charges,61% of total billed charges,101.5,74,,81.2,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,122.99,90,,98.39,percent of total billed charges,90% of total billed charges,122.99,90,,98.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,119.16,87.2,,,percent of total billed charges,87.2% of total billed charges,80.62,59,,64.5,percent of total billed charges,59% of total billed charges,119.16,87.2,,95.33,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,111.08,81.29,,88.86,percent of total billed charges,81.29% of total billed charges,122.99,90,,98.39,percent of total billed charges,90% of totl billed charges,122.99,90,,98.39,percent of total billed charges,90% of total billed charges,83.36,61,,66.69,percent of total billed charges,61% of total billed charges,83.36,61,,66.69,percent of total billed charges,61% of total billed charges,122.99,90,,98.39,percent of total billed charges,90% of total billed charges,122.99,90,,98.39,percent of total billed charges,90% of total billed charges,83.36,61,,66.69,percent of total billed charges,61% of total billed charges,83.36,61,,66.69,percent of total billed charges,61% of total billed charges,83.36,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,122.99,
KEPPRA LEVEL,41000485,CDM,301,RC,80299,HCPCS,Outpatient,,,141.43,113.14,,120.22,85,,96.18,percent of total billed charges,85% of total billed charges,120.22,85,,96.18,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.05,74,,84.04,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,105.05,74,,84.04,percent of total billed charges,74.28% of total billed charges,86.27,61,,69.02,percent of total billed charges,61% of total billed charges,105.05,74,,84.04,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,127.29,90,,101.83,percent of total billed charges,90% of total billed charges,127.29,90,,101.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,123.33,87.2,,,percent of total billed charges,87.2% of total billed charges,83.44,59,,66.75,percent of total billed charges,59% of total billed charges,123.33,87.2,,98.66,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,114.97,81.29,,91.98,percent of total billed charges,81.29% of total billed charges,127.29,90,,101.83,percent of total billed charges,90% of totl billed charges,127.29,90,,101.83,percent of total billed charges,90% of total billed charges,86.27,61,,69.02,percent of total billed charges,61% of total billed charges,86.27,61,,69.02,percent of total billed charges,61% of total billed charges,127.29,90,,101.83,percent of total billed charges,90% of total billed charges,127.29,90,,101.83,percent of total billed charges,90% of total billed charges,86.27,61,,69.02,percent of total billed charges,61% of total billed charges,86.27,61,,69.02,percent of total billed charges,61% of total billed charges,86.27,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,127.29,
LEVETIRACTAM,41000558,CDM,301,RC,80299,HCPCS,Outpatient,,,110.93,88.74,,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,96.73,87.2,,,percent of total billed charges,87.2% of total billed charges,65.45,59,,52.36,percent of total billed charges,59% of total billed charges,96.73,87.2,,77.38,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,90.17,81.29,,72.14,percent of total billed charges,81.29% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of totl billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,99.84,
CELEXA LEVEL,41000575,CDM,301,RC,80299,HCPCS,Outpatient,,,150.7,120.56,,128.1,85,,102.48,percent of total billed charges,85% of total billed charges,128.1,85,,102.48,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,111.94,74,,89.55,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,111.94,74,,89.55,percent of total billed charges,74.28% of total billed charges,91.93,61,,73.54,percent of total billed charges,61% of total billed charges,111.94,74,,89.55,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,135.63,90,,108.5,percent of total billed charges,90% of total billed charges,135.63,90,,108.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,131.41,87.2,,,percent of total billed charges,87.2% of total billed charges,88.91,59,,71.13,percent of total billed charges,59% of total billed charges,131.41,87.2,,105.13,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,122.5,81.29,,98,percent of total billed charges,81.29% of total billed charges,135.63,90,,108.5,percent of total billed charges,90% of totl billed charges,135.63,90,,108.5,percent of total billed charges,90% of total billed charges,91.93,61,,73.54,percent of total billed charges,61% of total billed charges,91.93,61,,73.54,percent of total billed charges,61% of total billed charges,135.63,90,,108.5,percent of total billed charges,90% of total billed charges,135.63,90,,108.5,percent of total billed charges,90% of total billed charges,91.93,61,,73.54,percent of total billed charges,61% of total billed charges,91.93,61,,73.54,percent of total billed charges,61% of total billed charges,91.93,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,135.63,
NORPACE,41001018,CDM,301,RC,80299,HCPCS,Outpatient,,,99.85,79.88,,84.87,85,,67.9,percent of total billed charges,85% of total billed charges,84.87,85,,67.9,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,74.17,74,,59.34,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,74.17,74,,59.34,percent of total billed charges,74.28% of total billed charges,60.91,61,,48.73,percent of total billed charges,61% of total billed charges,74.17,74,,59.34,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,89.87,90,,71.9,percent of total billed charges,90% of total billed charges,89.87,90,,71.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,87.07,87.2,,,percent of total billed charges,87.2% of total billed charges,58.91,59,,47.13,percent of total billed charges,59% of total billed charges,87.07,87.2,,69.66,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,81.17,81.29,,64.94,percent of total billed charges,81.29% of total billed charges,89.87,90,,71.9,percent of total billed charges,90% of totl billed charges,89.87,90,,71.9,percent of total billed charges,90% of total billed charges,60.91,61,,48.73,percent of total billed charges,61% of total billed charges,60.91,61,,48.73,percent of total billed charges,61% of total billed charges,89.87,90,,71.9,percent of total billed charges,90% of total billed charges,89.87,90,,71.9,percent of total billed charges,90% of total billed charges,60.91,61,,48.73,percent of total billed charges,61% of total billed charges,60.91,61,,48.73,percent of total billed charges,61% of total billed charges,60.91,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,89.87,
OXCARBEZAPINE (TRILEPTAL),41001043,CDM,301,RC,80299,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,123.29,
CLOZARIL,41001096,CDM,301,RC,80299,HCPCS,Outpatient,,,66.71,53.37,,56.7,85,,45.36,percent of total billed charges,85% of total billed charges,56.7,85,,45.36,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,49.55,74,,39.64,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,49.55,74,,39.64,percent of total billed charges,74.28% of total billed charges,40.69,61,,32.55,percent of total billed charges,61% of total billed charges,49.55,74,,39.64,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,60.04,90,,48.03,percent of total billed charges,90% of total billed charges,60.04,90,,48.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,58.17,87.2,,,percent of total billed charges,87.2% of total billed charges,39.36,59,,31.49,percent of total billed charges,59% of total billed charges,58.17,87.2,,46.54,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,54.23,81.29,,43.38,percent of total billed charges,81.29% of total billed charges,60.04,90,,48.03,percent of total billed charges,90% of totl billed charges,60.04,90,,48.03,percent of total billed charges,90% of total billed charges,40.69,61,,32.55,percent of total billed charges,61% of total billed charges,40.69,61,,32.55,percent of total billed charges,61% of total billed charges,60.04,90,,48.03,percent of total billed charges,90% of total billed charges,60.04,90,,48.03,percent of total billed charges,90% of total billed charges,40.69,61,,32.55,percent of total billed charges,61% of total billed charges,40.69,61,,32.55,percent of total billed charges,61% of total billed charges,40.69,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,60.04,
"THC QUANTITIATION,URINE (GCMS)",41001160,CDM,301,RC,80299,HCPCS,Outpatient,,,116.63,93.3,,99.14,85,,79.31,percent of total billed charges,85% of total billed charges,99.14,85,,79.31,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,86.63,74,,69.3,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,86.63,74,,69.3,percent of total billed charges,74.28% of total billed charges,71.14,61,,56.91,percent of total billed charges,61% of total billed charges,86.63,74,,69.3,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,104.97,90,,83.98,percent of total billed charges,90% of total billed charges,104.97,90,,83.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,101.7,87.2,,,percent of total billed charges,87.2% of total billed charges,68.81,59,,55.05,percent of total billed charges,59% of total billed charges,101.7,87.2,,81.36,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,94.81,81.29,,75.85,percent of total billed charges,81.29% of total billed charges,104.97,90,,83.98,percent of total billed charges,90% of totl billed charges,104.97,90,,83.98,percent of total billed charges,90% of total billed charges,71.14,61,,56.91,percent of total billed charges,61% of total billed charges,71.14,61,,56.91,percent of total billed charges,61% of total billed charges,104.97,90,,83.98,percent of total billed charges,90% of total billed charges,104.97,90,,83.98,percent of total billed charges,90% of total billed charges,71.14,61,,56.91,percent of total billed charges,61% of total billed charges,71.14,61,,56.91,percent of total billed charges,61% of total billed charges,71.14,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,104.97,
MIXITIL LEVEL,41009068,CDM,301,RC,80299,HCPCS,Outpatient,,,196.5,157.2,,167.03,85,,133.62,percent of total billed charges,85% of total billed charges,167.03,85,,133.62,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,145.96,74,,116.77,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,145.96,74,,116.77,percent of total billed charges,74.28% of total billed charges,119.87,61,,95.9,percent of total billed charges,61% of total billed charges,145.96,74,,116.77,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,176.85,90,,141.48,percent of total billed charges,90% of total billed charges,176.85,90,,141.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,171.35,87.2,,,percent of total billed charges,87.2% of total billed charges,115.94,59,,92.75,percent of total billed charges,59% of total billed charges,171.35,87.2,,137.08,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,159.73,81.29,,127.78,percent of total billed charges,81.29% of total billed charges,176.85,90,,141.48,percent of total billed charges,90% of totl billed charges,176.85,90,,141.48,percent of total billed charges,90% of total billed charges,119.87,61,,95.9,percent of total billed charges,61% of total billed charges,119.87,61,,95.9,percent of total billed charges,61% of total billed charges,176.85,90,,141.48,percent of total billed charges,90% of total billed charges,176.85,90,,141.48,percent of total billed charges,90% of total billed charges,119.87,61,,95.9,percent of total billed charges,61% of total billed charges,119.87,61,,95.9,percent of total billed charges,61% of total billed charges,119.87,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,176.85,
FLEXERIL LEVEL,41009084,CDM,301,RC,80299,HCPCS,Outpatient,,,64.04,51.23,,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,55.84,87.2,,,percent of total billed charges,87.2% of total billed charges,37.78,59,,30.22,percent of total billed charges,59% of total billed charges,55.84,87.2,,44.67,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,52.06,81.29,,41.65,percent of total billed charges,81.29% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of totl billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,57.64,
LAMOTRIGINE,41009135,CDM,301,RC,80299,HCPCS,Outpatient,,,82.47,65.98,,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,100,,,fee schedule,100% of CMS fee schedule,71.91,87.2,,,percent of total billed charges,87.2% of total billed charges,48.66,59,,38.93,percent of total billed charges,59% of total billed charges,71.91,87.2,,57.53,percent of total billed charges,87.2% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,67.04,81.29,,53.63,percent of total billed charges,81.29% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of totl billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,,percent of total billed charges,61% of total billed charges,18.64,100,,,fee schedule,100% of CMS fee schedule,18.64,74.22,
DRUGSCREEN MAG PROD URINE,41000275,CDM,301,RC,80305,HCPCS,Outpatient,,,27.82,22.26,,23.65,85,,18.92,percent of total billed charges,85% of total billed charges,23.65,85,,18.92,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.66,74,,16.53,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.66,74,,16.53,percent of total billed charges,74.28% of total billed charges,16.97,61,,13.58,percent of total billed charges,61% of total billed charges,20.66,74,,16.53,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,25.04,90,,20.03,percent of total billed charges,90% of total billed charges,25.04,90,,20.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,24.26,87.2,,,percent of total billed charges,87.2% of total billed charges,16.41,59,,13.13,percent of total billed charges,59% of total billed charges,24.26,87.2,,19.41,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.61,81.29,,18.09,percent of total billed charges,81.29% of total billed charges,25.04,90,,20.03,percent of total billed charges,90% of totl billed charges,25.04,90,,20.03,percent of total billed charges,90% of total billed charges,16.97,61,,13.58,percent of total billed charges,61% of total billed charges,16.97,61,,13.58,percent of total billed charges,61% of total billed charges,25.04,90,,20.03,percent of total billed charges,90% of total billed charges,25.04,90,,20.03,percent of total billed charges,90% of total billed charges,16.97,61,,13.58,percent of total billed charges,61% of total billed charges,16.97,61,,13.58,percent of total billed charges,61% of total billed charges,16.97,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,25.04,
"PHENCYCLIDINE SCREEN, URINE",41000367,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"OPIATES SCREEN, URINE",41000368,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"OPIATES SCREEN, URINE",41000368,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
DRUG SCREEN NONDOT.OTH,41000752,CDM,301,RC,80305,HCPCS,Outpatient,,,28.52,22.82,,24.24,85,,19.39,percent of total billed charges,85% of total billed charges,24.24,85,,19.39,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,21.18,74,,16.94,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,21.18,74,,16.94,percent of total billed charges,74.28% of total billed charges,17.4,61,,13.92,percent of total billed charges,61% of total billed charges,21.18,74,,16.94,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,25.67,90,,20.54,percent of total billed charges,90% of total billed charges,25.67,90,,20.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,24.87,87.2,,,percent of total billed charges,87.2% of total billed charges,16.83,59,,13.46,percent of total billed charges,59% of total billed charges,24.87,87.2,,19.9,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,23.18,81.29,,18.54,percent of total billed charges,81.29% of total billed charges,25.67,90,,20.54,percent of total billed charges,90% of totl billed charges,25.67,90,,20.54,percent of total billed charges,90% of total billed charges,17.4,61,,13.92,percent of total billed charges,61% of total billed charges,17.4,61,,13.92,percent of total billed charges,61% of total billed charges,25.67,90,,20.54,percent of total billed charges,90% of total billed charges,25.67,90,,20.54,percent of total billed charges,90% of total billed charges,17.4,61,,13.92,percent of total billed charges,61% of total billed charges,17.4,61,,13.92,percent of total billed charges,61% of total billed charges,17.4,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,25.67,
"BENZODIAZEPINE SCREEN, URINE",41001023,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
PHENCYCLIDINE PCP SCREEN (QUAL,41001024,CDM,301,RC,80305,HCPCS,Outpatient,,,58.45,46.76,,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,49.68,85,,39.74,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,43.42,74,,34.74,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,50.97,87.2,,,percent of total billed charges,87.2% of total billed charges,34.49,59,,27.59,percent of total billed charges,59% of total billed charges,50.97,87.2,,40.78,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,47.51,81.29,,38.01,percent of total billed charges,81.29% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of totl billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,52.61,90,,42.09,percent of total billed charges,90% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,28.52,percent of total billed charges,61% of total billed charges,35.65,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,52.61,
"COCAINE METABOLITES SCREEN,URI",41001026,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"THC SCREEN, URINE",41001027,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"AMPHETAMINE SCREEN, URINE",41001028,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"BARBITURATES SCREEN, URINE",41001029,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"TRICYCLIC ANTIDEPR SCREEN,URIN",41001102,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"METHADONE SCREEN, URINE",41001103,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"PROPOXYPHENE SCREEN, URINE",41001104,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"METHAMPHETAMINE SCREEN, URINE",41001105,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"OXYCODONE SCREEN, URINE",41001106,CDM,301,RC,80305,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,22.83,
"DRUG SCREEN, SCHOOL PROGRAM",41001180,CDM,301,RC,80305,HCPCS,Outpatient,,,42.53,34.02,,36.15,85,,28.92,percent of total billed charges,85% of total billed charges,36.15,85,,28.92,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,31.59,74,,25.27,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,31.59,74,,25.27,percent of total billed charges,74.28% of total billed charges,25.94,61,,20.75,percent of total billed charges,61% of total billed charges,31.59,74,,25.27,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,38.28,90,,30.62,percent of total billed charges,90% of total billed charges,38.28,90,,30.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,37.09,87.2,,,percent of total billed charges,87.2% of total billed charges,25.09,59,,20.07,percent of total billed charges,59% of total billed charges,37.09,87.2,,29.67,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,34.57,81.29,,27.66,percent of total billed charges,81.29% of total billed charges,38.28,90,,30.62,percent of total billed charges,90% of totl billed charges,38.28,90,,30.62,percent of total billed charges,90% of total billed charges,25.94,61,,20.75,percent of total billed charges,61% of total billed charges,25.94,61,,20.75,percent of total billed charges,61% of total billed charges,38.28,90,,30.62,percent of total billed charges,90% of total billed charges,38.28,90,,30.62,percent of total billed charges,90% of total billed charges,25.94,61,,20.75,percent of total billed charges,61% of total billed charges,25.94,61,,20.75,percent of total billed charges,61% of total billed charges,25.94,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,38.28,
"DRUG TEST,EMERGENCY",41001181,CDM,301,RC,80305,HCPCS,Outpatient,,,304.39,243.51,,258.73,85,,206.98,percent of total billed charges,85% of total billed charges,258.73,85,,206.98,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,226.1,74,,180.88,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,226.1,74,,180.88,percent of total billed charges,74.28% of total billed charges,185.68,61,,148.54,percent of total billed charges,61% of total billed charges,226.1,74,,180.88,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,273.95,90,,219.16,percent of total billed charges,90% of total billed charges,273.95,90,,219.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,265.43,87.2,,,percent of total billed charges,87.2% of total billed charges,179.59,59,,143.67,percent of total billed charges,59% of total billed charges,265.43,87.2,,212.34,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,247.44,81.29,,197.95,percent of total billed charges,81.29% of total billed charges,273.95,90,,219.16,percent of total billed charges,90% of totl billed charges,273.95,90,,219.16,percent of total billed charges,90% of total billed charges,185.68,61,,148.54,percent of total billed charges,61% of total billed charges,185.68,61,,148.54,percent of total billed charges,61% of total billed charges,273.95,90,,219.16,percent of total billed charges,90% of total billed charges,273.95,90,,219.16,percent of total billed charges,90% of total billed charges,185.68,61,,148.54,percent of total billed charges,61% of total billed charges,185.68,61,,148.54,percent of total billed charges,61% of total billed charges,185.68,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,273.95,
"DRUG SCREEN, DOWDING INDUSTRIE",41001186,CDM,301,RC,80305,HCPCS,Outpatient,,,29.81,23.85,,25.34,85,,20.27,percent of total billed charges,85% of total billed charges,25.34,85,,20.27,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.14,74,,17.71,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,22.14,74,,17.71,percent of total billed charges,74.28% of total billed charges,18.18,61,,14.54,percent of total billed charges,61% of total billed charges,22.14,74,,17.71,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,26.83,90,,21.46,percent of total billed charges,90% of total billed charges,26.83,90,,21.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,25.99,87.2,,,percent of total billed charges,87.2% of total billed charges,17.59,59,,14.07,percent of total billed charges,59% of total billed charges,25.99,87.2,,20.79,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,24.23,81.29,,19.38,percent of total billed charges,81.29% of total billed charges,26.83,90,,21.46,percent of total billed charges,90% of totl billed charges,26.83,90,,21.46,percent of total billed charges,90% of total billed charges,18.18,61,,14.54,percent of total billed charges,61% of total billed charges,18.18,61,,14.54,percent of total billed charges,61% of total billed charges,26.83,90,,21.46,percent of total billed charges,90% of total billed charges,26.83,90,,21.46,percent of total billed charges,90% of total billed charges,18.18,61,,14.54,percent of total billed charges,61% of total billed charges,18.18,61,,14.54,percent of total billed charges,61% of total billed charges,18.18,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,26.83,
DRUG SCREEN MAG PROD/PRE-EMP,41001205,CDM,301,RC,80305,HCPCS,Outpatient,,,48.41,38.73,,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,42.21,87.2,,,percent of total billed charges,87.2% of total billed charges,28.56,59,,22.85,percent of total billed charges,59% of total billed charges,42.21,87.2,,33.77,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,39.35,81.29,,31.48,percent of total billed charges,81.29% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of totl billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,43.57,
"DRUG SCREEN, WORK COMP",41001219,CDM,301,RC,80305,HCPCS,Outpatient,,,48.41,38.73,,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,42.21,87.2,,,percent of total billed charges,87.2% of total billed charges,28.56,59,,22.85,percent of total billed charges,59% of total billed charges,42.21,87.2,,33.77,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,39.35,81.29,,31.48,percent of total billed charges,81.29% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of totl billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,43.57,
DRUG SCREEN RHC,41001223,CDM,301,RC,80305,HCPCS,Outpatient,,,48.41,38.73,,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,42.21,87.2,,,percent of total billed charges,87.2% of total billed charges,28.56,59,,22.85,percent of total billed charges,59% of total billed charges,42.21,87.2,,33.77,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,39.35,81.29,,31.48,percent of total billed charges,81.29% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of totl billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,43.57,
"DRUG SCRN, ER RESPONSE TRAINEE",41001232,CDM,301,RC,80305,HCPCS,Outpatient,,,94.44,75.55,,80.27,85,,64.22,percent of total billed charges,85% of total billed charges,80.27,85,,64.22,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,70.15,74,,56.12,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,70.15,74,,56.12,percent of total billed charges,74.28% of total billed charges,57.61,61,,46.09,percent of total billed charges,61% of total billed charges,70.15,74,,56.12,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,85,90,,68,percent of total billed charges,90% of total billed charges,85,90,,68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,82.35,87.2,,,percent of total billed charges,87.2% of total billed charges,55.72,59,,44.58,percent of total billed charges,59% of total billed charges,82.35,87.2,,65.88,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,76.77,81.29,,61.42,percent of total billed charges,81.29% of total billed charges,85,90,,68,percent of total billed charges,90% of totl billed charges,85,90,,68,percent of total billed charges,90% of total billed charges,57.61,61,,46.09,percent of total billed charges,61% of total billed charges,57.61,61,,46.09,percent of total billed charges,61% of total billed charges,85,90,,68,percent of total billed charges,90% of total billed charges,85,90,,68,percent of total billed charges,90% of total billed charges,57.61,61,,46.09,percent of total billed charges,61% of total billed charges,57.61,61,,46.09,percent of total billed charges,61% of total billed charges,57.61,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,85,
BARBITURATE URINE (QUAL),41009017,CDM,301,RC,80305,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,12.6,100,,,fee schedule,100% of CMS fee schedule,12.6,66.47,
ALCOHOL BLOOD ETHANOL,41000002,CDM,301,RC,80320,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,72.28,
ALCOHOL BLOOD ETHANOL,41000002,CDM,301,RC,80320,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,72.28,
"ALCOHOL, URINE",41000579,CDM,301,RC,80320,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,41.76,52,,33.41,percent of total billed charges,52% of total billed charges,41.76,72.28,
SALICYLATE,41009033,CDM,301,RC,80329,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,92.91,52,,74.33,percent of total billed charges,52% of total billed charges,92.91,160.81,
ACETAMINOPHEN,41009034,CDM,301,RC,80329,HCPCS,Outpatient,,,178.93,143.14,,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,156.03,87.2,,,percent of total billed charges,87.2% of total billed charges,105.57,59,,84.46,percent of total billed charges,59% of total billed charges,156.03,87.2,,124.82,percent of total billed charges,87.2% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,145.45,81.29,,116.36,percent of total billed charges,81.29% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of totl billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,93.04,52,,74.43,percent of total billed charges,52% of total billed charges,93.04,161.04,
"CLINICAL PATH CONSULT, LIMITED",41000474,CDM,309,RC,80500,HCPCS,Outpatient,,,58.62,46.9,,49.83,85,,39.86,percent of total billed charges,85% of total billed charges,49.83,85,,39.86,percent of total billed charges,85% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,43.54,74,,34.83,percent of total billed charges,74.28% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,43.54,74,,34.83,percent of total billed charges,74.28% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,43.54,74,,34.83,percent of total billed charges,74.28% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,52.76,90,,42.21,percent of total billed charges,90% of total billed charges,52.76,90,,42.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,51.12,87.2,,,percent of total billed charges,87.2% of total billed charges,34.59,59,,27.67,percent of total billed charges,59% of total billed charges,51.12,87.2,,40.9,percent of total billed charges,87.2% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,47.65,81.29,,38.12,percent of total billed charges,81.29% of total billed charges,52.76,90,,42.21,percent of total billed charges,90% of totl billed charges,52.76,90,,42.21,percent of total billed charges,90% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,52.76,90,,42.21,percent of total billed charges,90% of total billed charges,52.76,90,,42.21,percent of total billed charges,90% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,35.76,61,,28.61,percent of total billed charges,61% of total billed charges,30.48,52,,24.38,percent of total billed charges,52% of total billed charges,30.48,52.76,
PROFESSIONAL FEE,41000493,CDM,309,RC,80500,HCPCS,Outpatient,,,72.5,58,,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,63.22,87.2,,,percent of total billed charges,87.2% of total billed charges,42.78,59,,34.22,percent of total billed charges,59% of total billed charges,63.22,87.2,,50.58,percent of total billed charges,87.2% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,58.94,81.29,,47.15,percent of total billed charges,81.29% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of totl billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,37.7,65.25,
PROFESSIONAL INTERPRETATION,41000567,CDM,309,RC,80500,HCPCS,Outpatient,,,138.73,110.98,,117.92,85,,94.34,percent of total billed charges,85% of total billed charges,117.92,85,,94.34,percent of total billed charges,85% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,103.05,74,,82.44,percent of total billed charges,74.28% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,103.05,74,,82.44,percent of total billed charges,74.28% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,103.05,74,,82.44,percent of total billed charges,74.28% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,124.86,90,,99.89,percent of total billed charges,90% of total billed charges,124.86,90,,99.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,120.97,87.2,,,percent of total billed charges,87.2% of total billed charges,81.85,59,,65.48,percent of total billed charges,59% of total billed charges,120.97,87.2,,96.78,percent of total billed charges,87.2% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,112.77,81.29,,90.22,percent of total billed charges,81.29% of total billed charges,124.86,90,,99.89,percent of total billed charges,90% of totl billed charges,124.86,90,,99.89,percent of total billed charges,90% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,124.86,90,,99.89,percent of total billed charges,90% of total billed charges,124.86,90,,99.89,percent of total billed charges,90% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,84.63,61,,67.7,percent of total billed charges,61% of total billed charges,72.14,52,,57.71,percent of total billed charges,52% of total billed charges,72.14,124.86,
RBC ENZYME EVALUATION/INTERP,41001168,CDM,301,RC,80500,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,46.63,52,,37.3,percent of total billed charges,52% of total billed charges,46.63,80.7,
"CLINICAL PATH CONSULT, COMPREH",41000475,CDM,309,RC,80502,HCPCS,Outpatient,,,166.76,133.41,,141.75,85,,113.4,percent of total billed charges,85% of total billed charges,141.75,85,,113.4,percent of total billed charges,85% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,123.87,74,,99.1,percent of total billed charges,74.28% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,123.87,74,,99.1,percent of total billed charges,74.28% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,123.87,74,,99.1,percent of total billed charges,74.28% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,150.08,90,,120.06,percent of total billed charges,90% of total billed charges,150.08,90,,120.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,145.41,87.2,,,percent of total billed charges,87.2% of total billed charges,98.39,59,,78.71,percent of total billed charges,59% of total billed charges,145.41,87.2,,116.33,percent of total billed charges,87.2% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,135.56,81.29,,108.45,percent of total billed charges,81.29% of total billed charges,150.08,90,,120.06,percent of total billed charges,90% of totl billed charges,150.08,90,,120.06,percent of total billed charges,90% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,150.08,90,,120.06,percent of total billed charges,90% of total billed charges,150.08,90,,120.06,percent of total billed charges,90% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,101.72,61,,81.38,percent of total billed charges,61% of total billed charges,86.72,52,,69.38,percent of total billed charges,52% of total billed charges,86.72,150.08,
URINALYSIS,41000402,CDM,307,RC,81001,HCPCS,Outpatient,,,29.88,23.9,,25.4,85,,20.32,percent of total billed charges,85% of total billed charges,25.4,85,,20.32,percent of total billed charges,85% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,22.19,74,,17.75,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,22.19,74,,17.75,percent of total billed charges,74.28% of total billed charges,18.23,61,,14.58,percent of total billed charges,61% of total billed charges,22.19,74,,17.75,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,26.89,90,,21.51,percent of total billed charges,90% of total billed charges,26.89,90,,21.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,26.06,87.2,,,percent of total billed charges,87.2% of total billed charges,17.63,59,,14.1,percent of total billed charges,59% of total billed charges,26.06,87.2,,20.85,percent of total billed charges,87.2% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,24.29,81.29,,19.43,percent of total billed charges,81.29% of total billed charges,26.89,90,,21.51,percent of total billed charges,90% of totl billed charges,26.89,90,,21.51,percent of total billed charges,90% of total billed charges,18.23,61,,14.58,percent of total billed charges,61% of total billed charges,18.23,61,,14.58,percent of total billed charges,61% of total billed charges,26.89,90,,21.51,percent of total billed charges,90% of total billed charges,26.89,90,,21.51,percent of total billed charges,90% of total billed charges,18.23,61,,14.58,percent of total billed charges,61% of total billed charges,18.23,61,,14.58,percent of total billed charges,61% of total billed charges,18.23,61,,,percent of total billed charges,61% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,26.89,
URINALYSIS,43601170,CDM,307,RC,81001,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,19.64,
URINALYSIS,43701320,CDM,307,RC,81001,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,3.17,100,,,fee schedule,100% of CMS fee schedule,3.17,19.64,
URINE ICTOTEST,41000194,CDM,307,RC,81002,HCPCS,Outpatient,,,11.78,9.42,,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,10.27,87.2,,,percent of total billed charges,87.2% of total billed charges,6.95,59,,5.56,percent of total billed charges,59% of total billed charges,10.27,87.2,,8.22,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,9.58,81.29,,7.66,percent of total billed charges,81.29% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of totl billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,10.6,
SULFOSALICYCLIC ACID,41000360,CDM,307,RC,81002,HCPCS,Outpatient,,,11.78,9.42,,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,10.27,87.2,,,percent of total billed charges,87.2% of total billed charges,6.95,59,,5.56,percent of total billed charges,59% of total billed charges,10.27,87.2,,8.22,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,9.58,81.29,,7.66,percent of total billed charges,81.29% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of totl billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,10.6,
BENCE JONES SCREEN,41000407,CDM,307,RC,81002,HCPCS,Outpatient,,,60.07,48.06,,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,52.38,87.2,,,percent of total billed charges,87.2% of total billed charges,35.44,59,,28.35,percent of total billed charges,59% of total billed charges,52.38,87.2,,41.9,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,48.83,81.29,,39.06,percent of total billed charges,81.29% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of totl billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,54.06,
URINE CLINITEST,41000412,CDM,307,RC,81002,HCPCS,Outpatient,,,11.78,9.42,,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,10.01,85,,8.01,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,8.75,74,,7,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,10.27,87.2,,,percent of total billed charges,87.2% of total billed charges,6.95,59,,5.56,percent of total billed charges,59% of total billed charges,10.27,87.2,,8.22,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,9.58,81.29,,7.66,percent of total billed charges,81.29% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of totl billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,10.6,90,,8.48,percent of total billed charges,90% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,5.75,percent of total billed charges,61% of total billed charges,7.19,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,10.6,
"SPECIFIC GRAVITY,URINE REFRACT",41000606,CDM,307,RC,81002,HCPCS,Outpatient,,,16.93,13.54,,14.39,85,,11.51,percent of total billed charges,85% of total billed charges,14.39,85,,11.51,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.58,74,,10.06,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.58,74,,10.06,percent of total billed charges,74.28% of total billed charges,10.33,61,,8.26,percent of total billed charges,61% of total billed charges,12.58,74,,10.06,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,15.24,90,,12.19,percent of total billed charges,90% of total billed charges,15.24,90,,12.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.76,87.2,,,percent of total billed charges,87.2% of total billed charges,9.99,59,,7.99,percent of total billed charges,59% of total billed charges,14.76,87.2,,11.81,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.76,81.29,,11.01,percent of total billed charges,81.29% of total billed charges,15.24,90,,12.19,percent of total billed charges,90% of totl billed charges,15.24,90,,12.19,percent of total billed charges,90% of total billed charges,10.33,61,,8.26,percent of total billed charges,61% of total billed charges,10.33,61,,8.26,percent of total billed charges,61% of total billed charges,15.24,90,,12.19,percent of total billed charges,90% of total billed charges,15.24,90,,12.19,percent of total billed charges,90% of total billed charges,10.33,61,,8.26,percent of total billed charges,61% of total billed charges,10.33,61,,8.26,percent of total billed charges,61% of total billed charges,10.33,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,15.24,
UA W/O MICRO *,43600301,CDM,307,RC,81002,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,14.72,
DOT UA W/O MICRO,43600314,CDM,307,RC,81002,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,14.72,
UA W/O MICRO *,43601139,CDM,307,RC,81002,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,14.72,
DOT UA W/O MICRO,43700314,CDM,307,RC,81002,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,14.72,
UA W/O MICRO *,43701139,CDM,307,RC,81002,HCPCS,Outpatient,,,16.36,13.09,,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,13.91,85,,11.13,percent of total billed charges,85% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,12.15,74,,9.72,percent of total billed charges,74.28% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,100,,,fee schedule,100% of CMS fee schedule,14.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9.65,59,,7.72,percent of total billed charges,59% of total billed charges,14.27,87.2,,11.42,percent of total billed charges,87.2% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,13.3,81.29,,10.64,percent of total billed charges,81.29% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of totl billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,14.72,90,,11.78,percent of total billed charges,90% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,7.98,percent of total billed charges,61% of total billed charges,9.98,61,,,percent of total billed charges,61% of total billed charges,3.48,100,,,fee schedule,100% of CMS fee schedule,3.48,14.72,
"SPECIFIC GRAVITY,URINE AUTO",41000413,CDM,307,RC,81003,HCPCS,Outpatient,,,16.68,13.34,,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,14.54,87.2,,,percent of total billed charges,87.2% of total billed charges,9.84,59,,7.87,percent of total billed charges,59% of total billed charges,14.54,87.2,,11.63,percent of total billed charges,87.2% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,13.56,81.29,,10.85,percent of total billed charges,81.29% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of totl billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,,percent of total billed charges,61% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,15.01,
OCCULT BLOOD IN URINE,41000415,CDM,307,RC,81003,HCPCS,Outpatient,,,16.68,13.34,,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,14.54,87.2,,,percent of total billed charges,87.2% of total billed charges,9.84,59,,7.87,percent of total billed charges,59% of total billed charges,14.54,87.2,,11.63,percent of total billed charges,87.2% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,13.56,81.29,,10.85,percent of total billed charges,81.29% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of totl billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,,percent of total billed charges,61% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,15.01,
URINE DIPSTICK ONLY,41000470,CDM,307,RC,81003,HCPCS,Outpatient,,,19.78,15.82,,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,100,,,fee schedule,100% of CMS fee schedule,17.25,87.2,,,percent of total billed charges,87.2% of total billed charges,11.67,59,,9.34,percent of total billed charges,59% of total billed charges,17.25,87.2,,13.8,percent of total billed charges,87.2% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,16.08,81.29,,12.86,percent of total billed charges,81.29% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of totl billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,,percent of total billed charges,61% of total billed charges,2.25,100,,,fee schedule,100% of CMS fee schedule,2.25,17.8,
"URINE PROTEIN,SSA",41000274,CDM,306,RC,81005,HCPCS,Outpatient,,,11.53,9.22,,9.8,85,,7.84,percent of total billed charges,85% of total billed charges,9.8,85,,7.84,percent of total billed charges,85% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,10.38,90,,8.3,percent of total billed charges,90% of total billed charges,10.38,90,,8.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.17,100,,,fee schedule,100% of CMS fee schedule,2.17,100,,,fee schedule,100% of CMS fee schedule,10.05,87.2,,,percent of total billed charges,87.2% of total billed charges,6.8,59,,5.44,percent of total billed charges,59% of total billed charges,10.05,87.2,,8.04,percent of total billed charges,87.2% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,9.37,81.29,,7.5,percent of total billed charges,81.29% of total billed charges,10.38,90,,8.3,percent of total billed charges,90% of totl billed charges,10.38,90,,8.3,percent of total billed charges,90% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,10.38,90,,8.3,percent of total billed charges,90% of total billed charges,10.38,90,,8.3,percent of total billed charges,90% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,,percent of total billed charges,61% of total billed charges,2.17,100,,,fee schedule,100% of CMS fee schedule,2.17,10.38,
URINE MICRO ONLY,41000761,CDM,307,RC,81015,HCPCS,Outpatient,,,17.88,14.3,,15.2,85,,12.16,percent of total billed charges,85% of total billed charges,15.2,85,,12.16,percent of total billed charges,85% of total billed charges,3.05,100,,,fee schedule,100% of CMS fee schedule,13.28,74,,10.62,percent of total billed charges,74.28% of total billed charges,3.05,100,,,fee schedule,100% of CMS fee schedule,13.28,74,,10.62,percent of total billed charges,74.28% of total billed charges,10.91,61,,8.73,percent of total billed charges,61% of total billed charges,13.28,74,,10.62,percent of total billed charges,74.28% of total billed charges,3.05,100,,,fee schedule,100% of CMS fee schedule,16.09,90,,12.87,percent of total billed charges,90% of total billed charges,16.09,90,,12.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.05,100,,,fee schedule,100% of CMS fee schedule,3.05,100,,,fee schedule,100% of CMS fee schedule,15.59,87.2,,,percent of total billed charges,87.2% of total billed charges,10.55,59,,8.44,percent of total billed charges,59% of total billed charges,15.59,87.2,,12.47,percent of total billed charges,87.2% of total billed charges,3.05,100,,,fee schedule,100% of CMS fee schedule,14.53,81.29,,11.62,percent of total billed charges,81.29% of total billed charges,16.09,90,,12.87,percent of total billed charges,90% of totl billed charges,16.09,90,,12.87,percent of total billed charges,90% of total billed charges,10.91,61,,8.73,percent of total billed charges,61% of total billed charges,10.91,61,,8.73,percent of total billed charges,61% of total billed charges,16.09,90,,12.87,percent of total billed charges,90% of total billed charges,16.09,90,,12.87,percent of total billed charges,90% of total billed charges,10.91,61,,8.73,percent of total billed charges,61% of total billed charges,10.91,61,,8.73,percent of total billed charges,61% of total billed charges,10.91,61,,,percent of total billed charges,61% of total billed charges,3.05,100,,,fee schedule,100% of CMS fee schedule,3.05,16.09,
PREGNANCY TEST (URINE),41000905,CDM,301,RC,81025,HCPCS,Outpatient,,,58.08,46.46,,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,50.65,87.2,,,percent of total billed charges,87.2% of total billed charges,34.27,59,,27.42,percent of total billed charges,59% of total billed charges,50.65,87.2,,40.52,percent of total billed charges,87.2% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,47.21,81.29,,37.77,percent of total billed charges,81.29% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of totl billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,,percent of total billed charges,61% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,52.27,
"VOLUME MEASUREMENT,TIMED COLL",41009149,CDM,307,RC,81050,HCPCS,Outpatient,,,29.59,23.67,,25.15,85,,20.12,percent of total billed charges,85% of total billed charges,25.15,85,,20.12,percent of total billed charges,85% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,21.98,74,,17.58,percent of total billed charges,74.28% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,21.98,74,,17.58,percent of total billed charges,74.28% of total billed charges,18.05,61,,14.44,percent of total billed charges,61% of total billed charges,21.98,74,,17.58,percent of total billed charges,74.28% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,26.63,90,,21.3,percent of total billed charges,90% of total billed charges,26.63,90,,21.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.64,100,,,fee schedule,100% of CMS fee schedule,3.64,100,,,fee schedule,100% of CMS fee schedule,25.8,87.2,,,percent of total billed charges,87.2% of total billed charges,17.46,59,,13.97,percent of total billed charges,59% of total billed charges,25.8,87.2,,20.64,percent of total billed charges,87.2% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,24.05,81.29,,19.24,percent of total billed charges,81.29% of total billed charges,26.63,90,,21.3,percent of total billed charges,90% of totl billed charges,26.63,90,,21.3,percent of total billed charges,90% of total billed charges,18.05,61,,14.44,percent of total billed charges,61% of total billed charges,18.05,61,,14.44,percent of total billed charges,61% of total billed charges,26.63,90,,21.3,percent of total billed charges,90% of total billed charges,26.63,90,,21.3,percent of total billed charges,90% of total billed charges,18.05,61,,14.44,percent of total billed charges,61% of total billed charges,18.05,61,,14.44,percent of total billed charges,61% of total billed charges,18.05,61,,,percent of total billed charges,61% of total billed charges,3.64,100,,,fee schedule,100% of CMS fee schedule,3.64,26.63,
FACTOR V LEIDEN (B),41000380,CDM,301,RC,81241,HCPCS,Outpatient,,,15.76,12.61,,13.4,85,,10.72,percent of total billed charges,85% of total billed charges,13.4,85,,10.72,percent of total billed charges,85% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,11.71,74,,9.37,percent of total billed charges,74.28% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,11.71,74,,9.37,percent of total billed charges,74.28% of total billed charges,9.61,61,,7.69,percent of total billed charges,61% of total billed charges,11.71,74,,9.37,percent of total billed charges,74.28% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,14.18,90,,11.34,percent of total billed charges,90% of total billed charges,14.18,90,,11.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.37,100,,,fee schedule,100% of CMS fee schedule,73.37,100,,,fee schedule,100% of CMS fee schedule,13.74,87.2,,,percent of total billed charges,87.2% of total billed charges,9.3,59,,7.44,percent of total billed charges,59% of total billed charges,13.74,87.2,,10.99,percent of total billed charges,87.2% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,12.81,81.29,,10.25,percent of total billed charges,81.29% of total billed charges,14.18,90,,11.34,percent of total billed charges,90% of totl billed charges,14.18,90,,11.34,percent of total billed charges,90% of total billed charges,9.61,61,,7.69,percent of total billed charges,61% of total billed charges,9.61,61,,7.69,percent of total billed charges,61% of total billed charges,14.18,90,,11.34,percent of total billed charges,90% of total billed charges,14.18,90,,11.34,percent of total billed charges,90% of total billed charges,9.61,61,,7.69,percent of total billed charges,61% of total billed charges,9.61,61,,7.69,percent of total billed charges,61% of total billed charges,9.61,61,,,percent of total billed charges,61% of total billed charges,73.37,100,,,fee schedule,100% of CMS fee schedule,9.3,73.37,
"JAK2 MUTATION ANALYSIS, QUAL",41001242,CDM,301,RC,81279,HCPCS,Outpatient,,,173.36,138.69,,147.36,85,,117.89,percent of total billed charges,85% of total billed charges,147.36,85,,117.89,percent of total billed charges,85% of total billed charges,185.2,100,,,fee schedule,100% of CMS fee schedule,128.77,74,,103.02,percent of total billed charges,74.28% of total billed charges,185.2,100,,,fee schedule,100% of CMS fee schedule,128.77,74,,103.02,percent of total billed charges,74.28% of total billed charges,105.75,61,,84.6,percent of total billed charges,61% of total billed charges,128.77,74,,103.02,percent of total billed charges,74.28% of total billed charges,185.2,100,,,fee schedule,100% of CMS fee schedule,156.02,90,,124.82,percent of total billed charges,90% of total billed charges,156.02,90,,124.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.2,100,,,fee schedule,100% of CMS fee schedule,185.2,100,,,fee schedule,100% of CMS fee schedule,151.17,87.2,,,percent of total billed charges,87.2% of total billed charges,102.28,59,,81.82,percent of total billed charges,59% of total billed charges,151.17,87.2,,120.94,percent of total billed charges,87.2% of total billed charges,185.2,100,,,fee schedule,100% of CMS fee schedule,140.92,81.29,,112.74,percent of total billed charges,81.29% of total billed charges,156.02,90,,124.82,percent of total billed charges,90% of totl billed charges,156.02,90,,124.82,percent of total billed charges,90% of total billed charges,105.75,61,,84.6,percent of total billed charges,61% of total billed charges,105.75,61,,84.6,percent of total billed charges,61% of total billed charges,156.02,90,,124.82,percent of total billed charges,90% of total billed charges,156.02,90,,124.82,percent of total billed charges,90% of total billed charges,105.75,61,,84.6,percent of total billed charges,61% of total billed charges,105.75,61,,84.6,percent of total billed charges,61% of total billed charges,105.75,61,,,percent of total billed charges,61% of total billed charges,185.2,100,,,fee schedule,100% of CMS fee schedule,102.28,185.2,
ACETONE (QUAL),41000416,CDM,301,RC,82009,HCPCS,Outpatient,,,21.4,17.12,,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,18.66,87.2,,,percent of total billed charges,87.2% of total billed charges,12.63,59,,10.1,percent of total billed charges,59% of total billed charges,18.66,87.2,,14.93,percent of total billed charges,87.2% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,17.4,81.29,,13.92,percent of total billed charges,81.29% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of totl billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,,percent of total billed charges,61% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,19.26,
KETONES,41000430,CDM,301,RC,82009,HCPCS,Outpatient,,,21.4,17.12,,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,18.66,87.2,,,percent of total billed charges,87.2% of total billed charges,12.63,59,,10.1,percent of total billed charges,59% of total billed charges,18.66,87.2,,14.93,percent of total billed charges,87.2% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,17.4,81.29,,13.92,percent of total billed charges,81.29% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of totl billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,,percent of total billed charges,61% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,19.26,
KETONES-QUANTITATIVE,41000219,CDM,301,RC,82010,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,44.18,
ACETONE (QUAN),41000417,CDM,301,RC,82010,HCPCS,Outpatient,,,56.28,45.02,,47.84,85,,38.27,percent of total billed charges,85% of total billed charges,47.84,85,,38.27,percent of total billed charges,85% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,100,,,fee schedule,100% of CMS fee schedule,49.08,87.2,,,percent of total billed charges,87.2% of total billed charges,33.21,59,,26.57,percent of total billed charges,59% of total billed charges,49.08,87.2,,39.26,percent of total billed charges,87.2% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,45.75,81.29,,36.6,percent of total billed charges,81.29% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of totl billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,,percent of total billed charges,61% of total billed charges,8.17,100,,,fee schedule,100% of CMS fee schedule,8.17,50.65,
ACTH,41000200,CDM,301,RC,82024,HCPCS,Outpatient,,,162.19,129.75,,137.86,85,,110.29,percent of total billed charges,85% of total billed charges,137.86,85,,110.29,percent of total billed charges,85% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,120.47,74,,96.38,percent of total billed charges,74.28% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,120.47,74,,96.38,percent of total billed charges,74.28% of total billed charges,98.94,61,,79.15,percent of total billed charges,61% of total billed charges,120.47,74,,96.38,percent of total billed charges,74.28% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,145.97,90,,116.78,percent of total billed charges,90% of total billed charges,145.97,90,,116.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.62,100,,,fee schedule,100% of CMS fee schedule,38.62,100,,,fee schedule,100% of CMS fee schedule,141.43,87.2,,,percent of total billed charges,87.2% of total billed charges,95.69,59,,76.55,percent of total billed charges,59% of total billed charges,141.43,87.2,,113.14,percent of total billed charges,87.2% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,131.84,81.29,,105.47,percent of total billed charges,81.29% of total billed charges,145.97,90,,116.78,percent of total billed charges,90% of totl billed charges,145.97,90,,116.78,percent of total billed charges,90% of total billed charges,98.94,61,,79.15,percent of total billed charges,61% of total billed charges,98.94,61,,79.15,percent of total billed charges,61% of total billed charges,145.97,90,,116.78,percent of total billed charges,90% of total billed charges,145.97,90,,116.78,percent of total billed charges,90% of total billed charges,98.94,61,,79.15,percent of total billed charges,61% of total billed charges,98.94,61,,79.15,percent of total billed charges,61% of total billed charges,98.94,61,,,percent of total billed charges,61% of total billed charges,38.62,100,,,fee schedule,100% of CMS fee schedule,38.62,145.97,
"ALBUMIN,SERUM",41000021,CDM,301,RC,82040,HCPCS,Outpatient,,,43,34.4,,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.95,100,,,fee schedule,100% of CMS fee schedule,4.95,100,,,fee schedule,100% of CMS fee schedule,37.5,87.2,,,percent of total billed charges,87.2% of total billed charges,25.37,59,,20.3,percent of total billed charges,59% of total billed charges,37.5,87.2,,30,percent of total billed charges,87.2% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,34.95,81.29,,27.96,percent of total billed charges,81.29% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of totl billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,,percent of total billed charges,61% of total billed charges,4.95,100,,,fee schedule,100% of CMS fee schedule,4.95,38.7,
"ALBUMIN,BODY FLUID",41000339,CDM,301,RC,82042,HCPCS,Outpatient,,,43,34.4,,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.78,100,,,fee schedule,100% of CMS fee schedule,7.78,100,,,fee schedule,100% of CMS fee schedule,37.5,87.2,,,percent of total billed charges,87.2% of total billed charges,25.37,59,,20.3,percent of total billed charges,59% of total billed charges,37.5,87.2,,30,percent of total billed charges,87.2% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,34.95,81.29,,27.96,percent of total billed charges,81.29% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of totl billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,,percent of total billed charges,61% of total billed charges,7.78,100,,,fee schedule,100% of CMS fee schedule,7.78,38.7,
"MICRO ALBUMIN, 24 HR. URINE",41000329,CDM,301,RC,82043,HCPCS,Outpatient,,,22.99,18.39,,19.54,85,,15.63,percent of total billed charges,85% of total billed charges,19.54,85,,15.63,percent of total billed charges,85% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,20.05,87.2,,,percent of total billed charges,87.2% of total billed charges,13.56,59,,10.85,percent of total billed charges,59% of total billed charges,20.05,87.2,,16.04,percent of total billed charges,87.2% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,18.69,81.29,,14.95,percent of total billed charges,81.29% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of totl billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,,percent of total billed charges,61% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,20.69,
"MICRO ALBUMIN, URINE",41001235,CDM,301,RC,82043,HCPCS,Outpatient,,,22.99,18.39,,19.54,85,,15.63,percent of total billed charges,85% of total billed charges,19.54,85,,15.63,percent of total billed charges,85% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,17.08,74,,13.66,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,20.05,87.2,,,percent of total billed charges,87.2% of total billed charges,13.56,59,,10.85,percent of total billed charges,59% of total billed charges,20.05,87.2,,16.04,percent of total billed charges,87.2% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,18.69,81.29,,14.95,percent of total billed charges,81.29% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of totl billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,20.69,90,,16.55,percent of total billed charges,90% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,11.22,percent of total billed charges,61% of total billed charges,14.02,61,,,percent of total billed charges,61% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,20.69,
"MICROALBUMIN, SEMIQUANT",41009113,CDM,301,RC,82044,HCPCS,Outpatient,,,19.04,15.23,,16.18,85,,12.94,percent of total billed charges,85% of total billed charges,16.18,85,,12.94,percent of total billed charges,85% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,14.14,74,,11.31,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,14.14,74,,11.31,percent of total billed charges,74.28% of total billed charges,11.61,61,,9.29,percent of total billed charges,61% of total billed charges,14.14,74,,11.31,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,17.14,90,,13.71,percent of total billed charges,90% of total billed charges,17.14,90,,13.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,100,,,fee schedule,100% of CMS fee schedule,16.6,87.2,,,percent of total billed charges,87.2% of total billed charges,11.23,59,,8.98,percent of total billed charges,59% of total billed charges,16.6,87.2,,13.28,percent of total billed charges,87.2% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,15.48,81.29,,12.38,percent of total billed charges,81.29% of total billed charges,17.14,90,,13.71,percent of total billed charges,90% of totl billed charges,17.14,90,,13.71,percent of total billed charges,90% of total billed charges,11.61,61,,9.29,percent of total billed charges,61% of total billed charges,11.61,61,,9.29,percent of total billed charges,61% of total billed charges,17.14,90,,13.71,percent of total billed charges,90% of total billed charges,17.14,90,,13.71,percent of total billed charges,90% of total billed charges,11.61,61,,9.29,percent of total billed charges,61% of total billed charges,11.61,61,,9.29,percent of total billed charges,61% of total billed charges,11.61,61,,,percent of total billed charges,61% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,17.14,
MICROALBUMIN RANDOM URINE SEMI,43601686,CDM,301,RC,82044,HCPCS,Outpatient,,,16.62,13.3,,14.13,85,,11.3,percent of total billed charges,85% of total billed charges,14.13,85,,11.3,percent of total billed charges,85% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,100,,,fee schedule,100% of CMS fee schedule,14.49,87.2,,,percent of total billed charges,87.2% of total billed charges,9.81,59,,7.85,percent of total billed charges,59% of total billed charges,14.49,87.2,,11.59,percent of total billed charges,87.2% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,13.51,81.29,,10.81,percent of total billed charges,81.29% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of totl billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,,percent of total billed charges,61% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,14.96,
MICROALBUMIN RANDOM URINE SEMI,43701686,CDM,301,RC,82044,HCPCS,Outpatient,,,16.62,13.3,,14.13,85,,11.3,percent of total billed charges,85% of total billed charges,14.13,85,,11.3,percent of total billed charges,85% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,12.35,74,,9.88,percent of total billed charges,74.28% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,100,,,fee schedule,100% of CMS fee schedule,14.49,87.2,,,percent of total billed charges,87.2% of total billed charges,9.81,59,,7.85,percent of total billed charges,59% of total billed charges,14.49,87.2,,11.59,percent of total billed charges,87.2% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,13.51,81.29,,10.81,percent of total billed charges,81.29% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of totl billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,14.96,90,,11.97,percent of total billed charges,90% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,8.11,percent of total billed charges,61% of total billed charges,10.14,61,,,percent of total billed charges,61% of total billed charges,6.23,100,,,fee schedule,100% of CMS fee schedule,6.23,14.96,
ALCOHOL (ETOH) BREATHALIZER,43600286,CDM,300,RC,82075,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30,100,,,fee schedule,100% of CMS fee schedule,30,100,,,fee schedule,100% of CMS fee schedule,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,,percent of total billed charges,61% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,16.09,30,
ALCOHOL (ETOH) BREATHALYZER,43601122,CDM,300,RC,82075,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30,100,,,fee schedule,100% of CMS fee schedule,30,100,,,fee schedule,100% of CMS fee schedule,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,,percent of total billed charges,61% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,16.09,30,
ALCOHOL (ETOH) BREATHALYZER,43701122,CDM,300,RC,82075,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30,100,,,fee schedule,100% of CMS fee schedule,30,100,,,fee schedule,100% of CMS fee schedule,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,,percent of total billed charges,61% of total billed charges,30,100,,,fee schedule,100% of CMS fee schedule,16.09,30,
ALDOLASE,41009003,CDM,301,RC,82085,HCPCS,Outpatient,,,30.84,24.67,,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,26.89,87.2,,,percent of total billed charges,87.2% of total billed charges,18.2,59,,14.56,percent of total billed charges,59% of total billed charges,26.89,87.2,,21.51,percent of total billed charges,87.2% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,25.07,81.29,,20.06,percent of total billed charges,81.29% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of totl billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,,percent of total billed charges,61% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,27.76,
ALDOSTERONE,41009005,CDM,301,RC,82088,HCPCS,Outpatient,,,124.81,99.85,,106.09,85,,84.87,percent of total billed charges,85% of total billed charges,106.09,85,,84.87,percent of total billed charges,85% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,92.71,74,,74.17,percent of total billed charges,74.28% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,92.71,74,,74.17,percent of total billed charges,74.28% of total billed charges,76.13,61,,60.9,percent of total billed charges,61% of total billed charges,92.71,74,,74.17,percent of total billed charges,74.28% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,112.33,90,,89.86,percent of total billed charges,90% of total billed charges,112.33,90,,89.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.75,100,,,fee schedule,100% of CMS fee schedule,40.75,100,,,fee schedule,100% of CMS fee schedule,108.83,87.2,,,percent of total billed charges,87.2% of total billed charges,73.64,59,,58.91,percent of total billed charges,59% of total billed charges,108.83,87.2,,87.06,percent of total billed charges,87.2% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,101.46,81.29,,81.17,percent of total billed charges,81.29% of total billed charges,112.33,90,,89.86,percent of total billed charges,90% of totl billed charges,112.33,90,,89.86,percent of total billed charges,90% of total billed charges,76.13,61,,60.9,percent of total billed charges,61% of total billed charges,76.13,61,,60.9,percent of total billed charges,61% of total billed charges,112.33,90,,89.86,percent of total billed charges,90% of total billed charges,112.33,90,,89.86,percent of total billed charges,90% of total billed charges,76.13,61,,60.9,percent of total billed charges,61% of total billed charges,76.13,61,,60.9,percent of total billed charges,61% of total billed charges,76.13,61,,,percent of total billed charges,61% of total billed charges,40.75,100,,,fee schedule,100% of CMS fee schedule,40.75,112.33,
ALPHA 1 ANTITRYPSIN,41000758,CDM,301,RC,82103,HCPCS,Outpatient,,,42.31,33.85,,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,31.43,74,,25.14,percent of total billed charges,74.28% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,31.43,74,,25.14,percent of total billed charges,74.28% of total billed charges,25.81,61,,20.65,percent of total billed charges,61% of total billed charges,31.43,74,,25.14,percent of total billed charges,74.28% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,38.08,90,,30.46,percent of total billed charges,90% of total billed charges,38.08,90,,30.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.44,100,,,fee schedule,100% of CMS fee schedule,13.44,100,,,fee schedule,100% of CMS fee schedule,36.89,87.2,,,percent of total billed charges,87.2% of total billed charges,24.96,59,,19.97,percent of total billed charges,59% of total billed charges,36.89,87.2,,29.51,percent of total billed charges,87.2% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,34.39,81.29,,27.51,percent of total billed charges,81.29% of total billed charges,38.08,90,,30.46,percent of total billed charges,90% of totl billed charges,38.08,90,,30.46,percent of total billed charges,90% of total billed charges,25.81,61,,20.65,percent of total billed charges,61% of total billed charges,25.81,61,,20.65,percent of total billed charges,61% of total billed charges,38.08,90,,30.46,percent of total billed charges,90% of total billed charges,38.08,90,,30.46,percent of total billed charges,90% of total billed charges,25.81,61,,20.65,percent of total billed charges,61% of total billed charges,25.81,61,,20.65,percent of total billed charges,61% of total billed charges,25.81,61,,,percent of total billed charges,61% of total billed charges,13.44,100,,,fee schedule,100% of CMS fee schedule,13.44,38.08,
"ALPHA-FETO PROTEIN, SERUM",41000604,CDM,301,RC,82105,HCPCS,Outpatient,,,61.68,49.34,,52.43,85,,41.94,percent of total billed charges,85% of total billed charges,52.43,85,,41.94,percent of total billed charges,85% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,45.82,74,,36.66,percent of total billed charges,74.28% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,45.82,74,,36.66,percent of total billed charges,74.28% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,45.82,74,,36.66,percent of total billed charges,74.28% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,55.51,90,,44.41,percent of total billed charges,90% of total billed charges,55.51,90,,44.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,100,,,fee schedule,100% of CMS fee schedule,53.78,87.2,,,percent of total billed charges,87.2% of total billed charges,36.39,59,,29.11,percent of total billed charges,59% of total billed charges,53.78,87.2,,43.02,percent of total billed charges,87.2% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,50.14,81.29,,40.11,percent of total billed charges,81.29% of total billed charges,55.51,90,,44.41,percent of total billed charges,90% of totl billed charges,55.51,90,,44.41,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,55.51,90,,44.41,percent of total billed charges,90% of total billed charges,55.51,90,,44.41,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,,percent of total billed charges,61% of total billed charges,16.77,100,,,fee schedule,100% of CMS fee schedule,16.77,55.51,
"CYSTEINE, 24 HOUR URINE",41000783,CDM,301,RC,82127,HCPCS,Outpatient,,,47.78,38.22,,40.61,85,,32.49,percent of total billed charges,85% of total billed charges,40.61,85,,32.49,percent of total billed charges,85% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,43,90,,34.4,percent of total billed charges,90% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,41.66,87.2,,,percent of total billed charges,87.2% of total billed charges,28.19,59,,22.55,percent of total billed charges,59% of total billed charges,41.66,87.2,,33.33,percent of total billed charges,87.2% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,38.84,81.29,,31.07,percent of total billed charges,81.29% of total billed charges,43,90,,34.4,percent of total billed charges,90% of totl billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,,percent of total billed charges,61% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,43,
"AMINOACID PLASMA,PRTL QUANT",41000289,CDM,301,RC,82131,HCPCS,Outpatient,,,436.8,349.44,,371.28,85,,297.02,percent of total billed charges,85% of total billed charges,371.28,85,,297.02,percent of total billed charges,85% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,324.46,74,,259.57,percent of total billed charges,74.28% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,324.46,74,,259.57,percent of total billed charges,74.28% of total billed charges,266.45,61,,213.16,percent of total billed charges,61% of total billed charges,324.46,74,,259.57,percent of total billed charges,74.28% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,393.12,90,,314.5,percent of total billed charges,90% of total billed charges,393.12,90,,314.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.98,100,,,fee schedule,100% of CMS fee schedule,22.98,100,,,fee schedule,100% of CMS fee schedule,380.89,87.2,,,percent of total billed charges,87.2% of total billed charges,257.71,59,,206.17,percent of total billed charges,59% of total billed charges,380.89,87.2,,304.71,percent of total billed charges,87.2% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,355.07,81.29,,284.06,percent of total billed charges,81.29% of total billed charges,393.12,90,,314.5,percent of total billed charges,90% of totl billed charges,393.12,90,,314.5,percent of total billed charges,90% of total billed charges,266.45,61,,213.16,percent of total billed charges,61% of total billed charges,266.45,61,,213.16,percent of total billed charges,61% of total billed charges,393.12,90,,314.5,percent of total billed charges,90% of total billed charges,393.12,90,,314.5,percent of total billed charges,90% of total billed charges,266.45,61,,213.16,percent of total billed charges,61% of total billed charges,266.45,61,,213.16,percent of total billed charges,61% of total billed charges,266.45,61,,,percent of total billed charges,61% of total billed charges,22.98,100,,,fee schedule,100% of CMS fee schedule,22.98,393.12,
"URINE-24HR,DELTA AMINO LEV ACI",41000330,CDM,301,RC,82135,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,100,,,fee schedule,100% of CMS fee schedule,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,,percent of total billed charges,61% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,72.28,
"AMINOLEVULINIC ACID,DELTA",41000458,CDM,301,RC,82135,HCPCS,Outpatient,,,136.8,109.44,,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,100,,,fee schedule,100% of CMS fee schedule,119.29,87.2,,,percent of total billed charges,87.2% of total billed charges,80.71,59,,64.57,percent of total billed charges,59% of total billed charges,119.29,87.2,,95.43,percent of total billed charges,87.2% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,111.2,81.29,,88.96,percent of total billed charges,81.29% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of totl billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,,percent of total billed charges,61% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,123.12,
5 HYDROXYTRYTOPHAN 24 HR URINE,41000305,CDM,301,RC,82136,HCPCS,Outpatient,,,112.43,89.94,,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,19.61,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,19.61,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,19.61,100,,,fee schedule,100% of CMS fee schedule,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.61,100,,,fee schedule,100% of CMS fee schedule,19.61,100,,,fee schedule,100% of CMS fee schedule,98.04,87.2,,,percent of total billed charges,87.2% of total billed charges,66.33,59,,53.06,percent of total billed charges,59% of total billed charges,98.04,87.2,,78.43,percent of total billed charges,87.2% of total billed charges,19.61,100,,,fee schedule,100% of CMS fee schedule,91.39,81.29,,73.11,percent of total billed charges,81.29% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of totl billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,,percent of total billed charges,61% of total billed charges,19.61,100,,,fee schedule,100% of CMS fee schedule,19.61,101.19,
"AMINO ACIDS, QUAL SCREEN\URINE",41001138,CDM,301,RC,82139,HCPCS,Outpatient,,,257.84,206.27,,219.16,85,,175.33,percent of total billed charges,85% of total billed charges,219.16,85,,175.33,percent of total billed charges,85% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,191.52,74,,153.22,percent of total billed charges,74.28% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,191.52,74,,153.22,percent of total billed charges,74.28% of total billed charges,157.28,61,,125.82,percent of total billed charges,61% of total billed charges,191.52,74,,153.22,percent of total billed charges,74.28% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,232.06,90,,185.65,percent of total billed charges,90% of total billed charges,232.06,90,,185.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,100,,,fee schedule,100% of CMS fee schedule,224.84,87.2,,,percent of total billed charges,87.2% of total billed charges,152.13,59,,121.7,percent of total billed charges,59% of total billed charges,224.84,87.2,,179.87,percent of total billed charges,87.2% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,209.6,81.29,,167.68,percent of total billed charges,81.29% of total billed charges,232.06,90,,185.65,percent of total billed charges,90% of totl billed charges,232.06,90,,185.65,percent of total billed charges,90% of total billed charges,157.28,61,,125.82,percent of total billed charges,61% of total billed charges,157.28,61,,125.82,percent of total billed charges,61% of total billed charges,232.06,90,,185.65,percent of total billed charges,90% of total billed charges,232.06,90,,185.65,percent of total billed charges,90% of total billed charges,157.28,61,,125.82,percent of total billed charges,61% of total billed charges,157.28,61,,125.82,percent of total billed charges,61% of total billed charges,157.28,61,,,percent of total billed charges,61% of total billed charges,16.87,100,,,fee schedule,100% of CMS fee schedule,16.87,232.06,
AMMONIA,41000062,CDM,301,RC,82140,HCPCS,Outpatient,,,102.45,81.96,,87.08,85,,69.66,percent of total billed charges,85% of total billed charges,87.08,85,,69.66,percent of total billed charges,85% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,76.1,74,,60.88,percent of total billed charges,74.28% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,76.1,74,,60.88,percent of total billed charges,74.28% of total billed charges,62.49,61,,49.99,percent of total billed charges,61% of total billed charges,76.1,74,,60.88,percent of total billed charges,74.28% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,92.21,90,,73.77,percent of total billed charges,90% of total billed charges,92.21,90,,73.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,100,,,fee schedule,100% of CMS fee schedule,89.34,87.2,,,percent of total billed charges,87.2% of total billed charges,60.45,59,,48.36,percent of total billed charges,59% of total billed charges,89.34,87.2,,71.47,percent of total billed charges,87.2% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,83.28,81.29,,66.62,percent of total billed charges,81.29% of total billed charges,92.21,90,,73.77,percent of total billed charges,90% of totl billed charges,92.21,90,,73.77,percent of total billed charges,90% of total billed charges,62.49,61,,49.99,percent of total billed charges,61% of total billed charges,62.49,61,,49.99,percent of total billed charges,61% of total billed charges,92.21,90,,73.77,percent of total billed charges,90% of total billed charges,92.21,90,,73.77,percent of total billed charges,90% of total billed charges,62.49,61,,49.99,percent of total billed charges,61% of total billed charges,62.49,61,,49.99,percent of total billed charges,61% of total billed charges,62.49,61,,,percent of total billed charges,61% of total billed charges,14.57,100,,,fee schedule,100% of CMS fee schedule,14.57,92.21,
AMPHETAMINE (QUAN),41000418,CDM,301,RC,82145,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,36.31,62.84,
AMYLASE,41000057,CDM,301,RC,82150,HCPCS,Outpatient,,,90.15,72.12,,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,78.61,87.2,,,percent of total billed charges,87.2% of total billed charges,53.19,59,,42.55,percent of total billed charges,59% of total billed charges,78.61,87.2,,62.89,percent of total billed charges,87.2% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,73.28,81.29,,58.62,percent of total billed charges,81.29% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of totl billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,,percent of total billed charges,61% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,81.14,
AMYLASE-URINE,41000181,CDM,301,RC,82150,HCPCS,Outpatient,,,90.15,72.12,,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,78.61,87.2,,,percent of total billed charges,87.2% of total billed charges,53.19,59,,42.55,percent of total billed charges,59% of total billed charges,78.61,87.2,,62.89,percent of total billed charges,87.2% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,73.28,81.29,,58.62,percent of total billed charges,81.29% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of totl billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,,percent of total billed charges,61% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,81.14,
AMYLASE ISOENZYMES,41001212,CDM,301,RC,82150,HCPCS,Outpatient,,,90.15,72.12,,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,100,,,fee schedule,100% of CMS fee schedule,78.61,87.2,,,percent of total billed charges,87.2% of total billed charges,53.19,59,,42.55,percent of total billed charges,59% of total billed charges,78.61,87.2,,62.89,percent of total billed charges,87.2% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,73.28,81.29,,58.62,percent of total billed charges,81.29% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of totl billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,,percent of total billed charges,61% of total billed charges,6.48,100,,,fee schedule,100% of CMS fee schedule,6.48,81.14,
DELTA-4 ANDROSTENEDIONE,41001143,CDM,301,RC,82157,HCPCS,Outpatient,,,103.15,82.52,,87.68,85,,70.14,percent of total billed charges,85% of total billed charges,87.68,85,,70.14,percent of total billed charges,85% of total billed charges,29.28,100,,,fee schedule,100% of CMS fee schedule,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,29.28,100,,,fee schedule,100% of CMS fee schedule,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,29.28,100,,,fee schedule,100% of CMS fee schedule,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.28,100,,,fee schedule,100% of CMS fee schedule,29.28,100,,,fee schedule,100% of CMS fee schedule,89.95,87.2,,,percent of total billed charges,87.2% of total billed charges,60.86,59,,48.69,percent of total billed charges,59% of total billed charges,89.95,87.2,,71.96,percent of total billed charges,87.2% of total billed charges,29.28,100,,,fee schedule,100% of CMS fee schedule,83.85,81.29,,67.08,percent of total billed charges,81.29% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of totl billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,,percent of total billed charges,61% of total billed charges,29.28,100,,,fee schedule,100% of CMS fee schedule,29.28,92.84,
ANDROSTERONE,41000448,CDM,301,RC,82160,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,25.55,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,25.55,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,25.55,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.55,100,,,fee schedule,100% of CMS fee schedule,25.55,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,25.55,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,25.55,100,,,fee schedule,100% of CMS fee schedule,25.55,117.57,
ANGIOTENSIN II,41001217,CDM,301,RC,82163,HCPCS,Outpatient,,,197,157.6,,167.45,85,,133.96,percent of total billed charges,85% of total billed charges,167.45,85,,133.96,percent of total billed charges,85% of total billed charges,20.52,100,,,fee schedule,100% of CMS fee schedule,146.33,74,,117.06,percent of total billed charges,74.28% of total billed charges,20.52,100,,,fee schedule,100% of CMS fee schedule,146.33,74,,117.06,percent of total billed charges,74.28% of total billed charges,120.17,61,,96.14,percent of total billed charges,61% of total billed charges,146.33,74,,117.06,percent of total billed charges,74.28% of total billed charges,20.52,100,,,fee schedule,100% of CMS fee schedule,177.3,90,,141.84,percent of total billed charges,90% of total billed charges,177.3,90,,141.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.52,100,,,fee schedule,100% of CMS fee schedule,20.52,100,,,fee schedule,100% of CMS fee schedule,171.78,87.2,,,percent of total billed charges,87.2% of total billed charges,116.23,59,,92.98,percent of total billed charges,59% of total billed charges,171.78,87.2,,137.42,percent of total billed charges,87.2% of total billed charges,20.52,100,,,fee schedule,100% of CMS fee schedule,160.14,81.29,,128.11,percent of total billed charges,81.29% of total billed charges,177.3,90,,141.84,percent of total billed charges,90% of totl billed charges,177.3,90,,141.84,percent of total billed charges,90% of total billed charges,120.17,61,,96.14,percent of total billed charges,61% of total billed charges,120.17,61,,96.14,percent of total billed charges,61% of total billed charges,177.3,90,,141.84,percent of total billed charges,90% of total billed charges,177.3,90,,141.84,percent of total billed charges,90% of total billed charges,120.17,61,,96.14,percent of total billed charges,61% of total billed charges,120.17,61,,96.14,percent of total billed charges,61% of total billed charges,120.17,61,,,percent of total billed charges,61% of total billed charges,20.52,100,,,fee schedule,100% of CMS fee schedule,20.52,177.3,
ANGIOTENSIN-1-CONVERING ENZ,41009066,CDM,301,RC,82164,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,14.6,100,,,fee schedule,100% of CMS fee schedule,14.6,56.38,
APOLIPOPROTEIN A1,41001097,CDM,301,RC,82172,HCPCS,Outpatient,,,46.01,36.81,,39.11,85,,31.29,percent of total billed charges,85% of total billed charges,39.11,85,,31.29,percent of total billed charges,85% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,40.12,87.2,,,percent of total billed charges,87.2% of total billed charges,27.15,59,,21.72,percent of total billed charges,59% of total billed charges,40.12,87.2,,32.1,percent of total billed charges,87.2% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,37.4,81.29,,29.92,percent of total billed charges,81.29% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of totl billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,,percent of total billed charges,61% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,41.41,
APOLIPOPROTEIN B,41001098,CDM,301,RC,82172,HCPCS,Outpatient,,,46.01,36.81,,39.11,85,,31.29,percent of total billed charges,85% of total billed charges,39.11,85,,31.29,percent of total billed charges,85% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,34.18,74,,27.34,percent of total billed charges,74.28% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,100,,,fee schedule,100% of CMS fee schedule,40.12,87.2,,,percent of total billed charges,87.2% of total billed charges,27.15,59,,21.72,percent of total billed charges,59% of total billed charges,40.12,87.2,,32.1,percent of total billed charges,87.2% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,37.4,81.29,,29.92,percent of total billed charges,81.29% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of totl billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,41.41,90,,33.13,percent of total billed charges,90% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,22.46,percent of total billed charges,61% of total billed charges,28.07,61,,,percent of total billed charges,61% of total billed charges,21.09,100,,,fee schedule,100% of CMS fee schedule,21.09,41.41,
ARSENIC,41000122,CDM,301,RC,82175,HCPCS,Outpatient,,,104.82,83.86,,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.97,100,,,fee schedule,100% of CMS fee schedule,18.97,100,,,fee schedule,100% of CMS fee schedule,91.4,87.2,,,percent of total billed charges,87.2% of total billed charges,61.84,59,,49.47,percent of total billed charges,59% of total billed charges,91.4,87.2,,73.12,percent of total billed charges,87.2% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,85.21,81.29,,68.17,percent of total billed charges,81.29% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of totl billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,,percent of total billed charges,61% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,18.97,94.34,
"HEAVY METAL BLOOD, ARSENIC",41000500,CDM,301,RC,82175,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.97,100,,,fee schedule,100% of CMS fee schedule,18.97,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,18.97,100,,,fee schedule,100% of CMS fee schedule,17.32,26.42,
BARBITURATE SERUM (QUAN),41009027,CDM,301,RC,82205,HCPCS,Outpatient,,,177.12,141.7,,150.55,85,,120.44,percent of total billed charges,85% of total billed charges,150.55,85,,120.44,percent of total billed charges,85% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,131.56,74,,105.25,percent of total billed charges,74.28% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,131.56,74,,105.25,percent of total billed charges,74.28% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,131.56,74,,105.25,percent of total billed charges,74.28% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,159.41,90,,127.53,percent of total billed charges,90% of total billed charges,159.41,90,,127.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,154.45,87.2,,,percent of total billed charges,87.2% of total billed charges,104.5,59,,83.6,percent of total billed charges,59% of total billed charges,154.45,87.2,,123.56,percent of total billed charges,87.2% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,143.98,81.29,,115.18,percent of total billed charges,81.29% of total billed charges,159.41,90,,127.53,percent of total billed charges,90% of totl billed charges,159.41,90,,127.53,percent of total billed charges,90% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,159.41,90,,127.53,percent of total billed charges,90% of total billed charges,159.41,90,,127.53,percent of total billed charges,90% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,108.04,61,,86.43,percent of total billed charges,61% of total billed charges,92.1,52,,73.68,percent of total billed charges,52% of total billed charges,92.1,159.41,
BETA 2 MICROGLOBULIN (SERUM)##,41000445,CDM,301,RC,82232,HCPCS,Outpatient,,,62.92,50.34,,53.48,85,,42.78,percent of total billed charges,85% of total billed charges,53.48,85,,42.78,percent of total billed charges,85% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.18,100,,,fee schedule,100% of CMS fee schedule,16.18,100,,,fee schedule,100% of CMS fee schedule,54.87,87.2,,,percent of total billed charges,87.2% of total billed charges,37.12,59,,29.7,percent of total billed charges,59% of total billed charges,54.87,87.2,,43.9,percent of total billed charges,87.2% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,51.15,81.29,,40.92,percent of total billed charges,81.29% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of totl billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,,percent of total billed charges,61% of total billed charges,16.18,100,,,fee schedule,100% of CMS fee schedule,16.18,56.63,
"BILE ACID, TOTAL",41000396,CDM,301,RC,82239,HCPCS,Outpatient,,,100.98,80.78,,85.83,85,,68.66,percent of total billed charges,85% of total billed charges,85.83,85,,68.66,percent of total billed charges,85% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,75.01,74,,60.01,percent of total billed charges,74.28% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,75.01,74,,60.01,percent of total billed charges,74.28% of total billed charges,61.6,61,,49.28,percent of total billed charges,61% of total billed charges,75.01,74,,60.01,percent of total billed charges,74.28% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,90.88,90,,72.7,percent of total billed charges,90% of total billed charges,90.88,90,,72.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.12,100,,,fee schedule,100% of CMS fee schedule,17.12,100,,,fee schedule,100% of CMS fee schedule,88.05,87.2,,,percent of total billed charges,87.2% of total billed charges,59.58,59,,47.66,percent of total billed charges,59% of total billed charges,88.05,87.2,,70.44,percent of total billed charges,87.2% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,82.09,81.29,,65.67,percent of total billed charges,81.29% of total billed charges,90.88,90,,72.7,percent of total billed charges,90% of totl billed charges,90.88,90,,72.7,percent of total billed charges,90% of total billed charges,61.6,61,,49.28,percent of total billed charges,61% of total billed charges,61.6,61,,49.28,percent of total billed charges,61% of total billed charges,90.88,90,,72.7,percent of total billed charges,90% of total billed charges,90.88,90,,72.7,percent of total billed charges,90% of total billed charges,61.6,61,,49.28,percent of total billed charges,61% of total billed charges,61.6,61,,49.28,percent of total billed charges,61% of total billed charges,61.6,61,,,percent of total billed charges,61% of total billed charges,17.12,100,,,fee schedule,100% of CMS fee schedule,17.12,90.88,
BILIRUBIN (T),41000019,CDM,301,RC,82247,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,45.12,
BILIRUBIN (D),41000020,CDM,301,RC,82248,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,5.02,100,,,fee schedule,100% of CMS fee schedule,5.02,57.23,
"BlOOD,OCCULT,SCR,COLORECTAL CA",41001231,CDM,301,RC,82270,HCPCS,Outpatient,,,11.92,9.54,,10.13,85,,8.1,percent of total billed charges,85% of total billed charges,10.13,85,,8.1,percent of total billed charges,85% of total billed charges,4.38,100,,,fee schedule,100% of CMS fee schedule,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,4.38,100,,,fee schedule,100% of CMS fee schedule,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,4.38,100,,,fee schedule,100% of CMS fee schedule,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.38,100,,,fee schedule,100% of CMS fee schedule,4.38,100,,,fee schedule,100% of CMS fee schedule,10.39,87.2,,,percent of total billed charges,87.2% of total billed charges,7.03,59,,5.62,percent of total billed charges,59% of total billed charges,10.39,87.2,,8.31,percent of total billed charges,87.2% of total billed charges,4.38,100,,,fee schedule,100% of CMS fee schedule,9.69,81.29,,7.75,percent of total billed charges,81.29% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of totl billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,,percent of total billed charges,61% of total billed charges,4.38,100,,,fee schedule,100% of CMS fee schedule,4.38,10.73,
OCCULT BLOOD-OTHER,41000511,CDM,301,RC,82271,HCPCS,Outpatient,,,27.83,22.26,,23.66,85,,18.93,percent of total billed charges,85% of total billed charges,23.66,85,,18.93,percent of total billed charges,85% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.32,100,,,fee schedule,100% of CMS fee schedule,5.32,100,,,fee schedule,100% of CMS fee schedule,24.27,87.2,,,percent of total billed charges,87.2% of total billed charges,16.42,59,,13.14,percent of total billed charges,59% of total billed charges,24.27,87.2,,19.42,percent of total billed charges,87.2% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,22.62,81.29,,18.1,percent of total billed charges,81.29% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of totl billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,,percent of total billed charges,61% of total billed charges,5.32,100,,,fee schedule,100% of CMS fee schedule,5.32,25.05,
"OCCULT BLOOD,DIAGNOSTIC",41001107,CDM,301,RC,82272,HCPCS,Outpatient,,,11.92,9.54,,10.13,85,,8.1,percent of total billed charges,85% of total billed charges,10.13,85,,8.1,percent of total billed charges,85% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,8.85,74,,7.08,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,100,,,fee schedule,100% of CMS fee schedule,10.39,87.2,,,percent of total billed charges,87.2% of total billed charges,7.03,59,,5.62,percent of total billed charges,59% of total billed charges,10.39,87.2,,8.31,percent of total billed charges,87.2% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,9.69,81.29,,7.75,percent of total billed charges,81.29% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of totl billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,10.73,90,,8.58,percent of total billed charges,90% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,5.82,percent of total billed charges,61% of total billed charges,7.27,61,,,percent of total billed charges,61% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,10.73,
HEMOCCULT *,43600295,CDM,301,RC,82272,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,19.64,
HEMOCCULT *,43601133,CDM,301,RC,82272,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,19.64,
HEMOCCULT *,43701133,CDM,301,RC,82272,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,4.23,100,,,fee schedule,100% of CMS fee schedule,4.23,19.64,
"OCCULT BLOOD, SCREENING",41000476,CDM,301,RC,82274,HCPCS,Outpatient,,,16.68,13.34,,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.92,100,,,fee schedule,100% of CMS fee schedule,15.92,100,,,fee schedule,100% of CMS fee schedule,14.54,87.2,,,percent of total billed charges,87.2% of total billed charges,9.84,59,,7.87,percent of total billed charges,59% of total billed charges,14.54,87.2,,11.63,percent of total billed charges,87.2% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,13.56,81.29,,10.85,percent of total billed charges,81.29% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of totl billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,,percent of total billed charges,61% of total billed charges,15.92,100,,,fee schedule,100% of CMS fee schedule,9.84,15.92,
"HEAVY METAL BLOOD, CADMIUM",41000509,CDM,301,RC,82300,HCPCS,Outpatient,,,30.42,24.34,,25.86,85,,20.69,percent of total billed charges,85% of total billed charges,25.86,85,,20.69,percent of total billed charges,85% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,22.6,74,,18.08,percent of total billed charges,74.28% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,22.6,74,,18.08,percent of total billed charges,74.28% of total billed charges,18.56,61,,14.85,percent of total billed charges,61% of total billed charges,22.6,74,,18.08,percent of total billed charges,74.28% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,27.38,90,,21.9,percent of total billed charges,90% of total billed charges,27.38,90,,21.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.64,100,,,fee schedule,100% of CMS fee schedule,23.64,100,,,fee schedule,100% of CMS fee schedule,26.53,87.2,,,percent of total billed charges,87.2% of total billed charges,17.95,59,,14.36,percent of total billed charges,59% of total billed charges,26.53,87.2,,21.22,percent of total billed charges,87.2% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,24.73,81.29,,19.78,percent of total billed charges,81.29% of total billed charges,27.38,90,,21.9,percent of total billed charges,90% of totl billed charges,27.38,90,,21.9,percent of total billed charges,90% of total billed charges,18.56,61,,14.85,percent of total billed charges,61% of total billed charges,18.56,61,,14.85,percent of total billed charges,61% of total billed charges,27.38,90,,21.9,percent of total billed charges,90% of total billed charges,27.38,90,,21.9,percent of total billed charges,90% of total billed charges,18.56,61,,14.85,percent of total billed charges,61% of total billed charges,18.56,61,,14.85,percent of total billed charges,61% of total billed charges,18.56,61,,,percent of total billed charges,61% of total billed charges,23.64,100,,,fee schedule,100% of CMS fee schedule,17.95,27.38,
VIT D HYDROXY,41000126,CDM,301,RC,82306,HCPCS,Outpatient,,,92.83,74.26,,78.91,85,,63.13,percent of total billed charges,85% of total billed charges,78.91,85,,63.13,percent of total billed charges,85% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,68.95,74,,55.16,percent of total billed charges,74.28% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,68.95,74,,55.16,percent of total billed charges,74.28% of total billed charges,56.63,61,,45.3,percent of total billed charges,61% of total billed charges,68.95,74,,55.16,percent of total billed charges,74.28% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,83.55,90,,66.84,percent of total billed charges,90% of total billed charges,83.55,90,,66.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.6,100,,,fee schedule,100% of CMS fee schedule,29.6,100,,,fee schedule,100% of CMS fee schedule,80.95,87.2,,,percent of total billed charges,87.2% of total billed charges,54.77,59,,43.82,percent of total billed charges,59% of total billed charges,80.95,87.2,,64.76,percent of total billed charges,87.2% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,75.46,81.29,,60.37,percent of total billed charges,81.29% of total billed charges,83.55,90,,66.84,percent of total billed charges,90% of totl billed charges,83.55,90,,66.84,percent of total billed charges,90% of total billed charges,56.63,61,,45.3,percent of total billed charges,61% of total billed charges,56.63,61,,45.3,percent of total billed charges,61% of total billed charges,83.55,90,,66.84,percent of total billed charges,90% of total billed charges,83.55,90,,66.84,percent of total billed charges,90% of total billed charges,56.63,61,,45.3,percent of total billed charges,61% of total billed charges,56.63,61,,45.3,percent of total billed charges,61% of total billed charges,56.63,61,,,percent of total billed charges,61% of total billed charges,29.6,100,,,fee schedule,100% of CMS fee schedule,29.6,83.55,
"CALCIUM, TOTAL",41000005,CDM,301,RC,82310,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.16,100,,,fee schedule,100% of CMS fee schedule,5.16,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,5.16,100,,,fee schedule,100% of CMS fee schedule,5.16,45.12,
CALCIUM IONIZED,41009163,CDM,301,RC,82330,HCPCS,Outpatient,,,14.24,11.39,,12.1,85,,9.68,percent of total billed charges,85% of total billed charges,12.1,85,,9.68,percent of total billed charges,85% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,10.58,74,,8.46,percent of total billed charges,74.28% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,10.58,74,,8.46,percent of total billed charges,74.28% of total billed charges,8.69,61,,6.95,percent of total billed charges,61% of total billed charges,10.58,74,,8.46,percent of total billed charges,74.28% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,12.82,90,,10.26,percent of total billed charges,90% of total billed charges,12.82,90,,10.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.68,100,,,fee schedule,100% of CMS fee schedule,13.68,100,,,fee schedule,100% of CMS fee schedule,12.42,87.2,,,percent of total billed charges,87.2% of total billed charges,8.4,59,,6.72,percent of total billed charges,59% of total billed charges,12.42,87.2,,9.94,percent of total billed charges,87.2% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,11.58,81.29,,9.26,percent of total billed charges,81.29% of total billed charges,12.82,90,,10.26,percent of total billed charges,90% of totl billed charges,12.82,90,,10.26,percent of total billed charges,90% of total billed charges,8.69,61,,6.95,percent of total billed charges,61% of total billed charges,8.69,61,,6.95,percent of total billed charges,61% of total billed charges,12.82,90,,10.26,percent of total billed charges,90% of total billed charges,12.82,90,,10.26,percent of total billed charges,90% of total billed charges,8.69,61,,6.95,percent of total billed charges,61% of total billed charges,8.69,61,,6.95,percent of total billed charges,61% of total billed charges,8.69,61,,,percent of total billed charges,61% of total billed charges,13.68,100,,,fee schedule,100% of CMS fee schedule,8.4,13.68,
CALCIUM(24 HR URINE),41009056,CDM,301,RC,82340,HCPCS,Outpatient,,,48.67,38.94,,41.37,85,,33.1,percent of total billed charges,85% of total billed charges,41.37,85,,33.1,percent of total billed charges,85% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,36.15,74,,28.92,percent of total billed charges,74.28% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,36.15,74,,28.92,percent of total billed charges,74.28% of total billed charges,29.69,61,,23.75,percent of total billed charges,61% of total billed charges,36.15,74,,28.92,percent of total billed charges,74.28% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,43.8,90,,35.04,percent of total billed charges,90% of total billed charges,43.8,90,,35.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.03,100,,,fee schedule,100% of CMS fee schedule,6.03,100,,,fee schedule,100% of CMS fee schedule,42.44,87.2,,,percent of total billed charges,87.2% of total billed charges,28.72,59,,22.98,percent of total billed charges,59% of total billed charges,42.44,87.2,,33.95,percent of total billed charges,87.2% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,39.56,81.29,,31.65,percent of total billed charges,81.29% of total billed charges,43.8,90,,35.04,percent of total billed charges,90% of totl billed charges,43.8,90,,35.04,percent of total billed charges,90% of total billed charges,29.69,61,,23.75,percent of total billed charges,61% of total billed charges,29.69,61,,23.75,percent of total billed charges,61% of total billed charges,43.8,90,,35.04,percent of total billed charges,90% of total billed charges,43.8,90,,35.04,percent of total billed charges,90% of total billed charges,29.69,61,,23.75,percent of total billed charges,61% of total billed charges,29.69,61,,23.75,percent of total billed charges,61% of total billed charges,29.69,61,,,percent of total billed charges,61% of total billed charges,6.03,100,,,fee schedule,100% of CMS fee schedule,6.03,43.8,
STONE ANALYSIS,41000070,CDM,301,RC,82365,HCPCS,Outpatient,,,89.04,71.23,,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,77.64,87.2,,,percent of total billed charges,87.2% of total billed charges,52.53,59,,42.02,percent of total billed charges,59% of total billed charges,77.64,87.2,,62.11,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,72.38,81.29,,57.9,percent of total billed charges,81.29% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of totl billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,80.14,
STONE ANALYSIS PANEL,41001249,CDM,300,RC,82365,HCPCS,Outpatient,,,11.62,9.3,,9.88,85,,7.9,percent of total billed charges,85% of total billed charges,9.88,85,,7.9,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,8.63,74,,6.9,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,8.63,74,,6.9,percent of total billed charges,74.28% of total billed charges,7.09,61,,5.67,percent of total billed charges,61% of total billed charges,8.63,74,,6.9,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,10.46,90,,8.37,percent of total billed charges,90% of total billed charges,10.46,90,,8.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,10.13,87.2,,,percent of total billed charges,87.2% of total billed charges,6.86,59,,5.49,percent of total billed charges,59% of total billed charges,10.13,87.2,,8.1,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,9.45,81.29,,7.56,percent of total billed charges,81.29% of total billed charges,10.46,90,,8.37,percent of total billed charges,90% of totl billed charges,10.46,90,,8.37,percent of total billed charges,90% of total billed charges,7.09,61,,5.67,percent of total billed charges,61% of total billed charges,7.09,61,,5.67,percent of total billed charges,61% of total billed charges,10.46,90,,8.37,percent of total billed charges,90% of total billed charges,10.46,90,,8.37,percent of total billed charges,90% of total billed charges,7.09,61,,5.67,percent of total billed charges,61% of total billed charges,7.09,61,,5.67,percent of total billed charges,61% of total billed charges,7.09,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,6.86,12.9,
BICARBONATE,41000449,CDM,301,RC,82374,HCPCS,Outpatient,,,53.38,42.7,,45.37,85,,36.3,percent of total billed charges,85% of total billed charges,45.37,85,,36.3,percent of total billed charges,85% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,39.65,74,,31.72,percent of total billed charges,74.28% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,39.65,74,,31.72,percent of total billed charges,74.28% of total billed charges,32.56,61,,26.05,percent of total billed charges,61% of total billed charges,39.65,74,,31.72,percent of total billed charges,74.28% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,48.04,90,,38.43,percent of total billed charges,90% of total billed charges,48.04,90,,38.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.88,100,,,fee schedule,100% of CMS fee schedule,4.88,100,,,fee schedule,100% of CMS fee schedule,46.55,87.2,,,percent of total billed charges,87.2% of total billed charges,31.49,59,,25.19,percent of total billed charges,59% of total billed charges,46.55,87.2,,37.24,percent of total billed charges,87.2% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,43.39,81.29,,34.71,percent of total billed charges,81.29% of total billed charges,48.04,90,,38.43,percent of total billed charges,90% of totl billed charges,48.04,90,,38.43,percent of total billed charges,90% of total billed charges,32.56,61,,26.05,percent of total billed charges,61% of total billed charges,32.56,61,,26.05,percent of total billed charges,61% of total billed charges,48.04,90,,38.43,percent of total billed charges,90% of total billed charges,48.04,90,,38.43,percent of total billed charges,90% of total billed charges,32.56,61,,26.05,percent of total billed charges,61% of total billed charges,32.56,61,,26.05,percent of total billed charges,61% of total billed charges,32.56,61,,,percent of total billed charges,61% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,4.88,48.04,
CO2,41000602,CDM,301,RC,82374,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.88,100,,,fee schedule,100% of CMS fee schedule,4.88,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,4.88,100,,,fee schedule,100% of CMS fee schedule,4.88,36.09,
"CARBOXYHEMOGLOBIN,QUANTITATIVE",41000123,CDM,301,RC,82375,HCPCS,Outpatient,,,70.2,56.16,,59.67,85,,47.74,percent of total billed charges,85% of total billed charges,59.67,85,,47.74,percent of total billed charges,85% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,52.14,74,,41.71,percent of total billed charges,74.28% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,52.14,74,,41.71,percent of total billed charges,74.28% of total billed charges,42.82,61,,34.26,percent of total billed charges,61% of total billed charges,52.14,74,,41.71,percent of total billed charges,74.28% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,63.18,90,,50.54,percent of total billed charges,90% of total billed charges,63.18,90,,50.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.32,100,,,fee schedule,100% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,61.21,87.2,,,percent of total billed charges,87.2% of total billed charges,41.42,59,,33.14,percent of total billed charges,59% of total billed charges,61.21,87.2,,48.97,percent of total billed charges,87.2% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,57.07,81.29,,45.66,percent of total billed charges,81.29% of total billed charges,63.18,90,,50.54,percent of total billed charges,90% of totl billed charges,63.18,90,,50.54,percent of total billed charges,90% of total billed charges,42.82,61,,34.26,percent of total billed charges,61% of total billed charges,42.82,61,,34.26,percent of total billed charges,61% of total billed charges,63.18,90,,50.54,percent of total billed charges,90% of total billed charges,63.18,90,,50.54,percent of total billed charges,90% of total billed charges,42.82,61,,34.26,percent of total billed charges,61% of total billed charges,42.82,61,,34.26,percent of total billed charges,61% of total billed charges,42.82,61,,,percent of total billed charges,61% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,12.32,63.18,
CARBOXYHEMOGLOBIN,41001248,CDM,300,RC,82375,HCPCS,Outpatient,,,11.52,9.22,,9.79,85,,7.83,percent of total billed charges,85% of total billed charges,9.79,85,,7.83,percent of total billed charges,85% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,8.56,74,,6.85,percent of total billed charges,74.28% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,10.37,90,,8.3,percent of total billed charges,90% of total billed charges,10.37,90,,8.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.32,100,,,fee schedule,100% of CMS fee schedule,12.32,100,,,fee schedule,100% of CMS fee schedule,10.05,87.2,,,percent of total billed charges,87.2% of total billed charges,6.8,59,,5.44,percent of total billed charges,59% of total billed charges,10.05,87.2,,8.04,percent of total billed charges,87.2% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,9.36,81.29,,7.49,percent of total billed charges,81.29% of total billed charges,10.37,90,,8.3,percent of total billed charges,90% of totl billed charges,10.37,90,,8.3,percent of total billed charges,90% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,10.37,90,,8.3,percent of total billed charges,90% of total billed charges,10.37,90,,8.3,percent of total billed charges,90% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,5.62,percent of total billed charges,61% of total billed charges,7.03,61,,,percent of total billed charges,61% of total billed charges,12.32,100,,,fee schedule,100% of CMS fee schedule,6.8,12.32,
CEA,41009020,CDM,301,RC,82378,HCPCS,Outpatient,,,58.08,46.46,,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.96,100,,,fee schedule,100% of CMS fee schedule,18.96,100,,,fee schedule,100% of CMS fee schedule,50.65,87.2,,,percent of total billed charges,87.2% of total billed charges,34.27,59,,27.42,percent of total billed charges,59% of total billed charges,50.65,87.2,,40.52,percent of total billed charges,87.2% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,47.21,81.29,,37.77,percent of total billed charges,81.29% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of totl billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,,percent of total billed charges,61% of total billed charges,18.96,100,,,fee schedule,100% of CMS fee schedule,18.96,52.27,
CAROTENE,41000069,CDM,301,RC,82380,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.22,100,,,fee schedule,100% of CMS fee schedule,9.22,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,9.22,100,,,fee schedule,100% of CMS fee schedule,9.22,58.1,
"CATECHOLAMINES, PLASMA",41000531,CDM,301,RC,82383,HCPCS,Outpatient,,,165.89,132.71,,141.01,85,,112.81,percent of total billed charges,85% of total billed charges,141.01,85,,112.81,percent of total billed charges,85% of total billed charges,29.08,100,,,fee schedule,100% of CMS fee schedule,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,29.08,100,,,fee schedule,100% of CMS fee schedule,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,29.08,100,,,fee schedule,100% of CMS fee schedule,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.08,100,,,fee schedule,100% of CMS fee schedule,29.08,100,,,fee schedule,100% of CMS fee schedule,144.66,87.2,,,percent of total billed charges,87.2% of total billed charges,97.88,59,,78.3,percent of total billed charges,59% of total billed charges,144.66,87.2,,115.73,percent of total billed charges,87.2% of total billed charges,29.08,100,,,fee schedule,100% of CMS fee schedule,134.85,81.29,,107.88,percent of total billed charges,81.29% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of totl billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,,percent of total billed charges,61% of total billed charges,29.08,100,,,fee schedule,100% of CMS fee schedule,29.08,149.3,
"CATECHOLAMINES, PLASMA",41000178,CDM,301,RC,82384,HCPCS,Outpatient,,,165.89,132.71,,141.01,85,,112.81,percent of total billed charges,85% of total billed charges,141.01,85,,112.81,percent of total billed charges,85% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,123.22,74,,98.58,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,144.66,87.2,,,percent of total billed charges,87.2% of total billed charges,97.88,59,,78.3,percent of total billed charges,59% of total billed charges,144.66,87.2,,115.73,percent of total billed charges,87.2% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,134.85,81.29,,107.88,percent of total billed charges,81.29% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of totl billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,149.3,90,,119.44,percent of total billed charges,90% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,80.95,percent of total billed charges,61% of total billed charges,101.19,61,,,percent of total billed charges,61% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,149.3,
"CATECHOLAMINES, 24 HR URINE",41000578,CDM,301,RC,82384,HCPCS,Outpatient,,,171.13,136.9,,145.46,85,,116.37,percent of total billed charges,85% of total billed charges,145.46,85,,116.37,percent of total billed charges,85% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,127.12,74,,101.7,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,127.12,74,,101.7,percent of total billed charges,74.28% of total billed charges,104.39,61,,83.51,percent of total billed charges,61% of total billed charges,127.12,74,,101.7,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,154.02,90,,123.22,percent of total billed charges,90% of total billed charges,154.02,90,,123.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,149.23,87.2,,,percent of total billed charges,87.2% of total billed charges,100.97,59,,80.78,percent of total billed charges,59% of total billed charges,149.23,87.2,,119.38,percent of total billed charges,87.2% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,139.11,81.29,,111.29,percent of total billed charges,81.29% of total billed charges,154.02,90,,123.22,percent of total billed charges,90% of totl billed charges,154.02,90,,123.22,percent of total billed charges,90% of total billed charges,104.39,61,,83.51,percent of total billed charges,61% of total billed charges,104.39,61,,83.51,percent of total billed charges,61% of total billed charges,154.02,90,,123.22,percent of total billed charges,90% of total billed charges,154.02,90,,123.22,percent of total billed charges,90% of total billed charges,104.39,61,,83.51,percent of total billed charges,61% of total billed charges,104.39,61,,83.51,percent of total billed charges,61% of total billed charges,104.39,61,,,percent of total billed charges,61% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,154.02,
CATECHOLAMINES TOTAL URINE,41009025,CDM,301,RC,82384,HCPCS,Outpatient,,,150.32,120.26,,127.77,85,,102.22,percent of total billed charges,85% of total billed charges,127.77,85,,102.22,percent of total billed charges,85% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,111.66,74,,89.33,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,111.66,74,,89.33,percent of total billed charges,74.28% of total billed charges,91.7,61,,73.36,percent of total billed charges,61% of total billed charges,111.66,74,,89.33,percent of total billed charges,74.28% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,135.29,90,,108.23,percent of total billed charges,90% of total billed charges,135.29,90,,108.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,100,,,fee schedule,100% of CMS fee schedule,131.08,87.2,,,percent of total billed charges,87.2% of total billed charges,88.69,59,,70.95,percent of total billed charges,59% of total billed charges,131.08,87.2,,104.86,percent of total billed charges,87.2% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,122.2,81.29,,97.76,percent of total billed charges,81.29% of total billed charges,135.29,90,,108.23,percent of total billed charges,90% of totl billed charges,135.29,90,,108.23,percent of total billed charges,90% of total billed charges,91.7,61,,73.36,percent of total billed charges,61% of total billed charges,91.7,61,,73.36,percent of total billed charges,61% of total billed charges,135.29,90,,108.23,percent of total billed charges,90% of total billed charges,135.29,90,,108.23,percent of total billed charges,90% of total billed charges,91.7,61,,73.36,percent of total billed charges,61% of total billed charges,91.7,61,,73.36,percent of total billed charges,61% of total billed charges,91.7,61,,,percent of total billed charges,61% of total billed charges,25.25,100,,,fee schedule,100% of CMS fee schedule,25.25,135.29,
CERULOPLASIM,41000083,CDM,301,RC,82390,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,99.91,
PTH RELATED PEPTIDE,41001228,CDM,301,RC,82397,HCPCS,Outpatient,,,49.48,39.58,,42.06,85,,33.65,percent of total billed charges,85% of total billed charges,42.06,85,,33.65,percent of total billed charges,85% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,36.75,74,,29.4,percent of total billed charges,74.28% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,36.75,74,,29.4,percent of total billed charges,74.28% of total billed charges,30.18,61,,24.14,percent of total billed charges,61% of total billed charges,36.75,74,,29.4,percent of total billed charges,74.28% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,44.53,90,,35.62,percent of total billed charges,90% of total billed charges,44.53,90,,35.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,100,,,fee schedule,100% of CMS fee schedule,43.15,87.2,,,percent of total billed charges,87.2% of total billed charges,29.19,59,,23.35,percent of total billed charges,59% of total billed charges,43.15,87.2,,34.52,percent of total billed charges,87.2% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,40.22,81.29,,32.18,percent of total billed charges,81.29% of total billed charges,44.53,90,,35.62,percent of total billed charges,90% of totl billed charges,44.53,90,,35.62,percent of total billed charges,90% of total billed charges,30.18,61,,24.14,percent of total billed charges,61% of total billed charges,30.18,61,,24.14,percent of total billed charges,61% of total billed charges,44.53,90,,35.62,percent of total billed charges,90% of total billed charges,44.53,90,,35.62,percent of total billed charges,90% of total billed charges,30.18,61,,24.14,percent of total billed charges,61% of total billed charges,30.18,61,,24.14,percent of total billed charges,61% of total billed charges,30.18,61,,,percent of total billed charges,61% of total billed charges,14.12,100,,,fee schedule,100% of CMS fee schedule,14.12,44.53,
"CHLORIDE,BLOOD",41000026,CDM,301,RC,82435,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.6,100,,,fee schedule,100% of CMS fee schedule,4.6,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,4.6,100,,,fee schedule,100% of CMS fee schedule,4.6,36.09,
"CHLORIDE,URINE",41000401,CDM,301,RC,82436,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.75,100,,,fee schedule,100% of CMS fee schedule,5.75,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,5.75,100,,,fee schedule,100% of CMS fee schedule,5.75,43.26,
CSF CHLORIDE,41000728,CDM,301,RC,82438,HCPCS,Outpatient,,,34.77,27.82,,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5,100,,,fee schedule,100% of CMS fee schedule,5,100,,,fee schedule,100% of CMS fee schedule,30.32,87.2,,,percent of total billed charges,87.2% of total billed charges,20.51,59,,16.41,percent of total billed charges,59% of total billed charges,30.32,87.2,,24.26,percent of total billed charges,87.2% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,28.26,81.29,,22.61,percent of total billed charges,81.29% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of totl billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,,percent of total billed charges,61% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,5,31.29,
"CHLORIDE, CSF",41001132,CDM,301,RC,82438,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5,100,,,fee schedule,100% of CMS fee schedule,5,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,5,100,,,fee schedule,100% of CMS fee schedule,5,36.09,
"CHOLESTEROL,SERUM/WHOLE BLOOD",41000065,CDM,301,RC,82465,HCPCS,Outpatient,,,24.93,19.94,,21.19,85,,16.95,percent of total billed charges,85% of total billed charges,21.19,85,,16.95,percent of total billed charges,85% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,18.52,74,,14.82,percent of total billed charges,74.28% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,18.52,74,,14.82,percent of total billed charges,74.28% of total billed charges,15.21,61,,12.17,percent of total billed charges,61% of total billed charges,18.52,74,,14.82,percent of total billed charges,74.28% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,22.44,90,,17.95,percent of total billed charges,90% of total billed charges,22.44,90,,17.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.35,100,,,fee schedule,100% of CMS fee schedule,4.35,100,,,fee schedule,100% of CMS fee schedule,21.74,87.2,,,percent of total billed charges,87.2% of total billed charges,14.71,59,,11.77,percent of total billed charges,59% of total billed charges,21.74,87.2,,17.39,percent of total billed charges,87.2% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,20.27,81.29,,16.22,percent of total billed charges,81.29% of total billed charges,22.44,90,,17.95,percent of total billed charges,90% of totl billed charges,22.44,90,,17.95,percent of total billed charges,90% of total billed charges,15.21,61,,12.17,percent of total billed charges,61% of total billed charges,15.21,61,,12.17,percent of total billed charges,61% of total billed charges,22.44,90,,17.95,percent of total billed charges,90% of total billed charges,22.44,90,,17.95,percent of total billed charges,90% of total billed charges,15.21,61,,12.17,percent of total billed charges,61% of total billed charges,15.21,61,,12.17,percent of total billed charges,61% of total billed charges,15.21,61,,,percent of total billed charges,61% of total billed charges,4.35,100,,,fee schedule,100% of CMS fee schedule,4.35,22.44,
CHOLINESTERASE SERUM,41000466,CDM,301,RC,82480,HCPCS,Outpatient,,,71.91,57.53,,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.87,100,,,fee schedule,100% of CMS fee schedule,7.87,100,,,fee schedule,100% of CMS fee schedule,62.71,87.2,,,percent of total billed charges,87.2% of total billed charges,42.43,59,,33.94,percent of total billed charges,59% of total billed charges,62.71,87.2,,50.17,percent of total billed charges,87.2% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,58.46,81.29,,46.77,percent of total billed charges,81.29% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of totl billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,,percent of total billed charges,61% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,7.87,64.72,
CHOLENESTERASE-SERUM,41009061,CDM,301,RC,82480,HCPCS,Outpatient,,,57.41,45.93,,48.8,85,,39.04,percent of total billed charges,85% of total billed charges,48.8,85,,39.04,percent of total billed charges,85% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,42.64,74,,34.11,percent of total billed charges,74.28% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,42.64,74,,34.11,percent of total billed charges,74.28% of total billed charges,35.02,61,,28.02,percent of total billed charges,61% of total billed charges,42.64,74,,34.11,percent of total billed charges,74.28% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,51.67,90,,41.34,percent of total billed charges,90% of total billed charges,51.67,90,,41.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.87,100,,,fee schedule,100% of CMS fee schedule,7.87,100,,,fee schedule,100% of CMS fee schedule,50.06,87.2,,,percent of total billed charges,87.2% of total billed charges,33.87,59,,27.1,percent of total billed charges,59% of total billed charges,50.06,87.2,,40.05,percent of total billed charges,87.2% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,46.67,81.29,,37.34,percent of total billed charges,81.29% of total billed charges,51.67,90,,41.34,percent of total billed charges,90% of totl billed charges,51.67,90,,41.34,percent of total billed charges,90% of total billed charges,35.02,61,,28.02,percent of total billed charges,61% of total billed charges,35.02,61,,28.02,percent of total billed charges,61% of total billed charges,51.67,90,,41.34,percent of total billed charges,90% of total billed charges,51.67,90,,41.34,percent of total billed charges,90% of total billed charges,35.02,61,,28.02,percent of total billed charges,61% of total billed charges,35.02,61,,28.02,percent of total billed charges,61% of total billed charges,35.02,61,,,percent of total billed charges,61% of total billed charges,7.87,100,,,fee schedule,100% of CMS fee schedule,7.87,51.67,
CHOLINESTERASE-RBC,41009064,CDM,301,RC,82482,HCPCS,Outpatient,,,71.91,57.53,,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.81,100,,,fee schedule,100% of CMS fee schedule,9.81,100,,,fee schedule,100% of CMS fee schedule,62.71,87.2,,,percent of total billed charges,87.2% of total billed charges,42.43,59,,33.94,percent of total billed charges,59% of total billed charges,62.71,87.2,,50.17,percent of total billed charges,87.2% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,58.46,81.29,,46.77,percent of total billed charges,81.29% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of totl billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,,percent of total billed charges,61% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,9.81,64.72,
"CHOLINESTERASE, RBC",41009095,CDM,301,RC,82482,HCPCS,Outpatient,,,71.91,57.53,,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.81,100,,,fee schedule,100% of CMS fee schedule,9.81,100,,,fee schedule,100% of CMS fee schedule,62.71,87.2,,,percent of total billed charges,87.2% of total billed charges,42.43,59,,33.94,percent of total billed charges,59% of total billed charges,62.71,87.2,,50.17,percent of total billed charges,87.2% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,58.46,81.29,,46.77,percent of total billed charges,81.29% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of totl billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,,percent of total billed charges,61% of total billed charges,9.81,100,,,fee schedule,100% of CMS fee schedule,9.81,64.72,
CITRATE 24 HR URINE,41000228,CDM,301,RC,82507,HCPCS,Outpatient,,,187.57,150.06,,159.43,85,,127.54,percent of total billed charges,85% of total billed charges,159.43,85,,127.54,percent of total billed charges,85% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.8,100,,,fee schedule,100% of CMS fee schedule,27.8,100,,,fee schedule,100% of CMS fee schedule,163.56,87.2,,,percent of total billed charges,87.2% of total billed charges,110.67,59,,88.54,percent of total billed charges,59% of total billed charges,163.56,87.2,,130.85,percent of total billed charges,87.2% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,152.48,81.29,,121.98,percent of total billed charges,81.29% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of totl billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,,percent of total billed charges,61% of total billed charges,27.8,100,,,fee schedule,100% of CMS fee schedule,27.8,168.81,
COCAINE (QUAN),41000422,CDM,301,RC,82520,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,38.41,52,,30.73,percent of total billed charges,52% of total billed charges,38.41,66.47,
"NTX, SERUM",41009101,CDM,301,RC,82523,HCPCS,Outpatient,,,228.48,182.78,,194.21,85,,155.37,percent of total billed charges,85% of total billed charges,194.21,85,,155.37,percent of total billed charges,85% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.68,100,,,fee schedule,100% of CMS fee schedule,18.68,100,,,fee schedule,100% of CMS fee schedule,199.23,87.2,,,percent of total billed charges,87.2% of total billed charges,134.8,59,,107.84,percent of total billed charges,59% of total billed charges,199.23,87.2,,159.38,percent of total billed charges,87.2% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,185.73,81.29,,148.58,percent of total billed charges,81.29% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of totl billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,,percent of total billed charges,61% of total billed charges,18.68,100,,,fee schedule,100% of CMS fee schedule,18.68,205.63,
COPPER - SERUM,41000298,CDM,301,RC,82525,HCPCS,Outpatient,,,41.9,33.52,,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,36.54,87.2,,,percent of total billed charges,87.2% of total billed charges,24.72,59,,19.78,percent of total billed charges,59% of total billed charges,36.54,87.2,,29.23,percent of total billed charges,87.2% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,34.06,81.29,,27.25,percent of total billed charges,81.29% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of totl billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,,percent of total billed charges,61% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,37.71,
"COPPER, URINE 24 HR",41009129,CDM,301,RC,82525,HCPCS,Outpatient,,,47.78,38.22,,40.61,85,,32.49,percent of total billed charges,85% of total billed charges,40.61,85,,32.49,percent of total billed charges,85% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,35.49,74,,28.39,percent of total billed charges,74.28% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,43,90,,34.4,percent of total billed charges,90% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,100,,,fee schedule,100% of CMS fee schedule,41.66,87.2,,,percent of total billed charges,87.2% of total billed charges,28.19,59,,22.55,percent of total billed charges,59% of total billed charges,41.66,87.2,,33.33,percent of total billed charges,87.2% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,38.84,81.29,,31.07,percent of total billed charges,81.29% of total billed charges,43,90,,34.4,percent of total billed charges,90% of totl billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,43,90,,34.4,percent of total billed charges,90% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,23.32,percent of total billed charges,61% of total billed charges,29.15,61,,,percent of total billed charges,61% of total billed charges,12.41,100,,,fee schedule,100% of CMS fee schedule,12.41,43,
"URINE, 24 HR CORTISOL",41000333,CDM,301,RC,82533,HCPCS,Outpatient,,,52.7,42.16,,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,45.95,87.2,,,percent of total billed charges,87.2% of total billed charges,31.09,59,,24.87,percent of total billed charges,59% of total billed charges,45.95,87.2,,36.76,percent of total billed charges,87.2% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,42.84,81.29,,34.27,percent of total billed charges,81.29% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of totl billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,,percent of total billed charges,61% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,47.43,
CORTISOL SERUM,41009010,CDM,301,RC,82533,HCPCS,Outpatient,,,52.7,42.16,,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,45.95,87.2,,,percent of total billed charges,87.2% of total billed charges,31.09,59,,24.87,percent of total billed charges,59% of total billed charges,45.95,87.2,,36.76,percent of total billed charges,87.2% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,42.84,81.29,,34.27,percent of total billed charges,81.29% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of totl billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,,percent of total billed charges,61% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,47.43,
FATTY ACID PROFILE ESS C12-C22,41001044,CDM,301,RC,82542,HCPCS,Outpatient,,,183.09,146.47,,155.63,85,,124.5,percent of total billed charges,85% of total billed charges,155.63,85,,124.5,percent of total billed charges,85% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,136,74,,108.8,percent of total billed charges,74.28% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,136,74,,108.8,percent of total billed charges,74.28% of total billed charges,111.68,61,,89.34,percent of total billed charges,61% of total billed charges,136,74,,108.8,percent of total billed charges,74.28% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,164.78,90,,131.82,percent of total billed charges,90% of total billed charges,164.78,90,,131.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,159.65,87.2,,,percent of total billed charges,87.2% of total billed charges,108.02,59,,86.42,percent of total billed charges,59% of total billed charges,159.65,87.2,,127.72,percent of total billed charges,87.2% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,148.83,81.29,,119.06,percent of total billed charges,81.29% of total billed charges,164.78,90,,131.82,percent of total billed charges,90% of totl billed charges,164.78,90,,131.82,percent of total billed charges,90% of total billed charges,111.68,61,,89.34,percent of total billed charges,61% of total billed charges,111.68,61,,89.34,percent of total billed charges,61% of total billed charges,164.78,90,,131.82,percent of total billed charges,90% of total billed charges,164.78,90,,131.82,percent of total billed charges,90% of total billed charges,111.68,61,,89.34,percent of total billed charges,61% of total billed charges,111.68,61,,89.34,percent of total billed charges,61% of total billed charges,111.68,61,,,percent of total billed charges,61% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,164.78,
"COENZYME, Q 10",41001136,CDM,301,RC,82542,HCPCS,Outpatient,,,228.89,183.11,,194.56,85,,155.65,percent of total billed charges,85% of total billed charges,194.56,85,,155.65,percent of total billed charges,85% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,170.02,74,,136.02,percent of total billed charges,74.28% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,170.02,74,,136.02,percent of total billed charges,74.28% of total billed charges,139.62,61,,111.7,percent of total billed charges,61% of total billed charges,170.02,74,,136.02,percent of total billed charges,74.28% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,206,90,,164.8,percent of total billed charges,90% of total billed charges,206,90,,164.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,100,,,fee schedule,100% of CMS fee schedule,199.59,87.2,,,percent of total billed charges,87.2% of total billed charges,135.05,59,,108.04,percent of total billed charges,59% of total billed charges,199.59,87.2,,159.67,percent of total billed charges,87.2% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,186.06,81.29,,148.85,percent of total billed charges,81.29% of total billed charges,206,90,,164.8,percent of total billed charges,90% of totl billed charges,206,90,,164.8,percent of total billed charges,90% of total billed charges,139.62,61,,111.7,percent of total billed charges,61% of total billed charges,139.62,61,,111.7,percent of total billed charges,61% of total billed charges,206,90,,164.8,percent of total billed charges,90% of total billed charges,206,90,,164.8,percent of total billed charges,90% of total billed charges,139.62,61,,111.7,percent of total billed charges,61% of total billed charges,139.62,61,,111.7,percent of total billed charges,61% of total billed charges,139.62,61,,,percent of total billed charges,61% of total billed charges,24.09,100,,,fee schedule,100% of CMS fee schedule,24.09,206,
"CPK, TOTAL",41000007,CDM,301,RC,82550,HCPCS,Outpatient,,,90.15,72.12,,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,76.63,85,,61.3,percent of total billed charges,85% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,66.96,74,,53.57,percent of total billed charges,74.28% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.51,100,,,fee schedule,100% of CMS fee schedule,6.51,100,,,fee schedule,100% of CMS fee schedule,78.61,87.2,,,percent of total billed charges,87.2% of total billed charges,53.19,59,,42.55,percent of total billed charges,59% of total billed charges,78.61,87.2,,62.89,percent of total billed charges,87.2% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,73.28,81.29,,58.62,percent of total billed charges,81.29% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of totl billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,81.14,90,,64.91,percent of total billed charges,90% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,43.99,percent of total billed charges,61% of total billed charges,54.99,61,,,percent of total billed charges,61% of total billed charges,6.51,100,,,fee schedule,100% of CMS fee schedule,6.51,81.14,
CPK ISOENZYMES,41000078,CDM,301,RC,82552,HCPCS,Outpatient,,,136.8,109.44,,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.39,100,,,fee schedule,100% of CMS fee schedule,13.39,100,,,fee schedule,100% of CMS fee schedule,119.29,87.2,,,percent of total billed charges,87.2% of total billed charges,80.71,59,,64.57,percent of total billed charges,59% of total billed charges,119.29,87.2,,95.43,percent of total billed charges,87.2% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,111.2,81.29,,88.96,percent of total billed charges,81.29% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of totl billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,,percent of total billed charges,61% of total billed charges,13.39,100,,,fee schedule,100% of CMS fee schedule,13.39,123.12,
CKMB,41000224,CDM,301,RC,82553,HCPCS,Outpatient,,,98.4,78.72,,83.64,85,,66.91,percent of total billed charges,85% of total billed charges,83.64,85,,66.91,percent of total billed charges,85% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,73.09,74,,58.47,percent of total billed charges,74.28% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.55,100,,,fee schedule,100% of CMS fee schedule,11.55,100,,,fee schedule,100% of CMS fee schedule,85.8,87.2,,,percent of total billed charges,87.2% of total billed charges,58.06,59,,46.45,percent of total billed charges,59% of total billed charges,85.8,87.2,,68.64,percent of total billed charges,87.2% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,79.99,81.29,,63.99,percent of total billed charges,81.29% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of totl billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,88.56,90,,70.85,percent of total billed charges,90% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,48.02,percent of total billed charges,61% of total billed charges,60.02,61,,,percent of total billed charges,61% of total billed charges,11.55,100,,,fee schedule,100% of CMS fee schedule,11.55,88.56,
"CREATININE, BLOOD",41000008,CDM,301,RC,82565,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.12,100,,,fee schedule,100% of CMS fee schedule,5.12,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,5.12,100,,,fee schedule,100% of CMS fee schedule,5.12,36.09,
CREATININE URINE,41001006,CDM,301,RC,82570,HCPCS,Outpatient,,,46.88,37.5,,39.85,85,,31.88,percent of total billed charges,85% of total billed charges,39.85,85,,31.88,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,40.88,87.2,,,percent of total billed charges,87.2% of total billed charges,27.66,59,,22.13,percent of total billed charges,59% of total billed charges,40.88,87.2,,32.7,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,38.11,81.29,,30.49,percent of total billed charges,81.29% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of totl billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,42.19,
CREATININE CLEARANCE,41000066,CDM,301,RC,82575,HCPCS,Outpatient,,,136.8,109.44,,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,116.28,85,,93.02,percent of total billed charges,85% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,101.62,74,,81.3,percent of total billed charges,74.28% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.46,100,,,fee schedule,100% of CMS fee schedule,9.46,100,,,fee schedule,100% of CMS fee schedule,119.29,87.2,,,percent of total billed charges,87.2% of total billed charges,80.71,59,,64.57,percent of total billed charges,59% of total billed charges,119.29,87.2,,95.43,percent of total billed charges,87.2% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,111.2,81.29,,88.96,percent of total billed charges,81.29% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of totl billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,123.12,90,,98.5,percent of total billed charges,90% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,66.76,percent of total billed charges,61% of total billed charges,83.45,61,,,percent of total billed charges,61% of total billed charges,9.46,100,,,fee schedule,100% of CMS fee schedule,9.46,123.12,
"CRYOGLOBULIN,QUAL.",41000263,CDM,301,RC,82595,HCPCS,Outpatient,,,28.94,23.15,,24.6,85,,19.68,percent of total billed charges,85% of total billed charges,24.6,85,,19.68,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,17.65,61,,14.12,percent of total billed charges,61% of total billed charges,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,26.05,90,,20.84,percent of total billed charges,90% of total billed charges,26.05,90,,20.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,25.24,87.2,,,percent of total billed charges,87.2% of total billed charges,17.07,59,,13.66,percent of total billed charges,59% of total billed charges,25.24,87.2,,20.19,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,23.53,81.29,,18.82,percent of total billed charges,81.29% of total billed charges,26.05,90,,20.84,percent of total billed charges,90% of totl billed charges,26.05,90,,20.84,percent of total billed charges,90% of total billed charges,17.65,61,,14.12,percent of total billed charges,61% of total billed charges,17.65,61,,14.12,percent of total billed charges,61% of total billed charges,26.05,90,,20.84,percent of total billed charges,90% of total billed charges,26.05,90,,20.84,percent of total billed charges,90% of total billed charges,17.65,61,,14.12,percent of total billed charges,61% of total billed charges,17.65,61,,14.12,percent of total billed charges,61% of total billed charges,17.65,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,26.05,
"CRYOGLOBULIN, QUANT",41000317,CDM,301,RC,82595,HCPCS,Outpatient,,,91.34,73.07,,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,79.65,87.2,,,percent of total billed charges,87.2% of total billed charges,53.89,59,,43.11,percent of total billed charges,59% of total billed charges,79.65,87.2,,63.72,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,74.25,81.29,,59.4,percent of total billed charges,81.29% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of totl billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,82.21,
CRYOGLOBULINS,41000327,CDM,301,RC,82595,HCPCS,Outpatient,,,91.34,73.07,,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,77.64,85,,62.11,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,67.85,74,,54.28,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,79.65,87.2,,,percent of total billed charges,87.2% of total billed charges,53.89,59,,43.11,percent of total billed charges,59% of total billed charges,79.65,87.2,,63.72,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,74.25,81.29,,59.4,percent of total billed charges,81.29% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of totl billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,82.21,90,,65.77,percent of total billed charges,90% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,44.58,percent of total billed charges,61% of total billed charges,55.72,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,82.21,
CYANIDE,41009169,CDM,300,RC,82600,HCPCS,Outpatient,,,17.46,13.97,,14.84,85,,11.87,percent of total billed charges,85% of total billed charges,14.84,85,,11.87,percent of total billed charges,85% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,12.97,74,,10.38,percent of total billed charges,74.28% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,12.97,74,,10.38,percent of total billed charges,74.28% of total billed charges,10.65,61,,8.52,percent of total billed charges,61% of total billed charges,12.97,74,,10.38,percent of total billed charges,74.28% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,15.71,90,,12.57,percent of total billed charges,90% of total billed charges,15.71,90,,12.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.4,100,,,fee schedule,100% of CMS fee schedule,19.4,100,,,fee schedule,100% of CMS fee schedule,15.23,87.2,,,percent of total billed charges,87.2% of total billed charges,10.3,59,,8.24,percent of total billed charges,59% of total billed charges,15.23,87.2,,12.18,percent of total billed charges,87.2% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,14.19,81.29,,11.35,percent of total billed charges,81.29% of total billed charges,15.71,90,,12.57,percent of total billed charges,90% of totl billed charges,15.71,90,,12.57,percent of total billed charges,90% of total billed charges,10.65,61,,8.52,percent of total billed charges,61% of total billed charges,10.65,61,,8.52,percent of total billed charges,61% of total billed charges,15.71,90,,12.57,percent of total billed charges,90% of total billed charges,15.71,90,,12.57,percent of total billed charges,90% of total billed charges,10.65,61,,8.52,percent of total billed charges,61% of total billed charges,10.65,61,,8.52,percent of total billed charges,61% of total billed charges,10.65,61,,,percent of total billed charges,61% of total billed charges,19.4,100,,,fee schedule,100% of CMS fee schedule,10.3,19.4,
B 12,41001002,CDM,301,RC,82607,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.08,100,,,fee schedule,100% of CMS fee schedule,15.08,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,15.08,100,,,fee schedule,100% of CMS fee schedule,15.08,44.18,
CYSTATIN C,41001214,CDM,301,RC,82610,HCPCS,Outpatient,,,191.89,153.51,,163.11,85,,130.49,percent of total billed charges,85% of total billed charges,163.11,85,,130.49,percent of total billed charges,85% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,142.54,74,,114.03,percent of total billed charges,74.28% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,142.54,74,,114.03,percent of total billed charges,74.28% of total billed charges,117.05,61,,93.64,percent of total billed charges,61% of total billed charges,142.54,74,,114.03,percent of total billed charges,74.28% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,172.7,90,,138.16,percent of total billed charges,90% of total billed charges,172.7,90,,138.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,167.33,87.2,,,percent of total billed charges,87.2% of total billed charges,113.22,59,,90.58,percent of total billed charges,59% of total billed charges,167.33,87.2,,133.86,percent of total billed charges,87.2% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,155.99,81.29,,124.79,percent of total billed charges,81.29% of total billed charges,172.7,90,,138.16,percent of total billed charges,90% of totl billed charges,172.7,90,,138.16,percent of total billed charges,90% of total billed charges,117.05,61,,93.64,percent of total billed charges,61% of total billed charges,117.05,61,,93.64,percent of total billed charges,61% of total billed charges,172.7,90,,138.16,percent of total billed charges,90% of total billed charges,172.7,90,,138.16,percent of total billed charges,90% of total billed charges,117.05,61,,93.64,percent of total billed charges,61% of total billed charges,117.05,61,,93.64,percent of total billed charges,61% of total billed charges,117.05,61,,,percent of total billed charges,61% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,172.7,
RANDOM CYSTINE,41000729,CDM,301,RC,82615,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,9.55,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,9.55,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,9.55,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.55,100,,,fee schedule,100% of CMS fee schedule,9.55,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,9.55,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,9.55,100,,,fee schedule,100% of CMS fee schedule,9.55,56.38,
"DHEA, SERUM",41000450,CDM,301,RC,82626,HCPCS,Outpatient,,,88.72,70.98,,75.41,85,,60.33,percent of total billed charges,85% of total billed charges,75.41,85,,60.33,percent of total billed charges,85% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,65.9,74,,52.72,percent of total billed charges,74.28% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,65.9,74,,52.72,percent of total billed charges,74.28% of total billed charges,54.12,61,,43.3,percent of total billed charges,61% of total billed charges,65.9,74,,52.72,percent of total billed charges,74.28% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,79.85,90,,63.88,percent of total billed charges,90% of total billed charges,79.85,90,,63.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.27,100,,,fee schedule,100% of CMS fee schedule,25.27,100,,,fee schedule,100% of CMS fee schedule,77.36,87.2,,,percent of total billed charges,87.2% of total billed charges,52.34,59,,41.87,percent of total billed charges,59% of total billed charges,77.36,87.2,,61.89,percent of total billed charges,87.2% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,72.12,81.29,,57.7,percent of total billed charges,81.29% of total billed charges,79.85,90,,63.88,percent of total billed charges,90% of totl billed charges,79.85,90,,63.88,percent of total billed charges,90% of total billed charges,54.12,61,,43.3,percent of total billed charges,61% of total billed charges,54.12,61,,43.3,percent of total billed charges,61% of total billed charges,79.85,90,,63.88,percent of total billed charges,90% of total billed charges,79.85,90,,63.88,percent of total billed charges,90% of total billed charges,54.12,61,,43.3,percent of total billed charges,61% of total billed charges,54.12,61,,43.3,percent of total billed charges,61% of total billed charges,54.12,61,,,percent of total billed charges,61% of total billed charges,25.27,100,,,fee schedule,100% of CMS fee schedule,25.27,79.85,
DHEA-SULFATE,41009067,CDM,301,RC,82627,HCPCS,Outpatient,,,95.32,76.26,,81.02,85,,64.82,percent of total billed charges,85% of total billed charges,81.02,85,,64.82,percent of total billed charges,85% of total billed charges,22.23,100,,,fee schedule,100% of CMS fee schedule,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,22.23,100,,,fee schedule,100% of CMS fee schedule,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,22.23,100,,,fee schedule,100% of CMS fee schedule,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.23,100,,,fee schedule,100% of CMS fee schedule,22.23,100,,,fee schedule,100% of CMS fee schedule,83.12,87.2,,,percent of total billed charges,87.2% of total billed charges,56.24,59,,44.99,percent of total billed charges,59% of total billed charges,83.12,87.2,,66.5,percent of total billed charges,87.2% of total billed charges,22.23,100,,,fee schedule,100% of CMS fee schedule,77.49,81.29,,61.99,percent of total billed charges,81.29% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of totl billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,,percent of total billed charges,61% of total billed charges,22.23,100,,,fee schedule,100% of CMS fee schedule,22.23,85.79,
DIHYDRO TESTOSTERONE,41000791,CDM,301,RC,82651,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,123.29,
"DIHYDROXYVITAMIN D,1,25",41001032,CDM,301,RC,82652,HCPCS,Outpatient,,,331.75,265.4,,281.99,85,,225.59,percent of total billed charges,85% of total billed charges,281.99,85,,225.59,percent of total billed charges,85% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,246.42,74,,197.14,percent of total billed charges,74.28% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,246.42,74,,197.14,percent of total billed charges,74.28% of total billed charges,202.37,61,,161.9,percent of total billed charges,61% of total billed charges,246.42,74,,197.14,percent of total billed charges,74.28% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,298.58,90,,238.86,percent of total billed charges,90% of total billed charges,298.58,90,,238.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.5,100,,,fee schedule,100% of CMS fee schedule,38.5,100,,,fee schedule,100% of CMS fee schedule,289.29,87.2,,,percent of total billed charges,87.2% of total billed charges,195.73,59,,156.58,percent of total billed charges,59% of total billed charges,289.29,87.2,,231.43,percent of total billed charges,87.2% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,269.68,81.29,,215.74,percent of total billed charges,81.29% of total billed charges,298.58,90,,238.86,percent of total billed charges,90% of totl billed charges,298.58,90,,238.86,percent of total billed charges,90% of total billed charges,202.37,61,,161.9,percent of total billed charges,61% of total billed charges,202.37,61,,161.9,percent of total billed charges,61% of total billed charges,298.58,90,,238.86,percent of total billed charges,90% of total billed charges,298.58,90,,238.86,percent of total billed charges,90% of total billed charges,202.37,61,,161.9,percent of total billed charges,61% of total billed charges,202.37,61,,161.9,percent of total billed charges,61% of total billed charges,202.37,61,,,percent of total billed charges,61% of total billed charges,38.5,100,,,fee schedule,100% of CMS fee schedule,38.5,298.58,
RBC ENZYMES,41001169,CDM,301,RC,82657,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.17,100,,,fee schedule,100% of CMS fee schedule,22.17,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,22.17,100,,,fee schedule,100% of CMS fee schedule,22.17,80.7,
"ERYTHROPOIETIN,SERUM",41000162,CDM,301,RC,82668,HCPCS,Outpatient,,,131.87,105.5,,112.09,85,,89.67,percent of total billed charges,85% of total billed charges,112.09,85,,89.67,percent of total billed charges,85% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,97.95,74,,78.36,percent of total billed charges,74.28% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,97.95,74,,78.36,percent of total billed charges,74.28% of total billed charges,80.44,61,,64.35,percent of total billed charges,61% of total billed charges,97.95,74,,78.36,percent of total billed charges,74.28% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,118.68,90,,94.94,percent of total billed charges,90% of total billed charges,118.68,90,,94.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.79,100,,,fee schedule,100% of CMS fee schedule,18.79,100,,,fee schedule,100% of CMS fee schedule,114.99,87.2,,,percent of total billed charges,87.2% of total billed charges,77.8,59,,62.24,percent of total billed charges,59% of total billed charges,114.99,87.2,,91.99,percent of total billed charges,87.2% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,107.2,81.29,,85.76,percent of total billed charges,81.29% of total billed charges,118.68,90,,94.94,percent of total billed charges,90% of totl billed charges,118.68,90,,94.94,percent of total billed charges,90% of total billed charges,80.44,61,,64.35,percent of total billed charges,61% of total billed charges,80.44,61,,64.35,percent of total billed charges,61% of total billed charges,118.68,90,,94.94,percent of total billed charges,90% of total billed charges,118.68,90,,94.94,percent of total billed charges,90% of total billed charges,80.44,61,,64.35,percent of total billed charges,61% of total billed charges,80.44,61,,64.35,percent of total billed charges,61% of total billed charges,80.44,61,,,percent of total billed charges,61% of total billed charges,18.79,100,,,fee schedule,100% of CMS fee schedule,18.79,118.68,
ESTRADIOL (EXT OR ULT SENSITIV,41000792,CDM,301,RC,82670,HCPCS,Outpatient,,,128.09,102.47,,108.88,85,,87.1,percent of total billed charges,85% of total billed charges,108.88,85,,87.1,percent of total billed charges,85% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,95.15,74,,76.12,percent of total billed charges,74.28% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,95.15,74,,76.12,percent of total billed charges,74.28% of total billed charges,78.13,61,,62.5,percent of total billed charges,61% of total billed charges,95.15,74,,76.12,percent of total billed charges,74.28% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,115.28,90,,92.22,percent of total billed charges,90% of total billed charges,115.28,90,,92.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.94,100,,,fee schedule,100% of CMS fee schedule,27.94,100,,,fee schedule,100% of CMS fee schedule,111.69,87.2,,,percent of total billed charges,87.2% of total billed charges,75.57,59,,60.46,percent of total billed charges,59% of total billed charges,111.69,87.2,,89.35,percent of total billed charges,87.2% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,104.12,81.29,,83.3,percent of total billed charges,81.29% of total billed charges,115.28,90,,92.22,percent of total billed charges,90% of totl billed charges,115.28,90,,92.22,percent of total billed charges,90% of total billed charges,78.13,61,,62.5,percent of total billed charges,61% of total billed charges,78.13,61,,62.5,percent of total billed charges,61% of total billed charges,115.28,90,,92.22,percent of total billed charges,90% of total billed charges,115.28,90,,92.22,percent of total billed charges,90% of total billed charges,78.13,61,,62.5,percent of total billed charges,61% of total billed charges,78.13,61,,62.5,percent of total billed charges,61% of total billed charges,78.13,61,,,percent of total billed charges,61% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,27.94,115.28,
ESTRADIOL SERUM,41009013,CDM,301,RC,82670,HCPCS,Outpatient,,,86.15,68.92,,73.23,85,,58.58,percent of total billed charges,85% of total billed charges,73.23,85,,58.58,percent of total billed charges,85% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,63.99,74,,51.19,percent of total billed charges,74.28% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,63.99,74,,51.19,percent of total billed charges,74.28% of total billed charges,52.55,61,,42.04,percent of total billed charges,61% of total billed charges,63.99,74,,51.19,percent of total billed charges,74.28% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,77.54,90,,62.03,percent of total billed charges,90% of total billed charges,77.54,90,,62.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.94,100,,,fee schedule,100% of CMS fee schedule,27.94,100,,,fee schedule,100% of CMS fee schedule,75.12,87.2,,,percent of total billed charges,87.2% of total billed charges,50.83,59,,40.66,percent of total billed charges,59% of total billed charges,75.12,87.2,,60.1,percent of total billed charges,87.2% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,70.03,81.29,,56.02,percent of total billed charges,81.29% of total billed charges,77.54,90,,62.03,percent of total billed charges,90% of totl billed charges,77.54,90,,62.03,percent of total billed charges,90% of total billed charges,52.55,61,,42.04,percent of total billed charges,61% of total billed charges,52.55,61,,42.04,percent of total billed charges,61% of total billed charges,77.54,90,,62.03,percent of total billed charges,90% of total billed charges,77.54,90,,62.03,percent of total billed charges,90% of total billed charges,52.55,61,,42.04,percent of total billed charges,61% of total billed charges,52.55,61,,42.04,percent of total billed charges,61% of total billed charges,52.55,61,,,percent of total billed charges,61% of total billed charges,27.94,100,,,fee schedule,100% of CMS fee schedule,27.94,77.54,
ESTROG-FRACTIONATED,41009007,CDM,301,RC,82671,HCPCS,Outpatient,,,294.69,235.75,,250.49,85,,200.39,percent of total billed charges,85% of total billed charges,250.49,85,,200.39,percent of total billed charges,85% of total billed charges,32.3,100,,,fee schedule,100% of CMS fee schedule,218.9,74,,175.12,percent of total billed charges,74.28% of total billed charges,32.3,100,,,fee schedule,100% of CMS fee schedule,218.9,74,,175.12,percent of total billed charges,74.28% of total billed charges,179.76,61,,143.81,percent of total billed charges,61% of total billed charges,218.9,74,,175.12,percent of total billed charges,74.28% of total billed charges,32.3,100,,,fee schedule,100% of CMS fee schedule,265.22,90,,212.18,percent of total billed charges,90% of total billed charges,265.22,90,,212.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.3,100,,,fee schedule,100% of CMS fee schedule,32.3,100,,,fee schedule,100% of CMS fee schedule,256.97,87.2,,,percent of total billed charges,87.2% of total billed charges,173.87,59,,139.1,percent of total billed charges,59% of total billed charges,256.97,87.2,,205.58,percent of total billed charges,87.2% of total billed charges,32.3,100,,,fee schedule,100% of CMS fee schedule,239.55,81.29,,191.64,percent of total billed charges,81.29% of total billed charges,265.22,90,,212.18,percent of total billed charges,90% of totl billed charges,265.22,90,,212.18,percent of total billed charges,90% of total billed charges,179.76,61,,143.81,percent of total billed charges,61% of total billed charges,179.76,61,,143.81,percent of total billed charges,61% of total billed charges,265.22,90,,212.18,percent of total billed charges,90% of total billed charges,265.22,90,,212.18,percent of total billed charges,90% of total billed charges,179.76,61,,143.81,percent of total billed charges,61% of total billed charges,179.76,61,,143.81,percent of total billed charges,61% of total billed charges,179.76,61,,,percent of total billed charges,61% of total billed charges,32.3,100,,,fee schedule,100% of CMS fee schedule,32.3,265.22,
"ESTROGEN,TOTAL",41000465,CDM,301,RC,82672,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.7,100,,,fee schedule,100% of CMS fee schedule,21.7,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,21.7,100,,,fee schedule,100% of CMS fee schedule,21.7,117.57,
ESTRONE,41001085,CDM,301,RC,82679,HCPCS,Outpatient,,,69.88,55.9,,59.4,85,,47.52,percent of total billed charges,85% of total billed charges,59.4,85,,47.52,percent of total billed charges,85% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,51.91,74,,41.53,percent of total billed charges,74.28% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,51.91,74,,41.53,percent of total billed charges,74.28% of total billed charges,42.63,61,,34.1,percent of total billed charges,61% of total billed charges,51.91,74,,41.53,percent of total billed charges,74.28% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,62.89,90,,50.31,percent of total billed charges,90% of total billed charges,62.89,90,,50.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.95,100,,,fee schedule,100% of CMS fee schedule,24.95,100,,,fee schedule,100% of CMS fee schedule,60.94,87.2,,,percent of total billed charges,87.2% of total billed charges,41.23,59,,32.98,percent of total billed charges,59% of total billed charges,60.94,87.2,,48.75,percent of total billed charges,87.2% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,56.81,81.29,,45.45,percent of total billed charges,81.29% of total billed charges,62.89,90,,50.31,percent of total billed charges,90% of totl billed charges,62.89,90,,50.31,percent of total billed charges,90% of total billed charges,42.63,61,,34.1,percent of total billed charges,61% of total billed charges,42.63,61,,34.1,percent of total billed charges,61% of total billed charges,62.89,90,,50.31,percent of total billed charges,90% of total billed charges,62.89,90,,50.31,percent of total billed charges,90% of total billed charges,42.63,61,,34.1,percent of total billed charges,61% of total billed charges,42.63,61,,34.1,percent of total billed charges,61% of total billed charges,42.63,61,,,percent of total billed charges,61% of total billed charges,24.95,100,,,fee schedule,100% of CMS fee schedule,24.95,62.89,
ETHYLENE GLYCOL,41000341,CDM,301,RC,82693,HCPCS,Outpatient,,,72.06,57.65,,61.25,85,,49,percent of total billed charges,85% of total billed charges,61.25,85,,49,percent of total billed charges,85% of total billed charges,14.9,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,14.9,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,14.9,100,,,fee schedule,100% of CMS fee schedule,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.9,100,,,fee schedule,100% of CMS fee schedule,14.9,100,,,fee schedule,100% of CMS fee schedule,62.84,87.2,,,percent of total billed charges,87.2% of total billed charges,42.52,59,,34.02,percent of total billed charges,59% of total billed charges,62.84,87.2,,50.27,percent of total billed charges,87.2% of total billed charges,14.9,100,,,fee schedule,100% of CMS fee schedule,58.58,81.29,,46.86,percent of total billed charges,81.29% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of totl billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,,percent of total billed charges,61% of total billed charges,14.9,100,,,fee schedule,100% of CMS fee schedule,14.9,64.85,
"FECAL FAT SCREEN,QUALITATIVE",41000052,CDM,301,RC,82705,HCPCS,Outpatient,,,30.84,24.67,,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.1,100,,,fee schedule,100% of CMS fee schedule,5.1,100,,,fee schedule,100% of CMS fee schedule,26.89,87.2,,,percent of total billed charges,87.2% of total billed charges,18.2,59,,14.56,percent of total billed charges,59% of total billed charges,26.89,87.2,,21.51,percent of total billed charges,87.2% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,25.07,81.29,,20.06,percent of total billed charges,81.29% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of totl billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,,percent of total billed charges,61% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,5.1,27.76,
"FECAL FAT, QUALITATIVE, RANDOM",41001238,CDM,301,RC,82705,HCPCS,Outpatient,,,4.78,3.82,,4.06,85,,3.25,percent of total billed charges,85% of total billed charges,4.06,85,,3.25,percent of total billed charges,85% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,3.55,74,,2.84,percent of total billed charges,74.28% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,3.55,74,,2.84,percent of total billed charges,74.28% of total billed charges,2.92,61,,2.34,percent of total billed charges,61% of total billed charges,3.55,74,,2.84,percent of total billed charges,74.28% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,4.3,90,,3.44,percent of total billed charges,90% of total billed charges,4.3,90,,3.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.1,100,,,fee schedule,100% of CMS fee schedule,5.1,100,,,fee schedule,100% of CMS fee schedule,4.17,87.2,,,percent of total billed charges,87.2% of total billed charges,2.82,59,,2.26,percent of total billed charges,59% of total billed charges,4.17,87.2,,3.34,percent of total billed charges,87.2% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,3.89,81.29,,3.11,percent of total billed charges,81.29% of total billed charges,4.3,90,,3.44,percent of total billed charges,90% of totl billed charges,4.3,90,,3.44,percent of total billed charges,90% of total billed charges,2.92,61,,2.34,percent of total billed charges,61% of total billed charges,2.92,61,,2.34,percent of total billed charges,61% of total billed charges,4.3,90,,3.44,percent of total billed charges,90% of total billed charges,4.3,90,,3.44,percent of total billed charges,90% of total billed charges,2.92,61,,2.34,percent of total billed charges,61% of total billed charges,2.92,61,,2.34,percent of total billed charges,61% of total billed charges,2.92,61,,,percent of total billed charges,61% of total billed charges,5.1,100,,,fee schedule,100% of CMS fee schedule,2.82,5.1,
FECAL FAT QUANT. 24-72 HR SPEC,41000053,CDM,301,RC,82710,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,99.91,
FECAL FAT DIFF QUANT,41000054,CDM,301,RC,82715,HCPCS,Outpatient,,,122.43,97.94,,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,22.97,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,22.97,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,22.97,100,,,fee schedule,100% of CMS fee schedule,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.97,100,,,fee schedule,100% of CMS fee schedule,22.97,100,,,fee schedule,100% of CMS fee schedule,106.76,87.2,,,percent of total billed charges,87.2% of total billed charges,72.23,59,,57.78,percent of total billed charges,59% of total billed charges,106.76,87.2,,85.41,percent of total billed charges,87.2% of total billed charges,22.97,100,,,fee schedule,100% of CMS fee schedule,99.52,81.29,,79.62,percent of total billed charges,81.29% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of totl billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,,percent of total billed charges,61% of total billed charges,22.97,100,,,fee schedule,100% of CMS fee schedule,22.97,110.19,
FERRITIN,41000414,CDM,301,RC,82728,HCPCS,Outpatient,,,52.94,42.35,,45,85,,36,percent of total billed charges,85% of total billed charges,45,85,,36,percent of total billed charges,85% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.63,100,,,fee schedule,100% of CMS fee schedule,13.63,100,,,fee schedule,100% of CMS fee schedule,46.16,87.2,,,percent of total billed charges,87.2% of total billed charges,31.23,59,,24.98,percent of total billed charges,59% of total billed charges,46.16,87.2,,36.93,percent of total billed charges,87.2% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,43.03,81.29,,34.42,percent of total billed charges,81.29% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of totl billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,,percent of total billed charges,61% of total billed charges,13.63,100,,,fee schedule,100% of CMS fee schedule,13.63,47.65,
FOLATE,41001003,CDM,301,RC,82746,HCPCS,Outpatient,,,46.35,37.08,,39.4,85,,31.52,percent of total billed charges,85% of total billed charges,39.4,85,,31.52,percent of total billed charges,85% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,34.43,74,,27.54,percent of total billed charges,74.28% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,34.43,74,,27.54,percent of total billed charges,74.28% of total billed charges,28.27,61,,22.62,percent of total billed charges,61% of total billed charges,34.43,74,,27.54,percent of total billed charges,74.28% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,41.72,90,,33.38,percent of total billed charges,90% of total billed charges,41.72,90,,33.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.7,100,,,fee schedule,100% of CMS fee schedule,14.7,100,,,fee schedule,100% of CMS fee schedule,40.42,87.2,,,percent of total billed charges,87.2% of total billed charges,27.35,59,,21.88,percent of total billed charges,59% of total billed charges,40.42,87.2,,32.34,percent of total billed charges,87.2% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,37.68,81.29,,30.14,percent of total billed charges,81.29% of total billed charges,41.72,90,,33.38,percent of total billed charges,90% of totl billed charges,41.72,90,,33.38,percent of total billed charges,90% of total billed charges,28.27,61,,22.62,percent of total billed charges,61% of total billed charges,28.27,61,,22.62,percent of total billed charges,61% of total billed charges,41.72,90,,33.38,percent of total billed charges,90% of total billed charges,41.72,90,,33.38,percent of total billed charges,90% of total billed charges,28.27,61,,22.62,percent of total billed charges,61% of total billed charges,28.27,61,,22.62,percent of total billed charges,61% of total billed charges,28.27,61,,,percent of total billed charges,61% of total billed charges,14.7,100,,,fee schedule,100% of CMS fee schedule,14.7,41.72,
FOLATE RBC,41009072,CDM,301,RC,82747,HCPCS,Outpatient,,,77.75,62.2,,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,17.65,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,17.65,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,17.65,100,,,fee schedule,100% of CMS fee schedule,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.65,100,,,fee schedule,100% of CMS fee schedule,17.65,100,,,fee schedule,100% of CMS fee schedule,67.8,87.2,,,percent of total billed charges,87.2% of total billed charges,45.87,59,,36.7,percent of total billed charges,59% of total billed charges,67.8,87.2,,54.24,percent of total billed charges,87.2% of total billed charges,17.65,100,,,fee schedule,100% of CMS fee schedule,63.2,81.29,,50.56,percent of total billed charges,81.29% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of totl billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,,percent of total billed charges,61% of total billed charges,17.65,100,,,fee schedule,100% of CMS fee schedule,17.65,69.98,
GALACTOSE-1-PHOSPHATE,41000323,CDM,301,RC,82775,HCPCS,Outpatient,,,112.96,90.37,,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,21.07,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,21.07,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,21.07,100,,,fee schedule,100% of CMS fee schedule,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.07,100,,,fee schedule,100% of CMS fee schedule,21.07,100,,,fee schedule,100% of CMS fee schedule,98.5,87.2,,,percent of total billed charges,87.2% of total billed charges,66.65,59,,53.32,percent of total billed charges,59% of total billed charges,98.5,87.2,,78.8,percent of total billed charges,87.2% of total billed charges,21.07,100,,,fee schedule,100% of CMS fee schedule,91.83,81.29,,73.46,percent of total billed charges,81.29% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of totl billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,,percent of total billed charges,61% of total billed charges,21.07,100,,,fee schedule,100% of CMS fee schedule,21.07,101.66,
IGG,41000061,CDM,301,RC,82784,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,74.05,
GAMMA GLOBULIN-EACH,41000124,CDM,301,RC,82784,HCPCS,Outpatient,,,42.95,34.36,,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,37.45,87.2,,,percent of total billed charges,87.2% of total billed charges,25.34,59,,20.27,percent of total billed charges,59% of total billed charges,37.45,87.2,,29.96,percent of total billed charges,87.2% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,34.91,81.29,,27.93,percent of total billed charges,81.29% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of totl billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,,percent of total billed charges,61% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,38.66,
IGM-SERUM,41000774,CDM,301,RC,82784,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,70.25,
IGA,41009038,CDM,301,RC,82784,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,74.05,
IMMUNOGLOBULIN QUANT,41009041,CDM,301,RC,82784,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,9.3,100,,,fee schedule,100% of CMS fee schedule,9.3,74.05,
IGE,41009040,CDM,301,RC,82785,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.46,100,,,fee schedule,100% of CMS fee schedule,16.46,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,16.46,100,,,fee schedule,100% of CMS fee schedule,16.46,74.05,
"IgG, 1",41000802,CDM,301,RC,82787,HCPCS,Outpatient,,,38.53,30.82,,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,33.6,87.2,,,percent of total billed charges,87.2% of total billed charges,22.73,59,,18.18,percent of total billed charges,59% of total billed charges,33.6,87.2,,26.88,percent of total billed charges,87.2% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,31.32,81.29,,25.06,percent of total billed charges,81.29% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of totl billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,,percent of total billed charges,61% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,34.68,
"IgG, 2",41000803,CDM,301,RC,82787,HCPCS,Outpatient,,,38.53,30.82,,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,33.6,87.2,,,percent of total billed charges,87.2% of total billed charges,22.73,59,,18.18,percent of total billed charges,59% of total billed charges,33.6,87.2,,26.88,percent of total billed charges,87.2% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,31.32,81.29,,25.06,percent of total billed charges,81.29% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of totl billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,,percent of total billed charges,61% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,34.68,
"IgG, 3",41000804,CDM,301,RC,82787,HCPCS,Outpatient,,,38.53,30.82,,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,33.6,87.2,,,percent of total billed charges,87.2% of total billed charges,22.73,59,,18.18,percent of total billed charges,59% of total billed charges,33.6,87.2,,26.88,percent of total billed charges,87.2% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,31.32,81.29,,25.06,percent of total billed charges,81.29% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of totl billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,,percent of total billed charges,61% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,34.68,
"IgG, 4",41000805,CDM,301,RC,82787,HCPCS,Outpatient,,,38.53,30.82,,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,32.75,85,,26.2,percent of total billed charges,85% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,28.62,74,,22.9,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,33.6,87.2,,,percent of total billed charges,87.2% of total billed charges,22.73,59,,18.18,percent of total billed charges,59% of total billed charges,33.6,87.2,,26.88,percent of total billed charges,87.2% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,31.32,81.29,,25.06,percent of total billed charges,81.29% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of totl billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,34.68,90,,27.74,percent of total billed charges,90% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,18.8,percent of total billed charges,61% of total billed charges,23.5,61,,,percent of total billed charges,61% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,34.68,
IMMUNOGLOBULIN G SUBCLASS QUAN,41001083,CDM,301,RC,82787,HCPCS,Outpatient,,,154.17,123.34,,131.04,85,,104.83,percent of total billed charges,85% of total billed charges,131.04,85,,104.83,percent of total billed charges,85% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,114.52,74,,91.62,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,114.52,74,,91.62,percent of total billed charges,74.28% of total billed charges,94.04,61,,75.23,percent of total billed charges,61% of total billed charges,114.52,74,,91.62,percent of total billed charges,74.28% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,138.75,90,,111,percent of total billed charges,90% of total billed charges,138.75,90,,111,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,100,,,fee schedule,100% of CMS fee schedule,134.44,87.2,,,percent of total billed charges,87.2% of total billed charges,90.96,59,,72.77,percent of total billed charges,59% of total billed charges,134.44,87.2,,107.55,percent of total billed charges,87.2% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,125.32,81.29,,100.26,percent of total billed charges,81.29% of total billed charges,138.75,90,,111,percent of total billed charges,90% of totl billed charges,138.75,90,,111,percent of total billed charges,90% of total billed charges,94.04,61,,75.23,percent of total billed charges,61% of total billed charges,94.04,61,,75.23,percent of total billed charges,61% of total billed charges,138.75,90,,111,percent of total billed charges,90% of total billed charges,138.75,90,,111,percent of total billed charges,90% of total billed charges,94.04,61,,75.23,percent of total billed charges,61% of total billed charges,94.04,61,,75.23,percent of total billed charges,61% of total billed charges,94.04,61,,,percent of total billed charges,61% of total billed charges,8.02,100,,,fee schedule,100% of CMS fee schedule,8.02,138.75,
PH BLOOD ONLY,41000035,CDM,301,RC,82800,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11,100,,,fee schedule,100% of CMS fee schedule,11,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,11,100,,,fee schedule,100% of CMS fee schedule,11,44.18,
ARTERIAL GASES,41000600,CDM,301,RC,82803,HCPCS,Outpatient,,,241.49,193.19,,205.27,85,,164.22,percent of total billed charges,85% of total billed charges,205.27,85,,164.22,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,179.38,74,,143.5,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,179.38,74,,143.5,percent of total billed charges,74.28% of total billed charges,147.31,61,,117.85,percent of total billed charges,61% of total billed charges,179.38,74,,143.5,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,217.34,90,,173.87,percent of total billed charges,90% of total billed charges,217.34,90,,173.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,210.58,87.2,,,percent of total billed charges,87.2% of total billed charges,142.48,59,,113.98,percent of total billed charges,59% of total billed charges,210.58,87.2,,168.46,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,196.31,81.29,,157.05,percent of total billed charges,81.29% of total billed charges,217.34,90,,173.87,percent of total billed charges,90% of totl billed charges,217.34,90,,173.87,percent of total billed charges,90% of total billed charges,147.31,61,,117.85,percent of total billed charges,61% of total billed charges,147.31,61,,117.85,percent of total billed charges,61% of total billed charges,217.34,90,,173.87,percent of total billed charges,90% of total billed charges,217.34,90,,173.87,percent of total billed charges,90% of total billed charges,147.31,61,,117.85,percent of total billed charges,61% of total billed charges,147.31,61,,117.85,percent of total billed charges,61% of total billed charges,147.31,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,217.34,
PO2,41000603,CDM,301,RC,82803,HCPCS,Outpatient,,,68.11,54.49,,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,59.39,87.2,,,percent of total billed charges,87.2% of total billed charges,40.18,59,,32.14,percent of total billed charges,59% of total billed charges,59.39,87.2,,47.51,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,55.37,81.29,,44.3,percent of total billed charges,81.29% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of totl billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,61.3,
O2 SATURATION,41000607,CDM,301,RC,82805,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78.77,100,,,fee schedule,100% of CMS fee schedule,78.77,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,41.19,78.77,
ABG PANEL,41001247,CDM,300,RC,82805,HCPCS,Outpatient,,,73.74,58.99,,62.68,85,,50.14,percent of total billed charges,85% of total billed charges,62.68,85,,50.14,percent of total billed charges,85% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,54.77,74,,43.82,percent of total billed charges,74.28% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,54.77,74,,43.82,percent of total billed charges,74.28% of total billed charges,44.98,61,,35.98,percent of total billed charges,61% of total billed charges,54.77,74,,43.82,percent of total billed charges,74.28% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,66.37,90,,53.1,percent of total billed charges,90% of total billed charges,66.37,90,,53.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78.77,100,,,fee schedule,100% of CMS fee schedule,78.77,100,,,fee schedule,100% of CMS fee schedule,64.3,87.2,,,percent of total billed charges,87.2% of total billed charges,43.51,59,,34.81,percent of total billed charges,59% of total billed charges,64.3,87.2,,51.44,percent of total billed charges,87.2% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,59.94,81.29,,47.95,percent of total billed charges,81.29% of total billed charges,66.37,90,,53.1,percent of total billed charges,90% of totl billed charges,66.37,90,,53.1,percent of total billed charges,90% of total billed charges,44.98,61,,35.98,percent of total billed charges,61% of total billed charges,44.98,61,,35.98,percent of total billed charges,61% of total billed charges,66.37,90,,53.1,percent of total billed charges,90% of total billed charges,66.37,90,,53.1,percent of total billed charges,90% of total billed charges,44.98,61,,35.98,percent of total billed charges,61% of total billed charges,44.98,61,,35.98,percent of total billed charges,61% of total billed charges,44.98,61,,,percent of total billed charges,61% of total billed charges,78.77,100,,,fee schedule,100% of CMS fee schedule,43.51,78.77,
ANTIGEN TYPE/ANTIGEN/UNIT,41040313,CDM,302,RC,82902,HCPCS,Outpatient,,,81.04,64.83,,68.88,85,,55.1,percent of total billed charges,85% of total billed charges,68.88,85,,55.1,percent of total billed charges,85% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,70.67,87.2,,,percent of total billed charges,87.2% of total billed charges,47.81,59,,38.25,percent of total billed charges,59% of total billed charges,70.67,87.2,,56.54,percent of total billed charges,87.2% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,65.88,81.29,,52.7,percent of total billed charges,81.29% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of totl billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,42.14,52,,33.71,percent of total billed charges,52% of total billed charges,42.14,72.94,
GASTRIC ACID ANALYSIS,41000205,CDM,301,RC,82926,HCPCS,Outpatient,,,37.52,30.02,,31.89,85,,25.51,percent of total billed charges,85% of total billed charges,31.89,85,,25.51,percent of total billed charges,85% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,32.72,87.2,,,percent of total billed charges,87.2% of total billed charges,22.14,59,,17.71,percent of total billed charges,59% of total billed charges,32.72,87.2,,26.18,percent of total billed charges,87.2% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,30.5,81.29,,24.4,percent of total billed charges,81.29% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of totl billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,19.51,52,,15.61,percent of total billed charges,52% of total billed charges,19.51,33.77,
GASTRIC ACID W/HIST,41000520,CDM,301,RC,82926,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,71.23,52,,56.98,percent of total billed charges,52% of total billed charges,71.23,123.29,
GASTRIC ACID FREE/TL,41000138,CDM,301,RC,82928,HCPCS,Outpatient,,,50.29,40.23,,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,43.85,87.2,,,percent of total billed charges,87.2% of total billed charges,29.67,59,,23.74,percent of total billed charges,59% of total billed charges,43.85,87.2,,35.08,percent of total billed charges,87.2% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,40.88,81.29,,32.7,percent of total billed charges,81.29% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of totl billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,26.15,45.26,
GASTRIC ACID FREE/TL,41000138,CDM,301,RC,82928,HCPCS,Outpatient,,,50.29,40.23,,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,43.85,87.2,,,percent of total billed charges,87.2% of total billed charges,29.67,59,,23.74,percent of total billed charges,59% of total billed charges,43.85,87.2,,35.08,percent of total billed charges,87.2% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,40.88,81.29,,32.7,percent of total billed charges,81.29% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of totl billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,26.15,52,,20.92,percent of total billed charges,52% of total billed charges,26.15,45.26,
GASTRIC ACID FREE/TL,41000138,CDM,301,RC,82930,HCPCS,Outpatient,,,50.29,40.23,,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,100,,,fee schedule,100% of CMS fee schedule,43.85,87.2,,,percent of total billed charges,87.2% of total billed charges,29.67,59,,23.74,percent of total billed charges,59% of total billed charges,43.85,87.2,,35.08,percent of total billed charges,87.2% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,40.88,81.29,,32.7,percent of total billed charges,81.29% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of totl billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,,percent of total billed charges,61% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,45.26,
GASTRIC ACID FREE/TL,41000138,CDM,301,RC,82930,HCPCS,Outpatient,,,50.29,40.23,,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,100,,,fee schedule,100% of CMS fee schedule,43.85,87.2,,,percent of total billed charges,87.2% of total billed charges,29.67,59,,23.74,percent of total billed charges,59% of total billed charges,43.85,87.2,,35.08,percent of total billed charges,87.2% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,40.88,81.29,,32.7,percent of total billed charges,81.29% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of totl billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,,percent of total billed charges,61% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,45.26,
GASTRIC ACID ANALYSIS,41000205,CDM,301,RC,82930,HCPCS,Outpatient,,,37.52,30.02,,31.89,85,,25.51,percent of total billed charges,85% of total billed charges,31.89,85,,25.51,percent of total billed charges,85% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,27.87,74,,22.3,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,100,,,fee schedule,100% of CMS fee schedule,32.72,87.2,,,percent of total billed charges,87.2% of total billed charges,22.14,59,,17.71,percent of total billed charges,59% of total billed charges,32.72,87.2,,26.18,percent of total billed charges,87.2% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,30.5,81.29,,24.4,percent of total billed charges,81.29% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of totl billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,33.77,90,,27.02,percent of total billed charges,90% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,18.31,percent of total billed charges,61% of total billed charges,22.89,61,,,percent of total billed charges,61% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,33.77,
GASTRIC ACID W/HIST,41000520,CDM,301,RC,82930,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,6.71,100,,,fee schedule,100% of CMS fee schedule,6.71,123.29,
GASTRIN,41000425,CDM,301,RC,82941,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,17.63,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,17.63,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,17.63,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.63,100,,,fee schedule,100% of CMS fee schedule,17.63,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,17.63,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,17.63,100,,,fee schedule,100% of CMS fee schedule,17.63,56.38,
GLUCOGON,41000060,CDM,301,RC,82943,HCPCS,Outpatient,,,169.82,135.86,,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,14.29,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,14.29,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,14.29,100,,,fee schedule,100% of CMS fee schedule,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.29,100,,,fee schedule,100% of CMS fee schedule,14.29,100,,,fee schedule,100% of CMS fee schedule,148.08,87.2,,,percent of total billed charges,87.2% of total billed charges,100.19,59,,80.15,percent of total billed charges,59% of total billed charges,148.08,87.2,,118.46,percent of total billed charges,87.2% of total billed charges,14.29,100,,,fee schedule,100% of CMS fee schedule,138.05,81.29,,110.44,percent of total billed charges,81.29% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of totl billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,,percent of total billed charges,61% of total billed charges,14.29,100,,,fee schedule,100% of CMS fee schedule,14.29,152.84,
"GLUCOSE, 24 HR URINE",41000059,CDM,301,RC,82945,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
"UREA NITROGEN, URINE",41000297,CDM,301,RC,82945,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
"UREA NITROGEN, URINE",41000297,CDM,301,RC,82945,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
"SYNOVIAL FLUID,GLUCOSE",41000326,CDM,301,RC,82945,HCPCS,Outpatient,,,12.97,10.38,,11.02,85,,8.82,percent of total billed charges,85% of total billed charges,11.02,85,,8.82,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,9.63,74,,7.7,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,9.63,74,,7.7,percent of total billed charges,74.28% of total billed charges,7.91,61,,6.33,percent of total billed charges,61% of total billed charges,9.63,74,,7.7,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,11.67,90,,9.34,percent of total billed charges,90% of total billed charges,11.67,90,,9.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,11.31,87.2,,,percent of total billed charges,87.2% of total billed charges,7.65,59,,6.12,percent of total billed charges,59% of total billed charges,11.31,87.2,,9.05,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,10.54,81.29,,8.43,percent of total billed charges,81.29% of total billed charges,11.67,90,,9.34,percent of total billed charges,90% of totl billed charges,11.67,90,,9.34,percent of total billed charges,90% of total billed charges,7.91,61,,6.33,percent of total billed charges,61% of total billed charges,7.91,61,,6.33,percent of total billed charges,61% of total billed charges,11.67,90,,9.34,percent of total billed charges,90% of total billed charges,11.67,90,,9.34,percent of total billed charges,90% of total billed charges,7.91,61,,6.33,percent of total billed charges,61% of total billed charges,7.91,61,,6.33,percent of total billed charges,61% of total billed charges,7.91,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,11.67,
"LACTOSE, BODY FLUID",41000564,CDM,301,RC,82945,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
GLUCOSE CSF,41000727,CDM,301,RC,82945,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
"GLUCOSE, QUANTITATIVE",41000009,CDM,301,RC,82947,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.93,100,,,fee schedule,100% of CMS fee schedule,3.93,30.5,
"GLUCOSE-BLOOD,STICK TEST",41000469,CDM,301,RC,82948,HCPCS,Outpatient,,,31.17,24.94,,26.49,85,,21.19,percent of total billed charges,85% of total billed charges,26.49,85,,21.19,percent of total billed charges,85% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,23.15,74,,18.52,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,23.15,74,,18.52,percent of total billed charges,74.28% of total billed charges,19.01,61,,15.21,percent of total billed charges,61% of total billed charges,23.15,74,,18.52,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,28.05,90,,22.44,percent of total billed charges,90% of total billed charges,28.05,90,,22.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,100,,,fee schedule,100% of CMS fee schedule,27.18,87.2,,,percent of total billed charges,87.2% of total billed charges,18.39,59,,14.71,percent of total billed charges,59% of total billed charges,27.18,87.2,,21.74,percent of total billed charges,87.2% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,25.34,81.29,,20.27,percent of total billed charges,81.29% of total billed charges,28.05,90,,22.44,percent of total billed charges,90% of totl billed charges,28.05,90,,22.44,percent of total billed charges,90% of total billed charges,19.01,61,,15.21,percent of total billed charges,61% of total billed charges,19.01,61,,15.21,percent of total billed charges,61% of total billed charges,28.05,90,,22.44,percent of total billed charges,90% of total billed charges,28.05,90,,22.44,percent of total billed charges,90% of total billed charges,19.01,61,,15.21,percent of total billed charges,61% of total billed charges,19.01,61,,15.21,percent of total billed charges,61% of total billed charges,19.01,61,,,percent of total billed charges,61% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,28.05,
Glucose,43601365,CDM,301,RC,82948,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,100,,,fee schedule,100% of CMS fee schedule,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,,percent of total billed charges,61% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,24.54,
GLUCOSE,43701131,CDM,301,RC,82948,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,100,,,fee schedule,100% of CMS fee schedule,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,,percent of total billed charges,61% of total billed charges,5.04,100,,,fee schedule,100% of CMS fee schedule,5.04,24.54,
"GLUCOSE, GESTATIONAL SCREEN",41000369,CDM,301,RC,82950,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,35.94,
"GLUCOSE, POST DOSE",41000477,CDM,301,RC,82950,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,4.75,100,,,fee schedule,100% of CMS fee schedule,4.75,35.94,
GLUCOSE TOL FIRST 3 SPEC,41000067,CDM,301,RC,82951,HCPCS,Outpatient,,,116.52,93.22,,99.04,85,,79.23,percent of total billed charges,85% of total billed charges,99.04,85,,79.23,percent of total billed charges,85% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,101.61,87.2,,,percent of total billed charges,87.2% of total billed charges,68.75,59,,55,percent of total billed charges,59% of total billed charges,101.61,87.2,,81.29,percent of total billed charges,87.2% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,94.72,81.29,,75.78,percent of total billed charges,81.29% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of totl billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,,percent of total billed charges,61% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,104.87,
LACTOSE TOLERANCE TEST,41000345,CDM,301,RC,82951,HCPCS,Outpatient,,,116.52,93.22,,99.04,85,,79.23,percent of total billed charges,85% of total billed charges,99.04,85,,79.23,percent of total billed charges,85% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,86.55,74,,69.24,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,101.61,87.2,,,percent of total billed charges,87.2% of total billed charges,68.75,59,,55,percent of total billed charges,59% of total billed charges,101.61,87.2,,81.29,percent of total billed charges,87.2% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,94.72,81.29,,75.78,percent of total billed charges,81.29% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of totl billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,104.87,90,,83.9,percent of total billed charges,90% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,56.86,percent of total billed charges,61% of total billed charges,71.08,61,,,percent of total billed charges,61% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,104.87,
GLUCOSE TOL EACH ADDL SPECIMEN,41000910,CDM,301,RC,82952,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.92,100,,,fee schedule,100% of CMS fee schedule,3.92,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,3.92,100,,,fee schedule,100% of CMS fee schedule,3.92,35.94,
G6PD QUANTITATIVE,41001170,CDM,301,RC,82955,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.7,100,,,fee schedule,100% of CMS fee schedule,9.7,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,9.7,80.7,
"G-6-PD, QUANT, BLOOD AND RBC",41001243,CDM,301,RC,82955,HCPCS,Outpatient,,,9.08,7.26,,7.72,85,,6.18,percent of total billed charges,85% of total billed charges,7.72,85,,6.18,percent of total billed charges,85% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,6.74,74,,5.39,percent of total billed charges,74.28% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,6.74,74,,5.39,percent of total billed charges,74.28% of total billed charges,5.54,61,,4.43,percent of total billed charges,61% of total billed charges,6.74,74,,5.39,percent of total billed charges,74.28% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,8.17,90,,6.54,percent of total billed charges,90% of total billed charges,8.17,90,,6.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.7,100,,,fee schedule,100% of CMS fee schedule,9.7,100,,,fee schedule,100% of CMS fee schedule,7.92,87.2,,,percent of total billed charges,87.2% of total billed charges,5.36,59,,4.29,percent of total billed charges,59% of total billed charges,7.92,87.2,,6.34,percent of total billed charges,87.2% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,7.38,81.29,,5.9,percent of total billed charges,81.29% of total billed charges,8.17,90,,6.54,percent of total billed charges,90% of totl billed charges,8.17,90,,6.54,percent of total billed charges,90% of total billed charges,5.54,61,,4.43,percent of total billed charges,61% of total billed charges,5.54,61,,4.43,percent of total billed charges,61% of total billed charges,8.17,90,,6.54,percent of total billed charges,90% of total billed charges,8.17,90,,6.54,percent of total billed charges,90% of total billed charges,5.54,61,,4.43,percent of total billed charges,61% of total billed charges,5.54,61,,4.43,percent of total billed charges,61% of total billed charges,5.54,61,,,percent of total billed charges,61% of total billed charges,9.7,100,,,fee schedule,100% of CMS fee schedule,5.36,9.7,
GLUCOSE-6-PHOSPHATE DEHYD(G,41000088,CDM,301,RC,82960,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,6.05,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,6.05,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,6.05,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.05,100,,,fee schedule,100% of CMS fee schedule,6.05,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,6.05,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,6.05,100,,,fee schedule,100% of CMS fee schedule,6.05,66.47,
GLUCOSE BY FDA HOME DEVICE *,43601663,CDM,301,RC,82962,HCPCS,Outpatient,,,3.94,3.15,,3.35,85,,2.68,percent of total billed charges,85% of total billed charges,3.35,85,,2.68,percent of total billed charges,85% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,3.44,87.2,,,percent of total billed charges,87.2% of total billed charges,2.32,59,,1.86,percent of total billed charges,59% of total billed charges,3.44,87.2,,2.75,percent of total billed charges,87.2% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,3.2,81.29,,2.56,percent of total billed charges,81.29% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of totl billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,,percent of total billed charges,61% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.32,3.55,
GLUCOSE BY FDA HOME DEVICE *,43701663,CDM,301,RC,82962,HCPCS,Outpatient,,,3.94,3.15,,3.35,85,,2.68,percent of total billed charges,85% of total billed charges,3.35,85,,2.68,percent of total billed charges,85% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.93,74,,2.34,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,3.44,87.2,,,percent of total billed charges,87.2% of total billed charges,2.32,59,,1.86,percent of total billed charges,59% of total billed charges,3.44,87.2,,2.75,percent of total billed charges,87.2% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,3.2,81.29,,2.56,percent of total billed charges,81.29% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of totl billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,3.55,90,,2.84,percent of total billed charges,90% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,1.92,percent of total billed charges,61% of total billed charges,2.4,61,,,percent of total billed charges,61% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,2.32,3.55,
GAMA GLUTAMYL TRANSPEPTIDAS,41000463,CDM,301,RC,82977,HCPCS,Outpatient,,,23.57,18.86,,20.03,85,,16.02,percent of total billed charges,85% of total billed charges,20.03,85,,16.02,percent of total billed charges,85% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,100,,,fee schedule,100% of CMS fee schedule,20.55,87.2,,,percent of total billed charges,87.2% of total billed charges,13.91,59,,11.13,percent of total billed charges,59% of total billed charges,20.55,87.2,,16.44,percent of total billed charges,87.2% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,19.16,81.29,,15.33,percent of total billed charges,81.29% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of totl billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,,percent of total billed charges,61% of total billed charges,7.2,100,,,fee schedule,100% of CMS fee schedule,7.2,21.21,
GLUTATHIONE,41001173,CDM,301,RC,82978,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,15.45,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,15.45,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,15.45,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.45,100,,,fee schedule,100% of CMS fee schedule,15.45,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,15.45,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,15.45,100,,,fee schedule,100% of CMS fee schedule,15.45,80.7,
FRUCTOSAMINE,41000190,CDM,301,RC,82985,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,16.76,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,16.76,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,16.76,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.76,100,,,fee schedule,100% of CMS fee schedule,16.76,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,16.76,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,16.76,100,,,fee schedule,100% of CMS fee schedule,16.76,117.57,
FSH,41000072,CDM,301,RC,83001,HCPCS,Outpatient,,,146.26,117.01,,124.32,85,,99.46,percent of total billed charges,85% of total billed charges,124.32,85,,99.46,percent of total billed charges,85% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,108.64,74,,86.91,percent of total billed charges,74.28% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,108.64,74,,86.91,percent of total billed charges,74.28% of total billed charges,89.22,61,,71.38,percent of total billed charges,61% of total billed charges,108.64,74,,86.91,percent of total billed charges,74.28% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,131.63,90,,105.3,percent of total billed charges,90% of total billed charges,131.63,90,,105.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.58,100,,,fee schedule,100% of CMS fee schedule,18.58,100,,,fee schedule,100% of CMS fee schedule,127.54,87.2,,,percent of total billed charges,87.2% of total billed charges,86.29,59,,69.03,percent of total billed charges,59% of total billed charges,127.54,87.2,,102.03,percent of total billed charges,87.2% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,118.89,81.29,,95.11,percent of total billed charges,81.29% of total billed charges,131.63,90,,105.3,percent of total billed charges,90% of totl billed charges,131.63,90,,105.3,percent of total billed charges,90% of total billed charges,89.22,61,,71.38,percent of total billed charges,61% of total billed charges,89.22,61,,71.38,percent of total billed charges,61% of total billed charges,131.63,90,,105.3,percent of total billed charges,90% of total billed charges,131.63,90,,105.3,percent of total billed charges,90% of total billed charges,89.22,61,,71.38,percent of total billed charges,61% of total billed charges,89.22,61,,71.38,percent of total billed charges,61% of total billed charges,89.22,61,,,percent of total billed charges,61% of total billed charges,18.58,100,,,fee schedule,100% of CMS fee schedule,18.58,131.63,
LUETINIZING HORMONE,41001010,CDM,301,RC,83002,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,18.52,100,,,fee schedule,100% of CMS fee schedule,18.52,99.91,
HAPTOGLOBIN,41009002,CDM,301,RC,83010,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.58,100,,,fee schedule,100% of CMS fee schedule,12.58,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,12.58,100,,,fee schedule,100% of CMS fee schedule,12.58,55.99,
HEAVY METAL SCREEN,41000427,CDM,301,RC,83018,HCPCS,Outpatient,,,149.43,119.54,,127.02,85,,101.62,percent of total billed charges,85% of total billed charges,127.02,85,,101.62,percent of total billed charges,85% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,111,74,,88.8,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,111,74,,88.8,percent of total billed charges,74.28% of total billed charges,91.15,61,,72.92,percent of total billed charges,61% of total billed charges,111,74,,88.8,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,134.49,90,,107.59,percent of total billed charges,90% of total billed charges,134.49,90,,107.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,130.3,87.2,,,percent of total billed charges,87.2% of total billed charges,88.16,59,,70.53,percent of total billed charges,59% of total billed charges,130.3,87.2,,104.24,percent of total billed charges,87.2% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,121.47,81.29,,97.18,percent of total billed charges,81.29% of total billed charges,134.49,90,,107.59,percent of total billed charges,90% of totl billed charges,134.49,90,,107.59,percent of total billed charges,90% of total billed charges,91.15,61,,72.92,percent of total billed charges,61% of total billed charges,91.15,61,,72.92,percent of total billed charges,61% of total billed charges,134.49,90,,107.59,percent of total billed charges,90% of total billed charges,134.49,90,,107.59,percent of total billed charges,90% of total billed charges,91.15,61,,72.92,percent of total billed charges,61% of total billed charges,91.15,61,,72.92,percent of total billed charges,61% of total billed charges,91.15,61,,,percent of total billed charges,61% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,134.49,
"HEAVY METAL URINE, ARSENIC",41000523,CDM,301,RC,83018,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,17.32,26.42,
"HEAVY METAL URINE, CADMIUM",41000526,CDM,301,RC,83018,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,17.32,26.42,
"HEAVY METAL URINE, LEAD",41000527,CDM,301,RC,83018,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.96,100,,,fee schedule,100% of CMS fee schedule,21.96,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,21.96,100,,,fee schedule,100% of CMS fee schedule,17.32,26.42,
HEMOGLOBIN ELECTROPHORESIS,41000050,CDM,301,RC,83020,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,99.91,
GLYCOHEMOGLOBIN (HEMOGLOBIN A1,41000453,CDM,301,RC,83036,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,56.38,
A1C *,43601400,CDM,301,RC,83036,HCPCS,Outpatient,,,22.24,17.79,,18.9,85,,15.12,percent of total billed charges,85% of total billed charges,18.9,85,,15.12,percent of total billed charges,85% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,19.39,87.2,,,percent of total billed charges,87.2% of total billed charges,13.12,59,,10.5,percent of total billed charges,59% of total billed charges,19.39,87.2,,15.51,percent of total billed charges,87.2% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,18.08,81.29,,14.46,percent of total billed charges,81.29% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of totl billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,,percent of total billed charges,61% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,20.02,
A1C *,43701400,CDM,301,RC,83036,HCPCS,Outpatient,,,22.24,17.79,,18.9,85,,15.12,percent of total billed charges,85% of total billed charges,18.9,85,,15.12,percent of total billed charges,85% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,16.52,74,,13.22,percent of total billed charges,74.28% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,100,,,fee schedule,100% of CMS fee schedule,19.39,87.2,,,percent of total billed charges,87.2% of total billed charges,13.12,59,,10.5,percent of total billed charges,59% of total billed charges,19.39,87.2,,15.51,percent of total billed charges,87.2% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,18.08,81.29,,14.46,percent of total billed charges,81.29% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of totl billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,20.02,90,,16.02,percent of total billed charges,90% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,10.86,percent of total billed charges,61% of total billed charges,13.57,61,,,percent of total billed charges,61% of total billed charges,9.71,100,,,fee schedule,100% of CMS fee schedule,9.71,20.02,
HEMOGLOBIN (PLASMA OR SERUM)##,41000145,CDM,301,RC,83051,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.31,100,,,fee schedule,100% of CMS fee schedule,7.31,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,7.31,28.74,
FREE SERUM HGB,41000472,CDM,301,RC,83051,HCPCS,Outpatient,,,30.84,24.67,,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,26.21,85,,20.97,percent of total billed charges,85% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,22.91,74,,18.33,percent of total billed charges,74.28% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.31,100,,,fee schedule,100% of CMS fee schedule,7.31,100,,,fee schedule,100% of CMS fee schedule,26.89,87.2,,,percent of total billed charges,87.2% of total billed charges,18.2,59,,14.56,percent of total billed charges,59% of total billed charges,26.89,87.2,,21.51,percent of total billed charges,87.2% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,25.07,81.29,,20.06,percent of total billed charges,81.29% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of totl billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,27.76,90,,22.21,percent of total billed charges,90% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,15.05,percent of total billed charges,61% of total billed charges,18.81,61,,,percent of total billed charges,61% of total billed charges,7.31,100,,,fee schedule,100% of CMS fee schedule,7.31,27.76,
FREE URINE HGB,41000473,CDM,301,RC,83069,HCPCS,Outpatient,,,81.49,65.19,,69.27,85,,55.42,percent of total billed charges,85% of total billed charges,69.27,85,,55.42,percent of total billed charges,85% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,60.53,74,,48.42,percent of total billed charges,74.28% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,60.53,74,,48.42,percent of total billed charges,74.28% of total billed charges,49.71,61,,39.77,percent of total billed charges,61% of total billed charges,60.53,74,,48.42,percent of total billed charges,74.28% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,73.34,90,,58.67,percent of total billed charges,90% of total billed charges,73.34,90,,58.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.95,100,,,fee schedule,100% of CMS fee schedule,3.95,100,,,fee schedule,100% of CMS fee schedule,71.06,87.2,,,percent of total billed charges,87.2% of total billed charges,48.08,59,,38.46,percent of total billed charges,59% of total billed charges,71.06,87.2,,56.85,percent of total billed charges,87.2% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,66.24,81.29,,52.99,percent of total billed charges,81.29% of total billed charges,73.34,90,,58.67,percent of total billed charges,90% of totl billed charges,73.34,90,,58.67,percent of total billed charges,90% of total billed charges,49.71,61,,39.77,percent of total billed charges,61% of total billed charges,49.71,61,,39.77,percent of total billed charges,61% of total billed charges,73.34,90,,58.67,percent of total billed charges,90% of total billed charges,73.34,90,,58.67,percent of total billed charges,90% of total billed charges,49.71,61,,39.77,percent of total billed charges,61% of total billed charges,49.71,61,,39.77,percent of total billed charges,61% of total billed charges,49.71,61,,,percent of total billed charges,61% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,3.95,73.34,
HISTAMINE-BLOOD,41000309,CDM,301,RC,83088,HCPCS,Outpatient,,,203.21,162.57,,172.73,85,,138.18,percent of total billed charges,85% of total billed charges,172.73,85,,138.18,percent of total billed charges,85% of total billed charges,29.53,100,,,fee schedule,100% of CMS fee schedule,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,29.53,100,,,fee schedule,100% of CMS fee schedule,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,29.53,100,,,fee schedule,100% of CMS fee schedule,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.53,100,,,fee schedule,100% of CMS fee schedule,29.53,100,,,fee schedule,100% of CMS fee schedule,177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,119.89,59,,95.91,percent of total billed charges,59% of total billed charges,177.2,87.2,,141.76,percent of total billed charges,87.2% of total billed charges,29.53,100,,,fee schedule,100% of CMS fee schedule,165.19,81.29,,132.15,percent of total billed charges,81.29% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of totl billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,,percent of total billed charges,61% of total billed charges,29.53,100,,,fee schedule,100% of CMS fee schedule,29.53,182.89,
HOMOCYSTEINE,41000288,CDM,301,RC,83090,HCPCS,Outpatient,,,197.46,157.97,,167.84,85,,134.27,percent of total billed charges,85% of total billed charges,167.84,85,,134.27,percent of total billed charges,85% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,146.67,74,,117.34,percent of total billed charges,74.28% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,146.67,74,,117.34,percent of total billed charges,74.28% of total billed charges,120.45,61,,96.36,percent of total billed charges,61% of total billed charges,146.67,74,,117.34,percent of total billed charges,74.28% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,177.71,90,,142.17,percent of total billed charges,90% of total billed charges,177.71,90,,142.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.92,100,,,fee schedule,100% of CMS fee schedule,17.92,100,,,fee schedule,100% of CMS fee schedule,172.19,87.2,,,percent of total billed charges,87.2% of total billed charges,116.5,59,,93.2,percent of total billed charges,59% of total billed charges,172.19,87.2,,137.75,percent of total billed charges,87.2% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,160.52,81.29,,128.42,percent of total billed charges,81.29% of total billed charges,177.71,90,,142.17,percent of total billed charges,90% of totl billed charges,177.71,90,,142.17,percent of total billed charges,90% of total billed charges,120.45,61,,96.36,percent of total billed charges,61% of total billed charges,120.45,61,,96.36,percent of total billed charges,61% of total billed charges,177.71,90,,142.17,percent of total billed charges,90% of total billed charges,177.71,90,,142.17,percent of total billed charges,90% of total billed charges,120.45,61,,96.36,percent of total billed charges,61% of total billed charges,120.45,61,,96.36,percent of total billed charges,61% of total billed charges,120.45,61,,,percent of total billed charges,61% of total billed charges,17.92,100,,,fee schedule,100% of CMS fee schedule,17.92,177.71,
17 HYDROXYCORTICOSTEROIDS,41000086,CDM,301,RC,83491,HCPCS,Outpatient,,,134.85,107.88,,114.62,85,,91.7,percent of total billed charges,85% of total billed charges,114.62,85,,91.7,percent of total billed charges,85% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,100.17,74,,80.14,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,100.17,74,,80.14,percent of total billed charges,74.28% of total billed charges,82.26,61,,65.81,percent of total billed charges,61% of total billed charges,100.17,74,,80.14,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,121.37,90,,97.1,percent of total billed charges,90% of total billed charges,121.37,90,,97.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,117.59,87.2,,,percent of total billed charges,87.2% of total billed charges,79.56,59,,63.65,percent of total billed charges,59% of total billed charges,117.59,87.2,,94.07,percent of total billed charges,87.2% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,109.62,81.29,,87.7,percent of total billed charges,81.29% of total billed charges,121.37,90,,97.1,percent of total billed charges,90% of totl billed charges,121.37,90,,97.1,percent of total billed charges,90% of total billed charges,82.26,61,,65.81,percent of total billed charges,61% of total billed charges,82.26,61,,65.81,percent of total billed charges,61% of total billed charges,121.37,90,,97.1,percent of total billed charges,90% of total billed charges,121.37,90,,97.1,percent of total billed charges,90% of total billed charges,82.26,61,,65.81,percent of total billed charges,61% of total billed charges,82.26,61,,65.81,percent of total billed charges,61% of total billed charges,82.26,61,,,percent of total billed charges,61% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,121.37,
URINE 24HR 5H1AA,41000197,CDM,301,RC,83497,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,66.47,
"5-HIAA,24 HR URINE",41000319,CDM,301,RC,83497,HCPCS,Outpatient,,,45.3,36.24,,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,39.5,87.2,,,percent of total billed charges,87.2% of total billed charges,26.73,59,,21.38,percent of total billed charges,59% of total billed charges,39.5,87.2,,31.6,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,36.82,81.29,,29.46,percent of total billed charges,81.29% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of totl billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,40.77,
"17OHP, 17-HYDROXY PROGESTERONE",41001071,CDM,301,RC,83498,HCPCS,Outpatient,,,315.37,252.3,,268.06,85,,214.45,percent of total billed charges,85% of total billed charges,268.06,85,,214.45,percent of total billed charges,85% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,234.26,74,,187.41,percent of total billed charges,74.28% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,234.26,74,,187.41,percent of total billed charges,74.28% of total billed charges,192.38,61,,153.9,percent of total billed charges,61% of total billed charges,234.26,74,,187.41,percent of total billed charges,74.28% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,283.83,90,,227.06,percent of total billed charges,90% of total billed charges,283.83,90,,227.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.17,100,,,fee schedule,100% of CMS fee schedule,27.17,100,,,fee schedule,100% of CMS fee schedule,275,87.2,,,percent of total billed charges,87.2% of total billed charges,186.07,59,,148.86,percent of total billed charges,59% of total billed charges,275,87.2,,220,percent of total billed charges,87.2% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,256.36,81.29,,205.09,percent of total billed charges,81.29% of total billed charges,283.83,90,,227.06,percent of total billed charges,90% of totl billed charges,283.83,90,,227.06,percent of total billed charges,90% of total billed charges,192.38,61,,153.9,percent of total billed charges,61% of total billed charges,192.38,61,,153.9,percent of total billed charges,61% of total billed charges,283.83,90,,227.06,percent of total billed charges,90% of total billed charges,283.83,90,,227.06,percent of total billed charges,90% of total billed charges,192.38,61,,153.9,percent of total billed charges,61% of total billed charges,192.38,61,,153.9,percent of total billed charges,61% of total billed charges,192.38,61,,,percent of total billed charges,61% of total billed charges,27.17,100,,,fee schedule,100% of CMS fee schedule,27.17,283.83,
HYDROZYPROLINE URINE FREE ONLY,41000027,CDM,301,RC,83500,HCPCS,Outpatient,,,174.95,139.96,,148.71,85,,118.97,percent of total billed charges,85% of total billed charges,148.71,85,,118.97,percent of total billed charges,85% of total billed charges,22.65,100,,,fee schedule,100% of CMS fee schedule,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,22.65,100,,,fee schedule,100% of CMS fee schedule,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,22.65,100,,,fee schedule,100% of CMS fee schedule,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.65,100,,,fee schedule,100% of CMS fee schedule,22.65,100,,,fee schedule,100% of CMS fee schedule,152.56,87.2,,,percent of total billed charges,87.2% of total billed charges,103.22,59,,82.58,percent of total billed charges,59% of total billed charges,152.56,87.2,,122.05,percent of total billed charges,87.2% of total billed charges,22.65,100,,,fee schedule,100% of CMS fee schedule,142.22,81.29,,113.78,percent of total billed charges,81.29% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of totl billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,,percent of total billed charges,61% of total billed charges,22.65,100,,,fee schedule,100% of CMS fee schedule,22.65,157.46,
HYDROXYPROLINE URINE TOTAL,41000034,CDM,301,RC,83505,HCPCS,Outpatient,,,175.82,140.66,,149.45,85,,119.56,percent of total billed charges,85% of total billed charges,149.45,85,,119.56,percent of total billed charges,85% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,130.6,74,,104.48,percent of total billed charges,74.28% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,130.6,74,,104.48,percent of total billed charges,74.28% of total billed charges,107.25,61,,85.8,percent of total billed charges,61% of total billed charges,130.6,74,,104.48,percent of total billed charges,74.28% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,158.24,90,,126.59,percent of total billed charges,90% of total billed charges,158.24,90,,126.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.3,100,,,fee schedule,100% of CMS fee schedule,24.3,100,,,fee schedule,100% of CMS fee schedule,153.32,87.2,,,percent of total billed charges,87.2% of total billed charges,103.73,59,,82.98,percent of total billed charges,59% of total billed charges,153.32,87.2,,122.66,percent of total billed charges,87.2% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,142.92,81.29,,114.34,percent of total billed charges,81.29% of total billed charges,158.24,90,,126.59,percent of total billed charges,90% of totl billed charges,158.24,90,,126.59,percent of total billed charges,90% of total billed charges,107.25,61,,85.8,percent of total billed charges,61% of total billed charges,107.25,61,,85.8,percent of total billed charges,61% of total billed charges,158.24,90,,126.59,percent of total billed charges,90% of total billed charges,158.24,90,,126.59,percent of total billed charges,90% of total billed charges,107.25,61,,85.8,percent of total billed charges,61% of total billed charges,107.25,61,,85.8,percent of total billed charges,61% of total billed charges,107.25,61,,,percent of total billed charges,61% of total billed charges,24.3,100,,,fee schedule,100% of CMS fee schedule,24.3,158.24,
ANTIGLIADIN (PART A),41000478,CDM,301,RC,83516,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,38.57,
ANTIGLIADIN (PART B),41000479,CDM,301,RC,83516,HCPCS,Outpatient,,,42.86,34.29,,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,36.43,85,,29.14,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,31.84,74,,25.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,37.37,87.2,,,percent of total billed charges,87.2% of total billed charges,25.29,59,,20.23,percent of total billed charges,59% of total billed charges,37.37,87.2,,29.9,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,34.84,81.29,,27.87,percent of total billed charges,81.29% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of totl billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,38.57,90,,30.86,percent of total billed charges,90% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,20.91,percent of total billed charges,61% of total billed charges,26.14,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,38.57,
GLIADIN ANTIBODY IgA,41000560,CDM,301,RC,83516,HCPCS,Outpatient,,,67.07,53.66,,57.01,85,,45.61,percent of total billed charges,85% of total billed charges,57.01,85,,45.61,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,58.49,87.2,,,percent of total billed charges,87.2% of total billed charges,39.57,59,,31.66,percent of total billed charges,59% of total billed charges,58.49,87.2,,46.79,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,54.52,81.29,,43.62,percent of total billed charges,81.29% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of totl billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,60.36,
GLIADIN ANTIBODY IgG,41000561,CDM,301,RC,83516,HCPCS,Outpatient,,,67.07,53.66,,57.01,85,,45.61,percent of total billed charges,85% of total billed charges,57.01,85,,45.61,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,49.82,74,,39.86,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,58.49,87.2,,,percent of total billed charges,87.2% of total billed charges,39.57,59,,31.66,percent of total billed charges,59% of total billed charges,58.49,87.2,,46.79,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,54.52,81.29,,43.62,percent of total billed charges,81.29% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of totl billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,60.36,90,,48.29,percent of total billed charges,90% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,32.73,percent of total billed charges,61% of total billed charges,40.91,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,60.36,
TISSUE TRANSGLUTAMINASE IGG AB,41009097,CDM,301,RC,83516,HCPCS,Outpatient,,,84.84,67.87,,72.11,85,,57.69,percent of total billed charges,85% of total billed charges,72.11,85,,57.69,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,73.98,87.2,,,percent of total billed charges,87.2% of total billed charges,50.06,59,,40.05,percent of total billed charges,59% of total billed charges,73.98,87.2,,59.18,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,68.97,81.29,,55.18,percent of total billed charges,81.29% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of totl billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,76.36,
TISSUE TRANSGLUTAMINASE IGA AB,41009098,CDM,301,RC,83516,HCPCS,Outpatient,,,84.84,67.87,,72.11,85,,57.69,percent of total billed charges,85% of total billed charges,72.11,85,,57.69,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,63.02,74,,50.42,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,73.98,87.2,,,percent of total billed charges,87.2% of total billed charges,50.06,59,,40.05,percent of total billed charges,59% of total billed charges,73.98,87.2,,59.18,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,68.97,81.29,,55.18,percent of total billed charges,81.29% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of totl billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,76.36,90,,61.09,percent of total billed charges,90% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,41.4,percent of total billed charges,61% of total billed charges,51.75,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,76.36,
TSH RECEPTOR AB.THYROPIN,41000095,CDM,301,RC,83519,HCPCS,Outpatient,,,239.48,191.58,,203.56,85,,162.85,percent of total billed charges,85% of total billed charges,203.56,85,,162.85,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,177.89,74,,142.31,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,177.89,74,,142.31,percent of total billed charges,74.28% of total billed charges,146.08,61,,116.86,percent of total billed charges,61% of total billed charges,177.89,74,,142.31,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,215.53,90,,172.42,percent of total billed charges,90% of total billed charges,215.53,90,,172.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,208.83,87.2,,,percent of total billed charges,87.2% of total billed charges,141.29,59,,113.03,percent of total billed charges,59% of total billed charges,208.83,87.2,,167.06,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,194.67,81.29,,155.74,percent of total billed charges,81.29% of total billed charges,215.53,90,,172.42,percent of total billed charges,90% of totl billed charges,215.53,90,,172.42,percent of total billed charges,90% of total billed charges,146.08,61,,116.86,percent of total billed charges,61% of total billed charges,146.08,61,,116.86,percent of total billed charges,61% of total billed charges,215.53,90,,172.42,percent of total billed charges,90% of total billed charges,215.53,90,,172.42,percent of total billed charges,90% of total billed charges,146.08,61,,116.86,percent of total billed charges,61% of total billed charges,146.08,61,,116.86,percent of total billed charges,61% of total billed charges,146.08,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,215.53,
THYROTROPIN RECEPT AB (TSI TB),41000559,CDM,301,RC,83519,HCPCS,Outpatient,,,102.23,81.78,,86.9,85,,69.52,percent of total billed charges,85% of total billed charges,86.9,85,,69.52,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,89.14,87.2,,,percent of total billed charges,87.2% of total billed charges,60.32,59,,48.26,percent of total billed charges,59% of total billed charges,89.14,87.2,,71.31,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,83.1,81.29,,66.48,percent of total billed charges,81.29% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of totl billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,92.01,
THYROTROPIN RECEPTOR ANTIBODY,41000570,CDM,301,RC,83519,HCPCS,Outpatient,,,102.23,81.78,,86.9,85,,69.52,percent of total billed charges,85% of total billed charges,86.9,85,,69.52,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,75.94,74,,60.75,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,89.14,87.2,,,percent of total billed charges,87.2% of total billed charges,60.32,59,,48.26,percent of total billed charges,59% of total billed charges,89.14,87.2,,71.31,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,83.1,81.29,,66.48,percent of total billed charges,81.29% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of totl billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,92.01,90,,73.61,percent of total billed charges,90% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,49.89,percent of total billed charges,61% of total billed charges,62.36,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,92.01,
ACH RECEPTOR (MUSCLE MOD AB),41001120,CDM,301,RC,83519,HCPCS,Outpatient,,,65.12,52.1,,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,56.78,87.2,,,percent of total billed charges,87.2% of total billed charges,38.42,59,,30.74,percent of total billed charges,59% of total billed charges,56.78,87.2,,45.42,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,52.94,81.29,,42.35,percent of total billed charges,81.29% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of totl billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,58.61,
ACH RECEPTOR (MUSCLE BIND AB),41001121,CDM,301,RC,83519,HCPCS,Outpatient,,,65.12,52.1,,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,56.78,87.2,,,percent of total billed charges,87.2% of total billed charges,38.42,59,,30.74,percent of total billed charges,59% of total billed charges,56.78,87.2,,45.42,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,52.94,81.29,,42.35,percent of total billed charges,81.29% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of totl billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,58.61,
LEPTIN,41001176,CDM,302,RC,83519,HCPCS,Outpatient,,,133.06,106.45,,113.1,85,,90.48,percent of total billed charges,85% of total billed charges,113.1,85,,90.48,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,98.84,74,,79.07,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,98.84,74,,79.07,percent of total billed charges,74.28% of total billed charges,81.17,61,,64.94,percent of total billed charges,61% of total billed charges,98.84,74,,79.07,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,119.75,90,,95.8,percent of total billed charges,90% of total billed charges,119.75,90,,95.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,116.03,87.2,,,percent of total billed charges,87.2% of total billed charges,78.51,59,,62.81,percent of total billed charges,59% of total billed charges,116.03,87.2,,92.82,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,108.16,81.29,,86.53,percent of total billed charges,81.29% of total billed charges,119.75,90,,95.8,percent of total billed charges,90% of totl billed charges,119.75,90,,95.8,percent of total billed charges,90% of total billed charges,81.17,61,,64.94,percent of total billed charges,61% of total billed charges,81.17,61,,64.94,percent of total billed charges,61% of total billed charges,119.75,90,,95.8,percent of total billed charges,90% of total billed charges,119.75,90,,95.8,percent of total billed charges,90% of total billed charges,81.17,61,,64.94,percent of total billed charges,61% of total billed charges,81.17,61,,64.94,percent of total billed charges,61% of total billed charges,81.17,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,119.75,
21-HYDROXYLASE ANTIBODIES SERU,41001177,CDM,302,RC,83519,HCPCS,Outpatient,,,150.97,120.78,,128.32,85,,102.66,percent of total billed charges,85% of total billed charges,128.32,85,,102.66,percent of total billed charges,85% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,112.14,74,,89.71,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,112.14,74,,89.71,percent of total billed charges,74.28% of total billed charges,92.09,61,,73.67,percent of total billed charges,61% of total billed charges,112.14,74,,89.71,percent of total billed charges,74.28% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,135.87,90,,108.7,percent of total billed charges,90% of total billed charges,135.87,90,,108.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,100,,,fee schedule,100% of CMS fee schedule,131.65,87.2,,,percent of total billed charges,87.2% of total billed charges,89.07,59,,71.26,percent of total billed charges,59% of total billed charges,131.65,87.2,,105.32,percent of total billed charges,87.2% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,122.72,81.29,,98.18,percent of total billed charges,81.29% of total billed charges,135.87,90,,108.7,percent of total billed charges,90% of totl billed charges,135.87,90,,108.7,percent of total billed charges,90% of total billed charges,92.09,61,,73.67,percent of total billed charges,61% of total billed charges,92.09,61,,73.67,percent of total billed charges,61% of total billed charges,135.87,90,,108.7,percent of total billed charges,90% of total billed charges,135.87,90,,108.7,percent of total billed charges,90% of total billed charges,92.09,61,,73.67,percent of total billed charges,61% of total billed charges,92.09,61,,73.67,percent of total billed charges,61% of total billed charges,92.09,61,,,percent of total billed charges,61% of total billed charges,18.4,100,,,fee schedule,100% of CMS fee schedule,18.4,135.87,
IBD (1),41000540,CDM,301,RC,83520,HCPCS,Outpatient,,,68.4,54.72,,58.14,85,,46.51,percent of total billed charges,85% of total billed charges,58.14,85,,46.51,percent of total billed charges,85% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,59.64,87.2,,,percent of total billed charges,87.2% of total billed charges,40.36,59,,32.29,percent of total billed charges,59% of total billed charges,59.64,87.2,,47.71,percent of total billed charges,87.2% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,55.6,81.29,,44.48,percent of total billed charges,81.29% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of totl billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,,percent of total billed charges,61% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,61.56,
TUMOR NECROSIS FACT ALPHA LEV,41000577,CDM,301,RC,83520,HCPCS,Outpatient,,,130.99,104.79,,111.34,85,,89.07,percent of total billed charges,85% of total billed charges,111.34,85,,89.07,percent of total billed charges,85% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,97.3,74,,77.84,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,97.3,74,,77.84,percent of total billed charges,74.28% of total billed charges,79.9,61,,63.92,percent of total billed charges,61% of total billed charges,97.3,74,,77.84,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,117.89,90,,94.31,percent of total billed charges,90% of total billed charges,117.89,90,,94.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,114.22,87.2,,,percent of total billed charges,87.2% of total billed charges,77.28,59,,61.82,percent of total billed charges,59% of total billed charges,114.22,87.2,,91.38,percent of total billed charges,87.2% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,106.48,81.29,,85.18,percent of total billed charges,81.29% of total billed charges,117.89,90,,94.31,percent of total billed charges,90% of totl billed charges,117.89,90,,94.31,percent of total billed charges,90% of total billed charges,79.9,61,,63.92,percent of total billed charges,61% of total billed charges,79.9,61,,63.92,percent of total billed charges,61% of total billed charges,117.89,90,,94.31,percent of total billed charges,90% of total billed charges,117.89,90,,94.31,percent of total billed charges,90% of total billed charges,79.9,61,,63.92,percent of total billed charges,61% of total billed charges,79.9,61,,63.92,percent of total billed charges,61% of total billed charges,79.9,61,,,percent of total billed charges,61% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,117.89,
STRIATIONAL ANTIBODIES,41001123,CDM,301,RC,83520,HCPCS,Outpatient,,,65.12,52.1,,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,56.78,87.2,,,percent of total billed charges,87.2% of total billed charges,38.42,59,,30.74,percent of total billed charges,59% of total billed charges,56.78,87.2,,45.42,percent of total billed charges,87.2% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,52.94,81.29,,42.35,percent of total billed charges,81.29% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of totl billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,,percent of total billed charges,61% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,58.61,
IBD FIRST STEP,41001140,CDM,301,RC,83520,HCPCS,Outpatient,,,673.35,538.68,,572.35,85,,457.88,percent of total billed charges,85% of total billed charges,572.35,85,,457.88,percent of total billed charges,85% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,500.16,74,,400.13,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,500.16,74,,400.13,percent of total billed charges,74.28% of total billed charges,410.74,61,,328.59,percent of total billed charges,61% of total billed charges,500.16,74,,400.13,percent of total billed charges,74.28% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,606.02,90,,484.82,percent of total billed charges,90% of total billed charges,606.02,90,,484.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,100,,,fee schedule,100% of CMS fee schedule,587.16,87.2,,,percent of total billed charges,87.2% of total billed charges,397.28,59,,317.82,percent of total billed charges,59% of total billed charges,587.16,87.2,,469.73,percent of total billed charges,87.2% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,547.37,81.29,,437.9,percent of total billed charges,81.29% of total billed charges,606.02,90,,484.82,percent of total billed charges,90% of totl billed charges,606.02,90,,484.82,percent of total billed charges,90% of total billed charges,410.74,61,,328.59,percent of total billed charges,61% of total billed charges,410.74,61,,328.59,percent of total billed charges,61% of total billed charges,606.02,90,,484.82,percent of total billed charges,90% of total billed charges,606.02,90,,484.82,percent of total billed charges,90% of total billed charges,410.74,61,,328.59,percent of total billed charges,61% of total billed charges,410.74,61,,328.59,percent of total billed charges,61% of total billed charges,410.74,61,,,percent of total billed charges,61% of total billed charges,17.27,100,,,fee schedule,100% of CMS fee schedule,17.27,606.02,
"INSULIN, TOTAL",41009016,CDM,301,RC,83525,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.43,100,,,fee schedule,100% of CMS fee schedule,11.43,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,11.43,100,,,fee schedule,100% of CMS fee schedule,11.43,55.99,
"INSULIN, FREE",41000605,CDM,301,RC,83527,HCPCS,Outpatient,,,59.16,47.33,,50.29,85,,40.23,percent of total billed charges,85% of total billed charges,50.29,85,,40.23,percent of total billed charges,85% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,43.94,74,,35.15,percent of total billed charges,74.28% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,43.94,74,,35.15,percent of total billed charges,74.28% of total billed charges,36.09,61,,28.87,percent of total billed charges,61% of total billed charges,43.94,74,,35.15,percent of total billed charges,74.28% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,53.24,90,,42.59,percent of total billed charges,90% of total billed charges,53.24,90,,42.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,51.59,87.2,,,percent of total billed charges,87.2% of total billed charges,34.9,59,,27.92,percent of total billed charges,59% of total billed charges,51.59,87.2,,41.27,percent of total billed charges,87.2% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,48.09,81.29,,38.47,percent of total billed charges,81.29% of total billed charges,53.24,90,,42.59,percent of total billed charges,90% of totl billed charges,53.24,90,,42.59,percent of total billed charges,90% of total billed charges,36.09,61,,28.87,percent of total billed charges,61% of total billed charges,36.09,61,,28.87,percent of total billed charges,61% of total billed charges,53.24,90,,42.59,percent of total billed charges,90% of total billed charges,53.24,90,,42.59,percent of total billed charges,90% of total billed charges,36.09,61,,28.87,percent of total billed charges,61% of total billed charges,36.09,61,,28.87,percent of total billed charges,61% of total billed charges,36.09,61,,,percent of total billed charges,61% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,53.24,
IRON,41000022,CDM,301,RC,83540,HCPCS,Outpatient,,,41.9,33.52,,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,36.54,87.2,,,percent of total billed charges,87.2% of total billed charges,24.72,59,,19.78,percent of total billed charges,59% of total billed charges,36.54,87.2,,29.23,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,34.06,81.29,,27.25,percent of total billed charges,81.29% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of totl billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,37.71,
IRON BINDING,41000023,CDM,301,RC,83550,HCPCS,Outpatient,,,68.11,54.49,,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.74,100,,,fee schedule,100% of CMS fee schedule,8.74,100,,,fee schedule,100% of CMS fee schedule,59.39,87.2,,,percent of total billed charges,87.2% of total billed charges,40.18,59,,32.14,percent of total billed charges,59% of total billed charges,59.39,87.2,,47.51,percent of total billed charges,87.2% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,55.37,81.29,,44.3,percent of total billed charges,81.29% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of totl billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,,percent of total billed charges,61% of total billed charges,8.74,100,,,fee schedule,100% of CMS fee schedule,8.74,61.3,
17 KETOSTEROIDS-24 HR URINE,41009022,CDM,301,RC,83586,HCPCS,Outpatient,,,170.01,136.01,,144.51,85,,115.61,percent of total billed charges,85% of total billed charges,144.51,85,,115.61,percent of total billed charges,85% of total billed charges,12.8,100,,,fee schedule,100% of CMS fee schedule,126.28,74,,101.02,percent of total billed charges,74.28% of total billed charges,12.8,100,,,fee schedule,100% of CMS fee schedule,126.28,74,,101.02,percent of total billed charges,74.28% of total billed charges,103.71,61,,82.97,percent of total billed charges,61% of total billed charges,126.28,74,,101.02,percent of total billed charges,74.28% of total billed charges,12.8,100,,,fee schedule,100% of CMS fee schedule,153.01,90,,122.41,percent of total billed charges,90% of total billed charges,153.01,90,,122.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.8,100,,,fee schedule,100% of CMS fee schedule,12.8,100,,,fee schedule,100% of CMS fee schedule,148.25,87.2,,,percent of total billed charges,87.2% of total billed charges,100.31,59,,80.25,percent of total billed charges,59% of total billed charges,148.25,87.2,,118.6,percent of total billed charges,87.2% of total billed charges,12.8,100,,,fee schedule,100% of CMS fee schedule,138.2,81.29,,110.56,percent of total billed charges,81.29% of total billed charges,153.01,90,,122.41,percent of total billed charges,90% of totl billed charges,153.01,90,,122.41,percent of total billed charges,90% of total billed charges,103.71,61,,82.97,percent of total billed charges,61% of total billed charges,103.71,61,,82.97,percent of total billed charges,61% of total billed charges,153.01,90,,122.41,percent of total billed charges,90% of total billed charges,153.01,90,,122.41,percent of total billed charges,90% of total billed charges,103.71,61,,82.97,percent of total billed charges,61% of total billed charges,103.71,61,,82.97,percent of total billed charges,61% of total billed charges,103.71,61,,,percent of total billed charges,61% of total billed charges,12.8,100,,,fee schedule,100% of CMS fee schedule,12.8,153.01,
LACTIC ACID,41000013,CDM,301,RC,83605,HCPCS,Outpatient,,,85.2,68.16,,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,74.29,87.2,,,percent of total billed charges,87.2% of total billed charges,50.27,59,,40.22,percent of total billed charges,59% of total billed charges,74.29,87.2,,59.43,percent of total billed charges,87.2% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,69.26,81.29,,55.41,percent of total billed charges,81.29% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of totl billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,,percent of total billed charges,61% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,76.68,
LDH,41000011,CDM,301,RC,83615,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,41.18,
"LDH,FLUID",41009081,CDM,301,RC,83615,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,6.04,100,,,fee schedule,100% of CMS fee schedule,6.04,41.18,
LDH ISOENZYMES,41000077,CDM,301,RC,83625,HCPCS,Outpatient,,,174.95,139.96,,148.71,85,,118.97,percent of total billed charges,85% of total billed charges,148.71,85,,118.97,percent of total billed charges,85% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,129.95,74,,103.96,percent of total billed charges,74.28% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.79,100,,,fee schedule,100% of CMS fee schedule,12.79,100,,,fee schedule,100% of CMS fee schedule,152.56,87.2,,,percent of total billed charges,87.2% of total billed charges,103.22,59,,82.58,percent of total billed charges,59% of total billed charges,152.56,87.2,,122.05,percent of total billed charges,87.2% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,142.22,81.29,,113.78,percent of total billed charges,81.29% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of totl billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,157.46,90,,125.97,percent of total billed charges,90% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,85.38,percent of total billed charges,61% of total billed charges,106.72,61,,,percent of total billed charges,61% of total billed charges,12.79,100,,,fee schedule,100% of CMS fee schedule,12.79,157.46,
"LEAD, BLOOD QUANT",41000042,CDM,301,RC,83655,HCPCS,Outpatient,,,115.23,92.18,,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,97.95,85,,78.36,percent of total billed charges,85% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,85.59,74,,68.47,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,100.48,87.2,,,percent of total billed charges,87.2% of total billed charges,67.99,59,,54.39,percent of total billed charges,59% of total billed charges,100.48,87.2,,80.38,percent of total billed charges,87.2% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,93.67,81.29,,74.94,percent of total billed charges,81.29% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of totl billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,103.71,90,,82.97,percent of total billed charges,90% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,56.23,percent of total billed charges,61% of total billed charges,70.29,61,,,percent of total billed charges,61% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,103.71,
"HEAVY METAL BLOOD, LEAD",41000514,CDM,301,RC,83655,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,26.42,
LEAD BLOOD,41009014,CDM,301,RC,83655,HCPCS,Outpatient,,,89.33,71.46,,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,77.9,87.2,,,percent of total billed charges,87.2% of total billed charges,52.7,59,,42.16,percent of total billed charges,59% of total billed charges,77.9,87.2,,62.32,percent of total billed charges,87.2% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,72.62,81.29,,58.1,percent of total billed charges,81.29% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of totl billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,,percent of total billed charges,61% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,80.4,
LIPASE,41000058,CDM,301,RC,83690,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,70.25,
LIPOPROTEIN A,41009100,CDM,301,RC,83695,HCPCS,Outpatient,,,88.44,70.75,,75.17,85,,60.14,percent of total billed charges,85% of total billed charges,75.17,85,,60.14,percent of total billed charges,85% of total billed charges,14.32,100,,,fee schedule,100% of CMS fee schedule,65.69,74,,52.55,percent of total billed charges,74.28% of total billed charges,14.32,100,,,fee schedule,100% of CMS fee schedule,65.69,74,,52.55,percent of total billed charges,74.28% of total billed charges,53.95,61,,43.16,percent of total billed charges,61% of total billed charges,65.69,74,,52.55,percent of total billed charges,74.28% of total billed charges,14.32,100,,,fee schedule,100% of CMS fee schedule,79.6,90,,63.68,percent of total billed charges,90% of total billed charges,79.6,90,,63.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.32,100,,,fee schedule,100% of CMS fee schedule,14.32,100,,,fee schedule,100% of CMS fee schedule,77.12,87.2,,,percent of total billed charges,87.2% of total billed charges,52.18,59,,41.74,percent of total billed charges,59% of total billed charges,77.12,87.2,,61.7,percent of total billed charges,87.2% of total billed charges,14.32,100,,,fee schedule,100% of CMS fee schedule,71.89,81.29,,57.51,percent of total billed charges,81.29% of total billed charges,79.6,90,,63.68,percent of total billed charges,90% of totl billed charges,79.6,90,,63.68,percent of total billed charges,90% of total billed charges,53.95,61,,43.16,percent of total billed charges,61% of total billed charges,53.95,61,,43.16,percent of total billed charges,61% of total billed charges,79.6,90,,63.68,percent of total billed charges,90% of total billed charges,79.6,90,,63.68,percent of total billed charges,90% of total billed charges,53.95,61,,43.16,percent of total billed charges,61% of total billed charges,53.95,61,,43.16,percent of total billed charges,61% of total billed charges,53.95,61,,,percent of total billed charges,61% of total billed charges,14.32,100,,,fee schedule,100% of CMS fee schedule,14.32,79.6,
LIPOPROTEIN ELECTROPHOESIS,41000167,CDM,301,RC,83700,HCPCS,Outpatient,,,60.43,48.34,,51.37,85,,41.1,percent of total billed charges,85% of total billed charges,51.37,85,,41.1,percent of total billed charges,85% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,52.69,87.2,,,percent of total billed charges,87.2% of total billed charges,35.65,59,,28.52,percent of total billed charges,59% of total billed charges,52.69,87.2,,42.15,percent of total billed charges,87.2% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,49.12,81.29,,39.3,percent of total billed charges,81.29% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of totl billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,,percent of total billed charges,61% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,54.39,
LIPID TOTAL,41000313,CDM,301,RC,83700,HCPCS,Outpatient,,,54.51,43.61,,46.33,85,,37.06,percent of total billed charges,85% of total billed charges,46.33,85,,37.06,percent of total billed charges,85% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,40.49,74,,32.39,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,40.49,74,,32.39,percent of total billed charges,74.28% of total billed charges,33.25,61,,26.6,percent of total billed charges,61% of total billed charges,40.49,74,,32.39,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,49.06,90,,39.25,percent of total billed charges,90% of total billed charges,49.06,90,,39.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,47.53,87.2,,,percent of total billed charges,87.2% of total billed charges,32.16,59,,25.73,percent of total billed charges,59% of total billed charges,47.53,87.2,,38.02,percent of total billed charges,87.2% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,44.31,81.29,,35.45,percent of total billed charges,81.29% of total billed charges,49.06,90,,39.25,percent of total billed charges,90% of totl billed charges,49.06,90,,39.25,percent of total billed charges,90% of total billed charges,33.25,61,,26.6,percent of total billed charges,61% of total billed charges,33.25,61,,26.6,percent of total billed charges,61% of total billed charges,49.06,90,,39.25,percent of total billed charges,90% of total billed charges,49.06,90,,39.25,percent of total billed charges,90% of total billed charges,33.25,61,,26.6,percent of total billed charges,61% of total billed charges,33.25,61,,26.6,percent of total billed charges,61% of total billed charges,33.25,61,,,percent of total billed charges,61% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,49.06,
NMR LIPOPROFILE,41009125,CDM,301,RC,83700,HCPCS,Outpatient,,,285.28,228.22,,242.49,85,,193.99,percent of total billed charges,85% of total billed charges,242.49,85,,193.99,percent of total billed charges,85% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,211.91,74,,169.53,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,211.91,74,,169.53,percent of total billed charges,74.28% of total billed charges,174.02,61,,139.22,percent of total billed charges,61% of total billed charges,211.91,74,,169.53,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,256.75,90,,205.4,percent of total billed charges,90% of total billed charges,256.75,90,,205.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,248.76,87.2,,,percent of total billed charges,87.2% of total billed charges,168.32,59,,134.66,percent of total billed charges,59% of total billed charges,248.76,87.2,,199.01,percent of total billed charges,87.2% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,231.9,81.29,,185.52,percent of total billed charges,81.29% of total billed charges,256.75,90,,205.4,percent of total billed charges,90% of totl billed charges,256.75,90,,205.4,percent of total billed charges,90% of total billed charges,174.02,61,,139.22,percent of total billed charges,61% of total billed charges,174.02,61,,139.22,percent of total billed charges,61% of total billed charges,256.75,90,,205.4,percent of total billed charges,90% of total billed charges,256.75,90,,205.4,percent of total billed charges,90% of total billed charges,174.02,61,,139.22,percent of total billed charges,61% of total billed charges,174.02,61,,139.22,percent of total billed charges,61% of total billed charges,174.02,61,,,percent of total billed charges,61% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,256.75,
HDL,41009042,CDM,301,RC,83718,HCPCS,Outpatient,,,42.74,34.19,,36.33,85,,29.06,percent of total billed charges,85% of total billed charges,36.33,85,,29.06,percent of total billed charges,85% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,31.75,74,,25.4,percent of total billed charges,74.28% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,31.75,74,,25.4,percent of total billed charges,74.28% of total billed charges,26.07,61,,20.86,percent of total billed charges,61% of total billed charges,31.75,74,,25.4,percent of total billed charges,74.28% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,38.47,90,,30.78,percent of total billed charges,90% of total billed charges,38.47,90,,30.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.19,100,,,fee schedule,100% of CMS fee schedule,8.19,100,,,fee schedule,100% of CMS fee schedule,37.27,87.2,,,percent of total billed charges,87.2% of total billed charges,25.22,59,,20.18,percent of total billed charges,59% of total billed charges,37.27,87.2,,29.82,percent of total billed charges,87.2% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,34.74,81.29,,27.79,percent of total billed charges,81.29% of total billed charges,38.47,90,,30.78,percent of total billed charges,90% of totl billed charges,38.47,90,,30.78,percent of total billed charges,90% of total billed charges,26.07,61,,20.86,percent of total billed charges,61% of total billed charges,26.07,61,,20.86,percent of total billed charges,61% of total billed charges,38.47,90,,30.78,percent of total billed charges,90% of total billed charges,38.47,90,,30.78,percent of total billed charges,90% of total billed charges,26.07,61,,20.86,percent of total billed charges,61% of total billed charges,26.07,61,,20.86,percent of total billed charges,61% of total billed charges,26.07,61,,,percent of total billed charges,61% of total billed charges,8.19,100,,,fee schedule,100% of CMS fee schedule,8.19,38.47,
"LDL,CHOLESTEROL DIRECT",41000153,CDM,301,RC,83721,HCPCS,Outpatient,,,128.69,102.95,,109.39,85,,87.51,percent of total billed charges,85% of total billed charges,109.39,85,,87.51,percent of total billed charges,85% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,95.59,74,,76.47,percent of total billed charges,74.28% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.5,100,,,fee schedule,100% of CMS fee schedule,10.5,100,,,fee schedule,100% of CMS fee schedule,112.22,87.2,,,percent of total billed charges,87.2% of total billed charges,75.93,59,,60.74,percent of total billed charges,59% of total billed charges,112.22,87.2,,89.78,percent of total billed charges,87.2% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,104.61,81.29,,83.69,percent of total billed charges,81.29% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of totl billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,115.82,90,,92.66,percent of total billed charges,90% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,62.8,percent of total billed charges,61% of total billed charges,78.5,61,,,percent of total billed charges,61% of total billed charges,10.5,100,,,fee schedule,100% of CMS fee schedule,10.5,115.82,
MAGNESIUM,41000014,CDM,301,RC,83735,HCPCS,Outpatient,,,68.73,54.98,,58.42,85,,46.74,percent of total billed charges,85% of total billed charges,58.42,85,,46.74,percent of total billed charges,85% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,59.93,87.2,,,percent of total billed charges,87.2% of total billed charges,40.55,59,,32.44,percent of total billed charges,59% of total billed charges,59.93,87.2,,47.94,percent of total billed charges,87.2% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,55.87,81.29,,44.7,percent of total billed charges,81.29% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of totl billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,,percent of total billed charges,61% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,61.86,
MG-24 HR URINE,41000296,CDM,301,RC,83735,HCPCS,Outpatient,,,68.73,54.98,,58.42,85,,46.74,percent of total billed charges,85% of total billed charges,58.42,85,,46.74,percent of total billed charges,85% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,51.05,74,,40.84,percent of total billed charges,74.28% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,100,,,fee schedule,100% of CMS fee schedule,59.93,87.2,,,percent of total billed charges,87.2% of total billed charges,40.55,59,,32.44,percent of total billed charges,59% of total billed charges,59.93,87.2,,47.94,percent of total billed charges,87.2% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,55.87,81.29,,44.7,percent of total billed charges,81.29% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of totl billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,61.86,90,,49.49,percent of total billed charges,90% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,33.54,percent of total billed charges,61% of total billed charges,41.93,61,,,percent of total billed charges,61% of total billed charges,6.7,100,,,fee schedule,100% of CMS fee schedule,6.7,61.86,
MANGANESE,41001129,CDM,301,RC,83785,HCPCS,Outpatient,,,78.47,62.78,,66.7,85,,53.36,percent of total billed charges,85% of total billed charges,66.7,85,,53.36,percent of total billed charges,85% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,70.62,90,,56.5,percent of total billed charges,90% of total billed charges,70.62,90,,56.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.65,100,,,fee schedule,100% of CMS fee schedule,26.65,100,,,fee schedule,100% of CMS fee schedule,68.43,87.2,,,percent of total billed charges,87.2% of total billed charges,46.3,59,,37.04,percent of total billed charges,59% of total billed charges,68.43,87.2,,54.74,percent of total billed charges,87.2% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,63.79,81.29,,51.03,percent of total billed charges,81.29% of total billed charges,70.62,90,,56.5,percent of total billed charges,90% of totl billed charges,70.62,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,70.62,90,,56.5,percent of total billed charges,90% of total billed charges,70.62,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,,percent of total billed charges,61% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,26.65,70.62,
MANGANESE,41001147,CDM,301,RC,83785,HCPCS,Outpatient,,,80.72,64.58,,68.61,85,,54.89,percent of total billed charges,85% of total billed charges,68.61,85,,54.89,percent of total billed charges,85% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,59.96,74,,47.97,percent of total billed charges,74.28% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,59.96,74,,47.97,percent of total billed charges,74.28% of total billed charges,49.24,61,,39.39,percent of total billed charges,61% of total billed charges,59.96,74,,47.97,percent of total billed charges,74.28% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,72.65,90,,58.12,percent of total billed charges,90% of total billed charges,72.65,90,,58.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.65,100,,,fee schedule,100% of CMS fee schedule,26.65,100,,,fee schedule,100% of CMS fee schedule,70.39,87.2,,,percent of total billed charges,87.2% of total billed charges,47.62,59,,38.1,percent of total billed charges,59% of total billed charges,70.39,87.2,,56.31,percent of total billed charges,87.2% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,65.62,81.29,,52.5,percent of total billed charges,81.29% of total billed charges,72.65,90,,58.12,percent of total billed charges,90% of totl billed charges,72.65,90,,58.12,percent of total billed charges,90% of total billed charges,49.24,61,,39.39,percent of total billed charges,61% of total billed charges,49.24,61,,39.39,percent of total billed charges,61% of total billed charges,72.65,90,,58.12,percent of total billed charges,90% of total billed charges,72.65,90,,58.12,percent of total billed charges,90% of total billed charges,49.24,61,,39.39,percent of total billed charges,61% of total billed charges,49.24,61,,39.39,percent of total billed charges,61% of total billed charges,49.24,61,,,percent of total billed charges,61% of total billed charges,26.65,100,,,fee schedule,100% of CMS fee schedule,26.65,72.65,
"IODINE, 24 HOUR URINE",41001063,CDM,301,RC,83789,HCPCS,Outpatient,,,108.02,86.42,,91.82,85,,73.46,percent of total billed charges,85% of total billed charges,91.82,85,,73.46,percent of total billed charges,85% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,80.24,74,,64.19,percent of total billed charges,74.28% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,80.24,74,,64.19,percent of total billed charges,74.28% of total billed charges,65.89,61,,52.71,percent of total billed charges,61% of total billed charges,80.24,74,,64.19,percent of total billed charges,74.28% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,97.22,90,,77.78,percent of total billed charges,90% of total billed charges,97.22,90,,77.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.11,100,,,fee schedule,100% of CMS fee schedule,24.11,100,,,fee schedule,100% of CMS fee schedule,94.19,87.2,,,percent of total billed charges,87.2% of total billed charges,63.73,59,,50.98,percent of total billed charges,59% of total billed charges,94.19,87.2,,75.35,percent of total billed charges,87.2% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,87.81,81.29,,70.25,percent of total billed charges,81.29% of total billed charges,97.22,90,,77.78,percent of total billed charges,90% of totl billed charges,97.22,90,,77.78,percent of total billed charges,90% of total billed charges,65.89,61,,52.71,percent of total billed charges,61% of total billed charges,65.89,61,,52.71,percent of total billed charges,61% of total billed charges,97.22,90,,77.78,percent of total billed charges,90% of total billed charges,97.22,90,,77.78,percent of total billed charges,90% of total billed charges,65.89,61,,52.71,percent of total billed charges,61% of total billed charges,65.89,61,,52.71,percent of total billed charges,61% of total billed charges,65.89,61,,,percent of total billed charges,61% of total billed charges,24.11,100,,,fee schedule,100% of CMS fee schedule,24.11,97.22,
MEPROBAMATE,41000266,CDM,301,RC,83805,HCPCS,Outpatient,,,137.78,110.22,,117.11,85,,93.69,percent of total billed charges,85% of total billed charges,117.11,85,,93.69,percent of total billed charges,85% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,102.34,74,,81.87,percent of total billed charges,74.28% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,102.34,74,,81.87,percent of total billed charges,74.28% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,102.34,74,,81.87,percent of total billed charges,74.28% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,124,90,,99.2,percent of total billed charges,90% of total billed charges,124,90,,99.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,120.14,87.2,,,percent of total billed charges,87.2% of total billed charges,81.29,59,,65.03,percent of total billed charges,59% of total billed charges,120.14,87.2,,96.11,percent of total billed charges,87.2% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,112,81.29,,89.6,percent of total billed charges,81.29% of total billed charges,124,90,,99.2,percent of total billed charges,90% of totl billed charges,124,90,,99.2,percent of total billed charges,90% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,124,90,,99.2,percent of total billed charges,90% of total billed charges,124,90,,99.2,percent of total billed charges,90% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,84.05,61,,67.24,percent of total billed charges,61% of total billed charges,71.65,52,,57.32,percent of total billed charges,52% of total billed charges,71.65,124,
"HEAVY METAL BLOOD, MERCURY",41000515,CDM,301,RC,83825,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,26.42,
"HEAVY METAL URINE, MERCURY",41000529,CDM,301,RC,83825,HCPCS,Outpatient,,,29.35,23.48,,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,24.95,85,,19.96,percent of total billed charges,85% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,21.8,74,,17.44,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,100,,,fee schedule,100% of CMS fee schedule,25.59,87.2,,,percent of total billed charges,87.2% of total billed charges,17.32,59,,13.86,percent of total billed charges,59% of total billed charges,25.59,87.2,,20.47,percent of total billed charges,87.2% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,23.86,81.29,,19.09,percent of total billed charges,81.29% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of totl billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,26.42,90,,21.14,percent of total billed charges,90% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,14.32,percent of total billed charges,61% of total billed charges,17.9,61,,,percent of total billed charges,61% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,26.42,
MERCURY,41001014,CDM,301,RC,83825,HCPCS,Outpatient,,,102.74,82.19,,87.33,85,,69.86,percent of total billed charges,85% of total billed charges,87.33,85,,69.86,percent of total billed charges,85% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,100,,,fee schedule,100% of CMS fee schedule,89.59,87.2,,,percent of total billed charges,87.2% of total billed charges,60.62,59,,48.5,percent of total billed charges,59% of total billed charges,89.59,87.2,,71.67,percent of total billed charges,87.2% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,83.52,81.29,,66.82,percent of total billed charges,81.29% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of totl billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,,percent of total billed charges,61% of total billed charges,16.26,100,,,fee schedule,100% of CMS fee schedule,16.26,92.47,
NORMETANEPHRINES,41000031,CDM,301,RC,83835,HCPCS,Outpatient,,,74.57,59.66,,63.38,85,,50.7,percent of total billed charges,85% of total billed charges,63.38,85,,50.7,percent of total billed charges,85% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.39,74,,44.31,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.39,74,,44.31,percent of total billed charges,74.28% of total billed charges,45.49,61,,36.39,percent of total billed charges,61% of total billed charges,55.39,74,,44.31,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,67.11,90,,53.69,percent of total billed charges,90% of total billed charges,67.11,90,,53.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,65.03,87.2,,,percent of total billed charges,87.2% of total billed charges,44,59,,35.2,percent of total billed charges,59% of total billed charges,65.03,87.2,,52.02,percent of total billed charges,87.2% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,60.62,81.29,,48.5,percent of total billed charges,81.29% of total billed charges,67.11,90,,53.69,percent of total billed charges,90% of totl billed charges,67.11,90,,53.69,percent of total billed charges,90% of total billed charges,45.49,61,,36.39,percent of total billed charges,61% of total billed charges,45.49,61,,36.39,percent of total billed charges,61% of total billed charges,67.11,90,,53.69,percent of total billed charges,90% of total billed charges,67.11,90,,53.69,percent of total billed charges,90% of total billed charges,45.49,61,,36.39,percent of total billed charges,61% of total billed charges,45.49,61,,36.39,percent of total billed charges,61% of total billed charges,45.49,61,,,percent of total billed charges,61% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,67.11,
METANEPHRINE FX,41000186,CDM,301,RC,83835,HCPCS,Outpatient,,,74.25,59.4,,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,64.75,87.2,,,percent of total billed charges,87.2% of total billed charges,43.81,59,,35.05,percent of total billed charges,59% of total billed charges,64.75,87.2,,51.8,percent of total billed charges,87.2% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,60.36,81.29,,48.29,percent of total billed charges,81.29% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of totl billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,,percent of total billed charges,61% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,66.83,
METAREPHINE,41001015,CDM,301,RC,83835,HCPCS,Outpatient,,,126.52,101.22,,107.54,85,,86.03,percent of total billed charges,85% of total billed charges,107.54,85,,86.03,percent of total billed charges,85% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,93.98,74,,75.18,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,93.98,74,,75.18,percent of total billed charges,74.28% of total billed charges,77.18,61,,61.74,percent of total billed charges,61% of total billed charges,93.98,74,,75.18,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,113.87,90,,91.1,percent of total billed charges,90% of total billed charges,113.87,90,,91.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,110.33,87.2,,,percent of total billed charges,87.2% of total billed charges,74.65,59,,59.72,percent of total billed charges,59% of total billed charges,110.33,87.2,,88.26,percent of total billed charges,87.2% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,102.85,81.29,,82.28,percent of total billed charges,81.29% of total billed charges,113.87,90,,91.1,percent of total billed charges,90% of totl billed charges,113.87,90,,91.1,percent of total billed charges,90% of total billed charges,77.18,61,,61.74,percent of total billed charges,61% of total billed charges,77.18,61,,61.74,percent of total billed charges,61% of total billed charges,113.87,90,,91.1,percent of total billed charges,90% of total billed charges,113.87,90,,91.1,percent of total billed charges,90% of total billed charges,77.18,61,,61.74,percent of total billed charges,61% of total billed charges,77.18,61,,61.74,percent of total billed charges,61% of total billed charges,77.18,61,,,percent of total billed charges,61% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,113.87,
"METANEPHRINES,FRAC,PLASMA,FREE",41001209,CDM,301,RC,83835,HCPCS,Outpatient,,,74.25,59.4,,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,64.75,87.2,,,percent of total billed charges,87.2% of total billed charges,43.81,59,,35.05,percent of total billed charges,59% of total billed charges,64.75,87.2,,51.8,percent of total billed charges,87.2% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,60.36,81.29,,48.29,percent of total billed charges,81.29% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of totl billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,,percent of total billed charges,61% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,66.83,
METHADONE LEVEL,41009088,CDM,301,RC,83840,HCPCS,Outpatient,,,228.48,182.78,,194.21,85,,155.37,percent of total billed charges,85% of total billed charges,194.21,85,,155.37,percent of total billed charges,85% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,169.71,74,,135.77,percent of total billed charges,74.28% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,199.23,87.2,,,percent of total billed charges,87.2% of total billed charges,134.8,59,,107.84,percent of total billed charges,59% of total billed charges,199.23,87.2,,159.38,percent of total billed charges,87.2% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,185.73,81.29,,148.58,percent of total billed charges,81.29% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of totl billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,205.63,90,,164.5,percent of total billed charges,90% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,139.37,61,,111.5,percent of total billed charges,61% of total billed charges,118.81,52,,95.05,percent of total billed charges,52% of total billed charges,118.81,205.63,
SYNOVIAL FLUID-MUCIN,41000183,CDM,301,RC,83872,HCPCS,Outpatient,,,19.36,15.49,,16.46,85,,13.17,percent of total billed charges,85% of total billed charges,16.46,85,,13.17,percent of total billed charges,85% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,14.38,74,,11.5,percent of total billed charges,74.28% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,14.38,74,,11.5,percent of total billed charges,74.28% of total billed charges,11.81,61,,9.45,percent of total billed charges,61% of total billed charges,14.38,74,,11.5,percent of total billed charges,74.28% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,17.42,90,,13.94,percent of total billed charges,90% of total billed charges,17.42,90,,13.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.86,100,,,fee schedule,100% of CMS fee schedule,5.86,100,,,fee schedule,100% of CMS fee schedule,16.88,87.2,,,percent of total billed charges,87.2% of total billed charges,11.42,59,,9.14,percent of total billed charges,59% of total billed charges,16.88,87.2,,13.5,percent of total billed charges,87.2% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,15.74,81.29,,12.59,percent of total billed charges,81.29% of total billed charges,17.42,90,,13.94,percent of total billed charges,90% of totl billed charges,17.42,90,,13.94,percent of total billed charges,90% of total billed charges,11.81,61,,9.45,percent of total billed charges,61% of total billed charges,11.81,61,,9.45,percent of total billed charges,61% of total billed charges,17.42,90,,13.94,percent of total billed charges,90% of total billed charges,17.42,90,,13.94,percent of total billed charges,90% of total billed charges,11.81,61,,9.45,percent of total billed charges,61% of total billed charges,11.81,61,,9.45,percent of total billed charges,61% of total billed charges,11.81,61,,,percent of total billed charges,61% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,5.86,17.42,
MUCIN CLOT,41001016,CDM,301,RC,83872,HCPCS,Outpatient,,,56.21,44.97,,47.78,85,,38.22,percent of total billed charges,85% of total billed charges,47.78,85,,38.22,percent of total billed charges,85% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,41.75,74,,33.4,percent of total billed charges,74.28% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,41.75,74,,33.4,percent of total billed charges,74.28% of total billed charges,34.29,61,,27.43,percent of total billed charges,61% of total billed charges,41.75,74,,33.4,percent of total billed charges,74.28% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,50.59,90,,40.47,percent of total billed charges,90% of total billed charges,50.59,90,,40.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.86,100,,,fee schedule,100% of CMS fee schedule,5.86,100,,,fee schedule,100% of CMS fee schedule,49.02,87.2,,,percent of total billed charges,87.2% of total billed charges,33.16,59,,26.53,percent of total billed charges,59% of total billed charges,49.02,87.2,,39.22,percent of total billed charges,87.2% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,45.69,81.29,,36.55,percent of total billed charges,81.29% of total billed charges,50.59,90,,40.47,percent of total billed charges,90% of totl billed charges,50.59,90,,40.47,percent of total billed charges,90% of total billed charges,34.29,61,,27.43,percent of total billed charges,61% of total billed charges,34.29,61,,27.43,percent of total billed charges,61% of total billed charges,50.59,90,,40.47,percent of total billed charges,90% of total billed charges,50.59,90,,40.47,percent of total billed charges,90% of total billed charges,34.29,61,,27.43,percent of total billed charges,61% of total billed charges,34.29,61,,27.43,percent of total billed charges,61% of total billed charges,34.29,61,,,percent of total billed charges,61% of total billed charges,5.86,100,,,fee schedule,100% of CMS fee schedule,5.86,50.59,
"MYOGLOBIN,URINE",41000151,CDM,301,RC,83874,HCPCS,Outpatient,,,64.69,51.75,,54.99,85,,43.99,percent of total billed charges,85% of total billed charges,54.99,85,,43.99,percent of total billed charges,85% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,48.05,74,,38.44,percent of total billed charges,74.28% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,48.05,74,,38.44,percent of total billed charges,74.28% of total billed charges,39.46,61,,31.57,percent of total billed charges,61% of total billed charges,48.05,74,,38.44,percent of total billed charges,74.28% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,58.22,90,,46.58,percent of total billed charges,90% of total billed charges,58.22,90,,46.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.92,100,,,fee schedule,100% of CMS fee schedule,12.92,100,,,fee schedule,100% of CMS fee schedule,56.41,87.2,,,percent of total billed charges,87.2% of total billed charges,38.17,59,,30.54,percent of total billed charges,59% of total billed charges,56.41,87.2,,45.13,percent of total billed charges,87.2% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,52.59,81.29,,42.07,percent of total billed charges,81.29% of total billed charges,58.22,90,,46.58,percent of total billed charges,90% of totl billed charges,58.22,90,,46.58,percent of total billed charges,90% of total billed charges,39.46,61,,31.57,percent of total billed charges,61% of total billed charges,39.46,61,,31.57,percent of total billed charges,61% of total billed charges,58.22,90,,46.58,percent of total billed charges,90% of total billed charges,58.22,90,,46.58,percent of total billed charges,90% of total billed charges,39.46,61,,31.57,percent of total billed charges,61% of total billed charges,39.46,61,,31.57,percent of total billed charges,61% of total billed charges,39.46,61,,,percent of total billed charges,61% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,12.92,58.22,
"MYOGLOBIN,SERUM",41000152,CDM,301,RC,83874,HCPCS,Outpatient,,,95.74,76.59,,81.38,85,,65.1,percent of total billed charges,85% of total billed charges,81.38,85,,65.1,percent of total billed charges,85% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,71.12,74,,56.9,percent of total billed charges,74.28% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,71.12,74,,56.9,percent of total billed charges,74.28% of total billed charges,58.4,61,,46.72,percent of total billed charges,61% of total billed charges,71.12,74,,56.9,percent of total billed charges,74.28% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,86.17,90,,68.94,percent of total billed charges,90% of total billed charges,86.17,90,,68.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.92,100,,,fee schedule,100% of CMS fee schedule,12.92,100,,,fee schedule,100% of CMS fee schedule,83.49,87.2,,,percent of total billed charges,87.2% of total billed charges,56.49,59,,45.19,percent of total billed charges,59% of total billed charges,83.49,87.2,,66.79,percent of total billed charges,87.2% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,77.83,81.29,,62.26,percent of total billed charges,81.29% of total billed charges,86.17,90,,68.94,percent of total billed charges,90% of totl billed charges,86.17,90,,68.94,percent of total billed charges,90% of total billed charges,58.4,61,,46.72,percent of total billed charges,61% of total billed charges,58.4,61,,46.72,percent of total billed charges,61% of total billed charges,86.17,90,,68.94,percent of total billed charges,90% of total billed charges,86.17,90,,68.94,percent of total billed charges,90% of total billed charges,58.4,61,,46.72,percent of total billed charges,61% of total billed charges,58.4,61,,46.72,percent of total billed charges,61% of total billed charges,58.4,61,,,percent of total billed charges,61% of total billed charges,12.92,100,,,fee schedule,100% of CMS fee schedule,12.92,86.17,
BRAIN NATRIURETIC PEPTIDE,41009107,CDM,301,RC,83880,HCPCS,Outpatient,,,274.64,219.71,,233.44,85,,186.75,percent of total billed charges,85% of total billed charges,233.44,85,,186.75,percent of total billed charges,85% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,204,74,,163.2,percent of total billed charges,74.28% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,204,74,,163.2,percent of total billed charges,74.28% of total billed charges,167.53,61,,134.02,percent of total billed charges,61% of total billed charges,204,74,,163.2,percent of total billed charges,74.28% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,247.18,90,,197.74,percent of total billed charges,90% of total billed charges,247.18,90,,197.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.26,100,,,fee schedule,100% of CMS fee schedule,39.26,100,,,fee schedule,100% of CMS fee schedule,239.49,87.2,,,percent of total billed charges,87.2% of total billed charges,162.04,59,,129.63,percent of total billed charges,59% of total billed charges,239.49,87.2,,191.59,percent of total billed charges,87.2% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,223.25,81.29,,178.6,percent of total billed charges,81.29% of total billed charges,247.18,90,,197.74,percent of total billed charges,90% of totl billed charges,247.18,90,,197.74,percent of total billed charges,90% of total billed charges,167.53,61,,134.02,percent of total billed charges,61% of total billed charges,167.53,61,,134.02,percent of total billed charges,61% of total billed charges,247.18,90,,197.74,percent of total billed charges,90% of total billed charges,247.18,90,,197.74,percent of total billed charges,90% of total billed charges,167.53,61,,134.02,percent of total billed charges,61% of total billed charges,167.53,61,,134.02,percent of total billed charges,61% of total billed charges,167.53,61,,,percent of total billed charges,61% of total billed charges,39.26,100,,,fee schedule,100% of CMS fee schedule,39.26,247.18,
"LIGHT CHAINS, SERUM",41000784,CDM,301,RC,83883,HCPCS,Outpatient,,,385,308,,327.25,85,,261.8,percent of total billed charges,85% of total billed charges,327.25,85,,261.8,percent of total billed charges,85% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,285.98,74,,228.78,percent of total billed charges,74.28% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,285.98,74,,228.78,percent of total billed charges,74.28% of total billed charges,234.85,61,,187.88,percent of total billed charges,61% of total billed charges,285.98,74,,228.78,percent of total billed charges,74.28% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,346.5,90,,277.2,percent of total billed charges,90% of total billed charges,346.5,90,,277.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,100,,,fee schedule,100% of CMS fee schedule,335.72,87.2,,,percent of total billed charges,87.2% of total billed charges,227.15,59,,181.72,percent of total billed charges,59% of total billed charges,335.72,87.2,,268.58,percent of total billed charges,87.2% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,312.97,81.29,,250.38,percent of total billed charges,81.29% of total billed charges,346.5,90,,277.2,percent of total billed charges,90% of totl billed charges,346.5,90,,277.2,percent of total billed charges,90% of total billed charges,234.85,61,,187.88,percent of total billed charges,61% of total billed charges,234.85,61,,187.88,percent of total billed charges,61% of total billed charges,346.5,90,,277.2,percent of total billed charges,90% of total billed charges,346.5,90,,277.2,percent of total billed charges,90% of total billed charges,234.85,61,,187.88,percent of total billed charges,61% of total billed charges,234.85,61,,187.88,percent of total billed charges,61% of total billed charges,234.85,61,,,percent of total billed charges,61% of total billed charges,13.6,100,,,fee schedule,100% of CMS fee schedule,13.6,346.5,
NUCLEIC ACID ISO HEMACHROMATOS,41001058,CDM,301,RC,83891,HCPCS,Outpatient,,,28.11,22.49,,23.89,85,,19.11,percent of total billed charges,85% of total billed charges,23.89,85,,19.11,percent of total billed charges,85% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,24.51,87.2,,,percent of total billed charges,87.2% of total billed charges,16.58,59,,13.26,percent of total billed charges,59% of total billed charges,24.51,87.2,,19.61,percent of total billed charges,87.2% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,22.85,81.29,,18.28,percent of total billed charges,81.29% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of totl billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,14.62,25.3,
BCR/ARL/mRNA REVERSE TRANS.PCR,41001149,CDM,301,RC,83891,HCPCS,Outpatient,,,14.97,11.98,,12.72,85,,10.18,percent of total billed charges,85% of total billed charges,12.72,85,,10.18,percent of total billed charges,85% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,11.12,74,,8.9,percent of total billed charges,74.28% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,11.12,74,,8.9,percent of total billed charges,74.28% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,11.12,74,,8.9,percent of total billed charges,74.28% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,13.47,90,,10.78,percent of total billed charges,90% of total billed charges,13.47,90,,10.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,13.05,87.2,,,percent of total billed charges,87.2% of total billed charges,8.83,59,,7.06,percent of total billed charges,59% of total billed charges,13.05,87.2,,10.44,percent of total billed charges,87.2% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,12.17,81.29,,9.74,percent of total billed charges,81.29% of total billed charges,13.47,90,,10.78,percent of total billed charges,90% of totl billed charges,13.47,90,,10.78,percent of total billed charges,90% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,13.47,90,,10.78,percent of total billed charges,90% of total billed charges,13.47,90,,10.78,percent of total billed charges,90% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,9.13,61,,7.3,percent of total billed charges,61% of total billed charges,7.78,52,,6.22,percent of total billed charges,52% of total billed charges,7.78,13.47,
PROTHROMBIN 20210 MUTATION DET,41001154,CDM,300,RC,83891,HCPCS,Outpatient,,,298.95,239.16,,254.11,85,,203.29,percent of total billed charges,85% of total billed charges,254.11,85,,203.29,percent of total billed charges,85% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,260.68,87.2,,,percent of total billed charges,87.2% of total billed charges,176.38,59,,141.1,percent of total billed charges,59% of total billed charges,260.68,87.2,,208.54,percent of total billed charges,87.2% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,243.02,81.29,,194.42,percent of total billed charges,81.29% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of totl billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,155.45,269.06,
MTHR/METHYLENTETRAHYDROFOLATE,41001157,CDM,301,RC,83891,HCPCS,Outpatient,,,298.95,239.16,,254.11,85,,203.29,percent of total billed charges,85% of total billed charges,254.11,85,,203.29,percent of total billed charges,85% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,222.06,74,,177.65,percent of total billed charges,74.28% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,260.68,87.2,,,percent of total billed charges,87.2% of total billed charges,176.38,59,,141.1,percent of total billed charges,59% of total billed charges,260.68,87.2,,208.54,percent of total billed charges,87.2% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,243.02,81.29,,194.42,percent of total billed charges,81.29% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of totl billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,269.06,90,,215.25,percent of total billed charges,90% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,182.36,61,,145.89,percent of total billed charges,61% of total billed charges,155.45,52,,124.36,percent of total billed charges,52% of total billed charges,155.45,269.06,
PROMETHIUS PROPREDICT TPMT,41001158,CDM,300,RC,83891,HCPCS,Outpatient,,,597.88,478.3,,508.2,85,,406.56,percent of total billed charges,85% of total billed charges,508.2,85,,406.56,percent of total billed charges,85% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,444.11,74,,355.29,percent of total billed charges,74.28% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,444.11,74,,355.29,percent of total billed charges,74.28% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,444.11,74,,355.29,percent of total billed charges,74.28% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,538.09,90,,430.47,percent of total billed charges,90% of total billed charges,538.09,90,,430.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,521.35,87.2,,,percent of total billed charges,87.2% of total billed charges,352.75,59,,282.2,percent of total billed charges,59% of total billed charges,521.35,87.2,,417.08,percent of total billed charges,87.2% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,486.02,81.29,,388.82,percent of total billed charges,81.29% of total billed charges,538.09,90,,430.47,percent of total billed charges,90% of totl billed charges,538.09,90,,430.47,percent of total billed charges,90% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,538.09,90,,430.47,percent of total billed charges,90% of total billed charges,538.09,90,,430.47,percent of total billed charges,90% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,364.71,61,,291.77,percent of total billed charges,61% of total billed charges,310.9,52,,248.72,percent of total billed charges,52% of total billed charges,310.9,538.09,
HEMOCHROMATOSIS MUTATION DET 1,41009143,CDM,301,RC,83891,HCPCS,Outpatient,,,67.57,54.06,,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,58.92,87.2,,,percent of total billed charges,87.2% of total billed charges,39.87,59,,31.9,percent of total billed charges,59% of total billed charges,58.92,87.2,,47.14,percent of total billed charges,87.2% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,54.93,81.29,,43.94,percent of total billed charges,81.29% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of totl billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,60.81,
ENZYMATIC DIGESTION HEMACHROMA,41001059,CDM,301,RC,83892,HCPCS,Outpatient,,,22.1,17.68,,18.79,85,,15.03,percent of total billed charges,85% of total billed charges,18.79,85,,15.03,percent of total billed charges,85% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,19.27,87.2,,,percent of total billed charges,87.2% of total billed charges,13.04,59,,10.43,percent of total billed charges,59% of total billed charges,19.27,87.2,,15.42,percent of total billed charges,87.2% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,17.97,81.29,,14.38,percent of total billed charges,81.29% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of totl billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,11.49,19.89,
ENZYMATIC DIGESTION,41001124,CDM,301,RC,83892,HCPCS,Outpatient,,,61.13,48.9,,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,53.31,87.2,,,percent of total billed charges,87.2% of total billed charges,36.07,59,,28.86,percent of total billed charges,59% of total billed charges,53.31,87.2,,42.65,percent of total billed charges,87.2% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,49.69,81.29,,39.75,percent of total billed charges,81.29% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of totl billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,55.02,
HEMOCHROMATOSIS MUTATION DET 2,41009144,CDM,301,RC,83892,HCPCS,Outpatient,,,67.57,54.06,,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,58.92,87.2,,,percent of total billed charges,87.2% of total billed charges,39.87,59,,31.9,percent of total billed charges,59% of total billed charges,58.92,87.2,,47.14,percent of total billed charges,87.2% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,54.93,81.29,,43.94,percent of total billed charges,81.29% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of totl billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,60.81,
GEL SEPERATION HEMACHROMATOSIS,41001060,CDM,301,RC,83894,HCPCS,Outpatient,,,28.11,22.49,,23.89,85,,19.11,percent of total billed charges,85% of total billed charges,23.89,85,,19.11,percent of total billed charges,85% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,20.88,74,,16.7,percent of total billed charges,74.28% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,24.51,87.2,,,percent of total billed charges,87.2% of total billed charges,16.58,59,,13.26,percent of total billed charges,59% of total billed charges,24.51,87.2,,19.61,percent of total billed charges,87.2% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,22.85,81.29,,18.28,percent of total billed charges,81.29% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of totl billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,25.3,90,,20.24,percent of total billed charges,90% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,17.15,61,,13.72,percent of total billed charges,61% of total billed charges,14.62,52,,11.7,percent of total billed charges,52% of total billed charges,14.62,25.3,
GEL ELECTROPHORESIS,41001126,CDM,301,RC,83894,HCPCS,Outpatient,,,61.13,48.9,,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,53.31,87.2,,,percent of total billed charges,87.2% of total billed charges,36.07,59,,28.86,percent of total billed charges,59% of total billed charges,53.31,87.2,,42.65,percent of total billed charges,87.2% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,49.69,81.29,,39.75,percent of total billed charges,81.29% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of totl billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,55.02,
HEMOCHROMATOSIS MUTATION DET 3,41009145,CDM,301,RC,83894,HCPCS,Outpatient,,,67.57,54.06,,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,58.92,87.2,,,percent of total billed charges,87.2% of total billed charges,39.87,59,,31.9,percent of total billed charges,59% of total billed charges,58.92,87.2,,47.14,percent of total billed charges,87.2% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,54.93,81.29,,43.94,percent of total billed charges,81.29% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of totl billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,60.81,
NUCLEIC ACID AMP HEMACHROMATOS,41001061,CDM,301,RC,83898,HCPCS,Outpatient,,,26.21,20.97,,22.28,85,,17.82,percent of total billed charges,85% of total billed charges,22.28,85,,17.82,percent of total billed charges,85% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,19.47,74,,15.58,percent of total billed charges,74.28% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,19.47,74,,15.58,percent of total billed charges,74.28% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,19.47,74,,15.58,percent of total billed charges,74.28% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,23.59,90,,18.87,percent of total billed charges,90% of total billed charges,23.59,90,,18.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,22.86,87.2,,,percent of total billed charges,87.2% of total billed charges,15.46,59,,12.37,percent of total billed charges,59% of total billed charges,22.86,87.2,,18.29,percent of total billed charges,87.2% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,21.31,81.29,,17.05,percent of total billed charges,81.29% of total billed charges,23.59,90,,18.87,percent of total billed charges,90% of totl billed charges,23.59,90,,18.87,percent of total billed charges,90% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,23.59,90,,18.87,percent of total billed charges,90% of total billed charges,23.59,90,,18.87,percent of total billed charges,90% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,15.99,61,,12.79,percent of total billed charges,61% of total billed charges,13.63,52,,10.9,percent of total billed charges,52% of total billed charges,13.63,23.59,
AMPLIFICATION OF NUCLEIC ACID,41001125,CDM,301,RC,83898,HCPCS,Outpatient,,,61.13,48.9,,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,51.96,85,,41.57,percent of total billed charges,85% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,45.41,74,,36.33,percent of total billed charges,74.28% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,53.31,87.2,,,percent of total billed charges,87.2% of total billed charges,36.07,59,,28.86,percent of total billed charges,59% of total billed charges,53.31,87.2,,42.65,percent of total billed charges,87.2% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,49.69,81.29,,39.75,percent of total billed charges,81.29% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of totl billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,55.02,90,,44.02,percent of total billed charges,90% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,37.29,61,,29.83,percent of total billed charges,61% of total billed charges,31.79,52,,25.43,percent of total billed charges,52% of total billed charges,31.79,55.02,
HEMOCHROMATOSIS MUTATION DET 4,41009146,CDM,301,RC,83898,HCPCS,Outpatient,,,80.82,64.66,,68.7,85,,54.96,percent of total billed charges,85% of total billed charges,68.7,85,,54.96,percent of total billed charges,85% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,60.03,74,,48.02,percent of total billed charges,74.28% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,60.03,74,,48.02,percent of total billed charges,74.28% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,60.03,74,,48.02,percent of total billed charges,74.28% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,72.74,90,,58.19,percent of total billed charges,90% of total billed charges,72.74,90,,58.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,70.48,87.2,,,percent of total billed charges,87.2% of total billed charges,47.68,59,,38.14,percent of total billed charges,59% of total billed charges,70.48,87.2,,56.38,percent of total billed charges,87.2% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,65.7,81.29,,52.56,percent of total billed charges,81.29% of total billed charges,72.74,90,,58.19,percent of total billed charges,90% of totl billed charges,72.74,90,,58.19,percent of total billed charges,90% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,72.74,90,,58.19,percent of total billed charges,90% of total billed charges,72.74,90,,58.19,percent of total billed charges,90% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,49.3,61,,39.44,percent of total billed charges,61% of total billed charges,42.03,52,,33.62,percent of total billed charges,52% of total billed charges,42.03,72.74,
REPORT INTERPRETATION,41001062,CDM,301,RC,83912,HCPCS,Outpatient,,,22.1,17.68,,18.79,85,,15.03,percent of total billed charges,85% of total billed charges,18.79,85,,15.03,percent of total billed charges,85% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,16.42,74,,13.14,percent of total billed charges,74.28% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,19.27,87.2,,,percent of total billed charges,87.2% of total billed charges,13.04,59,,10.43,percent of total billed charges,59% of total billed charges,19.27,87.2,,15.42,percent of total billed charges,87.2% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,17.97,81.29,,14.38,percent of total billed charges,81.29% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of totl billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,19.89,90,,15.91,percent of total billed charges,90% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,13.48,61,,10.78,percent of total billed charges,61% of total billed charges,11.49,52,,9.19,percent of total billed charges,52% of total billed charges,11.49,19.89,
TEST INTERPRETATION,41001127,CDM,301,RC,83912,HCPCS,Outpatient,,,120.74,96.59,,102.63,85,,82.1,percent of total billed charges,85% of total billed charges,102.63,85,,82.1,percent of total billed charges,85% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,105.29,87.2,,,percent of total billed charges,87.2% of total billed charges,71.24,59,,56.99,percent of total billed charges,59% of total billed charges,105.29,87.2,,84.23,percent of total billed charges,87.2% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,98.15,81.29,,78.52,percent of total billed charges,81.29% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of totl billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,62.78,52,,50.22,percent of total billed charges,52% of total billed charges,62.78,108.67,
HEMOCHROMATOSIS MUTATION DET 5,41009147,CDM,301,RC,83912,HCPCS,Outpatient,,,67.57,54.06,,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,57.43,85,,45.94,percent of total billed charges,85% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,50.19,74,,40.15,percent of total billed charges,74.28% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,58.92,87.2,,,percent of total billed charges,87.2% of total billed charges,39.87,59,,31.9,percent of total billed charges,59% of total billed charges,58.92,87.2,,47.14,percent of total billed charges,87.2% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,54.93,81.29,,43.94,percent of total billed charges,81.29% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of totl billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,60.81,90,,48.65,percent of total billed charges,90% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,41.22,61,,32.98,percent of total billed charges,61% of total billed charges,35.14,52,,28.11,percent of total billed charges,52% of total billed charges,35.14,60.81,
OLIGOCLONAL BAN,41009060,CDM,301,RC,83916,HCPCS,Outpatient,,,98.76,79.01,,83.95,85,,67.16,percent of total billed charges,85% of total billed charges,83.95,85,,67.16,percent of total billed charges,85% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,73.36,74,,58.69,percent of total billed charges,74.28% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,73.36,74,,58.69,percent of total billed charges,74.28% of total billed charges,60.24,61,,48.19,percent of total billed charges,61% of total billed charges,73.36,74,,58.69,percent of total billed charges,74.28% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,88.88,90,,71.1,percent of total billed charges,90% of total billed charges,88.88,90,,71.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.39,100,,,fee schedule,100% of CMS fee schedule,27.39,100,,,fee schedule,100% of CMS fee schedule,86.12,87.2,,,percent of total billed charges,87.2% of total billed charges,58.27,59,,46.62,percent of total billed charges,59% of total billed charges,86.12,87.2,,68.9,percent of total billed charges,87.2% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,80.28,81.29,,64.22,percent of total billed charges,81.29% of total billed charges,88.88,90,,71.1,percent of total billed charges,90% of totl billed charges,88.88,90,,71.1,percent of total billed charges,90% of total billed charges,60.24,61,,48.19,percent of total billed charges,61% of total billed charges,60.24,61,,48.19,percent of total billed charges,61% of total billed charges,88.88,90,,71.1,percent of total billed charges,90% of total billed charges,88.88,90,,71.1,percent of total billed charges,90% of total billed charges,60.24,61,,48.19,percent of total billed charges,61% of total billed charges,60.24,61,,48.19,percent of total billed charges,61% of total billed charges,60.24,61,,,percent of total billed charges,61% of total billed charges,27.39,100,,,fee schedule,100% of CMS fee schedule,27.39,88.88,
"ORGANIC ACID,QUAN",41000290,CDM,301,RC,83918,HCPCS,Outpatient,,,203.21,162.57,,172.73,85,,138.18,percent of total billed charges,85% of total billed charges,172.73,85,,138.18,percent of total billed charges,85% of total billed charges,23.6,100,,,fee schedule,100% of CMS fee schedule,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,23.6,100,,,fee schedule,100% of CMS fee schedule,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,150.94,74,,120.75,percent of total billed charges,74.28% of total billed charges,23.6,100,,,fee schedule,100% of CMS fee schedule,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.6,100,,,fee schedule,100% of CMS fee schedule,23.6,100,,,fee schedule,100% of CMS fee schedule,177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,119.89,59,,95.91,percent of total billed charges,59% of total billed charges,177.2,87.2,,141.76,percent of total billed charges,87.2% of total billed charges,23.6,100,,,fee schedule,100% of CMS fee schedule,165.19,81.29,,132.15,percent of total billed charges,81.29% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of totl billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,182.89,90,,146.31,percent of total billed charges,90% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,99.17,percent of total billed charges,61% of total billed charges,123.96,61,,,percent of total billed charges,61% of total billed charges,23.6,100,,,fee schedule,100% of CMS fee schedule,23.6,182.89,
GAMMA HYDROXY BUTYRATE (GHB),41000395,CDM,301,RC,83919,HCPCS,Outpatient,,,185.1,148.08,,157.34,85,,125.87,percent of total billed charges,85% of total billed charges,157.34,85,,125.87,percent of total billed charges,85% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,137.49,74,,109.99,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,137.49,74,,109.99,percent of total billed charges,74.28% of total billed charges,112.91,61,,90.33,percent of total billed charges,61% of total billed charges,137.49,74,,109.99,percent of total billed charges,74.28% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,166.59,90,,133.27,percent of total billed charges,90% of total billed charges,166.59,90,,133.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,100,,,fee schedule,100% of CMS fee schedule,161.41,87.2,,,percent of total billed charges,87.2% of total billed charges,109.21,59,,87.37,percent of total billed charges,59% of total billed charges,161.41,87.2,,129.13,percent of total billed charges,87.2% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,150.47,81.29,,120.38,percent of total billed charges,81.29% of total billed charges,166.59,90,,133.27,percent of total billed charges,90% of totl billed charges,166.59,90,,133.27,percent of total billed charges,90% of total billed charges,112.91,61,,90.33,percent of total billed charges,61% of total billed charges,112.91,61,,90.33,percent of total billed charges,61% of total billed charges,166.59,90,,133.27,percent of total billed charges,90% of total billed charges,166.59,90,,133.27,percent of total billed charges,90% of total billed charges,112.91,61,,90.33,percent of total billed charges,61% of total billed charges,112.91,61,,90.33,percent of total billed charges,61% of total billed charges,112.91,61,,,percent of total billed charges,61% of total billed charges,16.45,100,,,fee schedule,100% of CMS fee schedule,16.45,166.59,
"METHYLMALONIC ACID, MMAS",41009106,CDM,301,RC,83921,HCPCS,Outpatient,,,109.1,87.28,,92.74,85,,74.19,percent of total billed charges,85% of total billed charges,92.74,85,,74.19,percent of total billed charges,85% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,81.04,74,,64.83,percent of total billed charges,74.28% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,81.04,74,,64.83,percent of total billed charges,74.28% of total billed charges,66.55,61,,53.24,percent of total billed charges,61% of total billed charges,81.04,74,,64.83,percent of total billed charges,74.28% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,98.19,90,,78.55,percent of total billed charges,90% of total billed charges,98.19,90,,78.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.21,100,,,fee schedule,100% of CMS fee schedule,21.21,100,,,fee schedule,100% of CMS fee schedule,95.14,87.2,,,percent of total billed charges,87.2% of total billed charges,64.37,59,,51.5,percent of total billed charges,59% of total billed charges,95.14,87.2,,76.11,percent of total billed charges,87.2% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,88.69,81.29,,70.95,percent of total billed charges,81.29% of total billed charges,98.19,90,,78.55,percent of total billed charges,90% of totl billed charges,98.19,90,,78.55,percent of total billed charges,90% of total billed charges,66.55,61,,53.24,percent of total billed charges,61% of total billed charges,66.55,61,,53.24,percent of total billed charges,61% of total billed charges,98.19,90,,78.55,percent of total billed charges,90% of total billed charges,98.19,90,,78.55,percent of total billed charges,90% of total billed charges,66.55,61,,53.24,percent of total billed charges,61% of total billed charges,66.55,61,,53.24,percent of total billed charges,61% of total billed charges,66.55,61,,,percent of total billed charges,61% of total billed charges,21.21,100,,,fee schedule,100% of CMS fee schedule,21.21,98.19,
FENTANYL LEVEL,41000576,CDM,301,RC,83925,HCPCS,Outpatient,,,145.89,116.71,,124.01,85,,99.21,percent of total billed charges,85% of total billed charges,124.01,85,,99.21,percent of total billed charges,85% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,108.37,74,,86.7,percent of total billed charges,74.28% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,108.37,74,,86.7,percent of total billed charges,74.28% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,108.37,74,,86.7,percent of total billed charges,74.28% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,131.3,90,,105.04,percent of total billed charges,90% of total billed charges,131.3,90,,105.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,127.22,87.2,,,percent of total billed charges,87.2% of total billed charges,86.08,59,,68.86,percent of total billed charges,59% of total billed charges,127.22,87.2,,101.78,percent of total billed charges,87.2% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,118.59,81.29,,94.87,percent of total billed charges,81.29% of total billed charges,131.3,90,,105.04,percent of total billed charges,90% of totl billed charges,131.3,90,,105.04,percent of total billed charges,90% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,131.3,90,,105.04,percent of total billed charges,90% of total billed charges,131.3,90,,105.04,percent of total billed charges,90% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,88.99,61,,71.19,percent of total billed charges,61% of total billed charges,75.86,52,,60.69,percent of total billed charges,52% of total billed charges,75.86,131.3,
OPIATES,41001025,CDM,301,RC,83925,HCPCS,Outpatient,,,60.43,48.34,,51.37,85,,41.1,percent of total billed charges,85% of total billed charges,51.37,85,,41.1,percent of total billed charges,85% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,44.89,74,,35.91,percent of total billed charges,74.28% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,52.69,87.2,,,percent of total billed charges,87.2% of total billed charges,35.65,59,,28.52,percent of total billed charges,59% of total billed charges,52.69,87.2,,42.15,percent of total billed charges,87.2% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,49.12,81.29,,39.3,percent of total billed charges,81.29% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of totl billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,54.39,90,,43.51,percent of total billed charges,90% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,36.86,61,,29.49,percent of total billed charges,61% of total billed charges,31.42,52,,25.14,percent of total billed charges,52% of total billed charges,31.42,54.39,
FENTANYL,41009137,CDM,301,RC,83925,HCPCS,Outpatient,,,125.4,100.32,,106.59,85,,85.27,percent of total billed charges,85% of total billed charges,106.59,85,,85.27,percent of total billed charges,85% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,93.15,74,,74.52,percent of total billed charges,74.28% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,93.15,74,,74.52,percent of total billed charges,74.28% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,93.15,74,,74.52,percent of total billed charges,74.28% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,112.86,90,,90.29,percent of total billed charges,90% of total billed charges,112.86,90,,90.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,109.35,87.2,,,percent of total billed charges,87.2% of total billed charges,73.99,59,,59.19,percent of total billed charges,59% of total billed charges,109.35,87.2,,87.48,percent of total billed charges,87.2% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,101.94,81.29,,81.55,percent of total billed charges,81.29% of total billed charges,112.86,90,,90.29,percent of total billed charges,90% of totl billed charges,112.86,90,,90.29,percent of total billed charges,90% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,112.86,90,,90.29,percent of total billed charges,90% of total billed charges,112.86,90,,90.29,percent of total billed charges,90% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,76.49,61,,61.19,percent of total billed charges,61% of total billed charges,65.21,52,,52.17,percent of total billed charges,52% of total billed charges,65.21,112.86,
OSMOLALITY-BLOOD,41009071,CDM,301,RC,83930,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,6.61,100,,,fee schedule,100% of CMS fee schedule,6.61,57.23,
OSMOLALITY-URINE,41001012,CDM,301,RC,83935,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.82,100,,,fee schedule,100% of CMS fee schedule,6.82,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,6.82,100,,,fee schedule,100% of CMS fee schedule,6.82,57.23,
OSTEOCALCIN,41001155,CDM,301,RC,83937,HCPCS,Outpatient,,,127.08,101.66,,108.02,85,,86.42,percent of total billed charges,85% of total billed charges,108.02,85,,86.42,percent of total billed charges,85% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,94.4,74,,75.52,percent of total billed charges,74.28% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,94.4,74,,75.52,percent of total billed charges,74.28% of total billed charges,77.52,61,,62.02,percent of total billed charges,61% of total billed charges,94.4,74,,75.52,percent of total billed charges,74.28% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,114.37,90,,91.5,percent of total billed charges,90% of total billed charges,114.37,90,,91.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.85,100,,,fee schedule,100% of CMS fee schedule,29.85,100,,,fee schedule,100% of CMS fee schedule,110.81,87.2,,,percent of total billed charges,87.2% of total billed charges,74.98,59,,59.98,percent of total billed charges,59% of total billed charges,110.81,87.2,,88.65,percent of total billed charges,87.2% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,103.3,81.29,,82.64,percent of total billed charges,81.29% of total billed charges,114.37,90,,91.5,percent of total billed charges,90% of totl billed charges,114.37,90,,91.5,percent of total billed charges,90% of total billed charges,77.52,61,,62.02,percent of total billed charges,61% of total billed charges,77.52,61,,62.02,percent of total billed charges,61% of total billed charges,114.37,90,,91.5,percent of total billed charges,90% of total billed charges,114.37,90,,91.5,percent of total billed charges,90% of total billed charges,77.52,61,,62.02,percent of total billed charges,61% of total billed charges,77.52,61,,62.02,percent of total billed charges,61% of total billed charges,77.52,61,,,percent of total billed charges,61% of total billed charges,29.85,100,,,fee schedule,100% of CMS fee schedule,29.85,114.37,
OXALATE-24 HR URINE,41000079,CDM,301,RC,83945,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,99.91,
"OXALATE, QUANTITATIVE, 24HR UR",41001239,CDM,301,RC,83945,HCPCS,Outpatient,,,13.53,10.82,,11.5,85,,9.2,percent of total billed charges,85% of total billed charges,11.5,85,,9.2,percent of total billed charges,85% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,10.05,74,,8.04,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,10.05,74,,8.04,percent of total billed charges,74.28% of total billed charges,8.25,61,,6.6,percent of total billed charges,61% of total billed charges,10.05,74,,8.04,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,12.18,90,,9.74,percent of total billed charges,90% of total billed charges,12.18,90,,9.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,11.8,87.2,,,percent of total billed charges,87.2% of total billed charges,7.98,59,,6.38,percent of total billed charges,59% of total billed charges,11.8,87.2,,9.44,percent of total billed charges,87.2% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,11,81.29,,8.8,percent of total billed charges,81.29% of total billed charges,12.18,90,,9.74,percent of total billed charges,90% of totl billed charges,12.18,90,,9.74,percent of total billed charges,90% of total billed charges,8.25,61,,6.6,percent of total billed charges,61% of total billed charges,8.25,61,,6.6,percent of total billed charges,61% of total billed charges,12.18,90,,9.74,percent of total billed charges,90% of total billed charges,12.18,90,,9.74,percent of total billed charges,90% of total billed charges,8.25,61,,6.6,percent of total billed charges,61% of total billed charges,8.25,61,,6.6,percent of total billed charges,61% of total billed charges,8.25,61,,,percent of total billed charges,61% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,7.98,14.45,
OXALATE,41009006,CDM,301,RC,83945,HCPCS,Outpatient,,,159.65,127.72,,135.7,85,,108.56,percent of total billed charges,85% of total billed charges,135.7,85,,108.56,percent of total billed charges,85% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,118.59,74,,94.87,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,118.59,74,,94.87,percent of total billed charges,74.28% of total billed charges,97.39,61,,77.91,percent of total billed charges,61% of total billed charges,118.59,74,,94.87,percent of total billed charges,74.28% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,143.69,90,,114.95,percent of total billed charges,90% of total billed charges,143.69,90,,114.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,100,,,fee schedule,100% of CMS fee schedule,139.21,87.2,,,percent of total billed charges,87.2% of total billed charges,94.19,59,,75.35,percent of total billed charges,59% of total billed charges,139.21,87.2,,111.37,percent of total billed charges,87.2% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,129.78,81.29,,103.82,percent of total billed charges,81.29% of total billed charges,143.69,90,,114.95,percent of total billed charges,90% of totl billed charges,143.69,90,,114.95,percent of total billed charges,90% of total billed charges,97.39,61,,77.91,percent of total billed charges,61% of total billed charges,97.39,61,,77.91,percent of total billed charges,61% of total billed charges,143.69,90,,114.95,percent of total billed charges,90% of total billed charges,143.69,90,,114.95,percent of total billed charges,90% of total billed charges,97.39,61,,77.91,percent of total billed charges,61% of total billed charges,97.39,61,,77.91,percent of total billed charges,61% of total billed charges,97.39,61,,,percent of total billed charges,61% of total billed charges,14.45,100,,,fee schedule,100% of CMS fee schedule,14.45,143.69,
PARATHYROID HORMONE C-TERMINAL,41000016,CDM,301,RC,83970,HCPCS,Outpatient,,,125.67,100.54,,106.82,85,,85.46,percent of total billed charges,85% of total billed charges,106.82,85,,85.46,percent of total billed charges,85% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,93.35,74,,74.68,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,93.35,74,,74.68,percent of total billed charges,74.28% of total billed charges,76.66,61,,61.33,percent of total billed charges,61% of total billed charges,93.35,74,,74.68,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,113.1,90,,90.48,percent of total billed charges,90% of total billed charges,113.1,90,,90.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,100,,,fee schedule,100% of CMS fee schedule,109.58,87.2,,,percent of total billed charges,87.2% of total billed charges,74.15,59,,59.32,percent of total billed charges,59% of total billed charges,109.58,87.2,,87.66,percent of total billed charges,87.2% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,102.16,81.29,,81.73,percent of total billed charges,81.29% of total billed charges,113.1,90,,90.48,percent of total billed charges,90% of totl billed charges,113.1,90,,90.48,percent of total billed charges,90% of total billed charges,76.66,61,,61.33,percent of total billed charges,61% of total billed charges,76.66,61,,61.33,percent of total billed charges,61% of total billed charges,113.1,90,,90.48,percent of total billed charges,90% of total billed charges,113.1,90,,90.48,percent of total billed charges,90% of total billed charges,76.66,61,,61.33,percent of total billed charges,61% of total billed charges,76.66,61,,61.33,percent of total billed charges,61% of total billed charges,76.66,61,,,percent of total billed charges,61% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,113.1,
"PTH,INTACT",41000209,CDM,301,RC,83970,HCPCS,Outpatient,,,104.42,83.54,,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,100,,,fee schedule,100% of CMS fee schedule,91.05,87.2,,,percent of total billed charges,87.2% of total billed charges,61.61,59,,49.29,percent of total billed charges,59% of total billed charges,91.05,87.2,,72.84,percent of total billed charges,87.2% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,84.88,81.29,,67.9,percent of total billed charges,81.29% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of totl billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,,percent of total billed charges,61% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,93.98,
PARATHYROID HORMONE-PROFILE,41000457,CDM,301,RC,83970,HCPCS,Outpatient,,,306.26,245.01,,260.32,85,,208.26,percent of total billed charges,85% of total billed charges,260.32,85,,208.26,percent of total billed charges,85% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,227.49,74,,181.99,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,227.49,74,,181.99,percent of total billed charges,74.28% of total billed charges,186.82,61,,149.46,percent of total billed charges,61% of total billed charges,227.49,74,,181.99,percent of total billed charges,74.28% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,275.63,90,,220.5,percent of total billed charges,90% of total billed charges,275.63,90,,220.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,100,,,fee schedule,100% of CMS fee schedule,267.06,87.2,,,percent of total billed charges,87.2% of total billed charges,180.69,59,,144.55,percent of total billed charges,59% of total billed charges,267.06,87.2,,213.65,percent of total billed charges,87.2% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,248.96,81.29,,199.17,percent of total billed charges,81.29% of total billed charges,275.63,90,,220.5,percent of total billed charges,90% of totl billed charges,275.63,90,,220.5,percent of total billed charges,90% of total billed charges,186.82,61,,149.46,percent of total billed charges,61% of total billed charges,186.82,61,,149.46,percent of total billed charges,61% of total billed charges,275.63,90,,220.5,percent of total billed charges,90% of total billed charges,275.63,90,,220.5,percent of total billed charges,90% of total billed charges,186.82,61,,149.46,percent of total billed charges,61% of total billed charges,186.82,61,,149.46,percent of total billed charges,61% of total billed charges,186.82,61,,,percent of total billed charges,61% of total billed charges,41.28,100,,,fee schedule,100% of CMS fee schedule,41.28,275.63,
PH BODY FLUIDS NOS,41000036,CDM,301,RC,83986,HCPCS,Outpatient,,,70.18,56.14,,59.65,85,,47.72,percent of total billed charges,85% of total billed charges,59.65,85,,47.72,percent of total billed charges,85% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,52.13,74,,41.7,percent of total billed charges,74.28% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,52.13,74,,41.7,percent of total billed charges,74.28% of total billed charges,42.81,61,,34.25,percent of total billed charges,61% of total billed charges,52.13,74,,41.7,percent of total billed charges,74.28% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,63.16,90,,50.53,percent of total billed charges,90% of total billed charges,63.16,90,,50.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,61.2,87.2,,,percent of total billed charges,87.2% of total billed charges,41.41,59,,33.13,percent of total billed charges,59% of total billed charges,61.2,87.2,,48.96,percent of total billed charges,87.2% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,57.05,81.29,,45.64,percent of total billed charges,81.29% of total billed charges,63.16,90,,50.53,percent of total billed charges,90% of totl billed charges,63.16,90,,50.53,percent of total billed charges,90% of total billed charges,42.81,61,,34.25,percent of total billed charges,61% of total billed charges,42.81,61,,34.25,percent of total billed charges,61% of total billed charges,63.16,90,,50.53,percent of total billed charges,90% of total billed charges,63.16,90,,50.53,percent of total billed charges,90% of total billed charges,42.81,61,,34.25,percent of total billed charges,61% of total billed charges,42.81,61,,34.25,percent of total billed charges,61% of total billed charges,42.81,61,,,percent of total billed charges,61% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,63.16,
FECAL PH,41001082,CDM,301,RC,83986,HCPCS,Outpatient,,,75.56,60.45,,64.23,85,,51.38,percent of total billed charges,85% of total billed charges,64.23,85,,51.38,percent of total billed charges,85% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,56.13,74,,44.9,percent of total billed charges,74.28% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,56.13,74,,44.9,percent of total billed charges,74.28% of total billed charges,46.09,61,,36.87,percent of total billed charges,61% of total billed charges,56.13,74,,44.9,percent of total billed charges,74.28% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,68,90,,54.4,percent of total billed charges,90% of total billed charges,68,90,,54.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,100,,,fee schedule,100% of CMS fee schedule,65.89,87.2,,,percent of total billed charges,87.2% of total billed charges,44.58,59,,35.66,percent of total billed charges,59% of total billed charges,65.89,87.2,,52.71,percent of total billed charges,87.2% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,61.42,81.29,,49.14,percent of total billed charges,81.29% of total billed charges,68,90,,54.4,percent of total billed charges,90% of totl billed charges,68,90,,54.4,percent of total billed charges,90% of total billed charges,46.09,61,,36.87,percent of total billed charges,61% of total billed charges,46.09,61,,36.87,percent of total billed charges,61% of total billed charges,68,90,,54.4,percent of total billed charges,90% of total billed charges,68,90,,54.4,percent of total billed charges,90% of total billed charges,46.09,61,,36.87,percent of total billed charges,61% of total billed charges,46.09,61,,36.87,percent of total billed charges,61% of total billed charges,46.09,61,,,percent of total billed charges,61% of total billed charges,3.58,100,,,fee schedule,100% of CMS fee schedule,3.58,68,
PHENCYCLIDINE (QUAN),41000433,CDM,301,RC,83992,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,36.31,52,,29.05,percent of total billed charges,52% of total billed charges,36.31,62.84,
"PKU,BLOOD",41000015,CDM,301,RC,84030,HCPCS,Outpatient,,,50.29,40.23,,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,42.75,85,,34.2,percent of total billed charges,85% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,37.36,74,,29.89,percent of total billed charges,74.28% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.5,100,,,fee schedule,100% of CMS fee schedule,5.5,100,,,fee schedule,100% of CMS fee schedule,43.85,87.2,,,percent of total billed charges,87.2% of total billed charges,29.67,59,,23.74,percent of total billed charges,59% of total billed charges,43.85,87.2,,35.08,percent of total billed charges,87.2% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,40.88,81.29,,32.7,percent of total billed charges,81.29% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of totl billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,45.26,90,,36.21,percent of total billed charges,90% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,24.54,percent of total billed charges,61% of total billed charges,30.68,61,,,percent of total billed charges,61% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,5.5,45.26,
ACID PHOS TOTAL,41000028,CDM,301,RC,84060,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,7.64,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,7.64,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,7.64,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.64,100,,,fee schedule,100% of CMS fee schedule,7.64,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,7.64,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,7.64,100,,,fee schedule,100% of CMS fee schedule,7.64,56.38,
ACID PHOS PROSTATIC,41000025,CDM,301,RC,84066,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.66,100,,,fee schedule,100% of CMS fee schedule,9.66,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,9.66,62.84,
PROSTATIC ACID PHOS,41000255,CDM,301,RC,84066,HCPCS,Outpatient,,,108.42,86.74,,92.16,85,,73.73,percent of total billed charges,85% of total billed charges,92.16,85,,73.73,percent of total billed charges,85% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,80.53,74,,64.42,percent of total billed charges,74.28% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,80.53,74,,64.42,percent of total billed charges,74.28% of total billed charges,66.14,61,,52.91,percent of total billed charges,61% of total billed charges,80.53,74,,64.42,percent of total billed charges,74.28% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,97.58,90,,78.06,percent of total billed charges,90% of total billed charges,97.58,90,,78.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.66,100,,,fee schedule,100% of CMS fee schedule,9.66,100,,,fee schedule,100% of CMS fee schedule,94.54,87.2,,,percent of total billed charges,87.2% of total billed charges,63.97,59,,51.18,percent of total billed charges,59% of total billed charges,94.54,87.2,,75.63,percent of total billed charges,87.2% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,88.13,81.29,,70.5,percent of total billed charges,81.29% of total billed charges,97.58,90,,78.06,percent of total billed charges,90% of totl billed charges,97.58,90,,78.06,percent of total billed charges,90% of total billed charges,66.14,61,,52.91,percent of total billed charges,61% of total billed charges,66.14,61,,52.91,percent of total billed charges,61% of total billed charges,97.58,90,,78.06,percent of total billed charges,90% of total billed charges,97.58,90,,78.06,percent of total billed charges,90% of total billed charges,66.14,61,,52.91,percent of total billed charges,61% of total billed charges,66.14,61,,52.91,percent of total billed charges,61% of total billed charges,66.14,61,,,percent of total billed charges,61% of total billed charges,9.66,100,,,fee schedule,100% of CMS fee schedule,9.66,97.58,
ALK PHOS ENZYMES,41000003,CDM,301,RC,84075,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,45.12,
ALK PHOS ISOENZYMES,41000496,CDM,301,RC,84075,HCPCS,Outpatient,,,58.78,47.02,,49.96,85,,39.97,percent of total billed charges,85% of total billed charges,49.96,85,,39.97,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,43.66,74,,34.93,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,43.66,74,,34.93,percent of total billed charges,74.28% of total billed charges,35.86,61,,28.69,percent of total billed charges,61% of total billed charges,43.66,74,,34.93,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,52.9,90,,42.32,percent of total billed charges,90% of total billed charges,52.9,90,,42.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,51.26,87.2,,,percent of total billed charges,87.2% of total billed charges,34.68,59,,27.74,percent of total billed charges,59% of total billed charges,51.26,87.2,,41.01,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,47.78,81.29,,38.22,percent of total billed charges,81.29% of total billed charges,52.9,90,,42.32,percent of total billed charges,90% of totl billed charges,52.9,90,,42.32,percent of total billed charges,90% of total billed charges,35.86,61,,28.69,percent of total billed charges,61% of total billed charges,35.86,61,,28.69,percent of total billed charges,61% of total billed charges,52.9,90,,42.32,percent of total billed charges,90% of total billed charges,52.9,90,,42.32,percent of total billed charges,90% of total billed charges,35.86,61,,28.69,percent of total billed charges,61% of total billed charges,35.86,61,,28.69,percent of total billed charges,61% of total billed charges,35.86,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,52.9,
BONE ALKALINE PHOSPHOTASE,41001100,CDM,301,RC,84080,HCPCS,Outpatient,,,55.79,44.63,,47.42,85,,37.94,percent of total billed charges,85% of total billed charges,47.42,85,,37.94,percent of total billed charges,85% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,41.44,74,,33.15,percent of total billed charges,74.28% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,41.44,74,,33.15,percent of total billed charges,74.28% of total billed charges,34.03,61,,27.22,percent of total billed charges,61% of total billed charges,41.44,74,,33.15,percent of total billed charges,74.28% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,50.21,90,,40.17,percent of total billed charges,90% of total billed charges,50.21,90,,40.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.78,100,,,fee schedule,100% of CMS fee schedule,14.78,100,,,fee schedule,100% of CMS fee schedule,48.65,87.2,,,percent of total billed charges,87.2% of total billed charges,32.92,59,,26.34,percent of total billed charges,59% of total billed charges,48.65,87.2,,38.92,percent of total billed charges,87.2% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,45.35,81.29,,36.28,percent of total billed charges,81.29% of total billed charges,50.21,90,,40.17,percent of total billed charges,90% of totl billed charges,50.21,90,,40.17,percent of total billed charges,90% of total billed charges,34.03,61,,27.22,percent of total billed charges,61% of total billed charges,34.03,61,,27.22,percent of total billed charges,61% of total billed charges,50.21,90,,40.17,percent of total billed charges,90% of total billed charges,50.21,90,,40.17,percent of total billed charges,90% of total billed charges,34.03,61,,27.22,percent of total billed charges,61% of total billed charges,34.03,61,,27.22,percent of total billed charges,61% of total billed charges,34.03,61,,,percent of total billed charges,61% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,14.78,50.21,
GLUCOSE PHOSPHATE ISOMERASE,41001171,CDM,301,RC,84087,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,10.73,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,10.73,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,10.73,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.73,100,,,fee schedule,100% of CMS fee schedule,10.73,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,10.73,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,10.73,100,,,fee schedule,100% of CMS fee schedule,10.73,80.7,
"PHOSPHORUS,INORGAN PHOSPHATE",41000063,CDM,301,RC,84100,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.74,100,,,fee schedule,100% of CMS fee schedule,4.74,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,4.74,100,,,fee schedule,100% of CMS fee schedule,4.74,45.12,
PHOSPHORUS-24 HR URINE,41000171,CDM,301,RC,84105,HCPCS,Outpatient,,,56.13,44.9,,47.71,85,,38.17,percent of total billed charges,85% of total billed charges,47.71,85,,38.17,percent of total billed charges,85% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,41.69,74,,33.35,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,41.69,74,,33.35,percent of total billed charges,74.28% of total billed charges,34.24,61,,27.39,percent of total billed charges,61% of total billed charges,41.69,74,,33.35,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,50.52,90,,40.42,percent of total billed charges,90% of total billed charges,50.52,90,,40.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,48.95,87.2,,,percent of total billed charges,87.2% of total billed charges,33.12,59,,26.5,percent of total billed charges,59% of total billed charges,48.95,87.2,,39.16,percent of total billed charges,87.2% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,45.63,81.29,,36.5,percent of total billed charges,81.29% of total billed charges,50.52,90,,40.42,percent of total billed charges,90% of totl billed charges,50.52,90,,40.42,percent of total billed charges,90% of total billed charges,34.24,61,,27.39,percent of total billed charges,61% of total billed charges,34.24,61,,27.39,percent of total billed charges,61% of total billed charges,50.52,90,,40.42,percent of total billed charges,90% of total billed charges,50.52,90,,40.42,percent of total billed charges,90% of total billed charges,34.24,61,,27.39,percent of total billed charges,61% of total billed charges,34.24,61,,27.39,percent of total billed charges,61% of total billed charges,34.24,61,,,percent of total billed charges,61% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,50.52,
"PHOSPHORUS,URINE",41001031,CDM,301,RC,84105,HCPCS,Outpatient,,,52.1,41.68,,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,45.43,87.2,,,percent of total billed charges,87.2% of total billed charges,30.74,59,,24.59,percent of total billed charges,59% of total billed charges,45.43,87.2,,36.34,percent of total billed charges,87.2% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,42.35,81.29,,33.88,percent of total billed charges,81.29% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of totl billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,,percent of total billed charges,61% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,46.89,
"PHOSPHORUS, 24HR UR",41001240,CDM,301,RC,84105,HCPCS,Outpatient,,,5.42,4.34,,4.61,85,,3.69,percent of total billed charges,85% of total billed charges,4.61,85,,3.69,percent of total billed charges,85% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.03,74,,3.22,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.03,74,,3.22,percent of total billed charges,74.28% of total billed charges,3.31,61,,2.65,percent of total billed charges,61% of total billed charges,4.03,74,,3.22,percent of total billed charges,74.28% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.88,90,,3.9,percent of total billed charges,90% of total billed charges,4.88,90,,3.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.78,100,,,fee schedule,100% of CMS fee schedule,5.78,100,,,fee schedule,100% of CMS fee schedule,4.73,87.2,,,percent of total billed charges,87.2% of total billed charges,3.2,59,,2.56,percent of total billed charges,59% of total billed charges,4.73,87.2,,3.78,percent of total billed charges,87.2% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,4.41,81.29,,3.53,percent of total billed charges,81.29% of total billed charges,4.88,90,,3.9,percent of total billed charges,90% of totl billed charges,4.88,90,,3.9,percent of total billed charges,90% of total billed charges,3.31,61,,2.65,percent of total billed charges,61% of total billed charges,3.31,61,,2.65,percent of total billed charges,61% of total billed charges,4.88,90,,3.9,percent of total billed charges,90% of total billed charges,4.88,90,,3.9,percent of total billed charges,90% of total billed charges,3.31,61,,2.65,percent of total billed charges,61% of total billed charges,3.31,61,,2.65,percent of total billed charges,61% of total billed charges,3.31,61,,,percent of total billed charges,61% of total billed charges,5.78,100,,,fee schedule,100% of CMS fee schedule,3.2,5.78,
PORPHOBILINOGEN (QUAN),41000460,CDM,301,RC,84110,HCPCS,Outpatient,,,104.82,83.86,,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,8.44,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,8.44,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,8.44,100,,,fee schedule,100% of CMS fee schedule,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.44,100,,,fee schedule,100% of CMS fee schedule,8.44,100,,,fee schedule,100% of CMS fee schedule,91.4,87.2,,,percent of total billed charges,87.2% of total billed charges,61.84,59,,49.47,percent of total billed charges,59% of total billed charges,91.4,87.2,,73.12,percent of total billed charges,87.2% of total billed charges,8.44,100,,,fee schedule,100% of CMS fee schedule,85.21,81.29,,68.17,percent of total billed charges,81.29% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of totl billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,,percent of total billed charges,61% of total billed charges,8.44,100,,,fee schedule,100% of CMS fee schedule,8.44,94.34,
"PORPHYRINS,SCREEN",41000195,CDM,301,RC,84119,HCPCS,Outpatient,,,49.33,39.46,,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.36,100,,,fee schedule,100% of CMS fee schedule,13.36,100,,,fee schedule,100% of CMS fee schedule,43.02,87.2,,,percent of total billed charges,87.2% of total billed charges,29.1,59,,23.28,percent of total billed charges,59% of total billed charges,43.02,87.2,,34.42,percent of total billed charges,87.2% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,40.1,81.29,,32.08,percent of total billed charges,81.29% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of totl billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,,percent of total billed charges,61% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,13.36,44.4,
PORPHYRINS QUANT,41009004,CDM,301,RC,84120,HCPCS,Outpatient,,,156.53,125.22,,133.05,85,,106.44,percent of total billed charges,85% of total billed charges,133.05,85,,106.44,percent of total billed charges,85% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,116.27,74,,93.02,percent of total billed charges,74.28% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,116.27,74,,93.02,percent of total billed charges,74.28% of total billed charges,95.48,61,,76.38,percent of total billed charges,61% of total billed charges,116.27,74,,93.02,percent of total billed charges,74.28% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,140.88,90,,112.7,percent of total billed charges,90% of total billed charges,140.88,90,,112.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.71,100,,,fee schedule,100% of CMS fee schedule,14.71,100,,,fee schedule,100% of CMS fee schedule,136.49,87.2,,,percent of total billed charges,87.2% of total billed charges,92.35,59,,73.88,percent of total billed charges,59% of total billed charges,136.49,87.2,,109.19,percent of total billed charges,87.2% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,127.24,81.29,,101.79,percent of total billed charges,81.29% of total billed charges,140.88,90,,112.7,percent of total billed charges,90% of totl billed charges,140.88,90,,112.7,percent of total billed charges,90% of total billed charges,95.48,61,,76.38,percent of total billed charges,61% of total billed charges,95.48,61,,76.38,percent of total billed charges,61% of total billed charges,140.88,90,,112.7,percent of total billed charges,90% of total billed charges,140.88,90,,112.7,percent of total billed charges,90% of total billed charges,95.48,61,,76.38,percent of total billed charges,61% of total billed charges,95.48,61,,76.38,percent of total billed charges,61% of total billed charges,95.48,61,,,percent of total billed charges,61% of total billed charges,14.71,100,,,fee schedule,100% of CMS fee schedule,14.71,140.88,
POTASSIUM,41000074,CDM,301,RC,84132,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.76,100,,,fee schedule,100% of CMS fee schedule,4.76,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,4.76,100,,,fee schedule,100% of CMS fee schedule,4.76,36.09,
"POTASSIUM,URINE",41000143,CDM,301,RC,84133,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,43.26,
POTASSIUM-FECAL OR URINE,41000251,CDM,301,RC,84133,HCPCS,Outpatient,,,18.02,14.42,,15.32,85,,12.26,percent of total billed charges,85% of total billed charges,15.32,85,,12.26,percent of total billed charges,85% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,13.39,74,,10.71,percent of total billed charges,74.28% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,13.39,74,,10.71,percent of total billed charges,74.28% of total billed charges,10.99,61,,8.79,percent of total billed charges,61% of total billed charges,13.39,74,,10.71,percent of total billed charges,74.28% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,16.22,90,,12.98,percent of total billed charges,90% of total billed charges,16.22,90,,12.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,100,,,fee schedule,100% of CMS fee schedule,15.71,87.2,,,percent of total billed charges,87.2% of total billed charges,10.63,59,,8.5,percent of total billed charges,59% of total billed charges,15.71,87.2,,12.57,percent of total billed charges,87.2% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,14.65,81.29,,11.72,percent of total billed charges,81.29% of total billed charges,16.22,90,,12.98,percent of total billed charges,90% of totl billed charges,16.22,90,,12.98,percent of total billed charges,90% of total billed charges,10.99,61,,8.79,percent of total billed charges,61% of total billed charges,10.99,61,,8.79,percent of total billed charges,61% of total billed charges,16.22,90,,12.98,percent of total billed charges,90% of total billed charges,16.22,90,,12.98,percent of total billed charges,90% of total billed charges,10.99,61,,8.79,percent of total billed charges,61% of total billed charges,10.99,61,,8.79,percent of total billed charges,61% of total billed charges,10.99,61,,,percent of total billed charges,61% of total billed charges,4.73,100,,,fee schedule,100% of CMS fee schedule,4.73,16.22,
PREALBUMIN,41001101,CDM,301,RC,84134,HCPCS,Outpatient,,,205.07,164.06,,174.31,85,,139.45,percent of total billed charges,85% of total billed charges,174.31,85,,139.45,percent of total billed charges,85% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,152.33,74,,121.86,percent of total billed charges,74.28% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,152.33,74,,121.86,percent of total billed charges,74.28% of total billed charges,125.09,61,,100.07,percent of total billed charges,61% of total billed charges,152.33,74,,121.86,percent of total billed charges,74.28% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,184.56,90,,147.65,percent of total billed charges,90% of total billed charges,184.56,90,,147.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.59,100,,,fee schedule,100% of CMS fee schedule,14.59,100,,,fee schedule,100% of CMS fee schedule,178.82,87.2,,,percent of total billed charges,87.2% of total billed charges,120.99,59,,96.79,percent of total billed charges,59% of total billed charges,178.82,87.2,,143.06,percent of total billed charges,87.2% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,166.7,81.29,,133.36,percent of total billed charges,81.29% of total billed charges,184.56,90,,147.65,percent of total billed charges,90% of totl billed charges,184.56,90,,147.65,percent of total billed charges,90% of total billed charges,125.09,61,,100.07,percent of total billed charges,61% of total billed charges,125.09,61,,100.07,percent of total billed charges,61% of total billed charges,184.56,90,,147.65,percent of total billed charges,90% of total billed charges,184.56,90,,147.65,percent of total billed charges,90% of total billed charges,125.09,61,,100.07,percent of total billed charges,61% of total billed charges,125.09,61,,100.07,percent of total billed charges,61% of total billed charges,125.09,61,,,percent of total billed charges,61% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,14.59,184.56,
PREALBUMIN,41009150,CDM,301,RC,84134,HCPCS,Outpatient,,,270.84,216.67,,230.21,85,,184.17,percent of total billed charges,85% of total billed charges,230.21,85,,184.17,percent of total billed charges,85% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,201.18,74,,160.94,percent of total billed charges,74.28% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,201.18,74,,160.94,percent of total billed charges,74.28% of total billed charges,165.21,61,,132.17,percent of total billed charges,61% of total billed charges,201.18,74,,160.94,percent of total billed charges,74.28% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,243.76,90,,195.01,percent of total billed charges,90% of total billed charges,243.76,90,,195.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.59,100,,,fee schedule,100% of CMS fee schedule,14.59,100,,,fee schedule,100% of CMS fee schedule,236.17,87.2,,,percent of total billed charges,87.2% of total billed charges,159.8,59,,127.84,percent of total billed charges,59% of total billed charges,236.17,87.2,,188.94,percent of total billed charges,87.2% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,220.17,81.29,,176.14,percent of total billed charges,81.29% of total billed charges,243.76,90,,195.01,percent of total billed charges,90% of totl billed charges,243.76,90,,195.01,percent of total billed charges,90% of total billed charges,165.21,61,,132.17,percent of total billed charges,61% of total billed charges,165.21,61,,132.17,percent of total billed charges,61% of total billed charges,243.76,90,,195.01,percent of total billed charges,90% of total billed charges,243.76,90,,195.01,percent of total billed charges,90% of total billed charges,165.21,61,,132.17,percent of total billed charges,61% of total billed charges,165.21,61,,132.17,percent of total billed charges,61% of total billed charges,165.21,61,,,percent of total billed charges,61% of total billed charges,14.59,100,,,fee schedule,100% of CMS fee schedule,14.59,243.76,
PREGNANETRIOL,41009024,CDM,301,RC,84138,HCPCS,Outpatient,,,191.7,153.36,,162.95,85,,130.36,percent of total billed charges,85% of total billed charges,162.95,85,,130.36,percent of total billed charges,85% of total billed charges,21.05,100,,,fee schedule,100% of CMS fee schedule,142.39,74,,113.91,percent of total billed charges,74.28% of total billed charges,21.05,100,,,fee schedule,100% of CMS fee schedule,142.39,74,,113.91,percent of total billed charges,74.28% of total billed charges,116.94,61,,93.55,percent of total billed charges,61% of total billed charges,142.39,74,,113.91,percent of total billed charges,74.28% of total billed charges,21.05,100,,,fee schedule,100% of CMS fee schedule,172.53,90,,138.02,percent of total billed charges,90% of total billed charges,172.53,90,,138.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.05,100,,,fee schedule,100% of CMS fee schedule,21.05,100,,,fee schedule,100% of CMS fee schedule,167.16,87.2,,,percent of total billed charges,87.2% of total billed charges,113.1,59,,90.48,percent of total billed charges,59% of total billed charges,167.16,87.2,,133.73,percent of total billed charges,87.2% of total billed charges,21.05,100,,,fee schedule,100% of CMS fee schedule,155.83,81.29,,124.66,percent of total billed charges,81.29% of total billed charges,172.53,90,,138.02,percent of total billed charges,90% of totl billed charges,172.53,90,,138.02,percent of total billed charges,90% of total billed charges,116.94,61,,93.55,percent of total billed charges,61% of total billed charges,116.94,61,,93.55,percent of total billed charges,61% of total billed charges,172.53,90,,138.02,percent of total billed charges,90% of total billed charges,172.53,90,,138.02,percent of total billed charges,90% of total billed charges,116.94,61,,93.55,percent of total billed charges,61% of total billed charges,116.94,61,,93.55,percent of total billed charges,61% of total billed charges,116.94,61,,,percent of total billed charges,61% of total billed charges,21.05,100,,,fee schedule,100% of CMS fee schedule,21.05,172.53,
PREGNENOLONE,41000793,CDM,301,RC,84140,HCPCS,Outpatient,,,202.2,161.76,,171.87,85,,137.5,percent of total billed charges,85% of total billed charges,171.87,85,,137.5,percent of total billed charges,85% of total billed charges,20.67,100,,,fee schedule,100% of CMS fee schedule,150.19,74,,120.15,percent of total billed charges,74.28% of total billed charges,20.67,100,,,fee schedule,100% of CMS fee schedule,150.19,74,,120.15,percent of total billed charges,74.28% of total billed charges,123.34,61,,98.67,percent of total billed charges,61% of total billed charges,150.19,74,,120.15,percent of total billed charges,74.28% of total billed charges,20.67,100,,,fee schedule,100% of CMS fee schedule,181.98,90,,145.58,percent of total billed charges,90% of total billed charges,181.98,90,,145.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.67,100,,,fee schedule,100% of CMS fee schedule,20.67,100,,,fee schedule,100% of CMS fee schedule,176.32,87.2,,,percent of total billed charges,87.2% of total billed charges,119.3,59,,95.44,percent of total billed charges,59% of total billed charges,176.32,87.2,,141.06,percent of total billed charges,87.2% of total billed charges,20.67,100,,,fee schedule,100% of CMS fee schedule,164.37,81.29,,131.5,percent of total billed charges,81.29% of total billed charges,181.98,90,,145.58,percent of total billed charges,90% of totl billed charges,181.98,90,,145.58,percent of total billed charges,90% of total billed charges,123.34,61,,98.67,percent of total billed charges,61% of total billed charges,123.34,61,,98.67,percent of total billed charges,61% of total billed charges,181.98,90,,145.58,percent of total billed charges,90% of total billed charges,181.98,90,,145.58,percent of total billed charges,90% of total billed charges,123.34,61,,98.67,percent of total billed charges,61% of total billed charges,123.34,61,,98.67,percent of total billed charges,61% of total billed charges,123.34,61,,,percent of total billed charges,61% of total billed charges,20.67,100,,,fee schedule,100% of CMS fee schedule,20.67,181.98,
PROGESTERONE,41001019,CDM,301,RC,84144,HCPCS,Outpatient,,,110.93,88.74,,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,94.29,85,,75.43,percent of total billed charges,85% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,82.4,74,,65.92,percent of total billed charges,74.28% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.86,100,,,fee schedule,100% of CMS fee schedule,20.86,100,,,fee schedule,100% of CMS fee schedule,96.73,87.2,,,percent of total billed charges,87.2% of total billed charges,65.45,59,,52.36,percent of total billed charges,59% of total billed charges,96.73,87.2,,77.38,percent of total billed charges,87.2% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,90.17,81.29,,72.14,percent of total billed charges,81.29% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of totl billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,99.84,90,,79.87,percent of total billed charges,90% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,54.14,percent of total billed charges,61% of total billed charges,67.67,61,,,percent of total billed charges,61% of total billed charges,20.86,100,,,fee schedule,100% of CMS fee schedule,20.86,99.84,
PROCALCITONIN,41001229,CDM,301,RC,84145,HCPCS,Outpatient,,,125.29,100.23,,106.5,85,,85.2,percent of total billed charges,85% of total billed charges,106.5,85,,85.2,percent of total billed charges,85% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,93.07,74,,74.46,percent of total billed charges,74.28% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,93.07,74,,74.46,percent of total billed charges,74.28% of total billed charges,76.43,61,,61.14,percent of total billed charges,61% of total billed charges,93.07,74,,74.46,percent of total billed charges,74.28% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,112.76,90,,90.21,percent of total billed charges,90% of total billed charges,112.76,90,,90.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.22,100,,,fee schedule,100% of CMS fee schedule,27.22,100,,,fee schedule,100% of CMS fee schedule,109.25,87.2,,,percent of total billed charges,87.2% of total billed charges,73.92,59,,59.14,percent of total billed charges,59% of total billed charges,109.25,87.2,,87.4,percent of total billed charges,87.2% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,101.85,81.29,,81.48,percent of total billed charges,81.29% of total billed charges,112.76,90,,90.21,percent of total billed charges,90% of totl billed charges,112.76,90,,90.21,percent of total billed charges,90% of total billed charges,76.43,61,,61.14,percent of total billed charges,61% of total billed charges,76.43,61,,61.14,percent of total billed charges,61% of total billed charges,112.76,90,,90.21,percent of total billed charges,90% of total billed charges,112.76,90,,90.21,percent of total billed charges,90% of total billed charges,76.43,61,,61.14,percent of total billed charges,61% of total billed charges,76.43,61,,61.14,percent of total billed charges,61% of total billed charges,76.43,61,,,percent of total billed charges,61% of total billed charges,27.22,100,,,fee schedule,100% of CMS fee schedule,27.22,112.76,
PROLACTIN,41001020,CDM,301,RC,84146,HCPCS,Outpatient,,,124.76,99.81,,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.38,100,,,fee schedule,100% of CMS fee schedule,19.38,100,,,fee schedule,100% of CMS fee schedule,108.79,87.2,,,percent of total billed charges,87.2% of total billed charges,73.61,59,,58.89,percent of total billed charges,59% of total billed charges,108.79,87.2,,87.03,percent of total billed charges,87.2% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,101.42,81.29,,81.14,percent of total billed charges,81.29% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of totl billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,,percent of total billed charges,61% of total billed charges,19.38,100,,,fee schedule,100% of CMS fee schedule,19.38,112.28,
PSA-DIAGNOSTIC,41000443,CDM,301,RC,84153,HCPCS,Outpatient,,,110.41,88.33,,93.85,85,,75.08,percent of total billed charges,85% of total billed charges,93.85,85,,75.08,percent of total billed charges,85% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,96.28,87.2,,,percent of total billed charges,87.2% of total billed charges,65.14,59,,52.11,percent of total billed charges,59% of total billed charges,96.28,87.2,,77.02,percent of total billed charges,87.2% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,89.75,81.29,,71.8,percent of total billed charges,81.29% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of totl billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,,percent of total billed charges,61% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,99.37,
"PSA, FREE",41009112,CDM,301,RC,84154,HCPCS,Outpatient,,,131.66,105.33,,111.91,85,,89.53,percent of total billed charges,85% of total billed charges,111.91,85,,89.53,percent of total billed charges,85% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,97.8,74,,78.24,percent of total billed charges,74.28% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,97.8,74,,78.24,percent of total billed charges,74.28% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,97.8,74,,78.24,percent of total billed charges,74.28% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,100,,,fee schedule,100% of CMS fee schedule,114.81,87.2,,,percent of total billed charges,87.2% of total billed charges,77.68,59,,62.14,percent of total billed charges,59% of total billed charges,114.81,87.2,,91.85,percent of total billed charges,87.2% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,107.03,81.29,,85.62,percent of total billed charges,81.29% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of totl billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,,percent of total billed charges,61% of total billed charges,18.39,100,,,fee schedule,100% of CMS fee schedule,18.39,118.49,
"TOTAL PROTEIN,SERUM",41000024,CDM,301,RC,84155,HCPCS,Outpatient,,,43,34.4,,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,37.5,87.2,,,percent of total billed charges,87.2% of total billed charges,25.37,59,,20.3,percent of total billed charges,59% of total billed charges,37.5,87.2,,30,percent of total billed charges,87.2% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,34.95,81.29,,27.96,percent of total billed charges,81.29% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of totl billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,,percent of total billed charges,61% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,38.7,
PROTEIN 24 HR URINE,41000434,CDM,301,RC,84156,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,41.18,
URINE PROTEIN,41001005,CDM,301,RC,84156,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,3.67,100,,,fee schedule,100% of CMS fee schedule,3.67,30.5,
CSF PROTEIN,41000006,CDM,301,RC,84157,HCPCS,Outpatient,,,43,34.4,,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4,100,,,fee schedule,100% of CMS fee schedule,4,100,,,fee schedule,100% of CMS fee schedule,37.5,87.2,,,percent of total billed charges,87.2% of total billed charges,25.37,59,,20.3,percent of total billed charges,59% of total billed charges,37.5,87.2,,30,percent of total billed charges,87.2% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,34.95,81.29,,27.96,percent of total billed charges,81.29% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of totl billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,,percent of total billed charges,61% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,4,38.7,
"PROTEIN, BODY FLUID",41000040,CDM,301,RC,84157,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4,100,,,fee schedule,100% of CMS fee schedule,4,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,4,100,,,fee schedule,100% of CMS fee schedule,4,41.18,
"PROTEIN ELECTRO,SERUM",41000300,CDM,301,RC,84165,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,99.91,
URINE ELECTROPH,41000409,CDM,301,RC,84166,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,123.29,
"PROTEIN ELECTRO,URINE",41000411,CDM,301,RC,84166,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,99.91,
"LIGHT CHAINS, URINE",41000785,CDM,302,RC,84166,HCPCS,Outpatient,,,126.7,101.36,,107.7,85,,86.16,percent of total billed charges,85% of total billed charges,107.7,85,,86.16,percent of total billed charges,85% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,94.11,74,,75.29,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,94.11,74,,75.29,percent of total billed charges,74.28% of total billed charges,77.29,61,,61.83,percent of total billed charges,61% of total billed charges,94.11,74,,75.29,percent of total billed charges,74.28% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,114.03,90,,91.22,percent of total billed charges,90% of total billed charges,114.03,90,,91.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,100,,,fee schedule,100% of CMS fee schedule,110.48,87.2,,,percent of total billed charges,87.2% of total billed charges,74.75,59,,59.8,percent of total billed charges,59% of total billed charges,110.48,87.2,,88.38,percent of total billed charges,87.2% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,102.99,81.29,,82.39,percent of total billed charges,81.29% of total billed charges,114.03,90,,91.22,percent of total billed charges,90% of totl billed charges,114.03,90,,91.22,percent of total billed charges,90% of total billed charges,77.29,61,,61.83,percent of total billed charges,61% of total billed charges,77.29,61,,61.83,percent of total billed charges,61% of total billed charges,114.03,90,,91.22,percent of total billed charges,90% of total billed charges,114.03,90,,91.22,percent of total billed charges,90% of total billed charges,77.29,61,,61.83,percent of total billed charges,61% of total billed charges,77.29,61,,61.83,percent of total billed charges,61% of total billed charges,77.29,61,,,percent of total billed charges,61% of total billed charges,17.83,100,,,fee schedule,100% of CMS fee schedule,17.83,114.03,
CRMP-5-IgG WESTERN BLOT,41001122,CDM,301,RC,84182,HCPCS,Outpatient,,,65.12,52.1,,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,100,,,fee schedule,100% of CMS fee schedule,56.78,87.2,,,percent of total billed charges,87.2% of total billed charges,38.42,59,,30.74,percent of total billed charges,59% of total billed charges,56.78,87.2,,45.42,percent of total billed charges,87.2% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,52.94,81.29,,42.35,percent of total billed charges,81.29% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of totl billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,,percent of total billed charges,61% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,58.61,
PARANEOPLASTIC ANTIBODY ERAL,41001153,CDM,300,RC,84182,HCPCS,Outpatient,,,1345.2,1076.16,,1143.42,85,,914.74,percent of total billed charges,85% of total billed charges,1143.42,85,,914.74,percent of total billed charges,85% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,999.21,74,,799.37,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,100,,,fee schedule,100% of CMS fee schedule,1173.01,87.2,,,percent of total billed charges,87.2% of total billed charges,793.67,59,,634.94,percent of total billed charges,59% of total billed charges,1173.01,87.2,,938.41,percent of total billed charges,87.2% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,1093.51,81.29,,874.81,percent of total billed charges,81.29% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of totl billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,1210.68,90,,968.54,percent of total billed charges,90% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,656.46,percent of total billed charges,61% of total billed charges,820.57,61,,,percent of total billed charges,61% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,1210.68,
ANTI 68KD ANTIBODIES WEST BLOT,41009127,CDM,301,RC,84182,HCPCS,Outpatient,,,155.84,124.67,,132.46,85,,105.97,percent of total billed charges,85% of total billed charges,132.46,85,,105.97,percent of total billed charges,85% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,100,,,fee schedule,100% of CMS fee schedule,135.89,87.2,,,percent of total billed charges,87.2% of total billed charges,91.95,59,,73.56,percent of total billed charges,59% of total billed charges,135.89,87.2,,108.71,percent of total billed charges,87.2% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,126.68,81.29,,101.34,percent of total billed charges,81.29% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of totl billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,,percent of total billed charges,61% of total billed charges,29.21,100,,,fee schedule,100% of CMS fee schedule,29.21,140.26,
"PROTOPORPHYRIN,RBC QUANT",41000043,CDM,301,RC,84202,HCPCS,Outpatient,,,148.77,119.02,,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,14.35,100,,,fee schedule,100% of CMS fee schedule,110.51,74,,88.41,percent of total billed charges,74.28% of total billed charges,14.35,100,,,fee schedule,100% of CMS fee schedule,110.51,74,,88.41,percent of total billed charges,74.28% of total billed charges,90.75,61,,72.6,percent of total billed charges,61% of total billed charges,110.51,74,,88.41,percent of total billed charges,74.28% of total billed charges,14.35,100,,,fee schedule,100% of CMS fee schedule,133.89,90,,107.11,percent of total billed charges,90% of total billed charges,133.89,90,,107.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.35,100,,,fee schedule,100% of CMS fee schedule,14.35,100,,,fee schedule,100% of CMS fee schedule,129.73,87.2,,,percent of total billed charges,87.2% of total billed charges,87.77,59,,70.22,percent of total billed charges,59% of total billed charges,129.73,87.2,,103.78,percent of total billed charges,87.2% of total billed charges,14.35,100,,,fee schedule,100% of CMS fee schedule,120.94,81.29,,96.75,percent of total billed charges,81.29% of total billed charges,133.89,90,,107.11,percent of total billed charges,90% of totl billed charges,133.89,90,,107.11,percent of total billed charges,90% of total billed charges,90.75,61,,72.6,percent of total billed charges,61% of total billed charges,90.75,61,,72.6,percent of total billed charges,61% of total billed charges,133.89,90,,107.11,percent of total billed charges,90% of total billed charges,133.89,90,,107.11,percent of total billed charges,90% of total billed charges,90.75,61,,72.6,percent of total billed charges,61% of total billed charges,90.75,61,,72.6,percent of total billed charges,61% of total billed charges,90.75,61,,,percent of total billed charges,61% of total billed charges,14.35,100,,,fee schedule,100% of CMS fee schedule,14.35,133.89,
VITAMIN B6,41000334,CDM,301,RC,84207,HCPCS,Outpatient,,,112.96,90.37,,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.1,100,,,fee schedule,100% of CMS fee schedule,28.1,100,,,fee schedule,100% of CMS fee schedule,98.5,87.2,,,percent of total billed charges,87.2% of total billed charges,66.65,59,,53.32,percent of total billed charges,59% of total billed charges,98.5,87.2,,78.8,percent of total billed charges,87.2% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,91.83,81.29,,73.46,percent of total billed charges,81.29% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of totl billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,,percent of total billed charges,61% of total billed charges,28.1,100,,,fee schedule,100% of CMS fee schedule,28.1,101.66,
PYRUVATE KINASE RBC,41001172,CDM,301,RC,84220,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.44,100,,,fee schedule,100% of CMS fee schedule,9.44,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,9.44,80.7,
ESTROGEN RECEPTOR ASSAY,41000447,CDM,301,RC,84233,HCPCS,Outpatient,,,474.45,379.56,,403.28,85,,322.62,percent of total billed charges,85% of total billed charges,403.28,85,,322.62,percent of total billed charges,85% of total billed charges,87.88,100,,,fee schedule,100% of CMS fee schedule,352.42,74,,281.94,percent of total billed charges,74.28% of total billed charges,87.88,100,,,fee schedule,100% of CMS fee schedule,352.42,74,,281.94,percent of total billed charges,74.28% of total billed charges,289.41,61,,231.53,percent of total billed charges,61% of total billed charges,352.42,74,,281.94,percent of total billed charges,74.28% of total billed charges,87.88,100,,,fee schedule,100% of CMS fee schedule,427.01,90,,341.61,percent of total billed charges,90% of total billed charges,427.01,90,,341.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,87.88,100,,,fee schedule,100% of CMS fee schedule,87.88,100,,,fee schedule,100% of CMS fee schedule,413.72,87.2,,,percent of total billed charges,87.2% of total billed charges,279.93,59,,223.94,percent of total billed charges,59% of total billed charges,413.72,87.2,,330.98,percent of total billed charges,87.2% of total billed charges,87.88,100,,,fee schedule,100% of CMS fee schedule,385.68,81.29,,308.54,percent of total billed charges,81.29% of total billed charges,427.01,90,,341.61,percent of total billed charges,90% of totl billed charges,427.01,90,,341.61,percent of total billed charges,90% of total billed charges,289.41,61,,231.53,percent of total billed charges,61% of total billed charges,289.41,61,,231.53,percent of total billed charges,61% of total billed charges,427.01,90,,341.61,percent of total billed charges,90% of total billed charges,427.01,90,,341.61,percent of total billed charges,90% of total billed charges,289.41,61,,231.53,percent of total billed charges,61% of total billed charges,289.41,61,,231.53,percent of total billed charges,61% of total billed charges,289.41,61,,,percent of total billed charges,61% of total billed charges,87.88,100,,,fee schedule,100% of CMS fee schedule,87.88,427.01,
ACETYLCHOLINE RECEPTOR-AB,41000223,CDM,301,RC,84238,HCPCS,Outpatient,,,153.12,122.5,,130.15,85,,104.12,percent of total billed charges,85% of total billed charges,130.15,85,,104.12,percent of total billed charges,85% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.57,100,,,fee schedule,100% of CMS fee schedule,36.57,100,,,fee schedule,100% of CMS fee schedule,133.52,87.2,,,percent of total billed charges,87.2% of total billed charges,90.34,59,,72.27,percent of total billed charges,59% of total billed charges,133.52,87.2,,106.82,percent of total billed charges,87.2% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,124.47,81.29,,99.58,percent of total billed charges,81.29% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of totl billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,,percent of total billed charges,61% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,36.57,137.81,
SOLUBLE TRANSFERRIN RECEPTOR,41001215,CDM,301,RC,84238,HCPCS,Outpatient,,,153.12,122.5,,130.15,85,,104.12,percent of total billed charges,85% of total billed charges,130.15,85,,104.12,percent of total billed charges,85% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,113.74,74,,90.99,percent of total billed charges,74.28% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.57,100,,,fee schedule,100% of CMS fee schedule,36.57,100,,,fee schedule,100% of CMS fee schedule,133.52,87.2,,,percent of total billed charges,87.2% of total billed charges,90.34,59,,72.27,percent of total billed charges,59% of total billed charges,133.52,87.2,,106.82,percent of total billed charges,87.2% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,124.47,81.29,,99.58,percent of total billed charges,81.29% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of totl billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,137.81,90,,110.25,percent of total billed charges,90% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,74.72,percent of total billed charges,61% of total billed charges,93.4,61,,,percent of total billed charges,61% of total billed charges,36.57,100,,,fee schedule,100% of CMS fee schedule,36.57,137.81,
RENIN,41000452,CDM,301,RC,84244,HCPCS,Outpatient,,,169.82,135.86,,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.99,100,,,fee schedule,100% of CMS fee schedule,21.99,100,,,fee schedule,100% of CMS fee schedule,148.08,87.2,,,percent of total billed charges,87.2% of total billed charges,100.19,59,,80.15,percent of total billed charges,59% of total billed charges,148.08,87.2,,118.46,percent of total billed charges,87.2% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,138.05,81.29,,110.44,percent of total billed charges,81.29% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of totl billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,,percent of total billed charges,61% of total billed charges,21.99,100,,,fee schedule,100% of CMS fee schedule,21.99,152.84,
"SEROTONIN,BLOOD",41000045,CDM,301,RC,84260,HCPCS,Outpatient,,,440.82,352.66,,374.7,85,,299.76,percent of total billed charges,85% of total billed charges,374.7,85,,299.76,percent of total billed charges,85% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,327.44,74,,261.95,percent of total billed charges,74.28% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,327.44,74,,261.95,percent of total billed charges,74.28% of total billed charges,268.9,61,,215.12,percent of total billed charges,61% of total billed charges,327.44,74,,261.95,percent of total billed charges,74.28% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,396.74,90,,317.39,percent of total billed charges,90% of total billed charges,396.74,90,,317.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.98,100,,,fee schedule,100% of CMS fee schedule,30.98,100,,,fee schedule,100% of CMS fee schedule,384.4,87.2,,,percent of total billed charges,87.2% of total billed charges,260.08,59,,208.06,percent of total billed charges,59% of total billed charges,384.4,87.2,,307.52,percent of total billed charges,87.2% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,358.34,81.29,,286.67,percent of total billed charges,81.29% of total billed charges,396.74,90,,317.39,percent of total billed charges,90% of totl billed charges,396.74,90,,317.39,percent of total billed charges,90% of total billed charges,268.9,61,,215.12,percent of total billed charges,61% of total billed charges,268.9,61,,215.12,percent of total billed charges,61% of total billed charges,396.74,90,,317.39,percent of total billed charges,90% of total billed charges,396.74,90,,317.39,percent of total billed charges,90% of total billed charges,268.9,61,,215.12,percent of total billed charges,61% of total billed charges,268.9,61,,215.12,percent of total billed charges,61% of total billed charges,268.9,61,,,percent of total billed charges,61% of total billed charges,30.98,100,,,fee schedule,100% of CMS fee schedule,30.98,396.74,
SEX HORMONE BINDING GLOBULIN,41000780,CDM,301,RC,84270,HCPCS,Outpatient,,,83.99,67.19,,71.39,85,,57.11,percent of total billed charges,85% of total billed charges,71.39,85,,57.11,percent of total billed charges,85% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,62.39,74,,49.91,percent of total billed charges,74.28% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,62.39,74,,49.91,percent of total billed charges,74.28% of total billed charges,51.23,61,,40.98,percent of total billed charges,61% of total billed charges,62.39,74,,49.91,percent of total billed charges,74.28% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,75.59,90,,60.47,percent of total billed charges,90% of total billed charges,75.59,90,,60.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.73,100,,,fee schedule,100% of CMS fee schedule,21.73,100,,,fee schedule,100% of CMS fee schedule,73.24,87.2,,,percent of total billed charges,87.2% of total billed charges,49.55,59,,39.64,percent of total billed charges,59% of total billed charges,73.24,87.2,,58.59,percent of total billed charges,87.2% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,68.28,81.29,,54.62,percent of total billed charges,81.29% of total billed charges,75.59,90,,60.47,percent of total billed charges,90% of totl billed charges,75.59,90,,60.47,percent of total billed charges,90% of total billed charges,51.23,61,,40.98,percent of total billed charges,61% of total billed charges,51.23,61,,40.98,percent of total billed charges,61% of total billed charges,75.59,90,,60.47,percent of total billed charges,90% of total billed charges,75.59,90,,60.47,percent of total billed charges,90% of total billed charges,51.23,61,,40.98,percent of total billed charges,61% of total billed charges,51.23,61,,40.98,percent of total billed charges,61% of total billed charges,51.23,61,,,percent of total billed charges,61% of total billed charges,21.73,100,,,fee schedule,100% of CMS fee schedule,21.73,75.59,
SODIUM,41000073,CDM,301,RC,84295,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.81,100,,,fee schedule,100% of CMS fee schedule,4.81,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,4.81,100,,,fee schedule,100% of CMS fee schedule,4.81,36.09,
"SODIUM,URINE",41000147,CDM,301,RC,84300,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.06,100,,,fee schedule,100% of CMS fee schedule,5.06,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,5.06,100,,,fee schedule,100% of CMS fee schedule,5.06,43.26,
SODIUM-OTHER,41000252,CDM,301,RC,84302,HCPCS,Outpatient,,,19.78,15.82,,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,4.86,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,4.86,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,4.86,100,,,fee schedule,100% of CMS fee schedule,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.86,100,,,fee schedule,100% of CMS fee schedule,4.86,100,,,fee schedule,100% of CMS fee schedule,17.25,87.2,,,percent of total billed charges,87.2% of total billed charges,11.67,59,,9.34,percent of total billed charges,59% of total billed charges,17.25,87.2,,13.8,percent of total billed charges,87.2% of total billed charges,4.86,100,,,fee schedule,100% of CMS fee schedule,16.08,81.29,,12.86,percent of total billed charges,81.29% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of totl billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,,percent of total billed charges,61% of total billed charges,4.86,100,,,fee schedule,100% of CMS fee schedule,4.86,17.8,
"SOMATOMEDIN,IG F-1",41000391,CDM,301,RC,84305,HCPCS,Outpatient,,,423.44,338.75,,359.92,85,,287.94,percent of total billed charges,85% of total billed charges,359.92,85,,287.94,percent of total billed charges,85% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,314.53,74,,251.62,percent of total billed charges,74.28% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,314.53,74,,251.62,percent of total billed charges,74.28% of total billed charges,258.3,61,,206.64,percent of total billed charges,61% of total billed charges,314.53,74,,251.62,percent of total billed charges,74.28% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,381.1,90,,304.88,percent of total billed charges,90% of total billed charges,381.1,90,,304.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.26,100,,,fee schedule,100% of CMS fee schedule,21.26,100,,,fee schedule,100% of CMS fee schedule,369.24,87.2,,,percent of total billed charges,87.2% of total billed charges,249.83,59,,199.86,percent of total billed charges,59% of total billed charges,369.24,87.2,,295.39,percent of total billed charges,87.2% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,344.21,81.29,,275.37,percent of total billed charges,81.29% of total billed charges,381.1,90,,304.88,percent of total billed charges,90% of totl billed charges,381.1,90,,304.88,percent of total billed charges,90% of total billed charges,258.3,61,,206.64,percent of total billed charges,61% of total billed charges,258.3,61,,206.64,percent of total billed charges,61% of total billed charges,381.1,90,,304.88,percent of total billed charges,90% of total billed charges,381.1,90,,304.88,percent of total billed charges,90% of total billed charges,258.3,61,,206.64,percent of total billed charges,61% of total billed charges,258.3,61,,206.64,percent of total billed charges,61% of total billed charges,258.3,61,,,percent of total billed charges,61% of total billed charges,21.26,100,,,fee schedule,100% of CMS fee schedule,21.26,381.1,
ALDACTONE,41000338,CDM,301,RC,84311,HCPCS,Outpatient,,,64.04,51.23,,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.1,100,,,fee schedule,100% of CMS fee schedule,8.1,100,,,fee schedule,100% of CMS fee schedule,55.84,87.2,,,percent of total billed charges,87.2% of total billed charges,37.78,59,,30.22,percent of total billed charges,59% of total billed charges,55.84,87.2,,44.67,percent of total billed charges,87.2% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,52.06,81.29,,41.65,percent of total billed charges,81.29% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of totl billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,,percent of total billed charges,61% of total billed charges,8.1,100,,,fee schedule,100% of CMS fee schedule,8.1,57.64,
"SPECIFIC GRAVITY;OTHER,NOT URI",41000769,CDM,301,RC,84315,HCPCS,Outpatient,,,16.68,13.34,,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,14.18,85,,11.34,percent of total billed charges,85% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,12.39,74,,9.91,percent of total billed charges,74.28% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,100,,,fee schedule,100% of CMS fee schedule,14.54,87.2,,,percent of total billed charges,87.2% of total billed charges,9.84,59,,7.87,percent of total billed charges,59% of total billed charges,14.54,87.2,,11.63,percent of total billed charges,87.2% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,13.56,81.29,,10.85,percent of total billed charges,81.29% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of totl billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,15.01,90,,12.01,percent of total billed charges,90% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,8.14,percent of total billed charges,61% of total billed charges,10.17,61,,,percent of total billed charges,61% of total billed charges,3.28,100,,,fee schedule,100% of CMS fee schedule,3.28,15.01,
REDUCING SUB (STOOL),41000467,CDM,307,RC,84376,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.5,100,,,fee schedule,100% of CMS fee schedule,5.5,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,5.5,100,,,fee schedule,100% of CMS fee schedule,5.5,35.94,
24 HOUR URINE SULFATE,41000611,CDM,301,RC,84392,HCPCS,Outpatient,,,125.53,100.42,,106.7,85,,85.36,percent of total billed charges,85% of total billed charges,106.7,85,,85.36,percent of total billed charges,85% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,93.24,74,,74.59,percent of total billed charges,74.28% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,93.24,74,,74.59,percent of total billed charges,74.28% of total billed charges,76.57,61,,61.26,percent of total billed charges,61% of total billed charges,93.24,74,,74.59,percent of total billed charges,74.28% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,112.98,90,,90.38,percent of total billed charges,90% of total billed charges,112.98,90,,90.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.49,100,,,fee schedule,100% of CMS fee schedule,5.49,100,,,fee schedule,100% of CMS fee schedule,109.46,87.2,,,percent of total billed charges,87.2% of total billed charges,74.06,59,,59.25,percent of total billed charges,59% of total billed charges,109.46,87.2,,87.57,percent of total billed charges,87.2% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,102.04,81.29,,81.63,percent of total billed charges,81.29% of total billed charges,112.98,90,,90.38,percent of total billed charges,90% of totl billed charges,112.98,90,,90.38,percent of total billed charges,90% of total billed charges,76.57,61,,61.26,percent of total billed charges,61% of total billed charges,76.57,61,,61.26,percent of total billed charges,61% of total billed charges,112.98,90,,90.38,percent of total billed charges,90% of total billed charges,112.98,90,,90.38,percent of total billed charges,90% of total billed charges,76.57,61,,61.26,percent of total billed charges,61% of total billed charges,76.57,61,,61.26,percent of total billed charges,61% of total billed charges,76.57,61,,,percent of total billed charges,61% of total billed charges,5.49,100,,,fee schedule,100% of CMS fee schedule,5.49,112.98,
"TESTOSTERONE, FREE",41000388,CDM,301,RC,84402,HCPCS,Outpatient,,,214.35,171.48,,182.2,85,,145.76,percent of total billed charges,85% of total billed charges,182.2,85,,145.76,percent of total billed charges,85% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,159.22,74,,127.38,percent of total billed charges,74.28% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,159.22,74,,127.38,percent of total billed charges,74.28% of total billed charges,130.75,61,,104.6,percent of total billed charges,61% of total billed charges,159.22,74,,127.38,percent of total billed charges,74.28% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,192.92,90,,154.34,percent of total billed charges,90% of total billed charges,192.92,90,,154.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.47,100,,,fee schedule,100% of CMS fee schedule,25.47,100,,,fee schedule,100% of CMS fee schedule,186.91,87.2,,,percent of total billed charges,87.2% of total billed charges,126.47,59,,101.18,percent of total billed charges,59% of total billed charges,186.91,87.2,,149.53,percent of total billed charges,87.2% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,174.25,81.29,,139.4,percent of total billed charges,81.29% of total billed charges,192.92,90,,154.34,percent of total billed charges,90% of totl billed charges,192.92,90,,154.34,percent of total billed charges,90% of total billed charges,130.75,61,,104.6,percent of total billed charges,61% of total billed charges,130.75,61,,104.6,percent of total billed charges,61% of total billed charges,192.92,90,,154.34,percent of total billed charges,90% of total billed charges,192.92,90,,154.34,percent of total billed charges,90% of total billed charges,130.75,61,,104.6,percent of total billed charges,61% of total billed charges,130.75,61,,104.6,percent of total billed charges,61% of total billed charges,130.75,61,,,percent of total billed charges,61% of total billed charges,25.47,100,,,fee schedule,100% of CMS fee schedule,25.47,192.92,
"TESTOSTERONE, TOTAL",41009015,CDM,301,RC,84403,HCPCS,Outpatient,,,117.34,93.87,,99.74,85,,79.79,percent of total billed charges,85% of total billed charges,99.74,85,,79.79,percent of total billed charges,85% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,87.16,74,,69.73,percent of total billed charges,74.28% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,87.16,74,,69.73,percent of total billed charges,74.28% of total billed charges,71.58,61,,57.26,percent of total billed charges,61% of total billed charges,87.16,74,,69.73,percent of total billed charges,74.28% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,105.61,90,,84.49,percent of total billed charges,90% of total billed charges,105.61,90,,84.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,102.32,87.2,,,percent of total billed charges,87.2% of total billed charges,69.23,59,,55.38,percent of total billed charges,59% of total billed charges,102.32,87.2,,81.86,percent of total billed charges,87.2% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,95.39,81.29,,76.31,percent of total billed charges,81.29% of total billed charges,105.61,90,,84.49,percent of total billed charges,90% of totl billed charges,105.61,90,,84.49,percent of total billed charges,90% of total billed charges,71.58,61,,57.26,percent of total billed charges,61% of total billed charges,71.58,61,,57.26,percent of total billed charges,61% of total billed charges,105.61,90,,84.49,percent of total billed charges,90% of total billed charges,105.61,90,,84.49,percent of total billed charges,90% of total billed charges,71.58,61,,57.26,percent of total billed charges,61% of total billed charges,71.58,61,,57.26,percent of total billed charges,61% of total billed charges,71.58,61,,,percent of total billed charges,61% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,105.61,
"VITAMIN B1, WHOLE BLOOD",41001095,CDM,301,RC,84425,HCPCS,Outpatient,,,77.26,61.81,,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.23,100,,,fee schedule,100% of CMS fee schedule,21.23,100,,,fee schedule,100% of CMS fee schedule,67.37,87.2,,,percent of total billed charges,87.2% of total billed charges,45.58,59,,36.46,percent of total billed charges,59% of total billed charges,67.37,87.2,,53.9,percent of total billed charges,87.2% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,62.8,81.29,,50.24,percent of total billed charges,81.29% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of totl billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,,percent of total billed charges,61% of total billed charges,21.23,100,,,fee schedule,100% of CMS fee schedule,21.23,69.53,
THYROGLOBULIN QUANTITATIVE,41009082,CDM,301,RC,84432,HCPCS,Outpatient,,,47.61,38.09,,40.47,85,,32.38,percent of total billed charges,85% of total billed charges,40.47,85,,32.38,percent of total billed charges,85% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.06,100,,,fee schedule,100% of CMS fee schedule,16.06,100,,,fee schedule,100% of CMS fee schedule,41.52,87.2,,,percent of total billed charges,87.2% of total billed charges,28.09,59,,22.47,percent of total billed charges,59% of total billed charges,41.52,87.2,,33.22,percent of total billed charges,87.2% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,38.7,81.29,,30.96,percent of total billed charges,81.29% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of totl billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,,percent of total billed charges,61% of total billed charges,16.06,100,,,fee schedule,100% of CMS fee schedule,16.06,42.85,
T4,41000902,CDM,301,RC,84436,HCPCS,Outpatient,,,82.16,65.73,,69.84,85,,55.87,percent of total billed charges,85% of total billed charges,69.84,85,,55.87,percent of total billed charges,85% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,61.03,74,,48.82,percent of total billed charges,74.28% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,61.03,74,,48.82,percent of total billed charges,74.28% of total billed charges,50.12,61,,40.1,percent of total billed charges,61% of total billed charges,61.03,74,,48.82,percent of total billed charges,74.28% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,73.94,90,,59.15,percent of total billed charges,90% of total billed charges,73.94,90,,59.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.87,100,,,fee schedule,100% of CMS fee schedule,6.87,100,,,fee schedule,100% of CMS fee schedule,71.64,87.2,,,percent of total billed charges,87.2% of total billed charges,48.47,59,,38.78,percent of total billed charges,59% of total billed charges,71.64,87.2,,57.31,percent of total billed charges,87.2% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,66.79,81.29,,53.43,percent of total billed charges,81.29% of total billed charges,73.94,90,,59.15,percent of total billed charges,90% of totl billed charges,73.94,90,,59.15,percent of total billed charges,90% of total billed charges,50.12,61,,40.1,percent of total billed charges,61% of total billed charges,50.12,61,,40.1,percent of total billed charges,61% of total billed charges,73.94,90,,59.15,percent of total billed charges,90% of total billed charges,73.94,90,,59.15,percent of total billed charges,90% of total billed charges,50.12,61,,40.1,percent of total billed charges,61% of total billed charges,50.12,61,,40.1,percent of total billed charges,61% of total billed charges,50.12,61,,,percent of total billed charges,61% of total billed charges,6.87,100,,,fee schedule,100% of CMS fee schedule,6.87,73.94,
FREE T4,41000440,CDM,301,RC,84439,HCPCS,Outpatient,,,85.2,68.16,,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.02,100,,,fee schedule,100% of CMS fee schedule,9.02,100,,,fee schedule,100% of CMS fee schedule,74.29,87.2,,,percent of total billed charges,87.2% of total billed charges,50.27,59,,40.22,percent of total billed charges,59% of total billed charges,74.29,87.2,,59.43,percent of total billed charges,87.2% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,69.26,81.29,,55.41,percent of total billed charges,81.29% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of totl billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,,percent of total billed charges,61% of total billed charges,9.02,100,,,fee schedule,100% of CMS fee schedule,9.02,76.68,
THYROXINE BINDING GLOBULIN,41000207,CDM,301,RC,84442,HCPCS,Outpatient,,,72.92,58.34,,61.98,85,,49.58,percent of total billed charges,85% of total billed charges,61.98,85,,49.58,percent of total billed charges,85% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,54.16,74,,43.33,percent of total billed charges,74.28% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,54.16,74,,43.33,percent of total billed charges,74.28% of total billed charges,44.48,61,,35.58,percent of total billed charges,61% of total billed charges,54.16,74,,43.33,percent of total billed charges,74.28% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,65.63,90,,52.5,percent of total billed charges,90% of total billed charges,65.63,90,,52.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.78,100,,,fee schedule,100% of CMS fee schedule,14.78,100,,,fee schedule,100% of CMS fee schedule,63.59,87.2,,,percent of total billed charges,87.2% of total billed charges,43.02,59,,34.42,percent of total billed charges,59% of total billed charges,63.59,87.2,,50.87,percent of total billed charges,87.2% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,59.28,81.29,,47.42,percent of total billed charges,81.29% of total billed charges,65.63,90,,52.5,percent of total billed charges,90% of totl billed charges,65.63,90,,52.5,percent of total billed charges,90% of total billed charges,44.48,61,,35.58,percent of total billed charges,61% of total billed charges,44.48,61,,35.58,percent of total billed charges,61% of total billed charges,65.63,90,,52.5,percent of total billed charges,90% of total billed charges,65.63,90,,52.5,percent of total billed charges,90% of total billed charges,44.48,61,,35.58,percent of total billed charges,61% of total billed charges,44.48,61,,35.58,percent of total billed charges,61% of total billed charges,44.48,61,,,percent of total billed charges,61% of total billed charges,14.78,100,,,fee schedule,100% of CMS fee schedule,14.78,65.63,
"TSH, 3RD GENERATION",41000229,CDM,301,RC,84443,HCPCS,Outpatient,,,52.7,42.16,,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,45.95,87.2,,,percent of total billed charges,87.2% of total billed charges,31.09,59,,24.87,percent of total billed charges,59% of total billed charges,45.95,87.2,,36.76,percent of total billed charges,87.2% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,42.84,81.29,,34.27,percent of total billed charges,81.29% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of totl billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,,percent of total billed charges,61% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,47.43,
TSH-SENSITIVE,41000519,CDM,301,RC,84443,HCPCS,Outpatient,,,173.24,138.59,,147.25,85,,117.8,percent of total billed charges,85% of total billed charges,147.25,85,,117.8,percent of total billed charges,85% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,128.68,74,,102.94,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,128.68,74,,102.94,percent of total billed charges,74.28% of total billed charges,105.68,61,,84.54,percent of total billed charges,61% of total billed charges,128.68,74,,102.94,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,155.92,90,,124.74,percent of total billed charges,90% of total billed charges,155.92,90,,124.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,151.07,87.2,,,percent of total billed charges,87.2% of total billed charges,102.21,59,,81.77,percent of total billed charges,59% of total billed charges,151.07,87.2,,120.86,percent of total billed charges,87.2% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,140.83,81.29,,112.66,percent of total billed charges,81.29% of total billed charges,155.92,90,,124.74,percent of total billed charges,90% of totl billed charges,155.92,90,,124.74,percent of total billed charges,90% of total billed charges,105.68,61,,84.54,percent of total billed charges,61% of total billed charges,105.68,61,,84.54,percent of total billed charges,61% of total billed charges,155.92,90,,124.74,percent of total billed charges,90% of total billed charges,155.92,90,,124.74,percent of total billed charges,90% of total billed charges,105.68,61,,84.54,percent of total billed charges,61% of total billed charges,105.68,61,,84.54,percent of total billed charges,61% of total billed charges,105.68,61,,,percent of total billed charges,61% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,155.92,
TSH,41000755,CDM,301,RC,84443,HCPCS,Outpatient,,,178.34,142.67,,151.59,85,,121.27,percent of total billed charges,85% of total billed charges,151.59,85,,121.27,percent of total billed charges,85% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,132.47,74,,105.98,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,132.47,74,,105.98,percent of total billed charges,74.28% of total billed charges,108.79,61,,87.03,percent of total billed charges,61% of total billed charges,132.47,74,,105.98,percent of total billed charges,74.28% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,160.51,90,,128.41,percent of total billed charges,90% of total billed charges,160.51,90,,128.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,100,,,fee schedule,100% of CMS fee schedule,155.51,87.2,,,percent of total billed charges,87.2% of total billed charges,105.22,59,,84.18,percent of total billed charges,59% of total billed charges,155.51,87.2,,124.41,percent of total billed charges,87.2% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,144.97,81.29,,115.98,percent of total billed charges,81.29% of total billed charges,160.51,90,,128.41,percent of total billed charges,90% of totl billed charges,160.51,90,,128.41,percent of total billed charges,90% of total billed charges,108.79,61,,87.03,percent of total billed charges,61% of total billed charges,108.79,61,,87.03,percent of total billed charges,61% of total billed charges,160.51,90,,128.41,percent of total billed charges,90% of total billed charges,160.51,90,,128.41,percent of total billed charges,90% of total billed charges,108.79,61,,87.03,percent of total billed charges,61% of total billed charges,108.79,61,,87.03,percent of total billed charges,61% of total billed charges,108.79,61,,,percent of total billed charges,61% of total billed charges,16.8,100,,,fee schedule,100% of CMS fee schedule,16.8,160.51,
THYROID STIMULATNG IMMUNOGLOBU,41000254,CDM,301,RC,84445,HCPCS,Outpatient,,,185.95,148.76,,158.06,85,,126.45,percent of total billed charges,85% of total billed charges,158.06,85,,126.45,percent of total billed charges,85% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,138.12,74,,110.5,percent of total billed charges,74.28% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,138.12,74,,110.5,percent of total billed charges,74.28% of total billed charges,113.43,61,,90.74,percent of total billed charges,61% of total billed charges,138.12,74,,110.5,percent of total billed charges,74.28% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,167.36,90,,133.89,percent of total billed charges,90% of total billed charges,167.36,90,,133.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.86,100,,,fee schedule,100% of CMS fee schedule,50.86,100,,,fee schedule,100% of CMS fee schedule,162.15,87.2,,,percent of total billed charges,87.2% of total billed charges,109.71,59,,87.77,percent of total billed charges,59% of total billed charges,162.15,87.2,,129.72,percent of total billed charges,87.2% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,151.16,81.29,,120.93,percent of total billed charges,81.29% of total billed charges,167.36,90,,133.89,percent of total billed charges,90% of totl billed charges,167.36,90,,133.89,percent of total billed charges,90% of total billed charges,113.43,61,,90.74,percent of total billed charges,61% of total billed charges,113.43,61,,90.74,percent of total billed charges,61% of total billed charges,167.36,90,,133.89,percent of total billed charges,90% of total billed charges,167.36,90,,133.89,percent of total billed charges,90% of total billed charges,113.43,61,,90.74,percent of total billed charges,61% of total billed charges,113.43,61,,90.74,percent of total billed charges,61% of total billed charges,113.43,61,,,percent of total billed charges,61% of total billed charges,50.86,100,,,fee schedule,100% of CMS fee schedule,50.86,167.36,
VITAMIN E,41001141,CDM,301,RC,84446,HCPCS,Outpatient,,,66.61,53.29,,56.62,85,,45.3,percent of total billed charges,85% of total billed charges,56.62,85,,45.3,percent of total billed charges,85% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,58.08,87.2,,,percent of total billed charges,87.2% of total billed charges,39.3,59,,31.44,percent of total billed charges,59% of total billed charges,58.08,87.2,,46.46,percent of total billed charges,87.2% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,54.15,81.29,,43.32,percent of total billed charges,81.29% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of totl billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,,percent of total billed charges,61% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,59.95,
SGOT,41000017,CDM,301,RC,84450,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,41.18,
SGPT,41000018,CDM,301,RC,84460,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.3,100,,,fee schedule,100% of CMS fee schedule,5.3,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,5.3,100,,,fee schedule,100% of CMS fee schedule,5.3,41.18,
TRANSFERRIN,41000180,CDM,301,RC,84466,HCPCS,Outpatient,,,71.91,57.53,,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.76,100,,,fee schedule,100% of CMS fee schedule,12.76,100,,,fee schedule,100% of CMS fee schedule,62.71,87.2,,,percent of total billed charges,87.2% of total billed charges,42.43,59,,33.94,percent of total billed charges,59% of total billed charges,62.71,87.2,,50.17,percent of total billed charges,87.2% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,58.46,81.29,,46.77,percent of total billed charges,81.29% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of totl billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,,percent of total billed charges,61% of total billed charges,12.76,100,,,fee schedule,100% of CMS fee schedule,12.76,64.72,
TRIGLYCERIDES,41000304,CDM,301,RC,84478,HCPCS,Outpatient,,,61.03,48.82,,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,51.88,85,,41.5,percent of total billed charges,85% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,45.33,74,,36.26,percent of total billed charges,74.28% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.74,100,,,fee schedule,100% of CMS fee schedule,5.74,100,,,fee schedule,100% of CMS fee schedule,53.22,87.2,,,percent of total billed charges,87.2% of total billed charges,36.01,59,,28.81,percent of total billed charges,59% of total billed charges,53.22,87.2,,42.58,percent of total billed charges,87.2% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,49.61,81.29,,39.69,percent of total billed charges,81.29% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of totl billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,54.93,90,,43.94,percent of total billed charges,90% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,29.78,percent of total billed charges,61% of total billed charges,37.23,61,,,percent of total billed charges,61% of total billed charges,5.74,100,,,fee schedule,100% of CMS fee schedule,5.74,54.93,
T UPTAKE,41000901,CDM,301,RC,84479,HCPCS,Outpatient,,,76.19,60.95,,64.76,85,,51.81,percent of total billed charges,85% of total billed charges,64.76,85,,51.81,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,56.59,74,,45.27,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,56.59,74,,45.27,percent of total billed charges,74.28% of total billed charges,46.48,61,,37.18,percent of total billed charges,61% of total billed charges,56.59,74,,45.27,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,68.57,90,,54.86,percent of total billed charges,90% of total billed charges,68.57,90,,54.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,66.44,87.2,,,percent of total billed charges,87.2% of total billed charges,44.95,59,,35.96,percent of total billed charges,59% of total billed charges,66.44,87.2,,53.15,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,61.93,81.29,,49.54,percent of total billed charges,81.29% of total billed charges,68.57,90,,54.86,percent of total billed charges,90% of totl billed charges,68.57,90,,54.86,percent of total billed charges,90% of total billed charges,46.48,61,,37.18,percent of total billed charges,61% of total billed charges,46.48,61,,37.18,percent of total billed charges,61% of total billed charges,68.57,90,,54.86,percent of total billed charges,90% of total billed charges,68.57,90,,54.86,percent of total billed charges,90% of total billed charges,46.48,61,,37.18,percent of total billed charges,61% of total billed charges,46.48,61,,37.18,percent of total billed charges,61% of total billed charges,46.48,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,68.57,
T3 (RIA),41000084,CDM,301,RC,84480,HCPCS,Outpatient,,,89.04,71.23,,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,77.64,87.2,,,percent of total billed charges,87.2% of total billed charges,52.53,59,,42.02,percent of total billed charges,59% of total billed charges,77.64,87.2,,62.11,percent of total billed charges,87.2% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,72.38,81.29,,57.9,percent of total billed charges,81.29% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of totl billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,,percent of total billed charges,61% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,80.14,
TOTAL T3,41000394,CDM,301,RC,84480,HCPCS,Outpatient,,,60.07,48.06,,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,100,,,fee schedule,100% of CMS fee schedule,52.38,87.2,,,percent of total billed charges,87.2% of total billed charges,35.44,59,,28.35,percent of total billed charges,59% of total billed charges,52.38,87.2,,41.9,percent of total billed charges,87.2% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,48.83,81.29,,39.06,percent of total billed charges,81.29% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of totl billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,,percent of total billed charges,61% of total billed charges,14.18,100,,,fee schedule,100% of CMS fee schedule,14.18,54.06,
FREE T3,41000483,CDM,301,RC,84481,HCPCS,Outpatient,,,91.12,72.9,,77.45,85,,61.96,percent of total billed charges,85% of total billed charges,77.45,85,,61.96,percent of total billed charges,85% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,67.68,74,,54.14,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,67.68,74,,54.14,percent of total billed charges,74.28% of total billed charges,55.58,61,,44.46,percent of total billed charges,61% of total billed charges,67.68,74,,54.14,percent of total billed charges,74.28% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,82.01,90,,65.61,percent of total billed charges,90% of total billed charges,82.01,90,,65.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,100,,,fee schedule,100% of CMS fee schedule,79.46,87.2,,,percent of total billed charges,87.2% of total billed charges,53.76,59,,43.01,percent of total billed charges,59% of total billed charges,79.46,87.2,,63.57,percent of total billed charges,87.2% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,74.07,81.29,,59.26,percent of total billed charges,81.29% of total billed charges,82.01,90,,65.61,percent of total billed charges,90% of totl billed charges,82.01,90,,65.61,percent of total billed charges,90% of total billed charges,55.58,61,,44.46,percent of total billed charges,61% of total billed charges,55.58,61,,44.46,percent of total billed charges,61% of total billed charges,82.01,90,,65.61,percent of total billed charges,90% of total billed charges,82.01,90,,65.61,percent of total billed charges,90% of total billed charges,55.58,61,,44.46,percent of total billed charges,61% of total billed charges,55.58,61,,44.46,percent of total billed charges,61% of total billed charges,55.58,61,,,percent of total billed charges,61% of total billed charges,16.94,100,,,fee schedule,100% of CMS fee schedule,16.94,82.01,
"T3, REVERSE",41001056,CDM,301,RC,84482,HCPCS,Outpatient,,,112.96,90.37,,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,96.02,85,,76.82,percent of total billed charges,85% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,83.91,74,,67.13,percent of total billed charges,74.28% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.76,100,,,fee schedule,100% of CMS fee schedule,15.76,100,,,fee schedule,100% of CMS fee schedule,98.5,87.2,,,percent of total billed charges,87.2% of total billed charges,66.65,59,,53.32,percent of total billed charges,59% of total billed charges,98.5,87.2,,78.8,percent of total billed charges,87.2% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,91.83,81.29,,73.46,percent of total billed charges,81.29% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of totl billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,101.66,90,,81.33,percent of total billed charges,90% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,55.13,percent of total billed charges,61% of total billed charges,68.91,61,,,percent of total billed charges,61% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,15.76,101.66,
"T3,REVERSE",41009136,CDM,301,RC,84482,HCPCS,Outpatient,,,76.67,61.34,,65.17,85,,52.14,percent of total billed charges,85% of total billed charges,65.17,85,,52.14,percent of total billed charges,85% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,56.95,74,,45.56,percent of total billed charges,74.28% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,56.95,74,,45.56,percent of total billed charges,74.28% of total billed charges,46.77,61,,37.42,percent of total billed charges,61% of total billed charges,56.95,74,,45.56,percent of total billed charges,74.28% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,69,90,,55.2,percent of total billed charges,90% of total billed charges,69,90,,55.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.76,100,,,fee schedule,100% of CMS fee schedule,15.76,100,,,fee schedule,100% of CMS fee schedule,66.86,87.2,,,percent of total billed charges,87.2% of total billed charges,45.24,59,,36.19,percent of total billed charges,59% of total billed charges,66.86,87.2,,53.49,percent of total billed charges,87.2% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,62.33,81.29,,49.86,percent of total billed charges,81.29% of total billed charges,69,90,,55.2,percent of total billed charges,90% of totl billed charges,69,90,,55.2,percent of total billed charges,90% of total billed charges,46.77,61,,37.42,percent of total billed charges,61% of total billed charges,46.77,61,,37.42,percent of total billed charges,61% of total billed charges,69,90,,55.2,percent of total billed charges,90% of total billed charges,69,90,,55.2,percent of total billed charges,90% of total billed charges,46.77,61,,37.42,percent of total billed charges,61% of total billed charges,46.77,61,,37.42,percent of total billed charges,61% of total billed charges,46.77,61,,,percent of total billed charges,61% of total billed charges,15.76,100,,,fee schedule,100% of CMS fee schedule,15.76,69,
TROPONIN I,41000359,CDM,301,RC,84484,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,,percent of total billed charges,61% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,160.81,
TROPONIN T,41001230,CDM,301,RC,84484,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,,percent of total billed charges,61% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,160.81,
TROPONIN T HS,41001237,CDM,301,RC,84484,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,100,,,fee schedule,100% of CMS fee schedule,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,,percent of total billed charges,61% of total billed charges,12.47,100,,,fee schedule,100% of CMS fee schedule,12.47,160.81,
"UREA NITROGEN, BLOOD",41000004,CDM,301,RC,84520,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.95,100,,,fee schedule,100% of CMS fee schedule,3.95,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,3.95,100,,,fee schedule,100% of CMS fee schedule,3.95,36.09,
UREA NITROGEN URINE,41000089,CDM,301,RC,84540,HCPCS,Outpatient,,,44.95,35.96,,38.21,85,,30.57,percent of total billed charges,85% of total billed charges,38.21,85,,30.57,percent of total billed charges,85% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,33.39,74,,26.71,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,33.39,74,,26.71,percent of total billed charges,74.28% of total billed charges,27.42,61,,21.94,percent of total billed charges,61% of total billed charges,33.39,74,,26.71,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,40.46,90,,32.37,percent of total billed charges,90% of total billed charges,40.46,90,,32.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,100,,,fee schedule,100% of CMS fee schedule,39.2,87.2,,,percent of total billed charges,87.2% of total billed charges,26.52,59,,21.22,percent of total billed charges,59% of total billed charges,39.2,87.2,,31.36,percent of total billed charges,87.2% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,36.54,81.29,,29.23,percent of total billed charges,81.29% of total billed charges,40.46,90,,32.37,percent of total billed charges,90% of totl billed charges,40.46,90,,32.37,percent of total billed charges,90% of total billed charges,27.42,61,,21.94,percent of total billed charges,61% of total billed charges,27.42,61,,21.94,percent of total billed charges,61% of total billed charges,40.46,90,,32.37,percent of total billed charges,90% of total billed charges,40.46,90,,32.37,percent of total billed charges,90% of total billed charges,27.42,61,,21.94,percent of total billed charges,61% of total billed charges,27.42,61,,21.94,percent of total billed charges,61% of total billed charges,27.42,61,,,percent of total billed charges,61% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,40.46,
"UREA NITROGEN, URINE",41000297,CDM,301,RC,84540,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,30.5,
"UREA NITROGEN, URINE",41000297,CDM,301,RC,84540,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,5.56,100,,,fee schedule,100% of CMS fee schedule,5.56,30.5,
"URIC ACID, BLOOD",41000001,CDM,301,RC,84550,HCPCS,Outpatient,,,41.9,33.52,,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,100,,,fee schedule,100% of CMS fee schedule,36.54,87.2,,,percent of total billed charges,87.2% of total billed charges,24.72,59,,19.78,percent of total billed charges,59% of total billed charges,36.54,87.2,,29.23,percent of total billed charges,87.2% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,34.06,81.29,,27.25,percent of total billed charges,81.29% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of totl billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,,percent of total billed charges,61% of total billed charges,4.52,100,,,fee schedule,100% of CMS fee schedule,4.52,37.71,
URIC ACID(24 HR URINE),41009057,CDM,301,RC,84560,HCPCS,Outpatient,,,58.08,46.46,,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,50.65,87.2,,,percent of total billed charges,87.2% of total billed charges,34.27,59,,27.42,percent of total billed charges,59% of total billed charges,50.65,87.2,,40.52,percent of total billed charges,87.2% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,47.21,81.29,,37.77,percent of total billed charges,81.29% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of totl billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,,percent of total billed charges,61% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,52.27,
"URIC ACID,FLUID OTH THAN BLOOD",41009083,CDM,301,RC,84560,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,5.08,100,,,fee schedule,100% of CMS fee schedule,5.08,36.93,
UROBILINOGEN,41000403,CDM,301,RC,84578,HCPCS,Outpatient,,,43,34.4,,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,36.55,85,,29.24,percent of total billed charges,85% of total billed charges,4.47,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4.47,100,,,fee schedule,100% of CMS fee schedule,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,31.94,74,,25.55,percent of total billed charges,74.28% of total billed charges,4.47,100,,,fee schedule,100% of CMS fee schedule,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.47,100,,,fee schedule,100% of CMS fee schedule,4.47,100,,,fee schedule,100% of CMS fee schedule,37.5,87.2,,,percent of total billed charges,87.2% of total billed charges,25.37,59,,20.3,percent of total billed charges,59% of total billed charges,37.5,87.2,,30,percent of total billed charges,87.2% of total billed charges,4.47,100,,,fee schedule,100% of CMS fee schedule,34.95,81.29,,27.96,percent of total billed charges,81.29% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of totl billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,38.7,90,,30.96,percent of total billed charges,90% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,20.98,percent of total billed charges,61% of total billed charges,26.23,61,,,percent of total billed charges,61% of total billed charges,4.47,100,,,fee schedule,100% of CMS fee schedule,4.47,38.7,
VMA,41009018,CDM,301,RC,84585,HCPCS,Outpatient,,,169.82,135.86,,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,15.5,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,15.5,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,15.5,100,,,fee schedule,100% of CMS fee schedule,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.5,100,,,fee schedule,100% of CMS fee schedule,15.5,100,,,fee schedule,100% of CMS fee schedule,148.08,87.2,,,percent of total billed charges,87.2% of total billed charges,100.19,59,,80.15,percent of total billed charges,59% of total billed charges,148.08,87.2,,118.46,percent of total billed charges,87.2% of total billed charges,15.5,100,,,fee schedule,100% of CMS fee schedule,138.05,81.29,,110.44,percent of total billed charges,81.29% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of totl billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,,percent of total billed charges,61% of total billed charges,15.5,100,,,fee schedule,100% of CMS fee schedule,15.5,152.84,
VASOACTIVE INTESTIONL POLYPEPT,41000244,CDM,301,RC,84586,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,35.33,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,35.33,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,35.33,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.33,100,,,fee schedule,100% of CMS fee schedule,35.33,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,35.33,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,35.33,100,,,fee schedule,100% of CMS fee schedule,35.33,99.91,
ARGININE (VASOTRESSION),41000393,CDM,301,RC,84588,HCPCS,Outpatient,,,66.44,53.15,,56.47,85,,45.18,percent of total billed charges,85% of total billed charges,56.47,85,,45.18,percent of total billed charges,85% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,49.35,74,,39.48,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,49.35,74,,39.48,percent of total billed charges,74.28% of total billed charges,40.53,61,,32.42,percent of total billed charges,61% of total billed charges,49.35,74,,39.48,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,59.8,90,,47.84,percent of total billed charges,90% of total billed charges,59.8,90,,47.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,100,,,fee schedule,100% of CMS fee schedule,57.94,87.2,,,percent of total billed charges,87.2% of total billed charges,39.2,59,,31.36,percent of total billed charges,59% of total billed charges,57.94,87.2,,46.35,percent of total billed charges,87.2% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,54.01,81.29,,43.21,percent of total billed charges,81.29% of total billed charges,59.8,90,,47.84,percent of total billed charges,90% of totl billed charges,59.8,90,,47.84,percent of total billed charges,90% of total billed charges,40.53,61,,32.42,percent of total billed charges,61% of total billed charges,40.53,61,,32.42,percent of total billed charges,61% of total billed charges,59.8,90,,47.84,percent of total billed charges,90% of total billed charges,59.8,90,,47.84,percent of total billed charges,90% of total billed charges,40.53,61,,32.42,percent of total billed charges,61% of total billed charges,40.53,61,,32.42,percent of total billed charges,61% of total billed charges,40.53,61,,,percent of total billed charges,61% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,59.8,
ANTI-DIURETIC HORMONE,41001033,CDM,301,RC,84588,HCPCS,Outpatient,,,324.98,259.98,,276.23,85,,220.98,percent of total billed charges,85% of total billed charges,276.23,85,,220.98,percent of total billed charges,85% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,241.4,74,,193.12,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,241.4,74,,193.12,percent of total billed charges,74.28% of total billed charges,198.24,61,,158.59,percent of total billed charges,61% of total billed charges,241.4,74,,193.12,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,292.48,90,,233.98,percent of total billed charges,90% of total billed charges,292.48,90,,233.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,100,,,fee schedule,100% of CMS fee schedule,283.38,87.2,,,percent of total billed charges,87.2% of total billed charges,191.74,59,,153.39,percent of total billed charges,59% of total billed charges,283.38,87.2,,226.7,percent of total billed charges,87.2% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,264.18,81.29,,211.34,percent of total billed charges,81.29% of total billed charges,292.48,90,,233.98,percent of total billed charges,90% of totl billed charges,292.48,90,,233.98,percent of total billed charges,90% of total billed charges,198.24,61,,158.59,percent of total billed charges,61% of total billed charges,198.24,61,,158.59,percent of total billed charges,61% of total billed charges,292.48,90,,233.98,percent of total billed charges,90% of total billed charges,292.48,90,,233.98,percent of total billed charges,90% of total billed charges,198.24,61,,158.59,percent of total billed charges,61% of total billed charges,198.24,61,,158.59,percent of total billed charges,61% of total billed charges,198.24,61,,,percent of total billed charges,61% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,292.48,
ARGININE VASOPRESSIN,41001041,CDM,301,RC,84588,HCPCS,Outpatient,,,63.2,50.56,,53.72,85,,42.98,percent of total billed charges,85% of total billed charges,53.72,85,,42.98,percent of total billed charges,85% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,46.94,74,,37.55,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,46.94,74,,37.55,percent of total billed charges,74.28% of total billed charges,38.55,61,,30.84,percent of total billed charges,61% of total billed charges,46.94,74,,37.55,percent of total billed charges,74.28% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,56.88,90,,45.5,percent of total billed charges,90% of total billed charges,56.88,90,,45.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,100,,,fee schedule,100% of CMS fee schedule,55.11,87.2,,,percent of total billed charges,87.2% of total billed charges,37.29,59,,29.83,percent of total billed charges,59% of total billed charges,55.11,87.2,,44.09,percent of total billed charges,87.2% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,51.38,81.29,,41.1,percent of total billed charges,81.29% of total billed charges,56.88,90,,45.5,percent of total billed charges,90% of totl billed charges,56.88,90,,45.5,percent of total billed charges,90% of total billed charges,38.55,61,,30.84,percent of total billed charges,61% of total billed charges,38.55,61,,30.84,percent of total billed charges,61% of total billed charges,56.88,90,,45.5,percent of total billed charges,90% of total billed charges,56.88,90,,45.5,percent of total billed charges,90% of total billed charges,38.55,61,,30.84,percent of total billed charges,61% of total billed charges,38.55,61,,30.84,percent of total billed charges,61% of total billed charges,38.55,61,,,percent of total billed charges,61% of total billed charges,33.94,100,,,fee schedule,100% of CMS fee schedule,33.94,56.88,
VITAMIN A,41001142,CDM,301,RC,84590,HCPCS,Outpatient,,,66.93,53.54,,56.89,85,,45.51,percent of total billed charges,85% of total billed charges,56.89,85,,45.51,percent of total billed charges,85% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,49.72,74,,39.78,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,49.72,74,,39.78,percent of total billed charges,74.28% of total billed charges,40.83,61,,32.66,percent of total billed charges,61% of total billed charges,49.72,74,,39.78,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,60.24,90,,48.19,percent of total billed charges,90% of total billed charges,60.24,90,,48.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,58.36,87.2,,,percent of total billed charges,87.2% of total billed charges,39.49,59,,31.59,percent of total billed charges,59% of total billed charges,58.36,87.2,,46.69,percent of total billed charges,87.2% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,54.41,81.29,,43.53,percent of total billed charges,81.29% of total billed charges,60.24,90,,48.19,percent of total billed charges,90% of totl billed charges,60.24,90,,48.19,percent of total billed charges,90% of total billed charges,40.83,61,,32.66,percent of total billed charges,61% of total billed charges,40.83,61,,32.66,percent of total billed charges,61% of total billed charges,60.24,90,,48.19,percent of total billed charges,90% of total billed charges,60.24,90,,48.19,percent of total billed charges,90% of total billed charges,40.83,61,,32.66,percent of total billed charges,61% of total billed charges,40.83,61,,32.66,percent of total billed charges,61% of total billed charges,40.83,61,,,percent of total billed charges,61% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,60.24,
VITAMIN B3/NIACIN,41001108,CDM,301,RC,84591,HCPCS,Outpatient,,,144.65,115.72,,122.95,85,,98.36,percent of total billed charges,85% of total billed charges,122.95,85,,98.36,percent of total billed charges,85% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,107.45,74,,85.96,percent of total billed charges,74.28% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.06,100,,,fee schedule,100% of CMS fee schedule,17.06,100,,,fee schedule,100% of CMS fee schedule,126.13,87.2,,,percent of total billed charges,87.2% of total billed charges,85.34,59,,68.27,percent of total billed charges,59% of total billed charges,126.13,87.2,,100.9,percent of total billed charges,87.2% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,117.59,81.29,,94.07,percent of total billed charges,81.29% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of totl billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,130.19,90,,104.15,percent of total billed charges,90% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,70.59,percent of total billed charges,61% of total billed charges,88.24,61,,,percent of total billed charges,61% of total billed charges,17.06,100,,,fee schedule,100% of CMS fee schedule,17.06,130.19,
METHANOL,41000342,CDM,301,RC,84600,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.11,100,,,fee schedule,100% of CMS fee schedule,17.11,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,17.11,74.05,
ALCOHOL SCREEN,41001089,CDM,301,RC,84600,HCPCS,Outpatient,,,52.38,41.9,,44.52,85,,35.62,percent of total billed charges,85% of total billed charges,44.52,85,,35.62,percent of total billed charges,85% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,38.91,74,,31.13,percent of total billed charges,74.28% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,38.91,74,,31.13,percent of total billed charges,74.28% of total billed charges,31.95,61,,25.56,percent of total billed charges,61% of total billed charges,38.91,74,,31.13,percent of total billed charges,74.28% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,47.14,90,,37.71,percent of total billed charges,90% of total billed charges,47.14,90,,37.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.11,100,,,fee schedule,100% of CMS fee schedule,17.11,100,,,fee schedule,100% of CMS fee schedule,45.68,87.2,,,percent of total billed charges,87.2% of total billed charges,30.9,59,,24.72,percent of total billed charges,59% of total billed charges,45.68,87.2,,36.54,percent of total billed charges,87.2% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,42.58,81.29,,34.06,percent of total billed charges,81.29% of total billed charges,47.14,90,,37.71,percent of total billed charges,90% of totl billed charges,47.14,90,,37.71,percent of total billed charges,90% of total billed charges,31.95,61,,25.56,percent of total billed charges,61% of total billed charges,31.95,61,,25.56,percent of total billed charges,61% of total billed charges,47.14,90,,37.71,percent of total billed charges,90% of total billed charges,47.14,90,,37.71,percent of total billed charges,90% of total billed charges,31.95,61,,25.56,percent of total billed charges,61% of total billed charges,31.95,61,,25.56,percent of total billed charges,61% of total billed charges,31.95,61,,,percent of total billed charges,61% of total billed charges,17.11,100,,,fee schedule,100% of CMS fee schedule,17.11,47.14,
D-XYLOSE TOLERANCE,41000320,CDM,301,RC,84620,HCPCS,Outpatient,,,67.28,53.82,,57.19,85,,45.75,percent of total billed charges,85% of total billed charges,57.19,85,,45.75,percent of total billed charges,85% of total billed charges,12.91,100,,,fee schedule,100% of CMS fee schedule,49.98,74,,39.98,percent of total billed charges,74.28% of total billed charges,12.91,100,,,fee schedule,100% of CMS fee schedule,49.98,74,,39.98,percent of total billed charges,74.28% of total billed charges,41.04,61,,32.83,percent of total billed charges,61% of total billed charges,49.98,74,,39.98,percent of total billed charges,74.28% of total billed charges,12.91,100,,,fee schedule,100% of CMS fee schedule,60.55,90,,48.44,percent of total billed charges,90% of total billed charges,60.55,90,,48.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.91,100,,,fee schedule,100% of CMS fee schedule,12.91,100,,,fee schedule,100% of CMS fee schedule,58.67,87.2,,,percent of total billed charges,87.2% of total billed charges,39.7,59,,31.76,percent of total billed charges,59% of total billed charges,58.67,87.2,,46.94,percent of total billed charges,87.2% of total billed charges,12.91,100,,,fee schedule,100% of CMS fee schedule,54.69,81.29,,43.75,percent of total billed charges,81.29% of total billed charges,60.55,90,,48.44,percent of total billed charges,90% of totl billed charges,60.55,90,,48.44,percent of total billed charges,90% of total billed charges,41.04,61,,32.83,percent of total billed charges,61% of total billed charges,41.04,61,,32.83,percent of total billed charges,61% of total billed charges,60.55,90,,48.44,percent of total billed charges,90% of total billed charges,60.55,90,,48.44,percent of total billed charges,90% of total billed charges,41.04,61,,32.83,percent of total billed charges,61% of total billed charges,41.04,61,,32.83,percent of total billed charges,61% of total billed charges,41.04,61,,,percent of total billed charges,61% of total billed charges,12.91,100,,,fee schedule,100% of CMS fee schedule,12.91,60.55,
ZINC,41009151,CDM,301,RC,84630,HCPCS,Outpatient,,,170.03,136.02,,144.53,85,,115.62,percent of total billed charges,85% of total billed charges,144.53,85,,115.62,percent of total billed charges,85% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,126.3,74,,101.04,percent of total billed charges,74.28% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,126.3,74,,101.04,percent of total billed charges,74.28% of total billed charges,103.72,61,,82.98,percent of total billed charges,61% of total billed charges,126.3,74,,101.04,percent of total billed charges,74.28% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,153.03,90,,122.42,percent of total billed charges,90% of total billed charges,153.03,90,,122.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.39,100,,,fee schedule,100% of CMS fee schedule,11.39,100,,,fee schedule,100% of CMS fee schedule,148.27,87.2,,,percent of total billed charges,87.2% of total billed charges,100.32,59,,80.26,percent of total billed charges,59% of total billed charges,148.27,87.2,,118.62,percent of total billed charges,87.2% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,138.22,81.29,,110.58,percent of total billed charges,81.29% of total billed charges,153.03,90,,122.42,percent of total billed charges,90% of totl billed charges,153.03,90,,122.42,percent of total billed charges,90% of total billed charges,103.72,61,,82.98,percent of total billed charges,61% of total billed charges,103.72,61,,82.98,percent of total billed charges,61% of total billed charges,153.03,90,,122.42,percent of total billed charges,90% of total billed charges,153.03,90,,122.42,percent of total billed charges,90% of total billed charges,103.72,61,,82.98,percent of total billed charges,61% of total billed charges,103.72,61,,82.98,percent of total billed charges,61% of total billed charges,103.72,61,,,percent of total billed charges,61% of total billed charges,11.39,100,,,fee schedule,100% of CMS fee schedule,11.39,153.03,
C-PEPTIDE,41000321,CDM,301,RC,84681,HCPCS,Outpatient,,,168.11,134.49,,142.89,85,,114.31,percent of total billed charges,85% of total billed charges,142.89,85,,114.31,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,124.87,74,,99.9,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,124.87,74,,99.9,percent of total billed charges,74.28% of total billed charges,102.55,61,,82.04,percent of total billed charges,61% of total billed charges,124.87,74,,99.9,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,151.3,90,,121.04,percent of total billed charges,90% of total billed charges,151.3,90,,121.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,146.59,87.2,,,percent of total billed charges,87.2% of total billed charges,99.18,59,,79.34,percent of total billed charges,59% of total billed charges,146.59,87.2,,117.27,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,136.66,81.29,,109.33,percent of total billed charges,81.29% of total billed charges,151.3,90,,121.04,percent of total billed charges,90% of totl billed charges,151.3,90,,121.04,percent of total billed charges,90% of total billed charges,102.55,61,,82.04,percent of total billed charges,61% of total billed charges,102.55,61,,82.04,percent of total billed charges,61% of total billed charges,151.3,90,,121.04,percent of total billed charges,90% of total billed charges,151.3,90,,121.04,percent of total billed charges,90% of total billed charges,102.55,61,,82.04,percent of total billed charges,61% of total billed charges,102.55,61,,82.04,percent of total billed charges,61% of total billed charges,102.55,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,151.3,
"HCG BETA SUBUNIT,QUANTIT",41000141,CDM,301,RC,84702,HCPCS,Outpatient,,,72.06,57.65,,61.25,85,,49,percent of total billed charges,85% of total billed charges,61.25,85,,49,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,62.84,87.2,,,percent of total billed charges,87.2% of total billed charges,42.52,59,,34.02,percent of total billed charges,59% of total billed charges,62.84,87.2,,50.27,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,58.58,81.29,,46.86,percent of total billed charges,81.29% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of totl billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,64.85,
PREG BETA HCG,41000759,CDM,301,RC,84702,HCPCS,Outpatient,,,205.09,164.07,,174.33,85,,139.46,percent of total billed charges,85% of total billed charges,174.33,85,,139.46,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,152.34,74,,121.87,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,152.34,74,,121.87,percent of total billed charges,74.28% of total billed charges,125.1,61,,100.08,percent of total billed charges,61% of total billed charges,152.34,74,,121.87,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,184.58,90,,147.66,percent of total billed charges,90% of total billed charges,184.58,90,,147.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,178.84,87.2,,,percent of total billed charges,87.2% of total billed charges,121,59,,96.8,percent of total billed charges,59% of total billed charges,178.84,87.2,,143.07,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,166.72,81.29,,133.38,percent of total billed charges,81.29% of total billed charges,184.58,90,,147.66,percent of total billed charges,90% of totl billed charges,184.58,90,,147.66,percent of total billed charges,90% of total billed charges,125.1,61,,100.08,percent of total billed charges,61% of total billed charges,125.1,61,,100.08,percent of total billed charges,61% of total billed charges,184.58,90,,147.66,percent of total billed charges,90% of total billed charges,184.58,90,,147.66,percent of total billed charges,90% of total billed charges,125.1,61,,100.08,percent of total billed charges,61% of total billed charges,125.1,61,,100.08,percent of total billed charges,61% of total billed charges,125.1,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,184.58,
URINE QUANT GONADOT,41001011,CDM,301,RC,84702,HCPCS,Outpatient,,,169.82,135.86,,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,144.35,85,,115.48,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,126.14,74,,100.91,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,148.08,87.2,,,percent of total billed charges,87.2% of total billed charges,100.19,59,,80.15,percent of total billed charges,59% of total billed charges,148.08,87.2,,118.46,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,138.05,81.29,,110.44,percent of total billed charges,81.29% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of totl billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,152.84,90,,122.27,percent of total billed charges,90% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,82.87,percent of total billed charges,61% of total billed charges,103.59,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,152.84,
PREGNANCY TEST - SERUM,41000904,CDM,301,RC,84703,HCPCS,Outpatient,,,58.08,46.46,,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,49.37,85,,39.5,percent of total billed charges,85% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,43.14,74,,34.51,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,50.65,87.2,,,percent of total billed charges,87.2% of total billed charges,34.27,59,,27.42,percent of total billed charges,59% of total billed charges,50.65,87.2,,40.52,percent of total billed charges,87.2% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,47.21,81.29,,37.77,percent of total billed charges,81.29% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of totl billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,52.27,90,,41.82,percent of total billed charges,90% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,28.34,percent of total billed charges,61% of total billed charges,35.43,61,,,percent of total billed charges,61% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,52.27,
URINE PREGNANCY *,43600300,CDM,301,RC,84703,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,44.18,
URINE PREGNANCY *,43601138,CDM,301,RC,84703,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,44.18,
URINE PREGNANCY *,43701138,CDM,301,RC,84703,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,7.52,100,,,fee schedule,100% of CMS fee schedule,7.52,44.18,
SIMPLATE BLEEDING TIME,41009026,CDM,305,RC,85002,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,4.82,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,4.82,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,4.82,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.82,100,,,fee schedule,100% of CMS fee schedule,4.82,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,4.82,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,4.82,100,,,fee schedule,100% of CMS fee schedule,4.82,55.99,
"WBC,AUTOMATED,W\DIFF",41000102,CDM,305,RC,85004,HCPCS,Outpatient,,,37.02,29.62,,31.47,85,,25.18,percent of total billed charges,85% of total billed charges,31.47,85,,25.18,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,32.28,87.2,,,percent of total billed charges,87.2% of total billed charges,21.84,59,,17.47,percent of total billed charges,59% of total billed charges,32.28,87.2,,25.82,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,30.09,81.29,,24.07,percent of total billed charges,81.29% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of totl billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,33.32,
BLOOD COUNT AUTO DIFF WBC COUN,41009115,CDM,305,RC,85004,HCPCS,Outpatient,,,72.62,58.1,,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,63.32,87.2,,,percent of total billed charges,87.2% of total billed charges,42.85,59,,34.28,percent of total billed charges,59% of total billed charges,63.32,87.2,,50.66,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,59.03,81.29,,47.22,percent of total billed charges,81.29% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of totl billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,65.36,
"DIFFERENTIAL,MANUAL",41000105,CDM,305,RC,85007,HCPCS,Outpatient,,,21.81,17.45,,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.8,100,,,fee schedule,100% of CMS fee schedule,3.8,100,,,fee schedule,100% of CMS fee schedule,19.02,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.02,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,17.73,81.29,,14.18,percent of total billed charges,81.29% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of totl billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,,percent of total billed charges,61% of total billed charges,3.8,100,,,fee schedule,100% of CMS fee schedule,3.8,19.63,
BLOOD SMEAR EXAM,41001034,CDM,305,RC,85008,HCPCS,Outpatient,,,11.7,9.36,,9.95,85,,7.96,percent of total billed charges,85% of total billed charges,9.95,85,,7.96,percent of total billed charges,85% of total billed charges,3.43,100,,,fee schedule,100% of CMS fee schedule,8.69,74,,6.95,percent of total billed charges,74.28% of total billed charges,3.43,100,,,fee schedule,100% of CMS fee schedule,8.69,74,,6.95,percent of total billed charges,74.28% of total billed charges,7.14,61,,5.71,percent of total billed charges,61% of total billed charges,8.69,74,,6.95,percent of total billed charges,74.28% of total billed charges,3.43,100,,,fee schedule,100% of CMS fee schedule,10.53,90,,8.42,percent of total billed charges,90% of total billed charges,10.53,90,,8.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.43,100,,,fee schedule,100% of CMS fee schedule,3.43,100,,,fee schedule,100% of CMS fee schedule,10.2,87.2,,,percent of total billed charges,87.2% of total billed charges,6.9,59,,5.52,percent of total billed charges,59% of total billed charges,10.2,87.2,,8.16,percent of total billed charges,87.2% of total billed charges,3.43,100,,,fee schedule,100% of CMS fee schedule,9.51,81.29,,7.61,percent of total billed charges,81.29% of total billed charges,10.53,90,,8.42,percent of total billed charges,90% of totl billed charges,10.53,90,,8.42,percent of total billed charges,90% of total billed charges,7.14,61,,5.71,percent of total billed charges,61% of total billed charges,7.14,61,,5.71,percent of total billed charges,61% of total billed charges,10.53,90,,8.42,percent of total billed charges,90% of total billed charges,10.53,90,,8.42,percent of total billed charges,90% of total billed charges,7.14,61,,5.71,percent of total billed charges,61% of total billed charges,7.14,61,,5.71,percent of total billed charges,61% of total billed charges,7.14,61,,,percent of total billed charges,61% of total billed charges,3.43,100,,,fee schedule,100% of CMS fee schedule,3.43,10.53,
EOSIN COUNT,41000113,CDM,305,RC,85009,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.07,100,,,fee schedule,100% of CMS fee schedule,5.07,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,5.07,36.93,
NEUTROPHIL COUNT,41000486,CDM,305,RC,85009,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.07,100,,,fee schedule,100% of CMS fee schedule,5.07,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,5.07,100,,,fee schedule,100% of CMS fee schedule,5.07,36.93,
HEMATOCRIT,41000104,CDM,305,RC,85014,HCPCS,Outpatient,,,23.87,19.1,,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,20.81,87.2,,,percent of total billed charges,87.2% of total billed charges,14.08,59,,11.26,percent of total billed charges,59% of total billed charges,20.81,87.2,,16.65,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.4,81.29,,15.52,percent of total billed charges,81.29% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of totl billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,21.48,
HEMATOCRIT,43600294,CDM,305,RC,85014,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
HEMATOCRIT,43601132,CDM,305,RC,85014,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
Hematocrit,43701377,CDM,305,RC,85014,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
HEMATOCRIT,43701132,CDM,305,RC,85017,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
HEMOGLOBIN,41000103,CDM,305,RC,85018,HCPCS,Outpatient,,,23.87,19.1,,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,20.81,87.2,,,percent of total billed charges,87.2% of total billed charges,14.08,59,,11.26,percent of total billed charges,59% of total billed charges,20.81,87.2,,16.65,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.4,81.29,,15.52,percent of total billed charges,81.29% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of totl billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,21.48,
HEMOGLOBIN *,43600296,CDM,305,RC,85018,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
HEMOGLOBIN *,43601134,CDM,305,RC,85018,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
HEMOGLOBIN *,43701134,CDM,305,RC,85018,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,100,,,fee schedule,100% of CMS fee schedule,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,,percent of total billed charges,61% of total billed charges,2.37,100,,,fee schedule,100% of CMS fee schedule,2.37,19.64,
CBC WITH AUTO DIFFERENTIAL,41000100,CDM,305,RC,85025,HCPCS,Outpatient,,,72.62,58.1,,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,61.73,85,,49.38,percent of total billed charges,85% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,53.94,74,,43.15,percent of total billed charges,74.28% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.77,100,,,fee schedule,100% of CMS fee schedule,7.77,100,,,fee schedule,100% of CMS fee schedule,63.32,87.2,,,percent of total billed charges,87.2% of total billed charges,42.85,59,,34.28,percent of total billed charges,59% of total billed charges,63.32,87.2,,50.66,percent of total billed charges,87.2% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,59.03,81.29,,47.22,percent of total billed charges,81.29% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of totl billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,65.36,90,,52.29,percent of total billed charges,90% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,35.44,percent of total billed charges,61% of total billed charges,44.3,61,,,percent of total billed charges,61% of total billed charges,7.77,100,,,fee schedule,100% of CMS fee schedule,7.77,65.36,
AUTOMATED CBC W/O DIFFERENTIAL,41000191,CDM,305,RC,85027,HCPCS,Outpatient,,,60.59,48.47,,51.5,85,,41.2,percent of total billed charges,85% of total billed charges,51.5,85,,41.2,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,45.01,74,,36.01,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,45.01,74,,36.01,percent of total billed charges,74.28% of total billed charges,36.96,61,,29.57,percent of total billed charges,61% of total billed charges,45.01,74,,36.01,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,54.53,90,,43.62,percent of total billed charges,90% of total billed charges,54.53,90,,43.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,52.83,87.2,,,percent of total billed charges,87.2% of total billed charges,35.75,59,,28.6,percent of total billed charges,59% of total billed charges,52.83,87.2,,42.26,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,49.25,81.29,,39.4,percent of total billed charges,81.29% of total billed charges,54.53,90,,43.62,percent of total billed charges,90% of totl billed charges,54.53,90,,43.62,percent of total billed charges,90% of total billed charges,36.96,61,,29.57,percent of total billed charges,61% of total billed charges,36.96,61,,29.57,percent of total billed charges,61% of total billed charges,54.53,90,,43.62,percent of total billed charges,90% of total billed charges,54.53,90,,43.62,percent of total billed charges,90% of total billed charges,36.96,61,,29.57,percent of total billed charges,61% of total billed charges,36.96,61,,29.57,percent of total billed charges,61% of total billed charges,36.96,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,54.53,
CBC W/MANUAL DIFF,41009090,CDM,305,RC,85027,HCPCS,Outpatient,,,94.54,75.63,,80.36,85,,64.29,percent of total billed charges,85% of total billed charges,80.36,85,,64.29,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,70.22,74,,56.18,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,70.22,74,,56.18,percent of total billed charges,74.28% of total billed charges,57.67,61,,46.14,percent of total billed charges,61% of total billed charges,70.22,74,,56.18,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,85.09,90,,68.07,percent of total billed charges,90% of total billed charges,85.09,90,,68.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,82.44,87.2,,,percent of total billed charges,87.2% of total billed charges,55.78,59,,44.62,percent of total billed charges,59% of total billed charges,82.44,87.2,,65.95,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,76.85,81.29,,61.48,percent of total billed charges,81.29% of total billed charges,85.09,90,,68.07,percent of total billed charges,90% of totl billed charges,85.09,90,,68.07,percent of total billed charges,90% of total billed charges,57.67,61,,46.14,percent of total billed charges,61% of total billed charges,57.67,61,,46.14,percent of total billed charges,61% of total billed charges,85.09,90,,68.07,percent of total billed charges,90% of total billed charges,85.09,90,,68.07,percent of total billed charges,90% of total billed charges,57.67,61,,46.14,percent of total billed charges,61% of total billed charges,57.67,61,,46.14,percent of total billed charges,61% of total billed charges,57.67,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,85.09,
PLATELET COUNT MANUAL,41001035,CDM,305,RC,85032,HCPCS,Outpatient,,,28.17,22.54,,23.94,85,,19.15,percent of total billed charges,85% of total billed charges,23.94,85,,19.15,percent of total billed charges,85% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,20.92,74,,16.74,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,20.92,74,,16.74,percent of total billed charges,74.28% of total billed charges,17.18,61,,13.74,percent of total billed charges,61% of total billed charges,20.92,74,,16.74,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,25.35,90,,20.28,percent of total billed charges,90% of total billed charges,25.35,90,,20.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,100,,,fee schedule,100% of CMS fee schedule,24.56,87.2,,,percent of total billed charges,87.2% of total billed charges,16.62,59,,13.3,percent of total billed charges,59% of total billed charges,24.56,87.2,,19.65,percent of total billed charges,87.2% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,22.9,81.29,,18.32,percent of total billed charges,81.29% of total billed charges,25.35,90,,20.28,percent of total billed charges,90% of totl billed charges,25.35,90,,20.28,percent of total billed charges,90% of total billed charges,17.18,61,,13.74,percent of total billed charges,61% of total billed charges,17.18,61,,13.74,percent of total billed charges,61% of total billed charges,25.35,90,,20.28,percent of total billed charges,90% of total billed charges,25.35,90,,20.28,percent of total billed charges,90% of total billed charges,17.18,61,,13.74,percent of total billed charges,61% of total billed charges,17.18,61,,13.74,percent of total billed charges,61% of total billed charges,17.18,61,,,percent of total billed charges,61% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,25.35,
BODY FLUID RBC,41001036,CDM,309,RC,85032,HCPCS,Outpatient,,,45.82,36.66,,38.95,85,,31.16,percent of total billed charges,85% of total billed charges,38.95,85,,31.16,percent of total billed charges,85% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,100,,,fee schedule,100% of CMS fee schedule,39.96,87.2,,,percent of total billed charges,87.2% of total billed charges,27.03,59,,21.62,percent of total billed charges,59% of total billed charges,39.96,87.2,,31.97,percent of total billed charges,87.2% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,37.25,81.29,,29.8,percent of total billed charges,81.29% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of totl billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,,percent of total billed charges,61% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,41.24,
"RETIC CT,MANUAL",41000106,CDM,305,RC,85044,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,28.74,
"WBC, AUTO W/O DIFF",41000397,CDM,305,RC,85048,HCPCS,Outpatient,,,23.87,19.1,,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,20.29,85,,16.23,percent of total billed charges,85% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,17.73,74,,14.18,percent of total billed charges,74.28% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.54,100,,,fee schedule,100% of CMS fee schedule,2.54,100,,,fee schedule,100% of CMS fee schedule,20.81,87.2,,,percent of total billed charges,87.2% of total billed charges,14.08,59,,11.26,percent of total billed charges,59% of total billed charges,20.81,87.2,,16.65,percent of total billed charges,87.2% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,19.4,81.29,,15.52,percent of total billed charges,81.29% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of totl billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,21.48,90,,17.18,percent of total billed charges,90% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,11.65,percent of total billed charges,61% of total billed charges,14.56,61,,,percent of total billed charges,61% of total billed charges,2.54,100,,,fee schedule,100% of CMS fee schedule,2.54,21.48,
PLATELET COUNT AUTOMATED,41000108,CDM,305,RC,85049,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.48,100,,,fee schedule,100% of CMS fee schedule,4.48,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,4.48,100,,,fee schedule,100% of CMS fee schedule,4.48,36.93,
ANTI-XA LEVEL,41000781,CDM,305,RC,85130,HCPCS,Outpatient,,,132.82,106.26,,112.9,85,,90.32,percent of total billed charges,85% of total billed charges,112.9,85,,90.32,percent of total billed charges,85% of total billed charges,11.89,100,,,fee schedule,100% of CMS fee schedule,98.66,74,,78.93,percent of total billed charges,74.28% of total billed charges,11.89,100,,,fee schedule,100% of CMS fee schedule,98.66,74,,78.93,percent of total billed charges,74.28% of total billed charges,81.02,61,,64.82,percent of total billed charges,61% of total billed charges,98.66,74,,78.93,percent of total billed charges,74.28% of total billed charges,11.89,100,,,fee schedule,100% of CMS fee schedule,119.54,90,,95.63,percent of total billed charges,90% of total billed charges,119.54,90,,95.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.89,100,,,fee schedule,100% of CMS fee schedule,11.89,100,,,fee schedule,100% of CMS fee schedule,115.82,87.2,,,percent of total billed charges,87.2% of total billed charges,78.36,59,,62.69,percent of total billed charges,59% of total billed charges,115.82,87.2,,92.66,percent of total billed charges,87.2% of total billed charges,11.89,100,,,fee schedule,100% of CMS fee schedule,107.97,81.29,,86.38,percent of total billed charges,81.29% of total billed charges,119.54,90,,95.63,percent of total billed charges,90% of totl billed charges,119.54,90,,95.63,percent of total billed charges,90% of total billed charges,81.02,61,,64.82,percent of total billed charges,61% of total billed charges,81.02,61,,64.82,percent of total billed charges,61% of total billed charges,119.54,90,,95.63,percent of total billed charges,90% of total billed charges,119.54,90,,95.63,percent of total billed charges,90% of total billed charges,81.02,61,,64.82,percent of total billed charges,61% of total billed charges,81.02,61,,64.82,percent of total billed charges,61% of total billed charges,81.02,61,,,percent of total billed charges,61% of total billed charges,11.89,100,,,fee schedule,100% of CMS fee schedule,11.89,119.54,
CLOT REATRACT-SCREEN,41000115,CDM,305,RC,85170,HCPCS,Outpatient,,,30.69,24.55,,26.09,85,,20.87,percent of total billed charges,85% of total billed charges,26.09,85,,20.87,percent of total billed charges,85% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,22.8,74,,18.24,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,22.8,74,,18.24,percent of total billed charges,74.28% of total billed charges,18.72,61,,14.98,percent of total billed charges,61% of total billed charges,22.8,74,,18.24,percent of total billed charges,74.28% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,27.62,90,,22.1,percent of total billed charges,90% of total billed charges,27.62,90,,22.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,100,,,fee schedule,100% of CMS fee schedule,26.76,87.2,,,percent of total billed charges,87.2% of total billed charges,18.11,59,,14.49,percent of total billed charges,59% of total billed charges,26.76,87.2,,21.41,percent of total billed charges,87.2% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,24.95,81.29,,19.96,percent of total billed charges,81.29% of total billed charges,27.62,90,,22.1,percent of total billed charges,90% of totl billed charges,27.62,90,,22.1,percent of total billed charges,90% of total billed charges,18.72,61,,14.98,percent of total billed charges,61% of total billed charges,18.72,61,,14.98,percent of total billed charges,61% of total billed charges,27.62,90,,22.1,percent of total billed charges,90% of total billed charges,27.62,90,,22.1,percent of total billed charges,90% of total billed charges,18.72,61,,14.98,percent of total billed charges,61% of total billed charges,18.72,61,,14.98,percent of total billed charges,61% of total billed charges,18.72,61,,,percent of total billed charges,61% of total billed charges,16.3,100,,,fee schedule,100% of CMS fee schedule,16.3,27.62,
"FACTOR VII, ASSAY",41000208,CDM,305,RC,85230,HCPCS,Outpatient,,,364.28,291.42,,309.64,85,,247.71,percent of total billed charges,85% of total billed charges,309.64,85,,247.71,percent of total billed charges,85% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,270.59,74,,216.47,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,270.59,74,,216.47,percent of total billed charges,74.28% of total billed charges,222.21,61,,177.77,percent of total billed charges,61% of total billed charges,270.59,74,,216.47,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,327.85,90,,262.28,percent of total billed charges,90% of total billed charges,327.85,90,,262.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,317.65,87.2,,,percent of total billed charges,87.2% of total billed charges,214.93,59,,171.94,percent of total billed charges,59% of total billed charges,317.65,87.2,,254.12,percent of total billed charges,87.2% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,296.12,81.29,,236.9,percent of total billed charges,81.29% of total billed charges,327.85,90,,262.28,percent of total billed charges,90% of totl billed charges,327.85,90,,262.28,percent of total billed charges,90% of total billed charges,222.21,61,,177.77,percent of total billed charges,61% of total billed charges,222.21,61,,177.77,percent of total billed charges,61% of total billed charges,327.85,90,,262.28,percent of total billed charges,90% of total billed charges,327.85,90,,262.28,percent of total billed charges,90% of total billed charges,222.21,61,,177.77,percent of total billed charges,61% of total billed charges,222.21,61,,177.77,percent of total billed charges,61% of total billed charges,222.21,61,,,percent of total billed charges,61% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,327.85,
CLOTTING FACTOR VIII,41000335,CDM,305,RC,85244,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,20.42,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,20.42,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,20.42,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.42,100,,,fee schedule,100% of CMS fee schedule,20.42,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,20.42,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,20.42,100,,,fee schedule,100% of CMS fee schedule,20.42,57.23,
VON WILLEBRAND FACTOR ASSAY,41000311,CDM,305,RC,85245,HCPCS,Outpatient,,,164.51,131.61,,139.83,85,,111.86,percent of total billed charges,85% of total billed charges,139.83,85,,111.86,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,122.2,74,,97.76,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,122.2,74,,97.76,percent of total billed charges,74.28% of total billed charges,100.35,61,,80.28,percent of total billed charges,61% of total billed charges,122.2,74,,97.76,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,148.06,90,,118.45,percent of total billed charges,90% of total billed charges,148.06,90,,118.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,143.45,87.2,,,percent of total billed charges,87.2% of total billed charges,97.06,59,,77.65,percent of total billed charges,59% of total billed charges,143.45,87.2,,114.76,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,133.73,81.29,,106.98,percent of total billed charges,81.29% of total billed charges,148.06,90,,118.45,percent of total billed charges,90% of totl billed charges,148.06,90,,118.45,percent of total billed charges,90% of total billed charges,100.35,61,,80.28,percent of total billed charges,61% of total billed charges,100.35,61,,80.28,percent of total billed charges,61% of total billed charges,148.06,90,,118.45,percent of total billed charges,90% of total billed charges,148.06,90,,118.45,percent of total billed charges,90% of total billed charges,100.35,61,,80.28,percent of total billed charges,61% of total billed charges,100.35,61,,80.28,percent of total billed charges,61% of total billed charges,100.35,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,148.06,
RISTOCETIN CO FACTOR**,41000363,CDM,305,RC,85245,HCPCS,Outpatient,,,172.96,138.37,,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,150.82,87.2,,,percent of total billed charges,87.2% of total billed charges,102.05,59,,81.64,percent of total billed charges,59% of total billed charges,150.82,87.2,,120.66,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,140.6,81.29,,112.48,percent of total billed charges,81.29% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of totl billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,155.66,
FACTOR VIII ANTIGEN,41000364,CDM,305,RC,85246,HCPCS,Outpatient,,,156.9,125.52,,133.37,85,,106.7,percent of total billed charges,85% of total billed charges,133.37,85,,106.7,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,116.55,74,,93.24,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,116.55,74,,93.24,percent of total billed charges,74.28% of total billed charges,95.71,61,,76.57,percent of total billed charges,61% of total billed charges,116.55,74,,93.24,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,141.21,90,,112.97,percent of total billed charges,90% of total billed charges,141.21,90,,112.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,136.82,87.2,,,percent of total billed charges,87.2% of total billed charges,92.57,59,,74.06,percent of total billed charges,59% of total billed charges,136.82,87.2,,109.46,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,127.54,81.29,,102.03,percent of total billed charges,81.29% of total billed charges,141.21,90,,112.97,percent of total billed charges,90% of totl billed charges,141.21,90,,112.97,percent of total billed charges,90% of total billed charges,95.71,61,,76.57,percent of total billed charges,61% of total billed charges,95.71,61,,76.57,percent of total billed charges,61% of total billed charges,141.21,90,,112.97,percent of total billed charges,90% of total billed charges,141.21,90,,112.97,percent of total billed charges,90% of total billed charges,95.71,61,,76.57,percent of total billed charges,61% of total billed charges,95.71,61,,76.57,percent of total billed charges,61% of total billed charges,95.71,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,141.21,
VONWILLEBRAND'S ANTIGEN,41001152,CDM,300,RC,85246,HCPCS,Outpatient,,,219.72,175.78,,186.76,85,,149.41,percent of total billed charges,85% of total billed charges,186.76,85,,149.41,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,163.21,74,,130.57,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,163.21,74,,130.57,percent of total billed charges,74.28% of total billed charges,134.03,61,,107.22,percent of total billed charges,61% of total billed charges,163.21,74,,130.57,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,197.75,90,,158.2,percent of total billed charges,90% of total billed charges,197.75,90,,158.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,191.6,87.2,,,percent of total billed charges,87.2% of total billed charges,129.63,59,,103.7,percent of total billed charges,59% of total billed charges,191.6,87.2,,153.28,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,178.61,81.29,,142.89,percent of total billed charges,81.29% of total billed charges,197.75,90,,158.2,percent of total billed charges,90% of totl billed charges,197.75,90,,158.2,percent of total billed charges,90% of total billed charges,134.03,61,,107.22,percent of total billed charges,61% of total billed charges,134.03,61,,107.22,percent of total billed charges,61% of total billed charges,197.75,90,,158.2,percent of total billed charges,90% of total billed charges,197.75,90,,158.2,percent of total billed charges,90% of total billed charges,134.03,61,,107.22,percent of total billed charges,61% of total billed charges,134.03,61,,107.22,percent of total billed charges,61% of total billed charges,134.03,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,197.75,
FACTOR VIII LEVEL ASSAY,41000176,CDM,305,RC,85247,HCPCS,Outpatient,,,182.96,146.37,,155.52,85,,124.42,percent of total billed charges,85% of total billed charges,155.52,85,,124.42,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,135.9,74,,108.72,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,135.9,74,,108.72,percent of total billed charges,74.28% of total billed charges,111.61,61,,89.29,percent of total billed charges,61% of total billed charges,135.9,74,,108.72,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,164.66,90,,131.73,percent of total billed charges,90% of total billed charges,164.66,90,,131.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,159.54,87.2,,,percent of total billed charges,87.2% of total billed charges,107.95,59,,86.36,percent of total billed charges,59% of total billed charges,159.54,87.2,,127.63,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,148.73,81.29,,118.98,percent of total billed charges,81.29% of total billed charges,164.66,90,,131.73,percent of total billed charges,90% of totl billed charges,164.66,90,,131.73,percent of total billed charges,90% of total billed charges,111.61,61,,89.29,percent of total billed charges,61% of total billed charges,111.61,61,,89.29,percent of total billed charges,61% of total billed charges,164.66,90,,131.73,percent of total billed charges,90% of total billed charges,164.66,90,,131.73,percent of total billed charges,90% of total billed charges,111.61,61,,89.29,percent of total billed charges,61% of total billed charges,111.61,61,,89.29,percent of total billed charges,61% of total billed charges,111.61,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,164.66,
VON WILDEBRANDS MULTIMR ANALYS,41000336,CDM,305,RC,85247,HCPCS,Outpatient,,,152.61,122.09,,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,100,,,fee schedule,100% of CMS fee schedule,133.08,87.2,,,percent of total billed charges,87.2% of total billed charges,90.04,59,,72.03,percent of total billed charges,59% of total billed charges,133.08,87.2,,106.46,percent of total billed charges,87.2% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,124.06,81.29,,99.25,percent of total billed charges,81.29% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of totl billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,,percent of total billed charges,61% of total billed charges,22.94,100,,,fee schedule,100% of CMS fee schedule,22.94,137.35,
FACTOR IX,41000232,CDM,305,RC,85250,HCPCS,Outpatient,,,194.72,155.78,,165.51,85,,132.41,percent of total billed charges,85% of total billed charges,165.51,85,,132.41,percent of total billed charges,85% of total billed charges,19.04,100,,,fee schedule,100% of CMS fee schedule,144.64,74,,115.71,percent of total billed charges,74.28% of total billed charges,19.04,100,,,fee schedule,100% of CMS fee schedule,144.64,74,,115.71,percent of total billed charges,74.28% of total billed charges,118.78,61,,95.02,percent of total billed charges,61% of total billed charges,144.64,74,,115.71,percent of total billed charges,74.28% of total billed charges,19.04,100,,,fee schedule,100% of CMS fee schedule,175.25,90,,140.2,percent of total billed charges,90% of total billed charges,175.25,90,,140.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.04,100,,,fee schedule,100% of CMS fee schedule,19.04,100,,,fee schedule,100% of CMS fee schedule,169.8,87.2,,,percent of total billed charges,87.2% of total billed charges,114.88,59,,91.9,percent of total billed charges,59% of total billed charges,169.8,87.2,,135.84,percent of total billed charges,87.2% of total billed charges,19.04,100,,,fee schedule,100% of CMS fee schedule,158.29,81.29,,126.63,percent of total billed charges,81.29% of total billed charges,175.25,90,,140.2,percent of total billed charges,90% of totl billed charges,175.25,90,,140.2,percent of total billed charges,90% of total billed charges,118.78,61,,95.02,percent of total billed charges,61% of total billed charges,118.78,61,,95.02,percent of total billed charges,61% of total billed charges,175.25,90,,140.2,percent of total billed charges,90% of total billed charges,175.25,90,,140.2,percent of total billed charges,90% of total billed charges,118.78,61,,95.02,percent of total billed charges,61% of total billed charges,118.78,61,,95.02,percent of total billed charges,61% of total billed charges,118.78,61,,,percent of total billed charges,61% of total billed charges,19.04,100,,,fee schedule,100% of CMS fee schedule,19.04,175.25,
FACTOR X,41000233,CDM,305,RC,85260,HCPCS,Outpatient,,,223.19,178.55,,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,194.62,87.2,,,percent of total billed charges,87.2% of total billed charges,131.68,59,,105.34,percent of total billed charges,59% of total billed charges,194.62,87.2,,155.7,percent of total billed charges,87.2% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,181.43,81.29,,145.14,percent of total billed charges,81.29% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of totl billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,,percent of total billed charges,61% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,200.87,
FACTOR XI,41000234,CDM,305,RC,85270,HCPCS,Outpatient,,,223.19,178.55,,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,100,,,fee schedule,100% of CMS fee schedule,194.62,87.2,,,percent of total billed charges,87.2% of total billed charges,131.68,59,,105.34,percent of total billed charges,59% of total billed charges,194.62,87.2,,155.7,percent of total billed charges,87.2% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,181.43,81.29,,145.14,percent of total billed charges,81.29% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of totl billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,,percent of total billed charges,61% of total billed charges,17.9,100,,,fee schedule,100% of CMS fee schedule,17.9,200.87,
FACTOR XII,41000235,CDM,305,RC,85280,HCPCS,Outpatient,,,223.19,178.55,,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,189.71,85,,151.77,percent of total billed charges,85% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,165.79,74,,132.63,percent of total billed charges,74.28% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,194.62,87.2,,,percent of total billed charges,87.2% of total billed charges,131.68,59,,105.34,percent of total billed charges,59% of total billed charges,194.62,87.2,,155.7,percent of total billed charges,87.2% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,181.43,81.29,,145.14,percent of total billed charges,81.29% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of totl billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,200.87,90,,160.7,percent of total billed charges,90% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,108.92,percent of total billed charges,61% of total billed charges,136.15,61,,,percent of total billed charges,61% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,200.87,
FACTOR XIII,41000236,CDM,305,RC,85290,HCPCS,Outpatient,,,172.96,138.37,,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,147.02,85,,117.62,percent of total billed charges,85% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,128.47,74,,102.78,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,100,,,fee schedule,100% of CMS fee schedule,150.82,87.2,,,percent of total billed charges,87.2% of total billed charges,102.05,59,,81.64,percent of total billed charges,59% of total billed charges,150.82,87.2,,120.66,percent of total billed charges,87.2% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,140.6,81.29,,112.48,percent of total billed charges,81.29% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of totl billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,155.66,90,,124.53,percent of total billed charges,90% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,84.41,percent of total billed charges,61% of total billed charges,105.51,61,,,percent of total billed charges,61% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,155.66,
"ANTITHROMBIN III, ACTIVITY",41000386,CDM,305,RC,85300,HCPCS,Outpatient,,,597.4,477.92,,507.79,85,,406.23,percent of total billed charges,85% of total billed charges,507.79,85,,406.23,percent of total billed charges,85% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,443.75,74,,355,percent of total billed charges,74.28% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,443.75,74,,355,percent of total billed charges,74.28% of total billed charges,364.41,61,,291.53,percent of total billed charges,61% of total billed charges,443.75,74,,355,percent of total billed charges,74.28% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,537.66,90,,430.13,percent of total billed charges,90% of total billed charges,537.66,90,,430.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.85,100,,,fee schedule,100% of CMS fee schedule,11.85,100,,,fee schedule,100% of CMS fee schedule,520.93,87.2,,,percent of total billed charges,87.2% of total billed charges,352.47,59,,281.98,percent of total billed charges,59% of total billed charges,520.93,87.2,,416.74,percent of total billed charges,87.2% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,485.63,81.29,,388.5,percent of total billed charges,81.29% of total billed charges,537.66,90,,430.13,percent of total billed charges,90% of totl billed charges,537.66,90,,430.13,percent of total billed charges,90% of total billed charges,364.41,61,,291.53,percent of total billed charges,61% of total billed charges,364.41,61,,291.53,percent of total billed charges,61% of total billed charges,537.66,90,,430.13,percent of total billed charges,90% of total billed charges,537.66,90,,430.13,percent of total billed charges,90% of total billed charges,364.41,61,,291.53,percent of total billed charges,61% of total billed charges,364.41,61,,291.53,percent of total billed charges,61% of total billed charges,364.41,61,,,percent of total billed charges,61% of total billed charges,11.85,100,,,fee schedule,100% of CMS fee schedule,11.85,537.66,
ANTITHROMBIN III ANTIGEN,41000080,CDM,305,RC,85301,HCPCS,Outpatient,,,113.28,90.62,,96.29,85,,77.03,percent of total billed charges,85% of total billed charges,96.29,85,,77.03,percent of total billed charges,85% of total billed charges,10.81,100,,,fee schedule,100% of CMS fee schedule,84.14,74,,67.31,percent of total billed charges,74.28% of total billed charges,10.81,100,,,fee schedule,100% of CMS fee schedule,84.14,74,,67.31,percent of total billed charges,74.28% of total billed charges,69.1,61,,55.28,percent of total billed charges,61% of total billed charges,84.14,74,,67.31,percent of total billed charges,74.28% of total billed charges,10.81,100,,,fee schedule,100% of CMS fee schedule,101.95,90,,81.56,percent of total billed charges,90% of total billed charges,101.95,90,,81.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,100,,,fee schedule,100% of CMS fee schedule,10.81,100,,,fee schedule,100% of CMS fee schedule,98.78,87.2,,,percent of total billed charges,87.2% of total billed charges,66.84,59,,53.47,percent of total billed charges,59% of total billed charges,98.78,87.2,,79.02,percent of total billed charges,87.2% of total billed charges,10.81,100,,,fee schedule,100% of CMS fee schedule,92.09,81.29,,73.67,percent of total billed charges,81.29% of total billed charges,101.95,90,,81.56,percent of total billed charges,90% of totl billed charges,101.95,90,,81.56,percent of total billed charges,90% of total billed charges,69.1,61,,55.28,percent of total billed charges,61% of total billed charges,69.1,61,,55.28,percent of total billed charges,61% of total billed charges,101.95,90,,81.56,percent of total billed charges,90% of total billed charges,101.95,90,,81.56,percent of total billed charges,90% of total billed charges,69.1,61,,55.28,percent of total billed charges,61% of total billed charges,69.1,61,,55.28,percent of total billed charges,61% of total billed charges,69.1,61,,,percent of total billed charges,61% of total billed charges,10.81,100,,,fee schedule,100% of CMS fee schedule,10.81,101.95,
"PROTEIN C,ANTIGEN",41000173,CDM,305,RC,85302,HCPCS,Outpatient,,,259.69,207.75,,220.74,85,,176.59,percent of total billed charges,85% of total billed charges,220.74,85,,176.59,percent of total billed charges,85% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,100,,,fee schedule,100% of CMS fee schedule,226.45,87.2,,,percent of total billed charges,87.2% of total billed charges,153.22,59,,122.58,percent of total billed charges,59% of total billed charges,226.45,87.2,,181.16,percent of total billed charges,87.2% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,211.1,81.29,,168.88,percent of total billed charges,81.29% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of totl billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,,percent of total billed charges,61% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,233.72,
"PROTEIN C, ANTIGEN",41000378,CDM,305,RC,85302,HCPCS,Outpatient,,,276.45,221.16,,234.98,85,,187.98,percent of total billed charges,85% of total billed charges,234.98,85,,187.98,percent of total billed charges,85% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,205.35,74,,164.28,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,205.35,74,,164.28,percent of total billed charges,74.28% of total billed charges,168.63,61,,134.9,percent of total billed charges,61% of total billed charges,205.35,74,,164.28,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,248.81,90,,199.05,percent of total billed charges,90% of total billed charges,248.81,90,,199.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,100,,,fee schedule,100% of CMS fee schedule,241.06,87.2,,,percent of total billed charges,87.2% of total billed charges,163.11,59,,130.49,percent of total billed charges,59% of total billed charges,241.06,87.2,,192.85,percent of total billed charges,87.2% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,224.73,81.29,,179.78,percent of total billed charges,81.29% of total billed charges,248.81,90,,199.05,percent of total billed charges,90% of totl billed charges,248.81,90,,199.05,percent of total billed charges,90% of total billed charges,168.63,61,,134.9,percent of total billed charges,61% of total billed charges,168.63,61,,134.9,percent of total billed charges,61% of total billed charges,248.81,90,,199.05,percent of total billed charges,90% of total billed charges,248.81,90,,199.05,percent of total billed charges,90% of total billed charges,168.63,61,,134.9,percent of total billed charges,61% of total billed charges,168.63,61,,134.9,percent of total billed charges,61% of total billed charges,168.63,61,,,percent of total billed charges,61% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,248.81,
"PROTEIN C, ACTIVITY",41000377,CDM,305,RC,85303,HCPCS,Outpatient,,,232.1,185.68,,197.29,85,,157.83,percent of total billed charges,85% of total billed charges,197.29,85,,157.83,percent of total billed charges,85% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,172.4,74,,137.92,percent of total billed charges,74.28% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,172.4,74,,137.92,percent of total billed charges,74.28% of total billed charges,141.58,61,,113.26,percent of total billed charges,61% of total billed charges,172.4,74,,137.92,percent of total billed charges,74.28% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,208.89,90,,167.11,percent of total billed charges,90% of total billed charges,208.89,90,,167.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.84,100,,,fee schedule,100% of CMS fee schedule,13.84,100,,,fee schedule,100% of CMS fee schedule,202.39,87.2,,,percent of total billed charges,87.2% of total billed charges,136.94,59,,109.55,percent of total billed charges,59% of total billed charges,202.39,87.2,,161.91,percent of total billed charges,87.2% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,188.67,81.29,,150.94,percent of total billed charges,81.29% of total billed charges,208.89,90,,167.11,percent of total billed charges,90% of totl billed charges,208.89,90,,167.11,percent of total billed charges,90% of total billed charges,141.58,61,,113.26,percent of total billed charges,61% of total billed charges,141.58,61,,113.26,percent of total billed charges,61% of total billed charges,208.89,90,,167.11,percent of total billed charges,90% of total billed charges,208.89,90,,167.11,percent of total billed charges,90% of total billed charges,141.58,61,,113.26,percent of total billed charges,61% of total billed charges,141.58,61,,113.26,percent of total billed charges,61% of total billed charges,141.58,61,,,percent of total billed charges,61% of total billed charges,13.84,100,,,fee schedule,100% of CMS fee schedule,13.84,208.89,
PROTEIN S,41000220,CDM,305,RC,85305,HCPCS,Outpatient,,,259.69,207.75,,220.74,85,,176.59,percent of total billed charges,85% of total billed charges,220.74,85,,176.59,percent of total billed charges,85% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,192.9,74,,154.32,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,226.45,87.2,,,percent of total billed charges,87.2% of total billed charges,153.22,59,,122.58,percent of total billed charges,59% of total billed charges,226.45,87.2,,181.16,percent of total billed charges,87.2% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,211.1,81.29,,168.88,percent of total billed charges,81.29% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of totl billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,233.72,90,,186.98,percent of total billed charges,90% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,126.73,percent of total billed charges,61% of total billed charges,158.41,61,,,percent of total billed charges,61% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,233.72,
"PROTEIN S, ANTIGEN TOTAL",41000375,CDM,305,RC,85305,HCPCS,Outpatient,,,139.82,111.86,,118.85,85,,95.08,percent of total billed charges,85% of total billed charges,118.85,85,,95.08,percent of total billed charges,85% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,100,,,fee schedule,100% of CMS fee schedule,121.92,87.2,,,percent of total billed charges,87.2% of total billed charges,82.49,59,,65.99,percent of total billed charges,59% of total billed charges,121.92,87.2,,97.54,percent of total billed charges,87.2% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,113.66,81.29,,90.93,percent of total billed charges,81.29% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of totl billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,,percent of total billed charges,61% of total billed charges,11.61,100,,,fee schedule,100% of CMS fee schedule,11.61,125.84,
"PROTEIN S, ACTIVITY",41000374,CDM,305,RC,85306,HCPCS,Outpatient,,,239.22,191.38,,203.34,85,,162.67,percent of total billed charges,85% of total billed charges,203.34,85,,162.67,percent of total billed charges,85% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,177.69,74,,142.15,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,177.69,74,,142.15,percent of total billed charges,74.28% of total billed charges,145.92,61,,116.74,percent of total billed charges,61% of total billed charges,177.69,74,,142.15,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,215.3,90,,172.24,percent of total billed charges,90% of total billed charges,215.3,90,,172.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,100,,,fee schedule,100% of CMS fee schedule,208.6,87.2,,,percent of total billed charges,87.2% of total billed charges,141.14,59,,112.91,percent of total billed charges,59% of total billed charges,208.6,87.2,,166.88,percent of total billed charges,87.2% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,194.46,81.29,,155.57,percent of total billed charges,81.29% of total billed charges,215.3,90,,172.24,percent of total billed charges,90% of totl billed charges,215.3,90,,172.24,percent of total billed charges,90% of total billed charges,145.92,61,,116.74,percent of total billed charges,61% of total billed charges,145.92,61,,116.74,percent of total billed charges,61% of total billed charges,215.3,90,,172.24,percent of total billed charges,90% of total billed charges,215.3,90,,172.24,percent of total billed charges,90% of total billed charges,145.92,61,,116.74,percent of total billed charges,61% of total billed charges,145.92,61,,116.74,percent of total billed charges,61% of total billed charges,145.92,61,,,percent of total billed charges,61% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,215.3,
"PROTEIN S, ANTIGEN FREE",41000376,CDM,305,RC,85306,HCPCS,Outpatient,,,139.82,111.86,,118.85,85,,95.08,percent of total billed charges,85% of total billed charges,118.85,85,,95.08,percent of total billed charges,85% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,103.86,74,,83.09,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,100,,,fee schedule,100% of CMS fee schedule,121.92,87.2,,,percent of total billed charges,87.2% of total billed charges,82.49,59,,65.99,percent of total billed charges,59% of total billed charges,121.92,87.2,,97.54,percent of total billed charges,87.2% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,113.66,81.29,,90.93,percent of total billed charges,81.29% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of totl billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,125.84,90,,100.67,percent of total billed charges,90% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,68.23,percent of total billed charges,61% of total billed charges,85.29,61,,,percent of total billed charges,61% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,125.84,
ACTIVATED PROTEIN C RECEPTOR,41000571,CDM,305,RC,85307,HCPCS,Outpatient,,,173.02,138.42,,147.07,85,,117.66,percent of total billed charges,85% of total billed charges,147.07,85,,117.66,percent of total billed charges,85% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,128.52,74,,102.82,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,128.52,74,,102.82,percent of total billed charges,74.28% of total billed charges,105.54,61,,84.43,percent of total billed charges,61% of total billed charges,128.52,74,,102.82,percent of total billed charges,74.28% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,155.72,90,,124.58,percent of total billed charges,90% of total billed charges,155.72,90,,124.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,100,,,fee schedule,100% of CMS fee schedule,150.87,87.2,,,percent of total billed charges,87.2% of total billed charges,102.08,59,,81.66,percent of total billed charges,59% of total billed charges,150.87,87.2,,120.7,percent of total billed charges,87.2% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,140.65,81.29,,112.52,percent of total billed charges,81.29% of total billed charges,155.72,90,,124.58,percent of total billed charges,90% of totl billed charges,155.72,90,,124.58,percent of total billed charges,90% of total billed charges,105.54,61,,84.43,percent of total billed charges,61% of total billed charges,105.54,61,,84.43,percent of total billed charges,61% of total billed charges,155.72,90,,124.58,percent of total billed charges,90% of total billed charges,155.72,90,,124.58,percent of total billed charges,90% of total billed charges,105.54,61,,84.43,percent of total billed charges,61% of total billed charges,105.54,61,,84.43,percent of total billed charges,61% of total billed charges,105.54,61,,,percent of total billed charges,61% of total billed charges,15.32,100,,,fee schedule,100% of CMS fee schedule,15.32,155.72,
"CLOTTING TIME, LEE-WHITE",41000120,CDM,305,RC,85345,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,4.69,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.69,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.69,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.69,100,,,fee schedule,100% of CMS fee schedule,4.69,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,4.69,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,4.69,100,,,fee schedule,100% of CMS fee schedule,4.69,36.93,
FIBRIN DEGREDATION PRODUCTS,41000092,CDM,305,RC,85362,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,6.89,100,,,fee schedule,100% of CMS fee schedule,6.89,62.84,
"D-DIMER,QUANTITIVE",41009065,CDM,305,RC,85379,HCPCS,Outpatient,,,142.6,114.08,,121.21,85,,96.97,percent of total billed charges,85% of total billed charges,121.21,85,,96.97,percent of total billed charges,85% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,105.92,74,,84.74,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,105.92,74,,84.74,percent of total billed charges,74.28% of total billed charges,86.99,61,,69.59,percent of total billed charges,61% of total billed charges,105.92,74,,84.74,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,128.34,90,,102.67,percent of total billed charges,90% of total billed charges,128.34,90,,102.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,124.35,87.2,,,percent of total billed charges,87.2% of total billed charges,84.13,59,,67.3,percent of total billed charges,59% of total billed charges,124.35,87.2,,99.48,percent of total billed charges,87.2% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,115.92,81.29,,92.74,percent of total billed charges,81.29% of total billed charges,128.34,90,,102.67,percent of total billed charges,90% of totl billed charges,128.34,90,,102.67,percent of total billed charges,90% of total billed charges,86.99,61,,69.59,percent of total billed charges,61% of total billed charges,86.99,61,,69.59,percent of total billed charges,61% of total billed charges,128.34,90,,102.67,percent of total billed charges,90% of total billed charges,128.34,90,,102.67,percent of total billed charges,90% of total billed charges,86.99,61,,69.59,percent of total billed charges,61% of total billed charges,86.99,61,,69.59,percent of total billed charges,61% of total billed charges,86.99,61,,,percent of total billed charges,61% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,128.34,
"FIBRINOGEN,ACTIVITY",41000064,CDM,305,RC,85384,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.72,100,,,fee schedule,100% of CMS fee schedule,9.72,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,9.72,100,,,fee schedule,100% of CMS fee schedule,9.72,57.23,
PLASMINOGEN ACTIVITY,41000432,CDM,305,RC,85420,HCPCS,Outpatient,,,84.34,67.47,,71.69,85,,57.35,percent of total billed charges,85% of total billed charges,71.69,85,,57.35,percent of total billed charges,85% of total billed charges,6.53,100,,,fee schedule,100% of CMS fee schedule,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,6.53,100,,,fee schedule,100% of CMS fee schedule,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,6.53,100,,,fee schedule,100% of CMS fee schedule,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.53,100,,,fee schedule,100% of CMS fee schedule,6.53,100,,,fee schedule,100% of CMS fee schedule,73.54,87.2,,,percent of total billed charges,87.2% of total billed charges,49.76,59,,39.81,percent of total billed charges,59% of total billed charges,73.54,87.2,,58.83,percent of total billed charges,87.2% of total billed charges,6.53,100,,,fee schedule,100% of CMS fee schedule,68.56,81.29,,54.85,percent of total billed charges,81.29% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of totl billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,,percent of total billed charges,61% of total billed charges,6.53,100,,,fee schedule,100% of CMS fee schedule,6.53,75.91,
"PLASMINOGEN,ANTIGEN",41000610,CDM,305,RC,85421,HCPCS,Outpatient,,,78.66,62.93,,66.86,85,,53.49,percent of total billed charges,85% of total billed charges,66.86,85,,53.49,percent of total billed charges,85% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,58.43,74,,46.74,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,58.43,74,,46.74,percent of total billed charges,74.28% of total billed charges,47.98,61,,38.38,percent of total billed charges,61% of total billed charges,58.43,74,,46.74,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,70.79,90,,56.63,percent of total billed charges,90% of total billed charges,70.79,90,,56.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,68.59,87.2,,,percent of total billed charges,87.2% of total billed charges,46.41,59,,37.13,percent of total billed charges,59% of total billed charges,68.59,87.2,,54.87,percent of total billed charges,87.2% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,63.94,81.29,,51.15,percent of total billed charges,81.29% of total billed charges,70.79,90,,56.63,percent of total billed charges,90% of totl billed charges,70.79,90,,56.63,percent of total billed charges,90% of total billed charges,47.98,61,,38.38,percent of total billed charges,61% of total billed charges,47.98,61,,38.38,percent of total billed charges,61% of total billed charges,70.79,90,,56.63,percent of total billed charges,90% of total billed charges,70.79,90,,56.63,percent of total billed charges,90% of total billed charges,47.98,61,,38.38,percent of total billed charges,61% of total billed charges,47.98,61,,38.38,percent of total billed charges,61% of total billed charges,47.98,61,,,percent of total billed charges,61% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,70.79,
KLEIHAUER BETKE,41009078,CDM,305,RC,85460,HCPCS,Outpatient,,,133.22,106.58,,113.24,85,,90.59,percent of total billed charges,85% of total billed charges,113.24,85,,90.59,percent of total billed charges,85% of total billed charges,7.73,100,,,fee schedule,100% of CMS fee schedule,98.96,74,,79.17,percent of total billed charges,74.28% of total billed charges,7.73,100,,,fee schedule,100% of CMS fee schedule,98.96,74,,79.17,percent of total billed charges,74.28% of total billed charges,81.26,61,,65.01,percent of total billed charges,61% of total billed charges,98.96,74,,79.17,percent of total billed charges,74.28% of total billed charges,7.73,100,,,fee schedule,100% of CMS fee schedule,119.9,90,,95.92,percent of total billed charges,90% of total billed charges,119.9,90,,95.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.73,100,,,fee schedule,100% of CMS fee schedule,7.73,100,,,fee schedule,100% of CMS fee schedule,116.17,87.2,,,percent of total billed charges,87.2% of total billed charges,78.6,59,,62.88,percent of total billed charges,59% of total billed charges,116.17,87.2,,92.94,percent of total billed charges,87.2% of total billed charges,7.73,100,,,fee schedule,100% of CMS fee schedule,108.29,81.29,,86.63,percent of total billed charges,81.29% of total billed charges,119.9,90,,95.92,percent of total billed charges,90% of totl billed charges,119.9,90,,95.92,percent of total billed charges,90% of total billed charges,81.26,61,,65.01,percent of total billed charges,61% of total billed charges,81.26,61,,65.01,percent of total billed charges,61% of total billed charges,119.9,90,,95.92,percent of total billed charges,90% of total billed charges,119.9,90,,95.92,percent of total billed charges,90% of total billed charges,81.26,61,,65.01,percent of total billed charges,61% of total billed charges,81.26,61,,65.01,percent of total billed charges,61% of total billed charges,81.26,61,,,percent of total billed charges,61% of total billed charges,7.73,100,,,fee schedule,100% of CMS fee schedule,7.73,119.9,
LAP,41000112,CDM,305,RC,85540,HCPCS,Outpatient,,,45.3,36.24,,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.6,100,,,fee schedule,100% of CMS fee schedule,8.6,100,,,fee schedule,100% of CMS fee schedule,39.5,87.2,,,percent of total billed charges,87.2% of total billed charges,26.73,59,,21.38,percent of total billed charges,59% of total billed charges,39.5,87.2,,31.6,percent of total billed charges,87.2% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,36.82,81.29,,29.46,percent of total billed charges,81.29% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of totl billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,,percent of total billed charges,61% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,8.6,40.77,
FRAGILITY (RBC),41009037,CDM,305,RC,85547,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.6,100,,,fee schedule,100% of CMS fee schedule,8.6,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,8.6,100,,,fee schedule,100% of CMS fee schedule,8.6,62.84,
"RBC FRAGILITY,OSMOT INCUB",41000114,CDM,305,RC,85557,HCPCS,Outpatient,,,104.82,83.86,,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,89.1,85,,71.28,percent of total billed charges,85% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,77.86,74,,62.29,percent of total billed charges,74.28% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.36,100,,,fee schedule,100% of CMS fee schedule,13.36,100,,,fee schedule,100% of CMS fee schedule,91.4,87.2,,,percent of total billed charges,87.2% of total billed charges,61.84,59,,49.47,percent of total billed charges,59% of total billed charges,91.4,87.2,,73.12,percent of total billed charges,87.2% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,85.21,81.29,,68.17,percent of total billed charges,81.29% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of totl billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,94.34,90,,75.47,percent of total billed charges,90% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,51.15,percent of total billed charges,61% of total billed charges,63.94,61,,,percent of total billed charges,61% of total billed charges,13.36,100,,,fee schedule,100% of CMS fee schedule,13.36,94.34,
VERIFY NOW ASPIRIN ASSAY,41009154,CDM,305,RC,85576,HCPCS,Outpatient,,,96.91,77.53,,82.37,85,,65.9,percent of total billed charges,85% of total billed charges,82.37,85,,65.9,percent of total billed charges,85% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.91,100,,,fee schedule,100% of CMS fee schedule,24.91,100,,,fee schedule,100% of CMS fee schedule,84.51,87.2,,,percent of total billed charges,87.2% of total billed charges,57.18,59,,45.74,percent of total billed charges,59% of total billed charges,84.51,87.2,,67.61,percent of total billed charges,87.2% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,78.78,81.29,,63.02,percent of total billed charges,81.29% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of totl billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,,percent of total billed charges,61% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,24.91,87.22,
VERIFY NOW PZY12 ASSAY,41009155,CDM,305,RC,85576,HCPCS,Outpatient,,,96.91,77.53,,82.37,85,,65.9,percent of total billed charges,85% of total billed charges,82.37,85,,65.9,percent of total billed charges,85% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,71.98,74,,57.58,percent of total billed charges,74.28% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.91,100,,,fee schedule,100% of CMS fee schedule,24.91,100,,,fee schedule,100% of CMS fee schedule,84.51,87.2,,,percent of total billed charges,87.2% of total billed charges,57.18,59,,45.74,percent of total billed charges,59% of total billed charges,84.51,87.2,,67.61,percent of total billed charges,87.2% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,78.78,81.29,,63.02,percent of total billed charges,81.29% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of totl billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,87.22,90,,69.78,percent of total billed charges,90% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,47.3,percent of total billed charges,61% of total billed charges,59.12,61,,,percent of total billed charges,61% of total billed charges,24.91,100,,,fee schedule,100% of CMS fee schedule,24.91,87.22,
PROTHROMBIN TIME,41000119,CDM,305,RC,85610,HCPCS,Outpatient,,,40.1,32.08,,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,34.09,85,,27.27,percent of total billed charges,85% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,29.79,74,,23.83,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,34.97,87.2,,,percent of total billed charges,87.2% of total billed charges,23.66,59,,18.93,percent of total billed charges,59% of total billed charges,34.97,87.2,,27.98,percent of total billed charges,87.2% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,32.6,81.29,,26.08,percent of total billed charges,81.29% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of totl billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,36.09,90,,28.87,percent of total billed charges,90% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,19.57,percent of total billed charges,61% of total billed charges,24.46,61,,,percent of total billed charges,61% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,36.09,
INR,43600297,CDM,305,RC,85610,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,,percent of total billed charges,61% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,34.36,
INR,43601135,CDM,305,RC,85610,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,,percent of total billed charges,61% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,29.45,
INR,43701135,CDM,305,RC,85610,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,100,,,fee schedule,100% of CMS fee schedule,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,,percent of total billed charges,61% of total billed charges,4.29,100,,,fee schedule,100% of CMS fee schedule,4.29,29.45,
LUPUS ANTICOAGULANT,41000230,CDM,305,RC,85613,HCPCS,Outpatient,,,235.34,188.27,,200.04,85,,160.03,percent of total billed charges,85% of total billed charges,200.04,85,,160.03,percent of total billed charges,85% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,174.81,74,,139.85,percent of total billed charges,74.28% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,174.81,74,,139.85,percent of total billed charges,74.28% of total billed charges,143.56,61,,114.85,percent of total billed charges,61% of total billed charges,174.81,74,,139.85,percent of total billed charges,74.28% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,211.81,90,,169.45,percent of total billed charges,90% of total billed charges,211.81,90,,169.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,100,,,fee schedule,100% of CMS fee schedule,205.22,87.2,,,percent of total billed charges,87.2% of total billed charges,138.85,59,,111.08,percent of total billed charges,59% of total billed charges,205.22,87.2,,164.18,percent of total billed charges,87.2% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,191.31,81.29,,153.05,percent of total billed charges,81.29% of total billed charges,211.81,90,,169.45,percent of total billed charges,90% of totl billed charges,211.81,90,,169.45,percent of total billed charges,90% of total billed charges,143.56,61,,114.85,percent of total billed charges,61% of total billed charges,143.56,61,,114.85,percent of total billed charges,61% of total billed charges,211.81,90,,169.45,percent of total billed charges,90% of total billed charges,211.81,90,,169.45,percent of total billed charges,90% of total billed charges,143.56,61,,114.85,percent of total billed charges,61% of total billed charges,143.56,61,,114.85,percent of total billed charges,61% of total billed charges,143.56,61,,,percent of total billed charges,61% of total billed charges,9.58,100,,,fee schedule,100% of CMS fee schedule,9.58,211.81,
"SED RATE, NON-AUTOMATED",41000107,CDM,305,RC,85651,HCPCS,Outpatient,,,27.83,22.26,,23.66,85,,18.93,percent of total billed charges,85% of total billed charges,23.66,85,,18.93,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,20.67,74,,16.54,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,24.27,87.2,,,percent of total billed charges,87.2% of total billed charges,16.42,59,,13.14,percent of total billed charges,59% of total billed charges,24.27,87.2,,19.42,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,22.62,81.29,,18.1,percent of total billed charges,81.29% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of totl billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,25.05,90,,20.04,percent of total billed charges,90% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,13.58,percent of total billed charges,61% of total billed charges,16.98,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,25.05,
FECAL ELASTASE,41001109,CDM,301,RC,85656,HCPCS,Outpatient,,,152.59,122.07,,129.7,85,,103.76,percent of total billed charges,85% of total billed charges,129.7,85,,103.76,percent of total billed charges,85% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,113.34,74,,90.67,percent of total billed charges,74.28% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,113.34,74,,90.67,percent of total billed charges,74.28% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,113.34,74,,90.67,percent of total billed charges,74.28% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,137.33,90,,109.86,percent of total billed charges,90% of total billed charges,137.33,90,,109.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,133.06,87.2,,,percent of total billed charges,87.2% of total billed charges,90.03,59,,72.02,percent of total billed charges,59% of total billed charges,133.06,87.2,,106.45,percent of total billed charges,87.2% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,124.04,81.29,,99.23,percent of total billed charges,81.29% of total billed charges,137.33,90,,109.86,percent of total billed charges,90% of totl billed charges,137.33,90,,109.86,percent of total billed charges,90% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,137.33,90,,109.86,percent of total billed charges,90% of total billed charges,137.33,90,,109.86,percent of total billed charges,90% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,93.08,61,,74.46,percent of total billed charges,61% of total billed charges,79.35,52,,63.48,percent of total billed charges,52% of total billed charges,79.35,137.33,
SICKLE CELL SCREEN,41000111,CDM,305,RC,85660,HCPCS,Outpatient,,,34.77,27.82,,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.51,100,,,fee schedule,100% of CMS fee schedule,5.51,100,,,fee schedule,100% of CMS fee schedule,30.32,87.2,,,percent of total billed charges,87.2% of total billed charges,20.51,59,,16.41,percent of total billed charges,59% of total billed charges,30.32,87.2,,24.26,percent of total billed charges,87.2% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,28.26,81.29,,22.61,percent of total billed charges,81.29% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of totl billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,,percent of total billed charges,61% of total billed charges,5.51,100,,,fee schedule,100% of CMS fee schedule,5.51,31.29,
THROMBIN CLOTTING TIME,41009069,CDM,305,RC,85670,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.77,100,,,fee schedule,100% of CMS fee schedule,5.77,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,5.77,58.1,
PTT - APTT,41000118,CDM,305,RC,85730,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.01,100,,,fee schedule,100% of CMS fee schedule,6.01,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,6.01,100,,,fee schedule,100% of CMS fee schedule,6.01,41.18,
"VISCOSITY,SERUM",41000773,CDM,301,RC,85810,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,11.67,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,11.67,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,11.67,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.67,100,,,fee schedule,100% of CMS fee schedule,11.67,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,11.67,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,11.67,100,,,fee schedule,100% of CMS fee schedule,11.67,66.47,
FEBRILE AGGLUT,41000216,CDM,302,RC,86000,HCPCS,Outpatient,,,96.72,77.38,,82.21,85,,65.77,percent of total billed charges,85% of total billed charges,82.21,85,,65.77,percent of total billed charges,85% of total billed charges,6.98,100,,,fee schedule,100% of CMS fee schedule,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,6.98,100,,,fee schedule,100% of CMS fee schedule,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,6.98,100,,,fee schedule,100% of CMS fee schedule,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.98,100,,,fee schedule,100% of CMS fee schedule,6.98,100,,,fee schedule,100% of CMS fee schedule,84.34,87.2,,,percent of total billed charges,87.2% of total billed charges,57.06,59,,45.65,percent of total billed charges,59% of total billed charges,84.34,87.2,,67.47,percent of total billed charges,87.2% of total billed charges,6.98,100,,,fee schedule,100% of CMS fee schedule,78.62,81.29,,62.9,percent of total billed charges,81.29% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of totl billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,,percent of total billed charges,61% of total billed charges,6.98,100,,,fee schedule,100% of CMS fee schedule,6.98,87.05,
MIDWEST RAST-ONE PANEL,41000099,CDM,302,RC,86003,HCPCS,Outpatient,,,123.33,98.66,,104.83,85,,83.86,percent of total billed charges,85% of total billed charges,104.83,85,,83.86,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,91.61,74,,73.29,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,91.61,74,,73.29,percent of total billed charges,74.28% of total billed charges,75.23,61,,60.18,percent of total billed charges,61% of total billed charges,91.61,74,,73.29,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,111,90,,88.8,percent of total billed charges,90% of total billed charges,111,90,,88.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,107.54,87.2,,,percent of total billed charges,87.2% of total billed charges,72.76,59,,58.21,percent of total billed charges,59% of total billed charges,107.54,87.2,,86.03,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,100.25,81.29,,80.2,percent of total billed charges,81.29% of total billed charges,111,90,,88.8,percent of total billed charges,90% of totl billed charges,111,90,,88.8,percent of total billed charges,90% of total billed charges,75.23,61,,60.18,percent of total billed charges,61% of total billed charges,75.23,61,,60.18,percent of total billed charges,61% of total billed charges,111,90,,88.8,percent of total billed charges,90% of total billed charges,111,90,,88.8,percent of total billed charges,90% of total billed charges,75.23,61,,60.18,percent of total billed charges,61% of total billed charges,75.23,61,,60.18,percent of total billed charges,61% of total billed charges,75.23,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,111,
"RAST,BASIC",41000328,CDM,302,RC,86003,HCPCS,Outpatient,,,190,152,,161.5,85,,129.2,percent of total billed charges,85% of total billed charges,161.5,85,,129.2,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,171,90,,136.8,percent of total billed charges,90% of total billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,165.68,87.2,,,percent of total billed charges,87.2% of total billed charges,112.1,59,,89.68,percent of total billed charges,59% of total billed charges,165.68,87.2,,132.54,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,154.45,81.29,,123.56,percent of total billed charges,81.29% of total billed charges,171,90,,136.8,percent of total billed charges,90% of totl billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,171,
SULFAMETHOSOL,41000572,CDM,302,RC,86003,HCPCS,Outpatient,,,87.25,69.8,,74.16,85,,59.33,percent of total billed charges,85% of total billed charges,74.16,85,,59.33,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,64.81,74,,51.85,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,64.81,74,,51.85,percent of total billed charges,74.28% of total billed charges,53.22,61,,42.58,percent of total billed charges,61% of total billed charges,64.81,74,,51.85,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,76.08,87.2,,,percent of total billed charges,87.2% of total billed charges,51.48,59,,41.18,percent of total billed charges,59% of total billed charges,76.08,87.2,,60.86,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,70.93,81.29,,56.74,percent of total billed charges,81.29% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of totl billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.22,61,,42.58,percent of total billed charges,61% of total billed charges,53.22,61,,42.58,percent of total billed charges,61% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,78.53,90,,62.82,percent of total billed charges,90% of total billed charges,53.22,61,,42.58,percent of total billed charges,61% of total billed charges,53.22,61,,42.58,percent of total billed charges,61% of total billed charges,53.22,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,78.53,
"RAST,EACH",41000772,CDM,302,RC,86003,HCPCS,Outpatient,,,28.44,22.75,,24.17,85,,19.34,percent of total billed charges,85% of total billed charges,24.17,85,,19.34,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,21.13,74,,16.9,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,21.13,74,,16.9,percent of total billed charges,74.28% of total billed charges,17.35,61,,13.88,percent of total billed charges,61% of total billed charges,21.13,74,,16.9,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,25.6,90,,20.48,percent of total billed charges,90% of total billed charges,25.6,90,,20.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,24.8,87.2,,,percent of total billed charges,87.2% of total billed charges,16.78,59,,13.42,percent of total billed charges,59% of total billed charges,24.8,87.2,,19.84,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,23.12,81.29,,18.5,percent of total billed charges,81.29% of total billed charges,25.6,90,,20.48,percent of total billed charges,90% of totl billed charges,25.6,90,,20.48,percent of total billed charges,90% of total billed charges,17.35,61,,13.88,percent of total billed charges,61% of total billed charges,17.35,61,,13.88,percent of total billed charges,61% of total billed charges,25.6,90,,20.48,percent of total billed charges,90% of total billed charges,25.6,90,,20.48,percent of total billed charges,90% of total billed charges,17.35,61,,13.88,percent of total billed charges,61% of total billed charges,17.35,61,,13.88,percent of total billed charges,61% of total billed charges,17.35,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,25.6,
CANDIDA ALBICANS ANTIGEN,41001080,CDM,302,RC,86003,HCPCS,Outpatient,,,48.41,38.73,,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,41.15,85,,32.92,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,35.96,74,,28.77,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,42.21,87.2,,,percent of total billed charges,87.2% of total billed charges,28.56,59,,22.85,percent of total billed charges,59% of total billed charges,42.21,87.2,,33.77,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,39.35,81.29,,31.48,percent of total billed charges,81.29% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of totl billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,43.57,90,,34.86,percent of total billed charges,90% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,23.62,percent of total billed charges,61% of total billed charges,29.53,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,43.57,
"ALLERGY PANEL, VEGETABLE",41009108,CDM,302,RC,86003,HCPCS,Outpatient,,,83.65,66.92,,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,72.94,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.94,87.2,,58.35,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,68,81.29,,54.4,percent of total billed charges,81.29% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of totl billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,75.29,
"ALLERGY PANEL, GRAIN",41009109,CDM,302,RC,86003,HCPCS,Outpatient,,,83.65,66.92,,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,72.94,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.94,87.2,,58.35,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,68,81.29,,54.4,percent of total billed charges,81.29% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of totl billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,75.29,
"ALLERGY PANEL, MEAT",41009110,CDM,302,RC,86003,HCPCS,Outpatient,,,83.65,66.92,,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,72.94,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.94,87.2,,58.35,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,68,81.29,,54.4,percent of total billed charges,81.29% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of totl billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,75.29,
"ALLERGY PANEL, FOOD",41009111,CDM,302,RC,86003,HCPCS,Outpatient,,,83.65,66.92,,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,71.1,85,,56.88,percent of total billed charges,85% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,62.14,74,,49.71,percent of total billed charges,74.28% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,100,,,fee schedule,100% of CMS fee schedule,72.94,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.94,87.2,,58.35,percent of total billed charges,87.2% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,68,81.29,,54.4,percent of total billed charges,81.29% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of totl billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,75.29,90,,60.23,percent of total billed charges,90% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,40.82,percent of total billed charges,61% of total billed charges,51.03,61,,,percent of total billed charges,61% of total billed charges,5.22,100,,,fee schedule,100% of CMS fee schedule,5.22,75.29,
"RAST,PEDIATRIC",41000609,CDM,302,RC,86005,HCPCS,Outpatient,,,265.96,212.77,,226.07,85,,180.86,percent of total billed charges,85% of total billed charges,226.07,85,,180.86,percent of total billed charges,85% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,197.56,74,,158.05,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,197.56,74,,158.05,percent of total billed charges,74.28% of total billed charges,162.24,61,,129.79,percent of total billed charges,61% of total billed charges,197.56,74,,158.05,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,239.36,90,,191.49,percent of total billed charges,90% of total billed charges,239.36,90,,191.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,100,,,fee schedule,100% of CMS fee schedule,231.92,87.2,,,percent of total billed charges,87.2% of total billed charges,156.92,59,,125.54,percent of total billed charges,59% of total billed charges,231.92,87.2,,185.54,percent of total billed charges,87.2% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,216.2,81.29,,172.96,percent of total billed charges,81.29% of total billed charges,239.36,90,,191.49,percent of total billed charges,90% of totl billed charges,239.36,90,,191.49,percent of total billed charges,90% of total billed charges,162.24,61,,129.79,percent of total billed charges,61% of total billed charges,162.24,61,,129.79,percent of total billed charges,61% of total billed charges,239.36,90,,191.49,percent of total billed charges,90% of total billed charges,239.36,90,,191.49,percent of total billed charges,90% of total billed charges,162.24,61,,129.79,percent of total billed charges,61% of total billed charges,162.24,61,,129.79,percent of total billed charges,61% of total billed charges,162.24,61,,,percent of total billed charges,61% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,239.36,
"RAST,UP TO 5 TESTS",41000770,CDM,302,RC,86005,HCPCS,Outpatient,,,183.49,146.79,,155.97,85,,124.78,percent of total billed charges,85% of total billed charges,155.97,85,,124.78,percent of total billed charges,85% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,111.93,61,,89.54,percent of total billed charges,61% of total billed charges,136.3,74,,109.04,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,165.14,90,,132.11,percent of total billed charges,90% of total billed charges,165.14,90,,132.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,100,,,fee schedule,100% of CMS fee schedule,160,87.2,,,percent of total billed charges,87.2% of total billed charges,108.26,59,,86.61,percent of total billed charges,59% of total billed charges,160,87.2,,128,percent of total billed charges,87.2% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,149.16,81.29,,119.33,percent of total billed charges,81.29% of total billed charges,165.14,90,,132.11,percent of total billed charges,90% of totl billed charges,165.14,90,,132.11,percent of total billed charges,90% of total billed charges,111.93,61,,89.54,percent of total billed charges,61% of total billed charges,111.93,61,,89.54,percent of total billed charges,61% of total billed charges,165.14,90,,132.11,percent of total billed charges,90% of total billed charges,165.14,90,,132.11,percent of total billed charges,90% of total billed charges,111.93,61,,89.54,percent of total billed charges,61% of total billed charges,111.93,61,,89.54,percent of total billed charges,61% of total billed charges,111.93,61,,,percent of total billed charges,61% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,165.14,
MIDWEST RAST,41000771,CDM,302,RC,86005,HCPCS,Outpatient,,,344.12,275.3,,292.5,85,,234,percent of total billed charges,85% of total billed charges,292.5,85,,234,percent of total billed charges,85% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,255.61,74,,204.49,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,255.61,74,,204.49,percent of total billed charges,74.28% of total billed charges,209.91,61,,167.93,percent of total billed charges,61% of total billed charges,255.61,74,,204.49,percent of total billed charges,74.28% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,309.71,90,,247.77,percent of total billed charges,90% of total billed charges,309.71,90,,247.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,100,,,fee schedule,100% of CMS fee schedule,300.07,87.2,,,percent of total billed charges,87.2% of total billed charges,203.03,59,,162.42,percent of total billed charges,59% of total billed charges,300.07,87.2,,240.06,percent of total billed charges,87.2% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,279.74,81.29,,223.79,percent of total billed charges,81.29% of total billed charges,309.71,90,,247.77,percent of total billed charges,90% of totl billed charges,309.71,90,,247.77,percent of total billed charges,90% of total billed charges,209.91,61,,167.93,percent of total billed charges,61% of total billed charges,209.91,61,,167.93,percent of total billed charges,61% of total billed charges,309.71,90,,247.77,percent of total billed charges,90% of total billed charges,309.71,90,,247.77,percent of total billed charges,90% of total billed charges,209.91,61,,167.93,percent of total billed charges,61% of total billed charges,209.91,61,,167.93,percent of total billed charges,61% of total billed charges,209.91,61,,,percent of total billed charges,61% of total billed charges,7.97,100,,,fee schedule,100% of CMS fee schedule,7.97,309.71,
CELL BOUND PLATELET ANTIBODY,41001148,CDM,302,RC,86022,HCPCS,Outpatient,,,220.48,176.38,,187.41,85,,149.93,percent of total billed charges,85% of total billed charges,187.41,85,,149.93,percent of total billed charges,85% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,163.77,74,,131.02,percent of total billed charges,74.28% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,163.77,74,,131.02,percent of total billed charges,74.28% of total billed charges,134.49,61,,107.59,percent of total billed charges,61% of total billed charges,163.77,74,,131.02,percent of total billed charges,74.28% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,198.43,90,,158.74,percent of total billed charges,90% of total billed charges,198.43,90,,158.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.37,100,,,fee schedule,100% of CMS fee schedule,18.37,100,,,fee schedule,100% of CMS fee schedule,192.26,87.2,,,percent of total billed charges,87.2% of total billed charges,130.08,59,,104.06,percent of total billed charges,59% of total billed charges,192.26,87.2,,153.81,percent of total billed charges,87.2% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,179.23,81.29,,143.38,percent of total billed charges,81.29% of total billed charges,198.43,90,,158.74,percent of total billed charges,90% of totl billed charges,198.43,90,,158.74,percent of total billed charges,90% of total billed charges,134.49,61,,107.59,percent of total billed charges,61% of total billed charges,134.49,61,,107.59,percent of total billed charges,61% of total billed charges,198.43,90,,158.74,percent of total billed charges,90% of total billed charges,198.43,90,,158.74,percent of total billed charges,90% of total billed charges,134.49,61,,107.59,percent of total billed charges,61% of total billed charges,134.49,61,,107.59,percent of total billed charges,61% of total billed charges,134.49,61,,,percent of total billed charges,61% of total billed charges,18.37,100,,,fee schedule,100% of CMS fee schedule,18.37,198.43,
ANA,41000714,CDM,302,RC,86038,HCPCS,Outpatient,,,38.02,30.42,,32.32,85,,25.86,percent of total billed charges,85% of total billed charges,32.32,85,,25.86,percent of total billed charges,85% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,28.24,74,,22.59,percent of total billed charges,74.28% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,28.24,74,,22.59,percent of total billed charges,74.28% of total billed charges,23.19,61,,18.55,percent of total billed charges,61% of total billed charges,28.24,74,,22.59,percent of total billed charges,74.28% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,34.22,90,,27.38,percent of total billed charges,90% of total billed charges,34.22,90,,27.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,33.15,87.2,,,percent of total billed charges,87.2% of total billed charges,22.43,59,,17.94,percent of total billed charges,59% of total billed charges,33.15,87.2,,26.52,percent of total billed charges,87.2% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,30.91,81.29,,24.73,percent of total billed charges,81.29% of total billed charges,34.22,90,,27.38,percent of total billed charges,90% of totl billed charges,34.22,90,,27.38,percent of total billed charges,90% of total billed charges,23.19,61,,18.55,percent of total billed charges,61% of total billed charges,23.19,61,,18.55,percent of total billed charges,61% of total billed charges,34.22,90,,27.38,percent of total billed charges,90% of total billed charges,34.22,90,,27.38,percent of total billed charges,90% of total billed charges,23.19,61,,18.55,percent of total billed charges,61% of total billed charges,23.19,61,,18.55,percent of total billed charges,61% of total billed charges,23.19,61,,,percent of total billed charges,61% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,34.22,
ANA SCREEN,41009094,CDM,302,RC,86038,HCPCS,Outpatient,,,35.28,28.22,,29.99,85,,23.99,percent of total billed charges,85% of total billed charges,29.99,85,,23.99,percent of total billed charges,85% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,100,,,fee schedule,100% of CMS fee schedule,30.76,87.2,,,percent of total billed charges,87.2% of total billed charges,20.82,59,,16.66,percent of total billed charges,59% of total billed charges,30.76,87.2,,24.61,percent of total billed charges,87.2% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,28.68,81.29,,22.94,percent of total billed charges,81.29% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of totl billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,,percent of total billed charges,61% of total billed charges,12.09,100,,,fee schedule,100% of CMS fee schedule,12.09,31.75,
ANA TITER,41000225,CDM,302,RC,86039,HCPCS,Outpatient,,,44.74,35.79,,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,11.16,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,11.16,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,11.16,100,,,fee schedule,100% of CMS fee schedule,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.16,100,,,fee schedule,100% of CMS fee schedule,11.16,100,,,fee schedule,100% of CMS fee schedule,39.01,87.2,,,percent of total billed charges,87.2% of total billed charges,26.4,59,,21.12,percent of total billed charges,59% of total billed charges,39.01,87.2,,31.21,percent of total billed charges,87.2% of total billed charges,11.16,100,,,fee schedule,100% of CMS fee schedule,36.37,81.29,,29.1,percent of total billed charges,81.29% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of totl billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,,percent of total billed charges,61% of total billed charges,11.16,100,,,fee schedule,100% of CMS fee schedule,11.16,40.27,
ASO TITER,41000212,CDM,302,RC,86060,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.3,100,,,fee schedule,100% of CMS fee schedule,7.3,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,7.3,62.84,
ANTI STREP HYALURONIDASE,41009073,CDM,302,RC,86060,HCPCS,Outpatient,,,40.87,32.7,,34.74,85,,27.79,percent of total billed charges,85% of total billed charges,34.74,85,,27.79,percent of total billed charges,85% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,30.36,74,,24.29,percent of total billed charges,74.28% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,30.36,74,,24.29,percent of total billed charges,74.28% of total billed charges,24.93,61,,19.94,percent of total billed charges,61% of total billed charges,30.36,74,,24.29,percent of total billed charges,74.28% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,36.78,90,,29.42,percent of total billed charges,90% of total billed charges,36.78,90,,29.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.3,100,,,fee schedule,100% of CMS fee schedule,7.3,100,,,fee schedule,100% of CMS fee schedule,35.64,87.2,,,percent of total billed charges,87.2% of total billed charges,24.11,59,,19.29,percent of total billed charges,59% of total billed charges,35.64,87.2,,28.51,percent of total billed charges,87.2% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,33.22,81.29,,26.58,percent of total billed charges,81.29% of total billed charges,36.78,90,,29.42,percent of total billed charges,90% of totl billed charges,36.78,90,,29.42,percent of total billed charges,90% of total billed charges,24.93,61,,19.94,percent of total billed charges,61% of total billed charges,24.93,61,,19.94,percent of total billed charges,61% of total billed charges,36.78,90,,29.42,percent of total billed charges,90% of total billed charges,36.78,90,,29.42,percent of total billed charges,90% of total billed charges,24.93,61,,19.94,percent of total billed charges,61% of total billed charges,24.93,61,,19.94,percent of total billed charges,61% of total billed charges,24.93,61,,,percent of total billed charges,61% of total billed charges,7.3,100,,,fee schedule,100% of CMS fee schedule,7.3,36.78,
ASO SCREEN,41000908,CDM,302,RC,86063,HCPCS,Outpatient,,,47.02,37.62,,39.97,85,,31.98,percent of total billed charges,85% of total billed charges,39.97,85,,31.98,percent of total billed charges,85% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,34.93,74,,27.94,percent of total billed charges,74.28% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,34.93,74,,27.94,percent of total billed charges,74.28% of total billed charges,28.68,61,,22.94,percent of total billed charges,61% of total billed charges,34.93,74,,27.94,percent of total billed charges,74.28% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,42.32,90,,33.86,percent of total billed charges,90% of total billed charges,42.32,90,,33.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.77,100,,,fee schedule,100% of CMS fee schedule,5.77,100,,,fee schedule,100% of CMS fee schedule,41,87.2,,,percent of total billed charges,87.2% of total billed charges,27.74,59,,22.19,percent of total billed charges,59% of total billed charges,41,87.2,,32.8,percent of total billed charges,87.2% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,38.22,81.29,,30.58,percent of total billed charges,81.29% of total billed charges,42.32,90,,33.86,percent of total billed charges,90% of totl billed charges,42.32,90,,33.86,percent of total billed charges,90% of total billed charges,28.68,61,,22.94,percent of total billed charges,61% of total billed charges,28.68,61,,22.94,percent of total billed charges,61% of total billed charges,42.32,90,,33.86,percent of total billed charges,90% of total billed charges,42.32,90,,33.86,percent of total billed charges,90% of total billed charges,28.68,61,,22.94,percent of total billed charges,61% of total billed charges,28.68,61,,22.94,percent of total billed charges,61% of total billed charges,28.68,61,,,percent of total billed charges,61% of total billed charges,5.77,100,,,fee schedule,100% of CMS fee schedule,5.77,42.32,
CRP-QUANTITATIVE,41000213,CDM,302,RC,86140,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,43.26,
"CRP, HIGH SENSITIVITY",41000387,CDM,302,RC,86141,HCPCS,Outpatient,,,107.89,86.31,,91.71,85,,73.37,percent of total billed charges,85% of total billed charges,91.71,85,,73.37,percent of total billed charges,85% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,80.14,74,,64.11,percent of total billed charges,74.28% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,80.14,74,,64.11,percent of total billed charges,74.28% of total billed charges,65.81,61,,52.65,percent of total billed charges,61% of total billed charges,80.14,74,,64.11,percent of total billed charges,74.28% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,97.1,90,,77.68,percent of total billed charges,90% of total billed charges,97.1,90,,77.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,100,,,fee schedule,100% of CMS fee schedule,94.08,87.2,,,percent of total billed charges,87.2% of total billed charges,63.66,59,,50.93,percent of total billed charges,59% of total billed charges,94.08,87.2,,75.26,percent of total billed charges,87.2% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,87.7,81.29,,70.16,percent of total billed charges,81.29% of total billed charges,97.1,90,,77.68,percent of total billed charges,90% of totl billed charges,97.1,90,,77.68,percent of total billed charges,90% of total billed charges,65.81,61,,52.65,percent of total billed charges,61% of total billed charges,65.81,61,,52.65,percent of total billed charges,61% of total billed charges,97.1,90,,77.68,percent of total billed charges,90% of total billed charges,97.1,90,,77.68,percent of total billed charges,90% of total billed charges,65.81,61,,52.65,percent of total billed charges,61% of total billed charges,65.81,61,,52.65,percent of total billed charges,61% of total billed charges,65.81,61,,,percent of total billed charges,61% of total billed charges,12.95,100,,,fee schedule,100% of CMS fee schedule,12.95,97.1,
"BETA-2 GLYCOPROTEIN I,Ab,G,A,M",41000807,CDM,302,RC,86146,HCPCS,Outpatient,,,61.34,49.07,,52.14,85,,41.71,percent of total billed charges,85% of total billed charges,52.14,85,,41.71,percent of total billed charges,85% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,45.56,74,,36.45,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,45.56,74,,36.45,percent of total billed charges,74.28% of total billed charges,37.42,61,,29.94,percent of total billed charges,61% of total billed charges,45.56,74,,36.45,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,55.21,90,,44.17,percent of total billed charges,90% of total billed charges,55.21,90,,44.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,53.49,87.2,,,percent of total billed charges,87.2% of total billed charges,36.19,59,,28.95,percent of total billed charges,59% of total billed charges,53.49,87.2,,42.79,percent of total billed charges,87.2% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,49.86,81.29,,39.89,percent of total billed charges,81.29% of total billed charges,55.21,90,,44.17,percent of total billed charges,90% of totl billed charges,55.21,90,,44.17,percent of total billed charges,90% of total billed charges,37.42,61,,29.94,percent of total billed charges,61% of total billed charges,37.42,61,,29.94,percent of total billed charges,61% of total billed charges,55.21,90,,44.17,percent of total billed charges,90% of total billed charges,55.21,90,,44.17,percent of total billed charges,90% of total billed charges,37.42,61,,29.94,percent of total billed charges,61% of total billed charges,37.42,61,,29.94,percent of total billed charges,61% of total billed charges,37.42,61,,,percent of total billed charges,61% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,55.21,
"BETA-2 GLYCOPROTEIN I,Ab,IgG",41000808,CDM,302,RC,86146,HCPCS,Outpatient,,,20.47,16.38,,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,17.85,87.2,,,percent of total billed charges,87.2% of total billed charges,12.08,59,,9.66,percent of total billed charges,59% of total billed charges,17.85,87.2,,14.28,percent of total billed charges,87.2% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,16.64,81.29,,13.31,percent of total billed charges,81.29% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of totl billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,,percent of total billed charges,61% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,12.08,25.45,
"BETA-2 GLYCOPROTEIN I,Ab,IgA",41000809,CDM,302,RC,86146,HCPCS,Outpatient,,,20.47,16.38,,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,17.85,87.2,,,percent of total billed charges,87.2% of total billed charges,12.08,59,,9.66,percent of total billed charges,59% of total billed charges,17.85,87.2,,14.28,percent of total billed charges,87.2% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,16.64,81.29,,13.31,percent of total billed charges,81.29% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of totl billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,,percent of total billed charges,61% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,12.08,25.45,
"BETA-2 GLYCOPROTEIN I,Ab,IgM",41000810,CDM,302,RC,86146,HCPCS,Outpatient,,,20.47,16.38,,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,17.4,85,,13.92,percent of total billed charges,85% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,15.21,74,,12.17,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,17.85,87.2,,,percent of total billed charges,87.2% of total billed charges,12.08,59,,9.66,percent of total billed charges,59% of total billed charges,17.85,87.2,,14.28,percent of total billed charges,87.2% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,16.64,81.29,,13.31,percent of total billed charges,81.29% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of totl billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,18.42,90,,14.74,percent of total billed charges,90% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,9.99,percent of total billed charges,61% of total billed charges,12.49,61,,,percent of total billed charges,61% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,12.08,25.45,
ANTI-CARDIOLIPIN,41000177,CDM,302,RC,86147,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,25.45,100,,,fee schedule,100% of CMS fee schedule,25.45,55.99,
COLD AGG,41000211,CDM,302,RC,86157,HCPCS,Outpatient,,,35.28,28.22,,29.99,85,,23.99,percent of total billed charges,85% of total billed charges,29.99,85,,23.99,percent of total billed charges,85% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,26.21,74,,20.97,percent of total billed charges,74.28% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.06,100,,,fee schedule,100% of CMS fee schedule,8.06,100,,,fee schedule,100% of CMS fee schedule,30.76,87.2,,,percent of total billed charges,87.2% of total billed charges,20.82,59,,16.66,percent of total billed charges,59% of total billed charges,30.76,87.2,,24.61,percent of total billed charges,87.2% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,28.68,81.29,,22.94,percent of total billed charges,81.29% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of totl billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,31.75,90,,25.4,percent of total billed charges,90% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,17.22,percent of total billed charges,61% of total billed charges,21.52,61,,,percent of total billed charges,61% of total billed charges,8.06,100,,,fee schedule,100% of CMS fee schedule,8.06,31.75,
COMPLEMENT C 3,41000128,CDM,302,RC,86160,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,57.23,
"C4 COMPLEMENT,ANTIGEN",41000158,CDM,302,RC,86160,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,57.23,
C1 INHIBITOR,41000253,CDM,302,RC,86160,HCPCS,Outpatient,,,55.27,44.22,,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,48.2,87.2,,,percent of total billed charges,87.2% of total billed charges,32.61,59,,26.09,percent of total billed charges,59% of total billed charges,48.2,87.2,,38.56,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,44.93,81.29,,35.94,percent of total billed charges,81.29% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of totl billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,49.74,
C1 INHIBITOR,41000253,CDM,302,RC,86160,HCPCS,Outpatient,,,55.27,44.22,,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,48.2,87.2,,,percent of total billed charges,87.2% of total billed charges,32.61,59,,26.09,percent of total billed charges,59% of total billed charges,48.2,87.2,,38.56,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,44.93,81.29,,35.94,percent of total billed charges,81.29% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of totl billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,49.74,
C5,41000256,CDM,302,RC,86160,HCPCS,Outpatient,,,140.76,112.61,,119.65,85,,95.72,percent of total billed charges,85% of total billed charges,119.65,85,,95.72,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,104.56,74,,83.65,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,104.56,74,,83.65,percent of total billed charges,74.28% of total billed charges,85.86,61,,68.69,percent of total billed charges,61% of total billed charges,104.56,74,,83.65,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,126.68,90,,101.34,percent of total billed charges,90% of total billed charges,126.68,90,,101.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,122.74,87.2,,,percent of total billed charges,87.2% of total billed charges,83.05,59,,66.44,percent of total billed charges,59% of total billed charges,122.74,87.2,,98.19,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,114.42,81.29,,91.54,percent of total billed charges,81.29% of total billed charges,126.68,90,,101.34,percent of total billed charges,90% of totl billed charges,126.68,90,,101.34,percent of total billed charges,90% of total billed charges,85.86,61,,68.69,percent of total billed charges,61% of total billed charges,85.86,61,,68.69,percent of total billed charges,61% of total billed charges,126.68,90,,101.34,percent of total billed charges,90% of total billed charges,126.68,90,,101.34,percent of total billed charges,90% of total billed charges,85.86,61,,68.69,percent of total billed charges,61% of total billed charges,85.86,61,,68.69,percent of total billed charges,61% of total billed charges,85.86,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,126.68,
C5,41000481,CDM,302,RC,86160,HCPCS,Outpatient,,,104.69,83.75,,88.99,85,,71.19,percent of total billed charges,85% of total billed charges,88.99,85,,71.19,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,77.76,74,,62.21,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,77.76,74,,62.21,percent of total billed charges,74.28% of total billed charges,63.86,61,,51.09,percent of total billed charges,61% of total billed charges,77.76,74,,62.21,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,94.22,90,,75.38,percent of total billed charges,90% of total billed charges,94.22,90,,75.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,91.29,87.2,,,percent of total billed charges,87.2% of total billed charges,61.77,59,,49.42,percent of total billed charges,59% of total billed charges,91.29,87.2,,73.03,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,85.1,81.29,,68.08,percent of total billed charges,81.29% of total billed charges,94.22,90,,75.38,percent of total billed charges,90% of totl billed charges,94.22,90,,75.38,percent of total billed charges,90% of total billed charges,63.86,61,,51.09,percent of total billed charges,61% of total billed charges,63.86,61,,51.09,percent of total billed charges,61% of total billed charges,94.22,90,,75.38,percent of total billed charges,90% of total billed charges,94.22,90,,75.38,percent of total billed charges,90% of total billed charges,63.86,61,,51.09,percent of total billed charges,61% of total billed charges,63.86,61,,51.09,percent of total billed charges,61% of total billed charges,63.86,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,94.22,
"C1 ESTERASE INHIBITOR,FUNCT",41000160,CDM,302,RC,86161,HCPCS,Outpatient,,,55.27,44.22,,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,48.2,87.2,,,percent of total billed charges,87.2% of total billed charges,32.61,59,,26.09,percent of total billed charges,59% of total billed charges,48.2,87.2,,38.56,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,44.93,81.29,,35.94,percent of total billed charges,81.29% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of totl billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,49.74,
C1 INHIBITOR,41000253,CDM,302,RC,86161,HCPCS,Outpatient,,,55.27,44.22,,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,48.2,87.2,,,percent of total billed charges,87.2% of total billed charges,32.61,59,,26.09,percent of total billed charges,59% of total billed charges,48.2,87.2,,38.56,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,44.93,81.29,,35.94,percent of total billed charges,81.29% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of totl billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,49.74,
C1 INHIBITOR,41000253,CDM,302,RC,86161,HCPCS,Outpatient,,,55.27,44.22,,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,46.98,85,,37.58,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,41.05,74,,32.84,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,48.2,87.2,,,percent of total billed charges,87.2% of total billed charges,32.61,59,,26.09,percent of total billed charges,59% of total billed charges,48.2,87.2,,38.56,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,44.93,81.29,,35.94,percent of total billed charges,81.29% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of totl billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,49.74,90,,39.79,percent of total billed charges,90% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,26.97,percent of total billed charges,61% of total billed charges,33.71,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,49.74,
C2 COMPLEMENT FUNCTIONAL,41000539,CDM,302,RC,86161,HCPCS,Outpatient,,,102.53,82.02,,87.15,85,,69.72,percent of total billed charges,85% of total billed charges,87.15,85,,69.72,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,76.16,74,,60.93,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,76.16,74,,60.93,percent of total billed charges,74.28% of total billed charges,62.54,61,,50.03,percent of total billed charges,61% of total billed charges,76.16,74,,60.93,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,92.28,90,,73.82,percent of total billed charges,90% of total billed charges,92.28,90,,73.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,89.41,87.2,,,percent of total billed charges,87.2% of total billed charges,60.49,59,,48.39,percent of total billed charges,59% of total billed charges,89.41,87.2,,71.53,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,83.35,81.29,,66.68,percent of total billed charges,81.29% of total billed charges,92.28,90,,73.82,percent of total billed charges,90% of totl billed charges,92.28,90,,73.82,percent of total billed charges,90% of total billed charges,62.54,61,,50.03,percent of total billed charges,61% of total billed charges,62.54,61,,50.03,percent of total billed charges,61% of total billed charges,92.28,90,,73.82,percent of total billed charges,90% of total billed charges,92.28,90,,73.82,percent of total billed charges,90% of total billed charges,62.54,61,,50.03,percent of total billed charges,61% of total billed charges,62.54,61,,50.03,percent of total billed charges,61% of total billed charges,62.54,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,92.28,
"C1 ESTERASE,FUNCTIONAL",41000569,CDM,302,RC,86161,HCPCS,Outpatient,,,123.24,98.59,,104.75,85,,83.8,percent of total billed charges,85% of total billed charges,104.75,85,,83.8,percent of total billed charges,85% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,91.54,74,,73.23,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,91.54,74,,73.23,percent of total billed charges,74.28% of total billed charges,75.18,61,,60.14,percent of total billed charges,61% of total billed charges,91.54,74,,73.23,percent of total billed charges,74.28% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,110.92,90,,88.74,percent of total billed charges,90% of total billed charges,110.92,90,,88.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12,100,,,fee schedule,100% of CMS fee schedule,12,100,,,fee schedule,100% of CMS fee schedule,107.47,87.2,,,percent of total billed charges,87.2% of total billed charges,72.71,59,,58.17,percent of total billed charges,59% of total billed charges,107.47,87.2,,85.98,percent of total billed charges,87.2% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,100.18,81.29,,80.14,percent of total billed charges,81.29% of total billed charges,110.92,90,,88.74,percent of total billed charges,90% of totl billed charges,110.92,90,,88.74,percent of total billed charges,90% of total billed charges,75.18,61,,60.14,percent of total billed charges,61% of total billed charges,75.18,61,,60.14,percent of total billed charges,61% of total billed charges,110.92,90,,88.74,percent of total billed charges,90% of total billed charges,110.92,90,,88.74,percent of total billed charges,90% of total billed charges,75.18,61,,60.14,percent of total billed charges,61% of total billed charges,75.18,61,,60.14,percent of total billed charges,61% of total billed charges,75.18,61,,,percent of total billed charges,61% of total billed charges,12,100,,,fee schedule,100% of CMS fee schedule,12,110.92,
COMPLEMENT H-100 CH-100,41000159,CDM,302,RC,86162,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.32,100,,,fee schedule,100% of CMS fee schedule,20.32,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,20.32,99.91,
CH5O,41000257,CDM,302,RC,86162,HCPCS,Outpatient,,,82.28,65.82,,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,69.94,85,,55.95,percent of total billed charges,85% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,61.12,74,,48.9,percent of total billed charges,74.28% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.32,100,,,fee schedule,100% of CMS fee schedule,20.32,100,,,fee schedule,100% of CMS fee schedule,71.75,87.2,,,percent of total billed charges,87.2% of total billed charges,48.55,59,,38.84,percent of total billed charges,59% of total billed charges,71.75,87.2,,57.4,percent of total billed charges,87.2% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,66.89,81.29,,53.51,percent of total billed charges,81.29% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of totl billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,74.05,90,,59.24,percent of total billed charges,90% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,40.15,percent of total billed charges,61% of total billed charges,50.19,61,,,percent of total billed charges,61% of total billed charges,20.32,100,,,fee schedule,100% of CMS fee schedule,20.32,74.05,
HISTPLASMOSIS COMPLEMENT FIXAT,41000048,CDM,302,RC,86171,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,10.01,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,10.01,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,10.01,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.01,100,,,fee schedule,100% of CMS fee schedule,10.01,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,10.01,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,10.01,100,,,fee schedule,100% of CMS fee schedule,10.01,66.47,
ANTIDEOXYRIBONUCLEASE B TITER#,41009076,CDM,302,RC,86215,HCPCS,Outpatient,,,64.04,51.23,,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,55.84,87.2,,,percent of total billed charges,87.2% of total billed charges,37.78,59,,30.22,percent of total billed charges,59% of total billed charges,55.84,87.2,,44.67,percent of total billed charges,87.2% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,52.06,81.29,,41.65,percent of total billed charges,81.29% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of totl billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,,percent of total billed charges,61% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,57.64,
ANTI-DNA DOUBLE STRAND,41000226,CDM,302,RC,86225,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.74,100,,,fee schedule,100% of CMS fee schedule,13.74,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,13.74,100,,,fee schedule,100% of CMS fee schedule,13.74,70.25,
ANTI-DNA SINGLE STRAND,41000227,CDM,302,RC,86226,HCPCS,Outpatient,,,154.48,123.58,,131.31,85,,105.05,percent of total billed charges,85% of total billed charges,131.31,85,,105.05,percent of total billed charges,85% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,114.75,74,,91.8,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,114.75,74,,91.8,percent of total billed charges,74.28% of total billed charges,94.23,61,,75.38,percent of total billed charges,61% of total billed charges,114.75,74,,91.8,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,139.03,90,,111.22,percent of total billed charges,90% of total billed charges,139.03,90,,111.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,134.71,87.2,,,percent of total billed charges,87.2% of total billed charges,91.14,59,,72.91,percent of total billed charges,59% of total billed charges,134.71,87.2,,107.77,percent of total billed charges,87.2% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,125.58,81.29,,100.46,percent of total billed charges,81.29% of total billed charges,139.03,90,,111.22,percent of total billed charges,90% of totl billed charges,139.03,90,,111.22,percent of total billed charges,90% of total billed charges,94.23,61,,75.38,percent of total billed charges,61% of total billed charges,94.23,61,,75.38,percent of total billed charges,61% of total billed charges,139.03,90,,111.22,percent of total billed charges,90% of total billed charges,139.03,90,,111.22,percent of total billed charges,90% of total billed charges,94.23,61,,75.38,percent of total billed charges,61% of total billed charges,94.23,61,,75.38,percent of total billed charges,61% of total billed charges,94.23,61,,,percent of total billed charges,61% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,139.03,
ANTI-JO-1,41000193,CDM,302,RC,86235,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,70.25,
SCLERODERMA AB-ANTI SCL-70,41000196,CDM,302,RC,86235,HCPCS,Outpatient,,,263.83,211.06,,224.26,85,,179.41,percent of total billed charges,85% of total billed charges,224.26,85,,179.41,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,195.97,74,,156.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,195.97,74,,156.78,percent of total billed charges,74.28% of total billed charges,160.94,61,,128.75,percent of total billed charges,61% of total billed charges,195.97,74,,156.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,237.45,90,,189.96,percent of total billed charges,90% of total billed charges,237.45,90,,189.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,230.06,87.2,,,percent of total billed charges,87.2% of total billed charges,155.66,59,,124.53,percent of total billed charges,59% of total billed charges,230.06,87.2,,184.05,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,214.47,81.29,,171.58,percent of total billed charges,81.29% of total billed charges,237.45,90,,189.96,percent of total billed charges,90% of totl billed charges,237.45,90,,189.96,percent of total billed charges,90% of total billed charges,160.94,61,,128.75,percent of total billed charges,61% of total billed charges,160.94,61,,128.75,percent of total billed charges,61% of total billed charges,237.45,90,,189.96,percent of total billed charges,90% of total billed charges,237.45,90,,189.96,percent of total billed charges,90% of total billed charges,160.94,61,,128.75,percent of total billed charges,61% of total billed charges,160.94,61,,128.75,percent of total billed charges,61% of total billed charges,160.94,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,237.45,
DNA ANTI SM AB,41000344,CDM,302,RC,86235,HCPCS,Outpatient,,,45.3,36.24,,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,39.5,87.2,,,percent of total billed charges,87.2% of total billed charges,26.73,59,,21.38,percent of total billed charges,59% of total billed charges,39.5,87.2,,31.6,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,36.82,81.29,,29.46,percent of total billed charges,81.29% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of totl billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,40.77,
ANTI-SC170,41000782,CDM,302,RC,86235,HCPCS,Outpatient,,,62.92,50.34,,53.48,85,,42.78,percent of total billed charges,85% of total billed charges,53.48,85,,42.78,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,46.74,74,,37.39,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,54.87,87.2,,,percent of total billed charges,87.2% of total billed charges,37.12,59,,29.7,percent of total billed charges,59% of total billed charges,54.87,87.2,,43.9,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,51.15,81.29,,40.92,percent of total billed charges,81.29% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of totl billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,56.63,90,,45.3,percent of total billed charges,90% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,30.7,percent of total billed charges,61% of total billed charges,38.38,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,56.63,
ANTI LA (SSB),41000786,CDM,302,RC,86235,HCPCS,Outpatient,,,44.74,35.79,,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,39.01,87.2,,,percent of total billed charges,87.2% of total billed charges,26.4,59,,21.12,percent of total billed charges,59% of total billed charges,39.01,87.2,,31.21,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,36.37,81.29,,29.1,percent of total billed charges,81.29% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of totl billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,40.27,
ANTI RN,41000787,CDM,302,RC,86235,HCPCS,Outpatient,,,44.74,35.79,,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,39.01,87.2,,,percent of total billed charges,87.2% of total billed charges,26.4,59,,21.12,percent of total billed charges,59% of total billed charges,39.01,87.2,,31.21,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,36.37,81.29,,29.1,percent of total billed charges,81.29% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of totl billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,40.27,
ANTI-RO,41000789,CDM,302,RC,86235,HCPCS,Outpatient,,,44.74,35.79,,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,38.03,85,,30.42,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,33.23,74,,26.58,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,39.01,87.2,,,percent of total billed charges,87.2% of total billed charges,26.4,59,,21.12,percent of total billed charges,59% of total billed charges,39.01,87.2,,31.21,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,36.37,81.29,,29.1,percent of total billed charges,81.29% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of totl billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,40.27,90,,32.22,percent of total billed charges,90% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,21.83,percent of total billed charges,61% of total billed charges,27.29,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,40.27,
ENA,41009063,CDM,302,RC,86235,HCPCS,Outpatient,,,45.3,36.24,,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,33.65,74,,26.92,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,39.5,87.2,,,percent of total billed charges,87.2% of total billed charges,26.73,59,,21.38,percent of total billed charges,59% of total billed charges,39.5,87.2,,31.6,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,36.82,81.29,,29.46,percent of total billed charges,81.29% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of totl billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,40.77,90,,32.62,percent of total billed charges,90% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,22.1,percent of total billed charges,61% of total billed charges,27.63,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,40.77,
ROLA (SSA),41009119,CDM,302,RC,86235,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,37.52,
ROLA (SSB),41009120,CDM,302,RC,86235,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,37.52,
SMRN (A),41009121,CDM,302,RC,86235,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,37.52,
SMRN (B),41009122,CDM,302,RC,86235,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,100,,,fee schedule,100% of CMS fee schedule,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,,percent of total billed charges,61% of total billed charges,17.93,100,,,fee schedule,100% of CMS fee schedule,17.93,37.52,
SMOOTH MUSCLE ANTIBODY,41000204,CDM,302,RC,86255,HCPCS,Outpatient,,,473.82,379.06,,402.75,85,,322.2,percent of total billed charges,85% of total billed charges,402.75,85,,322.2,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,351.95,74,,281.56,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,351.95,74,,281.56,percent of total billed charges,74.28% of total billed charges,289.03,61,,231.22,percent of total billed charges,61% of total billed charges,351.95,74,,281.56,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,426.44,90,,341.15,percent of total billed charges,90% of total billed charges,426.44,90,,341.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,413.17,87.2,,,percent of total billed charges,87.2% of total billed charges,279.55,59,,223.64,percent of total billed charges,59% of total billed charges,413.17,87.2,,330.54,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,385.17,81.29,,308.14,percent of total billed charges,81.29% of total billed charges,426.44,90,,341.15,percent of total billed charges,90% of totl billed charges,426.44,90,,341.15,percent of total billed charges,90% of total billed charges,289.03,61,,231.22,percent of total billed charges,61% of total billed charges,289.03,61,,231.22,percent of total billed charges,61% of total billed charges,426.44,90,,341.15,percent of total billed charges,90% of total billed charges,426.44,90,,341.15,percent of total billed charges,90% of total billed charges,289.03,61,,231.22,percent of total billed charges,61% of total billed charges,289.03,61,,231.22,percent of total billed charges,61% of total billed charges,289.03,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,426.44,
ANTINEUTROPHILIC CYTOPLSMICNTB,41000239,CDM,302,RC,86255,HCPCS,Outpatient,,,189.49,151.59,,161.07,85,,128.86,percent of total billed charges,85% of total billed charges,161.07,85,,128.86,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,140.75,74,,112.6,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,140.75,74,,112.6,percent of total billed charges,74.28% of total billed charges,115.59,61,,92.47,percent of total billed charges,61% of total billed charges,140.75,74,,112.6,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,170.54,90,,136.43,percent of total billed charges,90% of total billed charges,170.54,90,,136.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,165.24,87.2,,,percent of total billed charges,87.2% of total billed charges,111.8,59,,89.44,percent of total billed charges,59% of total billed charges,165.24,87.2,,132.19,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,154.04,81.29,,123.23,percent of total billed charges,81.29% of total billed charges,170.54,90,,136.43,percent of total billed charges,90% of totl billed charges,170.54,90,,136.43,percent of total billed charges,90% of total billed charges,115.59,61,,92.47,percent of total billed charges,61% of total billed charges,115.59,61,,92.47,percent of total billed charges,61% of total billed charges,170.54,90,,136.43,percent of total billed charges,90% of total billed charges,170.54,90,,136.43,percent of total billed charges,90% of total billed charges,115.59,61,,92.47,percent of total billed charges,61% of total billed charges,115.59,61,,92.47,percent of total billed charges,61% of total billed charges,115.59,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,170.54,
ANTINEUTROPH0C CYTOPLASTICM AN,41000299,CDM,302,RC,86255,HCPCS,Outpatient,,,112.43,89.94,,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,95.57,85,,76.46,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,83.51,74,,66.81,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,98.04,87.2,,,percent of total billed charges,87.2% of total billed charges,66.33,59,,53.06,percent of total billed charges,59% of total billed charges,98.04,87.2,,78.43,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,91.39,81.29,,73.11,percent of total billed charges,81.29% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of totl billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,101.19,90,,80.95,percent of total billed charges,90% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,54.86,percent of total billed charges,61% of total billed charges,68.58,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,101.19,
RETICULIN ANTIBODIES SCREEN,41000562,CDM,302,RC,86255,HCPCS,Outpatient,,,82.47,65.98,,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,71.91,87.2,,,percent of total billed charges,87.2% of total billed charges,48.66,59,,38.93,percent of total billed charges,59% of total billed charges,71.91,87.2,,57.53,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,67.04,81.29,,53.63,percent of total billed charges,81.29% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of totl billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,74.22,
NEUTORPHIC CYTOPLASMIC ANTI SC,41000565,CDM,302,RC,86255,HCPCS,Outpatient,,,64.99,51.99,,55.24,85,,44.19,percent of total billed charges,85% of total billed charges,55.24,85,,44.19,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,48.27,74,,38.62,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,48.27,74,,38.62,percent of total billed charges,74.28% of total billed charges,39.64,61,,31.71,percent of total billed charges,61% of total billed charges,48.27,74,,38.62,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,58.49,90,,46.79,percent of total billed charges,90% of total billed charges,58.49,90,,46.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,56.67,87.2,,,percent of total billed charges,87.2% of total billed charges,38.34,59,,30.67,percent of total billed charges,59% of total billed charges,56.67,87.2,,45.34,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,52.83,81.29,,42.26,percent of total billed charges,81.29% of total billed charges,58.49,90,,46.79,percent of total billed charges,90% of totl billed charges,58.49,90,,46.79,percent of total billed charges,90% of total billed charges,39.64,61,,31.71,percent of total billed charges,61% of total billed charges,39.64,61,,31.71,percent of total billed charges,61% of total billed charges,58.49,90,,46.79,percent of total billed charges,90% of total billed charges,58.49,90,,46.79,percent of total billed charges,90% of total billed charges,39.64,61,,31.71,percent of total billed charges,61% of total billed charges,39.64,61,,31.71,percent of total billed charges,61% of total billed charges,39.64,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,58.49,
ENDOMYSIAL ANTIBODY IgA SCREEN,41000915,CDM,302,RC,86255,HCPCS,Outpatient,,,61.63,49.3,,52.39,85,,41.91,percent of total billed charges,85% of total billed charges,52.39,85,,41.91,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,45.78,74,,36.62,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,45.78,74,,36.62,percent of total billed charges,74.28% of total billed charges,37.59,61,,30.07,percent of total billed charges,61% of total billed charges,45.78,74,,36.62,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,55.47,90,,44.38,percent of total billed charges,90% of total billed charges,55.47,90,,44.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,53.74,87.2,,,percent of total billed charges,87.2% of total billed charges,36.36,59,,29.09,percent of total billed charges,59% of total billed charges,53.74,87.2,,42.99,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,50.1,81.29,,40.08,percent of total billed charges,81.29% of total billed charges,55.47,90,,44.38,percent of total billed charges,90% of totl billed charges,55.47,90,,44.38,percent of total billed charges,90% of total billed charges,37.59,61,,30.07,percent of total billed charges,61% of total billed charges,37.59,61,,30.07,percent of total billed charges,61% of total billed charges,55.47,90,,44.38,percent of total billed charges,90% of total billed charges,55.47,90,,44.38,percent of total billed charges,90% of total billed charges,37.59,61,,30.07,percent of total billed charges,61% of total billed charges,37.59,61,,30.07,percent of total billed charges,61% of total billed charges,37.59,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,55.47,
BELLOSA PEMPHGOID ANTIBODY,41001084,CDM,302,RC,86255,HCPCS,Outpatient,,,114.41,91.53,,97.25,85,,77.8,percent of total billed charges,85% of total billed charges,97.25,85,,77.8,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,84.98,74,,67.98,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,84.98,74,,67.98,percent of total billed charges,74.28% of total billed charges,69.79,61,,55.83,percent of total billed charges,61% of total billed charges,84.98,74,,67.98,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,102.97,90,,82.38,percent of total billed charges,90% of total billed charges,102.97,90,,82.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,99.77,87.2,,,percent of total billed charges,87.2% of total billed charges,67.5,59,,54,percent of total billed charges,59% of total billed charges,99.77,87.2,,79.82,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,93,81.29,,74.4,percent of total billed charges,81.29% of total billed charges,102.97,90,,82.38,percent of total billed charges,90% of totl billed charges,102.97,90,,82.38,percent of total billed charges,90% of total billed charges,69.79,61,,55.83,percent of total billed charges,61% of total billed charges,69.79,61,,55.83,percent of total billed charges,61% of total billed charges,102.97,90,,82.38,percent of total billed charges,90% of total billed charges,102.97,90,,82.38,percent of total billed charges,90% of total billed charges,69.79,61,,55.83,percent of total billed charges,61% of total billed charges,69.79,61,,55.83,percent of total billed charges,61% of total billed charges,69.79,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,102.97,
NEUTROPHIL CYTOPLASMIC AB,41009114,CDM,302,RC,86255,HCPCS,Outpatient,,,67.22,53.78,,57.14,85,,45.71,percent of total billed charges,85% of total billed charges,57.14,85,,45.71,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,49.93,74,,39.94,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,49.93,74,,39.94,percent of total billed charges,74.28% of total billed charges,41,61,,32.8,percent of total billed charges,61% of total billed charges,49.93,74,,39.94,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,60.5,90,,48.4,percent of total billed charges,90% of total billed charges,60.5,90,,48.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,58.62,87.2,,,percent of total billed charges,87.2% of total billed charges,39.66,59,,31.73,percent of total billed charges,59% of total billed charges,58.62,87.2,,46.9,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,54.64,81.29,,43.71,percent of total billed charges,81.29% of total billed charges,60.5,90,,48.4,percent of total billed charges,90% of totl billed charges,60.5,90,,48.4,percent of total billed charges,90% of total billed charges,41,61,,32.8,percent of total billed charges,61% of total billed charges,41,61,,32.8,percent of total billed charges,61% of total billed charges,60.5,90,,48.4,percent of total billed charges,90% of total billed charges,60.5,90,,48.4,percent of total billed charges,90% of total billed charges,41,61,,32.8,percent of total billed charges,61% of total billed charges,41,61,,32.8,percent of total billed charges,61% of total billed charges,41,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,60.5,
ANTIMITOCHONDIAL ANTIBODY(AMA),41000081,CDM,302,RC,86256,HCPCS,Outpatient,,,86.31,69.05,,73.36,85,,58.69,percent of total billed charges,85% of total billed charges,73.36,85,,58.69,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,75.26,87.2,,,percent of total billed charges,87.2% of total billed charges,50.92,59,,40.74,percent of total billed charges,59% of total billed charges,75.26,87.2,,60.21,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,70.16,81.29,,56.13,percent of total billed charges,81.29% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of totl billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,77.68,
CHLAMYDIA TITER,41000172,CDM,302,RC,86256,HCPCS,Outpatient,,,96.42,77.14,,81.96,85,,65.57,percent of total billed charges,85% of total billed charges,81.96,85,,65.57,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,71.62,74,,57.3,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,71.62,74,,57.3,percent of total billed charges,74.28% of total billed charges,58.82,61,,47.06,percent of total billed charges,61% of total billed charges,71.62,74,,57.3,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,86.78,90,,69.42,percent of total billed charges,90% of total billed charges,86.78,90,,69.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,84.08,87.2,,,percent of total billed charges,87.2% of total billed charges,56.89,59,,45.51,percent of total billed charges,59% of total billed charges,84.08,87.2,,67.26,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,78.38,81.29,,62.7,percent of total billed charges,81.29% of total billed charges,86.78,90,,69.42,percent of total billed charges,90% of totl billed charges,86.78,90,,69.42,percent of total billed charges,90% of total billed charges,58.82,61,,47.06,percent of total billed charges,61% of total billed charges,58.82,61,,47.06,percent of total billed charges,61% of total billed charges,86.78,90,,69.42,percent of total billed charges,90% of total billed charges,86.78,90,,69.42,percent of total billed charges,90% of total billed charges,58.82,61,,47.06,percent of total billed charges,61% of total billed charges,58.82,61,,47.06,percent of total billed charges,61% of total billed charges,58.82,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,86.78,
ANTICENTROMERE,41000286,CDM,302,RC,86256,HCPCS,Outpatient,,,38.8,31.04,,32.98,85,,26.38,percent of total billed charges,85% of total billed charges,32.98,85,,26.38,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,33.83,87.2,,,percent of total billed charges,87.2% of total billed charges,22.89,59,,18.31,percent of total billed charges,59% of total billed charges,33.83,87.2,,27.06,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,31.54,81.29,,25.23,percent of total billed charges,81.29% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of totl billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,34.92,
PARIETAL CELL ANTIBODY,41000389,CDM,302,RC,86256,HCPCS,Outpatient,,,37.02,29.62,,31.47,85,,25.18,percent of total billed charges,85% of total billed charges,31.47,85,,25.18,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,27.5,74,,22,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,32.28,87.2,,,percent of total billed charges,87.2% of total billed charges,21.84,59,,17.47,percent of total billed charges,59% of total billed charges,32.28,87.2,,25.82,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,30.09,81.29,,24.07,percent of total billed charges,81.29% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of totl billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,33.32,90,,26.66,percent of total billed charges,90% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,18.06,percent of total billed charges,61% of total billed charges,22.58,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,33.32,
RETICULIN ANTIBODIES TITER,41000563,CDM,302,RC,86256,HCPCS,Outpatient,,,82.47,65.98,,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,70.1,85,,56.08,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,61.26,74,,49.01,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,71.91,87.2,,,percent of total billed charges,87.2% of total billed charges,48.66,59,,38.93,percent of total billed charges,59% of total billed charges,71.91,87.2,,57.53,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,67.04,81.29,,53.63,percent of total billed charges,81.29% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of totl billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,74.22,90,,59.38,percent of total billed charges,90% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,40.25,percent of total billed charges,61% of total billed charges,50.31,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,74.22,
NEUTROPHIC CYTOPLASMIC ANTI TI,41000566,CDM,302,RC,86256,HCPCS,Outpatient,,,71.8,57.44,,61.03,85,,48.82,percent of total billed charges,85% of total billed charges,61.03,85,,48.82,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,53.33,74,,42.66,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,53.33,74,,42.66,percent of total billed charges,74.28% of total billed charges,43.8,61,,35.04,percent of total billed charges,61% of total billed charges,53.33,74,,42.66,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,64.62,90,,51.7,percent of total billed charges,90% of total billed charges,64.62,90,,51.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,62.61,87.2,,,percent of total billed charges,87.2% of total billed charges,42.36,59,,33.89,percent of total billed charges,59% of total billed charges,62.61,87.2,,50.09,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,58.37,81.29,,46.7,percent of total billed charges,81.29% of total billed charges,64.62,90,,51.7,percent of total billed charges,90% of totl billed charges,64.62,90,,51.7,percent of total billed charges,90% of total billed charges,43.8,61,,35.04,percent of total billed charges,61% of total billed charges,43.8,61,,35.04,percent of total billed charges,61% of total billed charges,64.62,90,,51.7,percent of total billed charges,90% of total billed charges,64.62,90,,51.7,percent of total billed charges,90% of total billed charges,43.8,61,,35.04,percent of total billed charges,61% of total billed charges,43.8,61,,35.04,percent of total billed charges,61% of total billed charges,43.8,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,64.62,
ANTI-SM,41000790,CDM,302,RC,86256,HCPCS,Outpatient,,,46.07,36.86,,39.16,85,,31.33,percent of total billed charges,85% of total billed charges,39.16,85,,31.33,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,34.22,74,,27.38,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,34.22,74,,27.38,percent of total billed charges,74.28% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,34.22,74,,27.38,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,41.46,90,,33.17,percent of total billed charges,90% of total billed charges,41.46,90,,33.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,40.17,87.2,,,percent of total billed charges,87.2% of total billed charges,27.18,59,,21.74,percent of total billed charges,59% of total billed charges,40.17,87.2,,32.14,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,37.45,81.29,,29.96,percent of total billed charges,81.29% of total billed charges,41.46,90,,33.17,percent of total billed charges,90% of totl billed charges,41.46,90,,33.17,percent of total billed charges,90% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,41.46,90,,33.17,percent of total billed charges,90% of total billed charges,41.46,90,,33.17,percent of total billed charges,90% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,41.46,
ENDOMYSIAL ANTIBODY IgA TITER,41000916,CDM,302,RC,86256,HCPCS,Outpatient,,,122.55,98.04,,104.17,85,,83.34,percent of total billed charges,85% of total billed charges,104.17,85,,83.34,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,91.03,74,,72.82,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,91.03,74,,72.82,percent of total billed charges,74.28% of total billed charges,74.76,61,,59.81,percent of total billed charges,61% of total billed charges,91.03,74,,72.82,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,110.3,90,,88.24,percent of total billed charges,90% of total billed charges,110.3,90,,88.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,106.86,87.2,,,percent of total billed charges,87.2% of total billed charges,72.3,59,,57.84,percent of total billed charges,59% of total billed charges,106.86,87.2,,85.49,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,99.62,81.29,,79.7,percent of total billed charges,81.29% of total billed charges,110.3,90,,88.24,percent of total billed charges,90% of totl billed charges,110.3,90,,88.24,percent of total billed charges,90% of total billed charges,74.76,61,,59.81,percent of total billed charges,61% of total billed charges,74.76,61,,59.81,percent of total billed charges,61% of total billed charges,110.3,90,,88.24,percent of total billed charges,90% of total billed charges,110.3,90,,88.24,percent of total billed charges,90% of total billed charges,74.76,61,,59.81,percent of total billed charges,61% of total billed charges,74.76,61,,59.81,percent of total billed charges,61% of total billed charges,74.76,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,110.3,
GROWTH HORMONE,41000163,CDM,302,RC,86277,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,15.74,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,15.74,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,15.74,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.74,100,,,fee schedule,100% of CMS fee schedule,15.74,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,15.74,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,15.74,100,,,fee schedule,100% of CMS fee schedule,15.74,70.25,
CA-15-3,41000010,CDM,302,RC,86300,HCPCS,Outpatient,,,187.57,150.06,,159.43,85,,127.54,percent of total billed charges,85% of total billed charges,159.43,85,,127.54,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,139.33,74,,111.46,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,163.56,87.2,,,percent of total billed charges,87.2% of total billed charges,110.67,59,,88.54,percent of total billed charges,59% of total billed charges,163.56,87.2,,130.85,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,152.48,81.29,,121.98,percent of total billed charges,81.29% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of totl billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,168.81,90,,135.05,percent of total billed charges,90% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,91.54,percent of total billed charges,61% of total billed charges,114.42,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,168.81,
BREAST CARCIN ASS ANTGEN CA 27,41001175,CDM,301,RC,86300,HCPCS,Outpatient,,,55.31,44.25,,47.01,85,,37.61,percent of total billed charges,85% of total billed charges,47.01,85,,37.61,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,41.08,74,,32.86,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,41.08,74,,32.86,percent of total billed charges,74.28% of total billed charges,33.74,61,,26.99,percent of total billed charges,61% of total billed charges,41.08,74,,32.86,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,49.78,90,,39.82,percent of total billed charges,90% of total billed charges,49.78,90,,39.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,48.23,87.2,,,percent of total billed charges,87.2% of total billed charges,32.63,59,,26.1,percent of total billed charges,59% of total billed charges,48.23,87.2,,38.58,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,44.96,81.29,,35.97,percent of total billed charges,81.29% of total billed charges,49.78,90,,39.82,percent of total billed charges,90% of totl billed charges,49.78,90,,39.82,percent of total billed charges,90% of total billed charges,33.74,61,,26.99,percent of total billed charges,61% of total billed charges,33.74,61,,26.99,percent of total billed charges,61% of total billed charges,49.78,90,,39.82,percent of total billed charges,90% of total billed charges,49.78,90,,39.82,percent of total billed charges,90% of total billed charges,33.74,61,,26.99,percent of total billed charges,61% of total billed charges,33.74,61,,26.99,percent of total billed charges,61% of total billed charges,33.74,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,49.78,
CA 19-9,41000075,CDM,302,RC,86301,HCPCS,Outpatient,,,141.87,113.5,,120.59,85,,96.47,percent of total billed charges,85% of total billed charges,120.59,85,,96.47,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,105.38,74,,84.3,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,105.38,74,,84.3,percent of total billed charges,74.28% of total billed charges,86.54,61,,69.23,percent of total billed charges,61% of total billed charges,105.38,74,,84.3,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,127.68,90,,102.14,percent of total billed charges,90% of total billed charges,127.68,90,,102.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,123.71,87.2,,,percent of total billed charges,87.2% of total billed charges,83.7,59,,66.96,percent of total billed charges,59% of total billed charges,123.71,87.2,,98.97,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,115.33,81.29,,92.26,percent of total billed charges,81.29% of total billed charges,127.68,90,,102.14,percent of total billed charges,90% of totl billed charges,127.68,90,,102.14,percent of total billed charges,90% of total billed charges,86.54,61,,69.23,percent of total billed charges,61% of total billed charges,86.54,61,,69.23,percent of total billed charges,61% of total billed charges,127.68,90,,102.14,percent of total billed charges,90% of total billed charges,127.68,90,,102.14,percent of total billed charges,90% of total billed charges,86.54,61,,69.23,percent of total billed charges,61% of total billed charges,86.54,61,,69.23,percent of total billed charges,61% of total billed charges,86.54,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,127.68,
CA 125,41000468,CDM,302,RC,86304,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,58.1,
HUMAN EPIDIDYMIS PROTEIN 4 SER,41001213,CDM,302,RC,86305,HCPCS,Outpatient,,,395.58,316.46,,336.24,85,,268.99,percent of total billed charges,85% of total billed charges,336.24,85,,268.99,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,293.84,74,,235.07,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,293.84,74,,235.07,percent of total billed charges,74.28% of total billed charges,241.3,61,,193.04,percent of total billed charges,61% of total billed charges,293.84,74,,235.07,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,356.02,90,,284.82,percent of total billed charges,90% of total billed charges,356.02,90,,284.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,344.95,87.2,,,percent of total billed charges,87.2% of total billed charges,233.39,59,,186.71,percent of total billed charges,59% of total billed charges,344.95,87.2,,275.96,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,321.57,81.29,,257.26,percent of total billed charges,81.29% of total billed charges,356.02,90,,284.82,percent of total billed charges,90% of totl billed charges,356.02,90,,284.82,percent of total billed charges,90% of total billed charges,241.3,61,,193.04,percent of total billed charges,61% of total billed charges,241.3,61,,193.04,percent of total billed charges,61% of total billed charges,356.02,90,,284.82,percent of total billed charges,90% of total billed charges,356.02,90,,284.82,percent of total billed charges,90% of total billed charges,241.3,61,,193.04,percent of total billed charges,61% of total billed charges,241.3,61,,193.04,percent of total billed charges,61% of total billed charges,241.3,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,356.02,
HETEROPHILE SCREEN (MONO),41000906,CDM,302,RC,86308,HCPCS,Outpatient,,,60.07,48.06,,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,51.06,85,,40.85,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,44.62,74,,35.7,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,52.38,87.2,,,percent of total billed charges,87.2% of total billed charges,35.44,59,,28.35,percent of total billed charges,59% of total billed charges,52.38,87.2,,41.9,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,48.83,81.29,,39.06,percent of total billed charges,81.29% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of totl billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,54.06,90,,43.25,percent of total billed charges,90% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,29.31,percent of total billed charges,61% of total billed charges,36.64,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,54.06,
Mono Test,43601366,CDM,302,RC,86308,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,44.18,
MONO,43701136,CDM,302,RC,86308,HCPCS,Outpatient,,,45,36,,38.25,85,,30.6,percent of total billed charges,85% of total billed charges,38.25,85,,30.6,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,33.43,74,,26.74,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,33.43,74,,26.74,percent of total billed charges,74.28% of total billed charges,27.45,61,,21.96,percent of total billed charges,61% of total billed charges,33.43,74,,26.74,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,40.5,90,,32.4,percent of total billed charges,90% of total billed charges,40.5,90,,32.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,39.24,87.2,,,percent of total billed charges,87.2% of total billed charges,26.55,59,,21.24,percent of total billed charges,59% of total billed charges,39.24,87.2,,31.39,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,36.58,81.29,,29.26,percent of total billed charges,81.29% of total billed charges,40.5,90,,32.4,percent of total billed charges,90% of totl billed charges,40.5,90,,32.4,percent of total billed charges,90% of total billed charges,27.45,61,,21.96,percent of total billed charges,61% of total billed charges,27.45,61,,21.96,percent of total billed charges,61% of total billed charges,40.5,90,,32.4,percent of total billed charges,90% of total billed charges,40.5,90,,32.4,percent of total billed charges,90% of total billed charges,27.45,61,,21.96,percent of total billed charges,61% of total billed charges,27.45,61,,21.96,percent of total billed charges,61% of total billed charges,27.45,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,40.5,
HETEROPHILE TITER,41000907,CDM,302,RC,86309,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,6.47,100,,,fee schedule,100% of CMS fee schedule,6.47,62.84,
BLADDER TUMOR ANTIGEN(BARD),41000390,CDM,302,RC,86316,HCPCS,Outpatient,,,267.5,214,,227.38,85,,181.9,percent of total billed charges,85% of total billed charges,227.38,85,,181.9,percent of total billed charges,85% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,100,,,fee schedule,100% of CMS fee schedule,233.26,87.2,,,percent of total billed charges,87.2% of total billed charges,157.83,59,,126.26,percent of total billed charges,59% of total billed charges,233.26,87.2,,186.61,percent of total billed charges,87.2% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,217.45,81.29,,173.96,percent of total billed charges,81.29% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of totl billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,,percent of total billed charges,61% of total billed charges,20.81,100,,,fee schedule,100% of CMS fee schedule,20.81,240.75,
RABIES ANTIBODY TITER,41000076,CDM,302,RC,86317,HCPCS,Outpatient,,,38.8,31.04,,32.98,85,,26.38,percent of total billed charges,85% of total billed charges,32.98,85,,26.38,percent of total billed charges,85% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,28.82,74,,23.06,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,33.83,87.2,,,percent of total billed charges,87.2% of total billed charges,22.89,59,,18.31,percent of total billed charges,59% of total billed charges,33.83,87.2,,27.06,percent of total billed charges,87.2% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,31.54,81.29,,25.23,percent of total billed charges,81.29% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of totl billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,34.92,90,,27.94,percent of total billed charges,90% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,18.94,percent of total billed charges,61% of total billed charges,23.67,61,,,percent of total billed charges,61% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,34.92,
PNEUMOCOCCAL IMMUNITY PROFILE,41001113,CDM,302,RC,86317,HCPCS,Outpatient,,,160.51,128.41,,136.43,85,,109.14,percent of total billed charges,85% of total billed charges,136.43,85,,109.14,percent of total billed charges,85% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,119.23,74,,95.38,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,119.23,74,,95.38,percent of total billed charges,74.28% of total billed charges,97.91,61,,78.33,percent of total billed charges,61% of total billed charges,119.23,74,,95.38,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,144.46,90,,115.57,percent of total billed charges,90% of total billed charges,144.46,90,,115.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,139.96,87.2,,,percent of total billed charges,87.2% of total billed charges,94.7,59,,75.76,percent of total billed charges,59% of total billed charges,139.96,87.2,,111.97,percent of total billed charges,87.2% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,130.48,81.29,,104.38,percent of total billed charges,81.29% of total billed charges,144.46,90,,115.57,percent of total billed charges,90% of totl billed charges,144.46,90,,115.57,percent of total billed charges,90% of total billed charges,97.91,61,,78.33,percent of total billed charges,61% of total billed charges,97.91,61,,78.33,percent of total billed charges,61% of total billed charges,144.46,90,,115.57,percent of total billed charges,90% of total billed charges,144.46,90,,115.57,percent of total billed charges,90% of total billed charges,97.91,61,,78.33,percent of total billed charges,61% of total billed charges,97.91,61,,78.33,percent of total billed charges,61% of total billed charges,97.91,61,,,percent of total billed charges,61% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,144.46,
RABIES TITER,41001146,CDM,302,RC,86317,HCPCS,Outpatient,,,117.59,94.07,,99.95,85,,79.96,percent of total billed charges,85% of total billed charges,99.95,85,,79.96,percent of total billed charges,85% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,71.73,61,,57.38,percent of total billed charges,61% of total billed charges,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,105.83,90,,84.66,percent of total billed charges,90% of total billed charges,105.83,90,,84.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,100,,,fee schedule,100% of CMS fee schedule,102.54,87.2,,,percent of total billed charges,87.2% of total billed charges,69.38,59,,55.5,percent of total billed charges,59% of total billed charges,102.54,87.2,,82.03,percent of total billed charges,87.2% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,95.59,81.29,,76.47,percent of total billed charges,81.29% of total billed charges,105.83,90,,84.66,percent of total billed charges,90% of totl billed charges,105.83,90,,84.66,percent of total billed charges,90% of total billed charges,71.73,61,,57.38,percent of total billed charges,61% of total billed charges,71.73,61,,57.38,percent of total billed charges,61% of total billed charges,105.83,90,,84.66,percent of total billed charges,90% of total billed charges,105.83,90,,84.66,percent of total billed charges,90% of total billed charges,71.73,61,,57.38,percent of total billed charges,61% of total billed charges,71.73,61,,57.38,percent of total billed charges,61% of total billed charges,71.73,61,,,percent of total billed charges,61% of total billed charges,14.99,100,,,fee schedule,100% of CMS fee schedule,14.99,105.83,
IMMUNOELECTRO,41000301,CDM,301,RC,86320,HCPCS,Outpatient,,,240.13,192.1,,204.11,85,,163.29,percent of total billed charges,85% of total billed charges,204.11,85,,163.29,percent of total billed charges,85% of total billed charges,29.92,100,,,fee schedule,100% of CMS fee schedule,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,29.92,100,,,fee schedule,100% of CMS fee schedule,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,29.92,100,,,fee schedule,100% of CMS fee schedule,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.92,100,,,fee schedule,100% of CMS fee schedule,29.92,100,,,fee schedule,100% of CMS fee schedule,209.39,87.2,,,percent of total billed charges,87.2% of total billed charges,141.68,59,,113.34,percent of total billed charges,59% of total billed charges,209.39,87.2,,167.51,percent of total billed charges,87.2% of total billed charges,29.92,100,,,fee schedule,100% of CMS fee schedule,195.2,81.29,,156.16,percent of total billed charges,81.29% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of totl billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,,percent of total billed charges,61% of total billed charges,29.92,100,,,fee schedule,100% of CMS fee schedule,29.92,216.12,
IMMUNOELECTROPHORESIS(OT FLUID,41000051,CDM,302,RC,86325,HCPCS,Outpatient,,,240.13,192.1,,204.11,85,,163.29,percent of total billed charges,85% of total billed charges,204.11,85,,163.29,percent of total billed charges,85% of total billed charges,23.13,100,,,fee schedule,100% of CMS fee schedule,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,23.13,100,,,fee schedule,100% of CMS fee schedule,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,178.37,74,,142.7,percent of total billed charges,74.28% of total billed charges,23.13,100,,,fee schedule,100% of CMS fee schedule,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.13,100,,,fee schedule,100% of CMS fee schedule,23.13,100,,,fee schedule,100% of CMS fee schedule,209.39,87.2,,,percent of total billed charges,87.2% of total billed charges,141.68,59,,113.34,percent of total billed charges,59% of total billed charges,209.39,87.2,,167.51,percent of total billed charges,87.2% of total billed charges,23.13,100,,,fee schedule,100% of CMS fee schedule,195.2,81.29,,156.16,percent of total billed charges,81.29% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of totl billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,216.12,90,,172.9,percent of total billed charges,90% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,117.18,percent of total billed charges,61% of total billed charges,146.48,61,,,percent of total billed charges,61% of total billed charges,23.13,100,,,fee schedule,100% of CMS fee schedule,23.13,216.12,
SYNOVIAL FLUID-QUI,41000182,CDM,302,RC,86329,HCPCS,Outpatient,,,86.31,69.05,,73.36,85,,58.69,percent of total billed charges,85% of total billed charges,73.36,85,,58.69,percent of total billed charges,85% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,64.11,74,,51.29,percent of total billed charges,74.28% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.05,100,,,fee schedule,100% of CMS fee schedule,14.05,100,,,fee schedule,100% of CMS fee schedule,75.26,87.2,,,percent of total billed charges,87.2% of total billed charges,50.92,59,,40.74,percent of total billed charges,59% of total billed charges,75.26,87.2,,60.21,percent of total billed charges,87.2% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,70.16,81.29,,56.13,percent of total billed charges,81.29% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of totl billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,77.68,90,,62.14,percent of total billed charges,90% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,42.12,percent of total billed charges,61% of total billed charges,52.65,61,,,percent of total billed charges,61% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,14.05,77.68,
HYPERSENSITIVITY PNEUMONITIS##,41000189,CDM,302,RC,86329,HCPCS,Outpatient,,,95.32,76.26,,81.02,85,,64.82,percent of total billed charges,85% of total billed charges,81.02,85,,64.82,percent of total billed charges,85% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,70.8,74,,56.64,percent of total billed charges,74.28% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.05,100,,,fee schedule,100% of CMS fee schedule,14.05,100,,,fee schedule,100% of CMS fee schedule,83.12,87.2,,,percent of total billed charges,87.2% of total billed charges,56.24,59,,44.99,percent of total billed charges,59% of total billed charges,83.12,87.2,,66.5,percent of total billed charges,87.2% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,77.49,81.29,,61.99,percent of total billed charges,81.29% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of totl billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,85.79,90,,68.63,percent of total billed charges,90% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,46.52,percent of total billed charges,61% of total billed charges,58.15,61,,,percent of total billed charges,61% of total billed charges,14.05,100,,,fee schedule,100% of CMS fee schedule,14.05,85.79,
INSULIN ANTIBODIES,41000071,CDM,302,RC,86337,HCPCS,Outpatient,,,140.11,112.09,,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,119.09,85,,95.27,percent of total billed charges,85% of total billed charges,21.41,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,21.41,100,,,fee schedule,100% of CMS fee schedule,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,104.07,74,,83.26,percent of total billed charges,74.28% of total billed charges,21.41,100,,,fee schedule,100% of CMS fee schedule,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.41,100,,,fee schedule,100% of CMS fee schedule,21.41,100,,,fee schedule,100% of CMS fee schedule,122.18,87.2,,,percent of total billed charges,87.2% of total billed charges,82.66,59,,66.13,percent of total billed charges,59% of total billed charges,122.18,87.2,,97.74,percent of total billed charges,87.2% of total billed charges,21.41,100,,,fee schedule,100% of CMS fee schedule,113.9,81.29,,91.12,percent of total billed charges,81.29% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of totl billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,126.1,90,,100.88,percent of total billed charges,90% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,68.38,percent of total billed charges,61% of total billed charges,85.47,61,,,percent of total billed charges,61% of total billed charges,21.41,100,,,fee schedule,100% of CMS fee schedule,21.41,126.1,
ANTIGAD(ISLET),41000392,CDM,302,RC,86341,HCPCS,Outpatient,,,140.41,112.33,,119.35,85,,95.48,percent of total billed charges,85% of total billed charges,119.35,85,,95.48,percent of total billed charges,85% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,104.3,74,,83.44,percent of total billed charges,74.28% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,104.3,74,,83.44,percent of total billed charges,74.28% of total billed charges,85.65,61,,68.52,percent of total billed charges,61% of total billed charges,104.3,74,,83.44,percent of total billed charges,74.28% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,126.37,90,,101.1,percent of total billed charges,90% of total billed charges,126.37,90,,101.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.57,100,,,fee schedule,100% of CMS fee schedule,23.57,100,,,fee schedule,100% of CMS fee schedule,122.44,87.2,,,percent of total billed charges,87.2% of total billed charges,82.84,59,,66.27,percent of total billed charges,59% of total billed charges,122.44,87.2,,97.95,percent of total billed charges,87.2% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,114.14,81.29,,91.31,percent of total billed charges,81.29% of total billed charges,126.37,90,,101.1,percent of total billed charges,90% of totl billed charges,126.37,90,,101.1,percent of total billed charges,90% of total billed charges,85.65,61,,68.52,percent of total billed charges,61% of total billed charges,85.65,61,,68.52,percent of total billed charges,61% of total billed charges,126.37,90,,101.1,percent of total billed charges,90% of total billed charges,126.37,90,,101.1,percent of total billed charges,90% of total billed charges,85.65,61,,68.52,percent of total billed charges,61% of total billed charges,85.65,61,,68.52,percent of total billed charges,61% of total billed charges,85.65,61,,,percent of total billed charges,61% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,23.57,126.37,
"GAD65, ISLET CELL ANTIBODY",41001070,CDM,302,RC,86341,HCPCS,Outpatient,,,66.25,53,,56.31,85,,45.05,percent of total billed charges,85% of total billed charges,56.31,85,,45.05,percent of total billed charges,85% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,49.21,74,,39.37,percent of total billed charges,74.28% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,49.21,74,,39.37,percent of total billed charges,74.28% of total billed charges,40.41,61,,32.33,percent of total billed charges,61% of total billed charges,49.21,74,,39.37,percent of total billed charges,74.28% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,59.63,90,,47.7,percent of total billed charges,90% of total billed charges,59.63,90,,47.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.57,100,,,fee schedule,100% of CMS fee schedule,23.57,100,,,fee schedule,100% of CMS fee schedule,57.77,87.2,,,percent of total billed charges,87.2% of total billed charges,39.09,59,,31.27,percent of total billed charges,59% of total billed charges,57.77,87.2,,46.22,percent of total billed charges,87.2% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,53.85,81.29,,43.08,percent of total billed charges,81.29% of total billed charges,59.63,90,,47.7,percent of total billed charges,90% of totl billed charges,59.63,90,,47.7,percent of total billed charges,90% of total billed charges,40.41,61,,32.33,percent of total billed charges,61% of total billed charges,40.41,61,,32.33,percent of total billed charges,61% of total billed charges,59.63,90,,47.7,percent of total billed charges,90% of total billed charges,59.63,90,,47.7,percent of total billed charges,90% of total billed charges,40.41,61,,32.33,percent of total billed charges,61% of total billed charges,40.41,61,,32.33,percent of total billed charges,61% of total billed charges,40.41,61,,,percent of total billed charges,61% of total billed charges,23.57,100,,,fee schedule,100% of CMS fee schedule,23.57,59.63,
T&B CELL QUANTITA BY FLOW CYTO,41001150,CDM,301,RC,86355,HCPCS,Outpatient,,,239.16,191.33,,203.29,85,,162.63,percent of total billed charges,85% of total billed charges,203.29,85,,162.63,percent of total billed charges,85% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,177.65,74,,142.12,percent of total billed charges,74.28% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,177.65,74,,142.12,percent of total billed charges,74.28% of total billed charges,145.89,61,,116.71,percent of total billed charges,61% of total billed charges,177.65,74,,142.12,percent of total billed charges,74.28% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,215.24,90,,172.19,percent of total billed charges,90% of total billed charges,215.24,90,,172.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,100,,,fee schedule,100% of CMS fee schedule,208.55,87.2,,,percent of total billed charges,87.2% of total billed charges,141.1,59,,112.88,percent of total billed charges,59% of total billed charges,208.55,87.2,,166.84,percent of total billed charges,87.2% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,194.41,81.29,,155.53,percent of total billed charges,81.29% of total billed charges,215.24,90,,172.19,percent of total billed charges,90% of totl billed charges,215.24,90,,172.19,percent of total billed charges,90% of total billed charges,145.89,61,,116.71,percent of total billed charges,61% of total billed charges,145.89,61,,116.71,percent of total billed charges,61% of total billed charges,215.24,90,,172.19,percent of total billed charges,90% of total billed charges,215.24,90,,172.19,percent of total billed charges,90% of total billed charges,145.89,61,,116.71,percent of total billed charges,61% of total billed charges,145.89,61,,116.71,percent of total billed charges,61% of total billed charges,145.89,61,,,percent of total billed charges,61% of total billed charges,37.73,100,,,fee schedule,100% of CMS fee schedule,37.73,215.24,
CD41CD8 PROFILE,41000246,CDM,302,RC,86360,HCPCS,Outpatient,,,178.93,143.14,,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.98,100,,,fee schedule,100% of CMS fee schedule,46.98,100,,,fee schedule,100% of CMS fee schedule,156.03,87.2,,,percent of total billed charges,87.2% of total billed charges,105.57,59,,84.46,percent of total billed charges,59% of total billed charges,156.03,87.2,,124.82,percent of total billed charges,87.2% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,145.45,81.29,,116.36,percent of total billed charges,81.29% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of totl billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,,percent of total billed charges,61% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,46.98,161.04,
CD4 PANEL,41000247,CDM,302,RC,86360,HCPCS,Outpatient,,,117.81,94.25,,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,100.14,85,,80.11,percent of total billed charges,85% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.51,74,,70.01,percent of total billed charges,74.28% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.98,100,,,fee schedule,100% of CMS fee schedule,46.98,100,,,fee schedule,100% of CMS fee schedule,102.73,87.2,,,percent of total billed charges,87.2% of total billed charges,69.51,59,,55.61,percent of total billed charges,59% of total billed charges,102.73,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,95.77,81.29,,76.62,percent of total billed charges,81.29% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of totl billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,106.03,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,,percent of total billed charges,61% of total billed charges,46.98,100,,,fee schedule,100% of CMS fee schedule,46.98,106.03,
THYROID MICROSOMAL ANTIBODY,41000154,CDM,302,RC,86376,HCPCS,Outpatient,,,77.75,62.2,,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,67.8,87.2,,,percent of total billed charges,87.2% of total billed charges,45.87,59,,36.7,percent of total billed charges,59% of total billed charges,67.8,87.2,,54.24,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,63.2,81.29,,50.56,percent of total billed charges,81.29% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of totl billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,69.98,
THYROID AUTOANTIBODIES,41000155,CDM,302,RC,86376,HCPCS,Outpatient,,,89.04,71.23,,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,77.64,87.2,,,percent of total billed charges,87.2% of total billed charges,52.53,59,,42.02,percent of total billed charges,59% of total billed charges,77.64,87.2,,62.11,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,72.38,81.29,,57.9,percent of total billed charges,81.29% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of totl billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,80.14,
ANTI-LIVER KIDNEY,41000349,CDM,302,RC,86376,HCPCS,Outpatient,,,68.4,54.72,,58.14,85,,46.51,percent of total billed charges,85% of total billed charges,58.14,85,,46.51,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,50.81,74,,40.65,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,59.64,87.2,,,percent of total billed charges,87.2% of total billed charges,40.36,59,,32.29,percent of total billed charges,59% of total billed charges,59.64,87.2,,47.71,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,55.6,81.29,,44.48,percent of total billed charges,81.29% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of totl billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,61.56,90,,49.25,percent of total billed charges,90% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,33.38,percent of total billed charges,61% of total billed charges,41.72,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,61.56,
ANTI MICROSOMAL ANTIBODY,41000446,CDM,302,RC,86376,HCPCS,Outpatient,,,47.61,38.09,,40.47,85,,32.38,percent of total billed charges,85% of total billed charges,40.47,85,,32.38,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,35.36,74,,28.29,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,41.52,87.2,,,percent of total billed charges,87.2% of total billed charges,28.09,59,,22.47,percent of total billed charges,59% of total billed charges,41.52,87.2,,33.22,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,38.7,81.29,,30.96,percent of total billed charges,81.29% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of totl billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,42.85,90,,34.28,percent of total billed charges,90% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,23.23,percent of total billed charges,61% of total billed charges,29.04,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,42.85,
ANTITHYROID GROUP,41009054,CDM,302,RC,86376,HCPCS,Outpatient,,,45.68,36.54,,38.83,85,,31.06,percent of total billed charges,85% of total billed charges,38.83,85,,31.06,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,33.93,74,,27.14,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,33.93,74,,27.14,percent of total billed charges,74.28% of total billed charges,27.86,61,,22.29,percent of total billed charges,61% of total billed charges,33.93,74,,27.14,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,41.11,90,,32.89,percent of total billed charges,90% of total billed charges,41.11,90,,32.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,39.83,87.2,,,percent of total billed charges,87.2% of total billed charges,26.95,59,,21.56,percent of total billed charges,59% of total billed charges,39.83,87.2,,31.86,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,37.13,81.29,,29.7,percent of total billed charges,81.29% of total billed charges,41.11,90,,32.89,percent of total billed charges,90% of totl billed charges,41.11,90,,32.89,percent of total billed charges,90% of total billed charges,27.86,61,,22.29,percent of total billed charges,61% of total billed charges,27.86,61,,22.29,percent of total billed charges,61% of total billed charges,41.11,90,,32.89,percent of total billed charges,90% of total billed charges,41.11,90,,32.89,percent of total billed charges,90% of total billed charges,27.86,61,,22.29,percent of total billed charges,61% of total billed charges,27.86,61,,22.29,percent of total billed charges,61% of total billed charges,27.86,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,41.11,
ANTI-THYROID ANTIBODY,41009055,CDM,302,RC,86376,HCPCS,Outpatient,,,84.34,67.47,,71.69,85,,57.35,percent of total billed charges,85% of total billed charges,71.69,85,,57.35,percent of total billed charges,85% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,62.65,74,,50.12,percent of total billed charges,74.28% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,100,,,fee schedule,100% of CMS fee schedule,73.54,87.2,,,percent of total billed charges,87.2% of total billed charges,49.76,59,,39.81,percent of total billed charges,59% of total billed charges,73.54,87.2,,58.83,percent of total billed charges,87.2% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,68.56,81.29,,54.85,percent of total billed charges,81.29% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of totl billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,75.91,90,,60.73,percent of total billed charges,90% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,41.16,percent of total billed charges,61% of total billed charges,51.45,61,,,percent of total billed charges,61% of total billed charges,14.55,100,,,fee schedule,100% of CMS fee schedule,14.55,75.91,
C.I.E. (TECHOIC ACID),41000038,CDM,302,RC,86403,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,70.25,
CSF-CRYPTOCOCCAL AG,41000179,CDM,302,RC,86403,HCPCS,Outpatient,,,111.01,88.81,,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,94.36,85,,75.49,percent of total billed charges,85% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,82.46,74,,65.97,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,100,,,fee schedule,100% of CMS fee schedule,96.8,87.2,,,percent of total billed charges,87.2% of total billed charges,65.5,59,,52.4,percent of total billed charges,59% of total billed charges,96.8,87.2,,77.44,percent of total billed charges,87.2% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,90.24,81.29,,72.19,percent of total billed charges,81.29% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of totl billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,99.91,90,,79.93,percent of total billed charges,90% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,54.18,percent of total billed charges,61% of total billed charges,67.72,61,,,percent of total billed charges,61% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,99.91,
H-FLU ANTIGEN,41000316,CDM,302,RC,86403,HCPCS,Outpatient,,,19.78,15.82,,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,100,,,fee schedule,100% of CMS fee schedule,17.25,87.2,,,percent of total billed charges,87.2% of total billed charges,11.67,59,,9.34,percent of total billed charges,59% of total billed charges,17.25,87.2,,13.8,percent of total billed charges,87.2% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,16.08,81.29,,12.86,percent of total billed charges,81.29% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of totl billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,,percent of total billed charges,61% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,17.8,
"TECHOICACID,CIE",41000497,CDM,302,RC,86403,HCPCS,Outpatient,,,119.86,95.89,,101.88,85,,81.5,percent of total billed charges,85% of total billed charges,101.88,85,,81.5,percent of total billed charges,85% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,89.03,74,,71.22,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,89.03,74,,71.22,percent of total billed charges,74.28% of total billed charges,73.11,61,,58.49,percent of total billed charges,61% of total billed charges,89.03,74,,71.22,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,107.87,90,,86.3,percent of total billed charges,90% of total billed charges,107.87,90,,86.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,100,,,fee schedule,100% of CMS fee schedule,104.52,87.2,,,percent of total billed charges,87.2% of total billed charges,70.72,59,,56.58,percent of total billed charges,59% of total billed charges,104.52,87.2,,83.62,percent of total billed charges,87.2% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,97.43,81.29,,77.94,percent of total billed charges,81.29% of total billed charges,107.87,90,,86.3,percent of total billed charges,90% of totl billed charges,107.87,90,,86.3,percent of total billed charges,90% of total billed charges,73.11,61,,58.49,percent of total billed charges,61% of total billed charges,73.11,61,,58.49,percent of total billed charges,61% of total billed charges,107.87,90,,86.3,percent of total billed charges,90% of total billed charges,107.87,90,,86.3,percent of total billed charges,90% of total billed charges,73.11,61,,58.49,percent of total billed charges,61% of total billed charges,73.11,61,,58.49,percent of total billed charges,61% of total billed charges,73.11,61,,,percent of total billed charges,61% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,107.87,
LE LATEX,41000909,CDM,302,RC,86403,HCPCS,Outpatient,,,34.77,27.82,,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,29.55,85,,23.64,percent of total billed charges,85% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,25.83,74,,20.66,percent of total billed charges,74.28% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,100,,,fee schedule,100% of CMS fee schedule,30.32,87.2,,,percent of total billed charges,87.2% of total billed charges,20.51,59,,16.41,percent of total billed charges,59% of total billed charges,30.32,87.2,,24.26,percent of total billed charges,87.2% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,28.26,81.29,,22.61,percent of total billed charges,81.29% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of totl billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,31.29,90,,25.03,percent of total billed charges,90% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,16.97,percent of total billed charges,61% of total billed charges,21.21,61,,,percent of total billed charges,61% of total billed charges,11.54,100,,,fee schedule,100% of CMS fee schedule,11.54,31.29,
SYNOVIAL FLUID-RA,41000184,CDM,302,RC,86430,HCPCS,Outpatient,,,56.28,45.02,,47.84,85,,38.27,percent of total billed charges,85% of total billed charges,47.84,85,,38.27,percent of total billed charges,85% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,41.8,74,,33.44,percent of total billed charges,74.28% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.14,100,,,fee schedule,100% of CMS fee schedule,6.14,100,,,fee schedule,100% of CMS fee schedule,49.08,87.2,,,percent of total billed charges,87.2% of total billed charges,33.21,59,,26.57,percent of total billed charges,59% of total billed charges,49.08,87.2,,39.26,percent of total billed charges,87.2% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,45.75,81.29,,36.6,percent of total billed charges,81.29% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of totl billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,50.65,90,,40.52,percent of total billed charges,90% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,27.46,percent of total billed charges,61% of total billed charges,34.33,61,,,percent of total billed charges,61% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,6.14,50.65,
RA,41000214,CDM,302,RC,86430,HCPCS,Outpatient,,,54.15,43.32,,46.03,85,,36.82,percent of total billed charges,85% of total billed charges,46.03,85,,36.82,percent of total billed charges,85% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.14,100,,,fee schedule,100% of CMS fee schedule,6.14,100,,,fee schedule,100% of CMS fee schedule,47.22,87.2,,,percent of total billed charges,87.2% of total billed charges,31.95,59,,25.56,percent of total billed charges,59% of total billed charges,47.22,87.2,,37.78,percent of total billed charges,87.2% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,44.02,81.29,,35.22,percent of total billed charges,81.29% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of totl billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,,percent of total billed charges,61% of total billed charges,6.14,100,,,fee schedule,100% of CMS fee schedule,6.14,48.74,
RA TITER,41000144,CDM,302,RC,86431,HCPCS,Outpatient,,,71.91,57.53,,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,61.12,85,,48.9,percent of total billed charges,85% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,53.41,74,,42.73,percent of total billed charges,74.28% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.67,100,,,fee schedule,100% of CMS fee schedule,5.67,100,,,fee schedule,100% of CMS fee schedule,62.71,87.2,,,percent of total billed charges,87.2% of total billed charges,42.43,59,,33.94,percent of total billed charges,59% of total billed charges,62.71,87.2,,50.17,percent of total billed charges,87.2% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,58.46,81.29,,46.77,percent of total billed charges,81.29% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of totl billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,64.72,90,,51.78,percent of total billed charges,90% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,35.1,percent of total billed charges,61% of total billed charges,43.87,61,,,percent of total billed charges,61% of total billed charges,5.67,100,,,fee schedule,100% of CMS fee schedule,5.67,64.72,
TB GOLD QUANTIFERON,41001135,CDM,302,RC,86480,HCPCS,Outpatient,,,204.7,163.76,,174,85,,139.2,percent of total billed charges,85% of total billed charges,174,85,,139.2,percent of total billed charges,85% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,152.05,74,,121.64,percent of total billed charges,74.28% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,152.05,74,,121.64,percent of total billed charges,74.28% of total billed charges,124.87,61,,99.9,percent of total billed charges,61% of total billed charges,152.05,74,,121.64,percent of total billed charges,74.28% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,184.23,90,,147.38,percent of total billed charges,90% of total billed charges,184.23,90,,147.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.98,100,,,fee schedule,100% of CMS fee schedule,61.98,100,,,fee schedule,100% of CMS fee schedule,178.5,87.2,,,percent of total billed charges,87.2% of total billed charges,120.77,59,,96.62,percent of total billed charges,59% of total billed charges,178.5,87.2,,142.8,percent of total billed charges,87.2% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,166.4,81.29,,133.12,percent of total billed charges,81.29% of total billed charges,184.23,90,,147.38,percent of total billed charges,90% of totl billed charges,184.23,90,,147.38,percent of total billed charges,90% of total billed charges,124.87,61,,99.9,percent of total billed charges,61% of total billed charges,124.87,61,,99.9,percent of total billed charges,61% of total billed charges,184.23,90,,147.38,percent of total billed charges,90% of total billed charges,184.23,90,,147.38,percent of total billed charges,90% of total billed charges,124.87,61,,99.9,percent of total billed charges,61% of total billed charges,124.87,61,,99.9,percent of total billed charges,61% of total billed charges,124.87,61,,,percent of total billed charges,61% of total billed charges,61.98,100,,,fee schedule,100% of CMS fee schedule,61.98,184.23,
Tuberculin PPD,43601401,CDM,521,RC,86580,HCPCS,Outpatient,,,27.79,22.23,,23.62,85,,18.9,percent of total billed charges,85% of total billed charges,23.62,85,,18.9,percent of total billed charges,85% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,24.23,87.2,,,percent of total billed charges,87.2% of total billed charges,16.4,59,,13.12,percent of total billed charges,59% of total billed charges,24.23,87.2,,19.38,percent of total billed charges,87.2% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,22.59,81.29,,18.07,percent of total billed charges,81.29% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of totl billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,14.45,25.01,
Tuberculin PPD,43701401,CDM,521,RC,86580,HCPCS,Outpatient,,,27.79,22.23,,23.62,85,,18.9,percent of total billed charges,85% of total billed charges,23.62,85,,18.9,percent of total billed charges,85% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,20.64,74,,16.51,percent of total billed charges,74.28% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,24.23,87.2,,,percent of total billed charges,87.2% of total billed charges,16.4,59,,13.12,percent of total billed charges,59% of total billed charges,24.23,87.2,,19.38,percent of total billed charges,87.2% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,22.59,81.29,,18.07,percent of total billed charges,81.29% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of totl billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,25.01,90,,20.01,percent of total billed charges,90% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,16.95,61,,13.56,percent of total billed charges,61% of total billed charges,14.45,52,,11.56,percent of total billed charges,52% of total billed charges,14.45,25.01,
VDRL,41000725,CDM,302,RC,86592,HCPCS,Outpatient,,,52.1,41.68,,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,44.29,85,,35.43,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,38.7,74,,30.96,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,45.43,87.2,,,percent of total billed charges,87.2% of total billed charges,30.74,59,,24.59,percent of total billed charges,59% of total billed charges,45.43,87.2,,36.34,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,42.35,81.29,,33.88,percent of total billed charges,81.29% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of totl billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,46.89,90,,37.51,percent of total billed charges,90% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,25.42,percent of total billed charges,61% of total billed charges,31.78,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,46.89,
RPR,41001021,CDM,302,RC,86592,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,28.74,
"ADENOVIRUS, IgG,IgM ANTIBODIES",41000788,CDM,302,RC,86603,HCPCS,Outpatient,,,114.69,91.75,,97.49,85,,77.99,percent of total billed charges,85% of total billed charges,97.49,85,,77.99,percent of total billed charges,85% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,85.19,74,,68.15,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,85.19,74,,68.15,percent of total billed charges,74.28% of total billed charges,69.96,61,,55.97,percent of total billed charges,61% of total billed charges,85.19,74,,68.15,percent of total billed charges,74.28% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,103.22,90,,82.58,percent of total billed charges,90% of total billed charges,103.22,90,,82.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,100,,,fee schedule,100% of CMS fee schedule,100.01,87.2,,,percent of total billed charges,87.2% of total billed charges,67.67,59,,54.14,percent of total billed charges,59% of total billed charges,100.01,87.2,,80.01,percent of total billed charges,87.2% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,93.23,81.29,,74.58,percent of total billed charges,81.29% of total billed charges,103.22,90,,82.58,percent of total billed charges,90% of totl billed charges,103.22,90,,82.58,percent of total billed charges,90% of total billed charges,69.96,61,,55.97,percent of total billed charges,61% of total billed charges,69.96,61,,55.97,percent of total billed charges,61% of total billed charges,103.22,90,,82.58,percent of total billed charges,90% of total billed charges,103.22,90,,82.58,percent of total billed charges,90% of total billed charges,69.96,61,,55.97,percent of total billed charges,61% of total billed charges,69.96,61,,55.97,percent of total billed charges,61% of total billed charges,69.96,61,,,percent of total billed charges,61% of total billed charges,12.87,100,,,fee schedule,100% of CMS fee schedule,12.87,103.22,
"FUNGAL PANEL,ASPERGILLUS",41000489,CDM,302,RC,86606,HCPCS,Outpatient,,,81.34,65.07,,69.14,85,,55.31,percent of total billed charges,85% of total billed charges,69.14,85,,55.31,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,70.93,87.2,,,percent of total billed charges,87.2% of total billed charges,47.99,59,,38.39,percent of total billed charges,59% of total billed charges,70.93,87.2,,56.74,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,66.12,81.29,,52.9,percent of total billed charges,81.29% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of totl billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,73.21,
ASPERGILLUS AB,41009093,CDM,302,RC,86606,HCPCS,Outpatient,,,61.91,49.53,,52.62,85,,42.1,percent of total billed charges,85% of total billed charges,52.62,85,,42.1,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,53.99,87.2,,,percent of total billed charges,87.2% of total billed charges,36.53,59,,29.22,percent of total billed charges,59% of total billed charges,53.99,87.2,,43.19,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,50.33,81.29,,40.26,percent of total billed charges,81.29% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of totl billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,55.72,
HYPESENSIT PNEUMONITIS ASPERGI,41009118,CDM,302,RC,86606,HCPCS,Outpatient,,,42.95,34.36,,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,100,,,fee schedule,100% of CMS fee schedule,37.45,87.2,,,percent of total billed charges,87.2% of total billed charges,25.34,59,,20.27,percent of total billed charges,59% of total billed charges,37.45,87.2,,29.96,percent of total billed charges,87.2% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,34.91,81.29,,27.93,percent of total billed charges,81.29% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of totl billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,,percent of total billed charges,61% of total billed charges,15.05,100,,,fee schedule,100% of CMS fee schedule,15.05,38.66,
LISTERIA ANTIBODY,41009999,CDM,300,RC,86609,HCPCS,Outpatient,,,169.3,135.44,,143.91,85,,115.13,percent of total billed charges,85% of total billed charges,143.91,85,,115.13,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,125.76,74,,100.61,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,125.76,74,,100.61,percent of total billed charges,74.28% of total billed charges,103.27,61,,82.62,percent of total billed charges,61% of total billed charges,125.76,74,,100.61,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,152.37,90,,121.9,percent of total billed charges,90% of total billed charges,152.37,90,,121.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,147.63,87.2,,,percent of total billed charges,87.2% of total billed charges,99.89,59,,79.91,percent of total billed charges,59% of total billed charges,147.63,87.2,,118.1,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,137.62,81.29,,110.1,percent of total billed charges,81.29% of total billed charges,152.37,90,,121.9,percent of total billed charges,90% of totl billed charges,152.37,90,,121.9,percent of total billed charges,90% of total billed charges,103.27,61,,82.62,percent of total billed charges,61% of total billed charges,103.27,61,,82.62,percent of total billed charges,61% of total billed charges,152.37,90,,121.9,percent of total billed charges,90% of total billed charges,152.37,90,,121.9,percent of total billed charges,90% of total billed charges,103.27,61,,82.62,percent of total billed charges,61% of total billed charges,103.27,61,,82.62,percent of total billed charges,61% of total billed charges,103.27,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,152.37,
BARTONELLA ANTIBODY PANEL,41001218,CDM,302,RC,86611,HCPCS,Outpatient,,,38.06,30.45,,32.35,85,,25.88,percent of total billed charges,85% of total billed charges,32.35,85,,25.88,percent of total billed charges,85% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,28.27,74,,22.62,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,28.27,74,,22.62,percent of total billed charges,74.28% of total billed charges,23.22,61,,18.58,percent of total billed charges,61% of total billed charges,28.27,74,,22.62,percent of total billed charges,74.28% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,34.25,90,,27.4,percent of total billed charges,90% of total billed charges,34.25,90,,27.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,100,,,fee schedule,100% of CMS fee schedule,33.19,87.2,,,percent of total billed charges,87.2% of total billed charges,22.46,59,,17.97,percent of total billed charges,59% of total billed charges,33.19,87.2,,26.55,percent of total billed charges,87.2% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,30.94,81.29,,24.75,percent of total billed charges,81.29% of total billed charges,34.25,90,,27.4,percent of total billed charges,90% of totl billed charges,34.25,90,,27.4,percent of total billed charges,90% of total billed charges,23.22,61,,18.58,percent of total billed charges,61% of total billed charges,23.22,61,,18.58,percent of total billed charges,61% of total billed charges,34.25,90,,27.4,percent of total billed charges,90% of total billed charges,34.25,90,,27.4,percent of total billed charges,90% of total billed charges,23.22,61,,18.58,percent of total billed charges,61% of total billed charges,23.22,61,,18.58,percent of total billed charges,61% of total billed charges,23.22,61,,,percent of total billed charges,61% of total billed charges,10.18,100,,,fee schedule,100% of CMS fee schedule,10.18,34.25,
"FUNGAL PANEL,BLASTOMYCES",41000490,CDM,302,RC,86612,HCPCS,Outpatient,,,81.34,65.07,,69.14,85,,55.31,percent of total billed charges,85% of total billed charges,69.14,85,,55.31,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,60.42,74,,48.34,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,70.93,87.2,,,percent of total billed charges,87.2% of total billed charges,47.99,59,,38.39,percent of total billed charges,59% of total billed charges,70.93,87.2,,56.74,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,66.12,81.29,,52.9,percent of total billed charges,81.29% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of totl billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,73.21,90,,58.57,percent of total billed charges,90% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,39.7,percent of total billed charges,61% of total billed charges,49.62,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,73.21,
BLASTOMCES AB,41009092,CDM,302,RC,86612,HCPCS,Outpatient,,,61.91,49.53,,52.62,85,,42.1,percent of total billed charges,85% of total billed charges,52.62,85,,42.1,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,45.99,74,,36.79,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,53.99,87.2,,,percent of total billed charges,87.2% of total billed charges,36.53,59,,29.22,percent of total billed charges,59% of total billed charges,53.99,87.2,,43.19,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,50.33,81.29,,40.26,percent of total billed charges,81.29% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of totl billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,55.72,90,,44.58,percent of total billed charges,90% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,30.22,percent of total billed charges,61% of total billed charges,37.77,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,55.72,
"BLASTOMYCES ANTIBODY, SERUM",41009130,CDM,302,RC,86612,HCPCS,Outpatient,,,50.64,40.51,,43.04,85,,34.43,percent of total billed charges,85% of total billed charges,43.04,85,,34.43,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,37.62,74,,30.1,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,37.62,74,,30.1,percent of total billed charges,74.28% of total billed charges,30.89,61,,24.71,percent of total billed charges,61% of total billed charges,37.62,74,,30.1,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,45.58,90,,36.46,percent of total billed charges,90% of total billed charges,45.58,90,,36.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,44.16,87.2,,,percent of total billed charges,87.2% of total billed charges,29.88,59,,23.9,percent of total billed charges,59% of total billed charges,44.16,87.2,,35.33,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,41.17,81.29,,32.94,percent of total billed charges,81.29% of total billed charges,45.58,90,,36.46,percent of total billed charges,90% of totl billed charges,45.58,90,,36.46,percent of total billed charges,90% of total billed charges,30.89,61,,24.71,percent of total billed charges,61% of total billed charges,30.89,61,,24.71,percent of total billed charges,61% of total billed charges,45.58,90,,36.46,percent of total billed charges,90% of total billed charges,45.58,90,,36.46,percent of total billed charges,90% of total billed charges,30.89,61,,24.71,percent of total billed charges,61% of total billed charges,30.89,61,,24.71,percent of total billed charges,61% of total billed charges,30.89,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,45.58,
"BLASTOMYCES ANTIBODY, CSF",41009131,CDM,302,RC,86612,HCPCS,Outpatient,,,72.76,58.21,,61.85,85,,49.48,percent of total billed charges,85% of total billed charges,61.85,85,,49.48,percent of total billed charges,85% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,54.05,74,,43.24,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,54.05,74,,43.24,percent of total billed charges,74.28% of total billed charges,44.38,61,,35.5,percent of total billed charges,61% of total billed charges,54.05,74,,43.24,percent of total billed charges,74.28% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,65.48,90,,52.38,percent of total billed charges,90% of total billed charges,65.48,90,,52.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,100,,,fee schedule,100% of CMS fee schedule,63.45,87.2,,,percent of total billed charges,87.2% of total billed charges,42.93,59,,34.34,percent of total billed charges,59% of total billed charges,63.45,87.2,,50.76,percent of total billed charges,87.2% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,59.15,81.29,,47.32,percent of total billed charges,81.29% of total billed charges,65.48,90,,52.38,percent of total billed charges,90% of totl billed charges,65.48,90,,52.38,percent of total billed charges,90% of total billed charges,44.38,61,,35.5,percent of total billed charges,61% of total billed charges,44.38,61,,35.5,percent of total billed charges,61% of total billed charges,65.48,90,,52.38,percent of total billed charges,90% of total billed charges,65.48,90,,52.38,percent of total billed charges,90% of total billed charges,44.38,61,,35.5,percent of total billed charges,61% of total billed charges,44.38,61,,35.5,percent of total billed charges,61% of total billed charges,44.38,61,,,percent of total billed charges,61% of total billed charges,12.9,100,,,fee schedule,100% of CMS fee schedule,12.9,65.48,
BORDETELLA PERTUSSIS ANTIBODY,41001099,CDM,302,RC,86615,HCPCS,Outpatient,,,127.66,102.13,,108.51,85,,86.81,percent of total billed charges,85% of total billed charges,108.51,85,,86.81,percent of total billed charges,85% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,94.83,74,,75.86,percent of total billed charges,74.28% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,94.83,74,,75.86,percent of total billed charges,74.28% of total billed charges,77.87,61,,62.3,percent of total billed charges,61% of total billed charges,94.83,74,,75.86,percent of total billed charges,74.28% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,114.89,90,,91.91,percent of total billed charges,90% of total billed charges,114.89,90,,91.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.19,100,,,fee schedule,100% of CMS fee schedule,13.19,100,,,fee schedule,100% of CMS fee schedule,111.32,87.2,,,percent of total billed charges,87.2% of total billed charges,75.32,59,,60.26,percent of total billed charges,59% of total billed charges,111.32,87.2,,89.06,percent of total billed charges,87.2% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,103.77,81.29,,83.02,percent of total billed charges,81.29% of total billed charges,114.89,90,,91.91,percent of total billed charges,90% of totl billed charges,114.89,90,,91.91,percent of total billed charges,90% of total billed charges,77.87,61,,62.3,percent of total billed charges,61% of total billed charges,77.87,61,,62.3,percent of total billed charges,61% of total billed charges,114.89,90,,91.91,percent of total billed charges,90% of total billed charges,114.89,90,,91.91,percent of total billed charges,90% of total billed charges,77.87,61,,62.3,percent of total billed charges,61% of total billed charges,77.87,61,,62.3,percent of total billed charges,61% of total billed charges,77.87,61,,,percent of total billed charges,61% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,13.19,114.89,
LYME DISEASE TITER,41000012,CDM,302,RC,86618,HCPCS,Outpatient,,,117.88,94.3,,100.2,85,,80.16,percent of total billed charges,85% of total billed charges,100.2,85,,80.16,percent of total billed charges,85% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,87.56,74,,70.05,percent of total billed charges,74.28% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,87.56,74,,70.05,percent of total billed charges,74.28% of total billed charges,71.91,61,,57.53,percent of total billed charges,61% of total billed charges,87.56,74,,70.05,percent of total billed charges,74.28% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,106.09,90,,84.87,percent of total billed charges,90% of total billed charges,106.09,90,,84.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.03,100,,,fee schedule,100% of CMS fee schedule,17.03,100,,,fee schedule,100% of CMS fee schedule,102.79,87.2,,,percent of total billed charges,87.2% of total billed charges,69.55,59,,55.64,percent of total billed charges,59% of total billed charges,102.79,87.2,,82.23,percent of total billed charges,87.2% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,95.82,81.29,,76.66,percent of total billed charges,81.29% of total billed charges,106.09,90,,84.87,percent of total billed charges,90% of totl billed charges,106.09,90,,84.87,percent of total billed charges,90% of total billed charges,71.91,61,,57.53,percent of total billed charges,61% of total billed charges,71.91,61,,57.53,percent of total billed charges,61% of total billed charges,106.09,90,,84.87,percent of total billed charges,90% of total billed charges,106.09,90,,84.87,percent of total billed charges,90% of total billed charges,71.91,61,,57.53,percent of total billed charges,61% of total billed charges,71.91,61,,57.53,percent of total billed charges,61% of total billed charges,71.91,61,,,percent of total billed charges,61% of total billed charges,17.03,100,,,fee schedule,100% of CMS fee schedule,17.03,106.09,
"CANDIDA ALBICANS IgM,IgE,IgG",41001156,CDM,302,RC,86628,HCPCS,Outpatient,,,174.89,139.91,,148.66,85,,118.93,percent of total billed charges,85% of total billed charges,148.66,85,,118.93,percent of total billed charges,85% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,129.91,74,,103.93,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,129.91,74,,103.93,percent of total billed charges,74.28% of total billed charges,106.68,61,,85.34,percent of total billed charges,61% of total billed charges,129.91,74,,103.93,percent of total billed charges,74.28% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,157.4,90,,125.92,percent of total billed charges,90% of total billed charges,157.4,90,,125.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,100,,,fee schedule,100% of CMS fee schedule,152.5,87.2,,,percent of total billed charges,87.2% of total billed charges,103.19,59,,82.55,percent of total billed charges,59% of total billed charges,152.5,87.2,,122,percent of total billed charges,87.2% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,142.17,81.29,,113.74,percent of total billed charges,81.29% of total billed charges,157.4,90,,125.92,percent of total billed charges,90% of totl billed charges,157.4,90,,125.92,percent of total billed charges,90% of total billed charges,106.68,61,,85.34,percent of total billed charges,61% of total billed charges,106.68,61,,85.34,percent of total billed charges,61% of total billed charges,157.4,90,,125.92,percent of total billed charges,90% of total billed charges,157.4,90,,125.92,percent of total billed charges,90% of total billed charges,106.68,61,,85.34,percent of total billed charges,61% of total billed charges,106.68,61,,85.34,percent of total billed charges,61% of total billed charges,106.68,61,,,percent of total billed charges,61% of total billed charges,12.01,100,,,fee schedule,100% of CMS fee schedule,12.01,157.4,
PSITTACOSIS TITER,41000149,CDM,302,RC,86631,HCPCS,Outpatient,,,97.54,78.03,,82.91,85,,66.33,percent of total billed charges,85% of total billed charges,82.91,85,,66.33,percent of total billed charges,85% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.82,100,,,fee schedule,100% of CMS fee schedule,11.82,100,,,fee schedule,100% of CMS fee schedule,85.05,87.2,,,percent of total billed charges,87.2% of total billed charges,57.55,59,,46.04,percent of total billed charges,59% of total billed charges,85.05,87.2,,68.04,percent of total billed charges,87.2% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,79.29,81.29,,63.43,percent of total billed charges,81.29% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of totl billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,,percent of total billed charges,61% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,11.82,87.79,
CHLAMYDIA PSITTACI (LYG TITER),41001049,CDM,302,RC,86631,HCPCS,Outpatient,,,18.66,14.93,,15.86,85,,12.69,percent of total billed charges,85% of total billed charges,15.86,85,,12.69,percent of total billed charges,85% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,13.86,74,,11.09,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,13.86,74,,11.09,percent of total billed charges,74.28% of total billed charges,11.38,61,,9.1,percent of total billed charges,61% of total billed charges,13.86,74,,11.09,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,16.79,90,,13.43,percent of total billed charges,90% of total billed charges,16.79,90,,13.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.82,100,,,fee schedule,100% of CMS fee schedule,11.82,100,,,fee schedule,100% of CMS fee schedule,16.27,87.2,,,percent of total billed charges,87.2% of total billed charges,11.01,59,,8.81,percent of total billed charges,59% of total billed charges,16.27,87.2,,13.02,percent of total billed charges,87.2% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,15.17,81.29,,12.14,percent of total billed charges,81.29% of total billed charges,16.79,90,,13.43,percent of total billed charges,90% of totl billed charges,16.79,90,,13.43,percent of total billed charges,90% of total billed charges,11.38,61,,9.1,percent of total billed charges,61% of total billed charges,11.38,61,,9.1,percent of total billed charges,61% of total billed charges,16.79,90,,13.43,percent of total billed charges,90% of total billed charges,16.79,90,,13.43,percent of total billed charges,90% of total billed charges,11.38,61,,9.1,percent of total billed charges,61% of total billed charges,11.38,61,,9.1,percent of total billed charges,61% of total billed charges,11.38,61,,,percent of total billed charges,61% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,11.01,16.79,
CHLAMYDIA,41009045,CDM,302,RC,86631,HCPCS,Outpatient,,,124.76,99.81,,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.82,100,,,fee schedule,100% of CMS fee schedule,11.82,100,,,fee schedule,100% of CMS fee schedule,108.79,87.2,,,percent of total billed charges,87.2% of total billed charges,73.61,59,,58.89,percent of total billed charges,59% of total billed charges,108.79,87.2,,87.03,percent of total billed charges,87.2% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,101.42,81.29,,81.14,percent of total billed charges,81.29% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of totl billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,,percent of total billed charges,61% of total billed charges,11.82,100,,,fee schedule,100% of CMS fee schedule,11.82,112.28,
COCCIDIODES ANTIBDY COMP FIXAT,41000406,CDM,302,RC,86635,HCPCS,Outpatient,,,152.61,122.09,,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,100,,,fee schedule,100% of CMS fee schedule,133.08,87.2,,,percent of total billed charges,87.2% of total billed charges,90.04,59,,72.03,percent of total billed charges,59% of total billed charges,133.08,87.2,,106.46,percent of total billed charges,87.2% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,124.06,81.29,,99.25,percent of total billed charges,81.29% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of totl billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,,percent of total billed charges,61% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,137.35,
FUNGAL PANEL COCCIDIODES,41000491,CDM,302,RC,86635,HCPCS,Outpatient,,,72.5,58,,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,100,,,fee schedule,100% of CMS fee schedule,63.22,87.2,,,percent of total billed charges,87.2% of total billed charges,42.78,59,,34.22,percent of total billed charges,59% of total billed charges,63.22,87.2,,50.58,percent of total billed charges,87.2% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,58.94,81.29,,47.15,percent of total billed charges,81.29% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of totl billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,,percent of total billed charges,61% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,65.25,
"COCCODIOIDES, ANTIBODY",41001064,CDM,302,RC,86635,HCPCS,Outpatient,,,44.36,35.49,,37.71,85,,30.17,percent of total billed charges,85% of total billed charges,37.71,85,,30.17,percent of total billed charges,85% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,100,,,fee schedule,100% of CMS fee schedule,38.68,87.2,,,percent of total billed charges,87.2% of total billed charges,26.17,59,,20.94,percent of total billed charges,59% of total billed charges,38.68,87.2,,30.94,percent of total billed charges,87.2% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,36.06,81.29,,28.85,percent of total billed charges,81.29% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of totl billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,,percent of total billed charges,61% of total billed charges,11.47,100,,,fee schedule,100% of CMS fee schedule,11.47,39.92,
CRYPOTOCOCCA ANTIBODY,41000097,CDM,302,RC,86641,HCPCS,Outpatient,,,122.43,97.94,,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.41,100,,,fee schedule,100% of CMS fee schedule,14.41,100,,,fee schedule,100% of CMS fee schedule,106.76,87.2,,,percent of total billed charges,87.2% of total billed charges,72.23,59,,57.78,percent of total billed charges,59% of total billed charges,106.76,87.2,,85.41,percent of total billed charges,87.2% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,99.52,81.29,,79.62,percent of total billed charges,81.29% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of totl billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,,percent of total billed charges,61% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,14.41,110.19,
CMV IGG ANTIBODY,41000267,CDM,302,RC,86644,HCPCS,Outpatient,,,70.52,56.42,,59.94,85,,47.95,percent of total billed charges,85% of total billed charges,59.94,85,,47.95,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,52.38,74,,41.9,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,52.38,74,,41.9,percent of total billed charges,74.28% of total billed charges,43.02,61,,34.42,percent of total billed charges,61% of total billed charges,52.38,74,,41.9,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,63.47,90,,50.78,percent of total billed charges,90% of total billed charges,63.47,90,,50.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,61.49,87.2,,,percent of total billed charges,87.2% of total billed charges,41.61,59,,33.29,percent of total billed charges,59% of total billed charges,61.49,87.2,,49.19,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,57.33,81.29,,45.86,percent of total billed charges,81.29% of total billed charges,63.47,90,,50.78,percent of total billed charges,90% of totl billed charges,63.47,90,,50.78,percent of total billed charges,90% of total billed charges,43.02,61,,34.42,percent of total billed charges,61% of total billed charges,43.02,61,,34.42,percent of total billed charges,61% of total billed charges,63.47,90,,50.78,percent of total billed charges,90% of total billed charges,63.47,90,,50.78,percent of total billed charges,90% of total billed charges,43.02,61,,34.42,percent of total billed charges,61% of total billed charges,43.02,61,,34.42,percent of total billed charges,61% of total billed charges,43.02,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,63.47,
CYTOMEGALOVIRUS,41000340,CDM,302,RC,86644,HCPCS,Outpatient,,,57.57,46.06,,48.93,85,,39.14,percent of total billed charges,85% of total billed charges,48.93,85,,39.14,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,50.2,87.2,,,percent of total billed charges,87.2% of total billed charges,33.97,59,,27.18,percent of total billed charges,59% of total billed charges,50.2,87.2,,40.16,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,46.8,81.29,,37.44,percent of total billed charges,81.29% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of totl billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,51.81,
CMV TITER,41001144,CDM,302,RC,86644,HCPCS,Outpatient,,,81.01,64.81,,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,70.64,87.2,,,percent of total billed charges,87.2% of total billed charges,47.8,59,,38.24,percent of total billed charges,59% of total billed charges,70.64,87.2,,56.51,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,65.85,81.29,,52.68,percent of total billed charges,81.29% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of totl billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,72.91,
CMV IGM ANTIBODY,41000268,CDM,302,RC,86645,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,41.18,
DIPTHERIA TOXOID IgG AB,41001112,CDM,302,RC,86648,HCPCS,Outpatient,,,111.22,88.98,,94.54,85,,75.63,percent of total billed charges,85% of total billed charges,94.54,85,,75.63,percent of total billed charges,85% of total billed charges,15.21,100,,,fee schedule,100% of CMS fee schedule,82.61,74,,66.09,percent of total billed charges,74.28% of total billed charges,15.21,100,,,fee schedule,100% of CMS fee schedule,82.61,74,,66.09,percent of total billed charges,74.28% of total billed charges,67.84,61,,54.27,percent of total billed charges,61% of total billed charges,82.61,74,,66.09,percent of total billed charges,74.28% of total billed charges,15.21,100,,,fee schedule,100% of CMS fee schedule,100.1,90,,80.08,percent of total billed charges,90% of total billed charges,100.1,90,,80.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.21,100,,,fee schedule,100% of CMS fee schedule,15.21,100,,,fee schedule,100% of CMS fee schedule,96.98,87.2,,,percent of total billed charges,87.2% of total billed charges,65.62,59,,52.5,percent of total billed charges,59% of total billed charges,96.98,87.2,,77.58,percent of total billed charges,87.2% of total billed charges,15.21,100,,,fee schedule,100% of CMS fee schedule,90.41,81.29,,72.33,percent of total billed charges,81.29% of total billed charges,100.1,90,,80.08,percent of total billed charges,90% of totl billed charges,100.1,90,,80.08,percent of total billed charges,90% of total billed charges,67.84,61,,54.27,percent of total billed charges,61% of total billed charges,67.84,61,,54.27,percent of total billed charges,61% of total billed charges,100.1,90,,80.08,percent of total billed charges,90% of total billed charges,100.1,90,,80.08,percent of total billed charges,90% of total billed charges,67.84,61,,54.27,percent of total billed charges,61% of total billed charges,67.84,61,,54.27,percent of total billed charges,61% of total billed charges,67.84,61,,,percent of total billed charges,61% of total billed charges,15.21,100,,,fee schedule,100% of CMS fee schedule,15.21,100.1,
COXSACKLE A ANTIBODY (1),41000546,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE A ANTIBODY (6),41000551,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (1),41000552,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (2),41000553,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (3),41000554,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (4),41000555,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (5),41000556,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
COXSACKLE B ANTIBODY (6),41000557,CDM,302,RC,86658,HCPCS,Outpatient,,,32.52,26.02,,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,27.64,85,,22.11,percent of total billed charges,85% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,24.16,74,,19.33,percent of total billed charges,74.28% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,100,,,fee schedule,100% of CMS fee schedule,28.36,87.2,,,percent of total billed charges,87.2% of total billed charges,19.19,59,,15.35,percent of total billed charges,59% of total billed charges,28.36,87.2,,22.69,percent of total billed charges,87.2% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,26.44,81.29,,21.15,percent of total billed charges,81.29% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of totl billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,29.27,90,,23.42,percent of total billed charges,90% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,15.87,percent of total billed charges,61% of total billed charges,19.84,61,,,percent of total billed charges,61% of total billed charges,13.03,100,,,fee schedule,100% of CMS fee schedule,13.03,29.27,
EBV-EARLY AG,41000271,CDM,302,RC,86663,HCPCS,Outpatient,,,41.29,33.03,,35.1,85,,28.08,percent of total billed charges,85% of total billed charges,35.1,85,,28.08,percent of total billed charges,85% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,30.67,74,,24.54,percent of total billed charges,74.28% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,30.67,74,,24.54,percent of total billed charges,74.28% of total billed charges,25.19,61,,20.15,percent of total billed charges,61% of total billed charges,30.67,74,,24.54,percent of total billed charges,74.28% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,37.16,90,,29.73,percent of total billed charges,90% of total billed charges,37.16,90,,29.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.12,100,,,fee schedule,100% of CMS fee schedule,13.12,100,,,fee schedule,100% of CMS fee schedule,36,87.2,,,percent of total billed charges,87.2% of total billed charges,24.36,59,,19.49,percent of total billed charges,59% of total billed charges,36,87.2,,28.8,percent of total billed charges,87.2% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,33.56,81.29,,26.85,percent of total billed charges,81.29% of total billed charges,37.16,90,,29.73,percent of total billed charges,90% of totl billed charges,37.16,90,,29.73,percent of total billed charges,90% of total billed charges,25.19,61,,20.15,percent of total billed charges,61% of total billed charges,25.19,61,,20.15,percent of total billed charges,61% of total billed charges,37.16,90,,29.73,percent of total billed charges,90% of total billed charges,37.16,90,,29.73,percent of total billed charges,90% of total billed charges,25.19,61,,20.15,percent of total billed charges,61% of total billed charges,25.19,61,,20.15,percent of total billed charges,61% of total billed charges,25.19,61,,,percent of total billed charges,61% of total billed charges,13.12,100,,,fee schedule,100% of CMS fee schedule,13.12,37.16,
EBV-NUCLEAR AG IGG,41000272,CDM,302,RC,86664,HCPCS,Outpatient,,,41.69,33.35,,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,35.44,85,,28.35,percent of total billed charges,85% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,30.97,74,,24.78,percent of total billed charges,74.28% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.29,100,,,fee schedule,100% of CMS fee schedule,15.29,100,,,fee schedule,100% of CMS fee schedule,36.35,87.2,,,percent of total billed charges,87.2% of total billed charges,24.6,59,,19.68,percent of total billed charges,59% of total billed charges,36.35,87.2,,29.08,percent of total billed charges,87.2% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,33.89,81.29,,27.11,percent of total billed charges,81.29% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of totl billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,37.52,90,,30.02,percent of total billed charges,90% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,20.34,percent of total billed charges,61% of total billed charges,25.43,61,,,percent of total billed charges,61% of total billed charges,15.29,100,,,fee schedule,100% of CMS fee schedule,15.29,37.52,
EBV-VIRAL CAPSID IGG & IGM,41000273,CDM,302,RC,86665,HCPCS,Outpatient,,,102.74,82.19,,87.33,85,,69.86,percent of total billed charges,85% of total billed charges,87.33,85,,69.86,percent of total billed charges,85% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,76.32,74,,61.06,percent of total billed charges,74.28% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,89.59,87.2,,,percent of total billed charges,87.2% of total billed charges,60.62,59,,48.5,percent of total billed charges,59% of total billed charges,89.59,87.2,,71.67,percent of total billed charges,87.2% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,83.52,81.29,,66.82,percent of total billed charges,81.29% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of totl billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,92.47,90,,73.98,percent of total billed charges,90% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,50.14,percent of total billed charges,61% of total billed charges,62.67,61,,,percent of total billed charges,61% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,92.47,
EBV TITER,41001145,CDM,302,RC,86665,HCPCS,Outpatient,,,81.01,64.81,,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,100,,,fee schedule,100% of CMS fee schedule,70.64,87.2,,,percent of total billed charges,87.2% of total billed charges,47.8,59,,38.24,percent of total billed charges,59% of total billed charges,70.64,87.2,,56.51,percent of total billed charges,87.2% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,65.85,81.29,,52.68,percent of total billed charges,81.29% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of totl billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,,percent of total billed charges,61% of total billed charges,18.14,100,,,fee schedule,100% of CMS fee schedule,18.14,72.91,
HYPERSENSITIVITY PNEU IgGAB,41001139,CDM,302,RC,86671,HCPCS,Outpatient,,,103.15,82.52,,87.68,85,,70.14,percent of total billed charges,85% of total billed charges,87.68,85,,70.14,percent of total billed charges,85% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,76.62,74,,61.3,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,100,,,fee schedule,100% of CMS fee schedule,89.95,87.2,,,percent of total billed charges,87.2% of total billed charges,60.86,59,,48.69,percent of total billed charges,59% of total billed charges,89.95,87.2,,71.96,percent of total billed charges,87.2% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,83.85,81.29,,67.08,percent of total billed charges,81.29% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of totl billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,92.84,90,,74.27,percent of total billed charges,90% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,50.34,percent of total billed charges,61% of total billed charges,62.92,61,,,percent of total billed charges,61% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,92.84,
HYPESENSITIVITY PNEUMONITIS PA,41009116,CDM,302,RC,86671,HCPCS,Outpatient,,,42.95,34.36,,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,100,,,fee schedule,100% of CMS fee schedule,37.45,87.2,,,percent of total billed charges,87.2% of total billed charges,25.34,59,,20.27,percent of total billed charges,59% of total billed charges,37.45,87.2,,29.96,percent of total billed charges,87.2% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,34.91,81.29,,27.93,percent of total billed charges,81.29% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of totl billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,,percent of total billed charges,61% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,38.66,
HYPENSITIVITY PNEUMONITIS PART,41009117,CDM,302,RC,86671,HCPCS,Outpatient,,,42.95,34.36,,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,36.51,85,,29.21,percent of total billed charges,85% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,31.9,74,,25.52,percent of total billed charges,74.28% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,100,,,fee schedule,100% of CMS fee schedule,37.45,87.2,,,percent of total billed charges,87.2% of total billed charges,25.34,59,,20.27,percent of total billed charges,59% of total billed charges,37.45,87.2,,29.96,percent of total billed charges,87.2% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,34.91,81.29,,27.93,percent of total billed charges,81.29% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of totl billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,38.66,90,,30.93,percent of total billed charges,90% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,20.96,percent of total billed charges,61% of total billed charges,26.2,61,,,percent of total billed charges,61% of total billed charges,12.25,100,,,fee schedule,100% of CMS fee schedule,12.25,38.66,
H.PYLORI ANTIBODY,41000351,CDM,302,RC,86677,HCPCS,Outpatient,,,57.05,45.64,,48.49,85,,38.79,percent of total billed charges,85% of total billed charges,48.49,85,,38.79,percent of total billed charges,85% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,42.38,74,,33.9,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,42.38,74,,33.9,percent of total billed charges,74.28% of total billed charges,34.8,61,,27.84,percent of total billed charges,61% of total billed charges,42.38,74,,33.9,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,51.35,90,,41.08,percent of total billed charges,90% of total billed charges,51.35,90,,41.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,49.75,87.2,,,percent of total billed charges,87.2% of total billed charges,33.66,59,,26.93,percent of total billed charges,59% of total billed charges,49.75,87.2,,39.8,percent of total billed charges,87.2% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,46.38,81.29,,37.1,percent of total billed charges,81.29% of total billed charges,51.35,90,,41.08,percent of total billed charges,90% of totl billed charges,51.35,90,,41.08,percent of total billed charges,90% of total billed charges,34.8,61,,27.84,percent of total billed charges,61% of total billed charges,34.8,61,,27.84,percent of total billed charges,61% of total billed charges,51.35,90,,41.08,percent of total billed charges,90% of total billed charges,51.35,90,,41.08,percent of total billed charges,90% of total billed charges,34.8,61,,27.84,percent of total billed charges,61% of total billed charges,34.8,61,,27.84,percent of total billed charges,61% of total billed charges,34.8,61,,,percent of total billed charges,61% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,51.35,
H PYLORI,43701329,CDM,302,RC,86677,HCPCS,Outpatient,,,16.17,12.94,,13.74,85,,10.99,percent of total billed charges,85% of total billed charges,13.74,85,,10.99,percent of total billed charges,85% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,12.01,74,,9.61,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,12.01,74,,9.61,percent of total billed charges,74.28% of total billed charges,9.86,61,,7.89,percent of total billed charges,61% of total billed charges,12.01,74,,9.61,percent of total billed charges,74.28% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,14.55,90,,11.64,percent of total billed charges,90% of total billed charges,14.55,90,,11.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.85,100,,,fee schedule,100% of CMS fee schedule,16.85,100,,,fee schedule,100% of CMS fee schedule,14.1,87.2,,,percent of total billed charges,87.2% of total billed charges,9.54,59,,7.63,percent of total billed charges,59% of total billed charges,14.1,87.2,,11.28,percent of total billed charges,87.2% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,13.14,81.29,,10.51,percent of total billed charges,81.29% of total billed charges,14.55,90,,11.64,percent of total billed charges,90% of totl billed charges,14.55,90,,11.64,percent of total billed charges,90% of total billed charges,9.86,61,,7.89,percent of total billed charges,61% of total billed charges,9.86,61,,7.89,percent of total billed charges,61% of total billed charges,14.55,90,,11.64,percent of total billed charges,90% of total billed charges,14.55,90,,11.64,percent of total billed charges,90% of total billed charges,9.86,61,,7.89,percent of total billed charges,61% of total billed charges,9.86,61,,7.89,percent of total billed charges,61% of total billed charges,9.86,61,,,percent of total billed charges,61% of total billed charges,16.85,100,,,fee schedule,100% of CMS fee schedule,9.54,16.85,
HEPATITIS DELTA AB,41000044,CDM,302,RC,86692,HCPCS,Outpatient,,,127.43,101.94,,108.32,85,,86.66,percent of total billed charges,85% of total billed charges,108.32,85,,86.66,percent of total billed charges,85% of total billed charges,17.16,100,,,fee schedule,100% of CMS fee schedule,94.66,74,,75.73,percent of total billed charges,74.28% of total billed charges,17.16,100,,,fee schedule,100% of CMS fee schedule,94.66,74,,75.73,percent of total billed charges,74.28% of total billed charges,77.73,61,,62.18,percent of total billed charges,61% of total billed charges,94.66,74,,75.73,percent of total billed charges,74.28% of total billed charges,17.16,100,,,fee schedule,100% of CMS fee schedule,114.69,90,,91.75,percent of total billed charges,90% of total billed charges,114.69,90,,91.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.16,100,,,fee schedule,100% of CMS fee schedule,17.16,100,,,fee schedule,100% of CMS fee schedule,111.12,87.2,,,percent of total billed charges,87.2% of total billed charges,75.18,59,,60.14,percent of total billed charges,59% of total billed charges,111.12,87.2,,88.9,percent of total billed charges,87.2% of total billed charges,17.16,100,,,fee schedule,100% of CMS fee schedule,103.59,81.29,,82.87,percent of total billed charges,81.29% of total billed charges,114.69,90,,91.75,percent of total billed charges,90% of totl billed charges,114.69,90,,91.75,percent of total billed charges,90% of total billed charges,77.73,61,,62.18,percent of total billed charges,61% of total billed charges,77.73,61,,62.18,percent of total billed charges,61% of total billed charges,114.69,90,,91.75,percent of total billed charges,90% of total billed charges,114.69,90,,91.75,percent of total billed charges,90% of total billed charges,77.73,61,,62.18,percent of total billed charges,61% of total billed charges,77.73,61,,62.18,percent of total billed charges,61% of total billed charges,77.73,61,,,percent of total billed charges,61% of total billed charges,17.16,100,,,fee schedule,100% of CMS fee schedule,17.16,114.69,
HERPES TITER,41000404,CDM,302,RC,86694,HCPCS,Outpatient,,,96.72,77.38,,82.21,85,,65.77,percent of total billed charges,85% of total billed charges,82.21,85,,65.77,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,71.84,74,,57.47,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,84.34,87.2,,,percent of total billed charges,87.2% of total billed charges,57.06,59,,45.65,percent of total billed charges,59% of total billed charges,84.34,87.2,,67.47,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,78.62,81.29,,62.9,percent of total billed charges,81.29% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of totl billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,87.05,90,,69.64,percent of total billed charges,90% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,47.2,percent of total billed charges,61% of total billed charges,59,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,87.05,
HERPES SIMPLEX ANTIBODY IgG,41000498,CDM,302,RC,86694,HCPCS,Outpatient,,,77.3,61.84,,65.71,85,,52.57,percent of total billed charges,85% of total billed charges,65.71,85,,52.57,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,57.42,74,,45.94,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,57.42,74,,45.94,percent of total billed charges,74.28% of total billed charges,47.15,61,,37.72,percent of total billed charges,61% of total billed charges,57.42,74,,45.94,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,69.57,90,,55.66,percent of total billed charges,90% of total billed charges,69.57,90,,55.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,67.41,87.2,,,percent of total billed charges,87.2% of total billed charges,45.61,59,,36.49,percent of total billed charges,59% of total billed charges,67.41,87.2,,53.93,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,62.84,81.29,,50.27,percent of total billed charges,81.29% of total billed charges,69.57,90,,55.66,percent of total billed charges,90% of totl billed charges,69.57,90,,55.66,percent of total billed charges,90% of total billed charges,47.15,61,,37.72,percent of total billed charges,61% of total billed charges,47.15,61,,37.72,percent of total billed charges,61% of total billed charges,69.57,90,,55.66,percent of total billed charges,90% of total billed charges,69.57,90,,55.66,percent of total billed charges,90% of total billed charges,47.15,61,,37.72,percent of total billed charges,61% of total billed charges,47.15,61,,37.72,percent of total billed charges,61% of total billed charges,47.15,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,69.57,
HERPES SIMPLEX ANTIBODY IgM,41000499,CDM,302,RC,86694,HCPCS,Outpatient,,,54.65,43.72,,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,47.65,87.2,,,percent of total billed charges,87.2% of total billed charges,32.24,59,,25.79,percent of total billed charges,59% of total billed charges,47.65,87.2,,38.12,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,44.42,81.29,,35.54,percent of total billed charges,81.29% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of totl billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,49.19,
HERPES SIMPLEX VIRUS TYPING,41001038,CDM,302,RC,86694,HCPCS,Outpatient,,,77.26,61.81,,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,67.37,87.2,,,percent of total billed charges,87.2% of total billed charges,45.58,59,,36.46,percent of total billed charges,59% of total billed charges,67.37,87.2,,53.9,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,62.8,81.29,,50.24,percent of total billed charges,81.29% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of totl billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,69.53,
HERPES SIMPLEX VIRUS TYPE 1&2,41001151,CDM,302,RC,86694,HCPCS,Outpatient,,,82.22,65.78,,69.89,85,,55.91,percent of total billed charges,85% of total billed charges,69.89,85,,55.91,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,74,90,,59.2,percent of total billed charges,90% of total billed charges,74,90,,59.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,71.7,87.2,,,percent of total billed charges,87.2% of total billed charges,48.51,59,,38.81,percent of total billed charges,59% of total billed charges,71.7,87.2,,57.36,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,66.84,81.29,,53.47,percent of total billed charges,81.29% of total billed charges,74,90,,59.2,percent of total billed charges,90% of totl billed charges,74,90,,59.2,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,74,90,,59.2,percent of total billed charges,90% of total billed charges,74,90,,59.2,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,74,
"HERPES SIMPLEX,TYPE 1",41001039,CDM,302,RC,86695,HCPCS,Outpatient,,,77.26,61.81,,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.19,100,,,fee schedule,100% of CMS fee schedule,13.19,100,,,fee schedule,100% of CMS fee schedule,67.37,87.2,,,percent of total billed charges,87.2% of total billed charges,45.58,59,,36.46,percent of total billed charges,59% of total billed charges,67.37,87.2,,53.9,percent of total billed charges,87.2% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,62.8,81.29,,50.24,percent of total billed charges,81.29% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of totl billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,,percent of total billed charges,61% of total billed charges,13.19,100,,,fee schedule,100% of CMS fee schedule,13.19,69.53,
"HERPES SIMPLEX,TYPE 2",41001040,CDM,302,RC,86696,HCPCS,Outpatient,,,77.26,61.81,,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,65.67,85,,52.54,percent of total billed charges,85% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,57.39,74,,45.91,percent of total billed charges,74.28% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,100,,,fee schedule,100% of CMS fee schedule,67.37,87.2,,,percent of total billed charges,87.2% of total billed charges,45.58,59,,36.46,percent of total billed charges,59% of total billed charges,67.37,87.2,,53.9,percent of total billed charges,87.2% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,62.8,81.29,,50.24,percent of total billed charges,81.29% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of totl billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,69.53,90,,55.62,percent of total billed charges,90% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,37.7,percent of total billed charges,61% of total billed charges,47.13,61,,,percent of total billed charges,61% of total billed charges,19.35,100,,,fee schedule,100% of CMS fee schedule,19.35,69.53,
HISTOPLASMOSIS AB,41000399,CDM,302,RC,86698,HCPCS,Outpatient,,,56.48,45.18,,48.01,85,,38.41,percent of total billed charges,85% of total billed charges,48.01,85,,38.41,percent of total billed charges,85% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,41.95,74,,33.56,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,41.95,74,,33.56,percent of total billed charges,74.28% of total billed charges,34.45,61,,27.56,percent of total billed charges,61% of total billed charges,41.95,74,,33.56,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,50.83,90,,40.66,percent of total billed charges,90% of total billed charges,50.83,90,,40.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,100,,,fee schedule,100% of CMS fee schedule,49.25,87.2,,,percent of total billed charges,87.2% of total billed charges,33.32,59,,26.66,percent of total billed charges,59% of total billed charges,49.25,87.2,,39.4,percent of total billed charges,87.2% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,45.91,81.29,,36.73,percent of total billed charges,81.29% of total billed charges,50.83,90,,40.66,percent of total billed charges,90% of totl billed charges,50.83,90,,40.66,percent of total billed charges,90% of total billed charges,34.45,61,,27.56,percent of total billed charges,61% of total billed charges,34.45,61,,27.56,percent of total billed charges,61% of total billed charges,50.83,90,,40.66,percent of total billed charges,90% of total billed charges,50.83,90,,40.66,percent of total billed charges,90% of total billed charges,34.45,61,,27.56,percent of total billed charges,61% of total billed charges,34.45,61,,27.56,percent of total billed charges,61% of total billed charges,34.45,61,,,percent of total billed charges,61% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,50.83,
HISTOPLASMOSIS ANTIBODY,41000487,CDM,302,RC,86698,HCPCS,Outpatient,,,54.77,43.82,,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,100,,,fee schedule,100% of CMS fee schedule,47.76,87.2,,,percent of total billed charges,87.2% of total billed charges,32.31,59,,25.85,percent of total billed charges,59% of total billed charges,47.76,87.2,,38.21,percent of total billed charges,87.2% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,44.52,81.29,,35.62,percent of total billed charges,81.29% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of totl billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,,percent of total billed charges,61% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,49.29,
"FUNGAL PANEL, HISTOPLASMA",41000492,CDM,302,RC,86698,HCPCS,Outpatient,,,99.09,79.27,,84.23,85,,67.38,percent of total billed charges,85% of total billed charges,84.23,85,,67.38,percent of total billed charges,85% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,73.6,74,,58.88,percent of total billed charges,74.28% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,100,,,fee schedule,100% of CMS fee schedule,86.41,87.2,,,percent of total billed charges,87.2% of total billed charges,58.46,59,,46.77,percent of total billed charges,59% of total billed charges,86.41,87.2,,69.13,percent of total billed charges,87.2% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,80.55,81.29,,64.44,percent of total billed charges,81.29% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of totl billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,89.18,90,,71.34,percent of total billed charges,90% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,48.35,percent of total billed charges,61% of total billed charges,60.44,61,,,percent of total billed charges,61% of total billed charges,13.79,100,,,fee schedule,100% of CMS fee schedule,13.79,89.18,
HEPATITIS B CORE AB,41000217,CDM,302,RC,86704,HCPCS,Outpatient,,,49.33,39.46,,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,100,,,fee schedule,100% of CMS fee schedule,43.02,87.2,,,percent of total billed charges,87.2% of total billed charges,29.1,59,,23.28,percent of total billed charges,59% of total billed charges,43.02,87.2,,34.42,percent of total billed charges,87.2% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,40.1,81.29,,32.08,percent of total billed charges,81.29% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of totl billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,,percent of total billed charges,61% of total billed charges,12.05,100,,,fee schedule,100% of CMS fee schedule,12.05,44.4,
HEPATITIS Bc Igm,41000766,CDM,302,RC,86705,HCPCS,Outpatient,,,46.44,37.15,,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.77,100,,,fee schedule,100% of CMS fee schedule,11.77,100,,,fee schedule,100% of CMS fee schedule,40.5,87.2,,,percent of total billed charges,87.2% of total billed charges,27.4,59,,21.92,percent of total billed charges,59% of total billed charges,40.5,87.2,,32.4,percent of total billed charges,87.2% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,37.75,81.29,,30.2,percent of total billed charges,81.29% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of totl billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,,percent of total billed charges,61% of total billed charges,11.77,100,,,fee schedule,100% of CMS fee schedule,11.77,41.8,
HEPATITIS B SURFACE AB (HBSAB),41000442,CDM,302,RC,86706,HCPCS,Outpatient,,,52.7,42.16,,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,44.8,85,,35.84,percent of total billed charges,85% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,39.15,74,,31.32,percent of total billed charges,74.28% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,100,,,fee schedule,100% of CMS fee schedule,45.95,87.2,,,percent of total billed charges,87.2% of total billed charges,31.09,59,,24.87,percent of total billed charges,59% of total billed charges,45.95,87.2,,36.76,percent of total billed charges,87.2% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,42.84,81.29,,34.27,percent of total billed charges,81.29% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of totl billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,47.43,90,,37.94,percent of total billed charges,90% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,25.72,percent of total billed charges,61% of total billed charges,32.15,61,,,percent of total billed charges,61% of total billed charges,10.74,100,,,fee schedule,100% of CMS fee schedule,10.74,47.43,
HEPATITIS BE ANTIBODY(HBEAB)##,41000765,CDM,302,RC,86707,HCPCS,Outpatient,,,84.09,67.27,,71.48,85,,57.18,percent of total billed charges,85% of total billed charges,71.48,85,,57.18,percent of total billed charges,85% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,62.46,74,,49.97,percent of total billed charges,74.28% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,62.46,74,,49.97,percent of total billed charges,74.28% of total billed charges,51.29,61,,41.03,percent of total billed charges,61% of total billed charges,62.46,74,,49.97,percent of total billed charges,74.28% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,75.68,90,,60.54,percent of total billed charges,90% of total billed charges,75.68,90,,60.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,100,,,fee schedule,100% of CMS fee schedule,73.33,87.2,,,percent of total billed charges,87.2% of total billed charges,49.61,59,,39.69,percent of total billed charges,59% of total billed charges,73.33,87.2,,58.66,percent of total billed charges,87.2% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,68.36,81.29,,54.69,percent of total billed charges,81.29% of total billed charges,75.68,90,,60.54,percent of total billed charges,90% of totl billed charges,75.68,90,,60.54,percent of total billed charges,90% of total billed charges,51.29,61,,41.03,percent of total billed charges,61% of total billed charges,51.29,61,,41.03,percent of total billed charges,61% of total billed charges,75.68,90,,60.54,percent of total billed charges,90% of total billed charges,75.68,90,,60.54,percent of total billed charges,90% of total billed charges,51.29,61,,41.03,percent of total billed charges,61% of total billed charges,51.29,61,,41.03,percent of total billed charges,61% of total billed charges,51.29,61,,,percent of total billed charges,61% of total billed charges,11.57,100,,,fee schedule,100% of CMS fee schedule,11.57,75.68,
HEPATITIS A Igm,41000911,CDM,302,RC,86709,HCPCS,Outpatient,,,46.44,37.15,,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,100,,,fee schedule,100% of CMS fee schedule,40.5,87.2,,,percent of total billed charges,87.2% of total billed charges,27.4,59,,21.92,percent of total billed charges,59% of total billed charges,40.5,87.2,,32.4,percent of total billed charges,87.2% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,37.75,81.29,,30.2,percent of total billed charges,81.29% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of totl billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,,percent of total billed charges,61% of total billed charges,11.26,100,,,fee schedule,100% of CMS fee schedule,11.26,41.8,
INFLUENZA TITER,41000174,CDM,302,RC,86710,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,13.55,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,13.55,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,13.55,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.55,100,,,fee schedule,100% of CMS fee schedule,13.55,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,13.55,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,13.55,100,,,fee schedule,100% of CMS fee schedule,13.55,117.57,
LEGIONELLA-SCREEN,41000464,CDM,302,RC,86713,HCPCS,Outpatient,,,78.06,62.45,,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,66.35,85,,53.08,percent of total billed charges,85% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,57.98,74,,46.38,percent of total billed charges,74.28% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.3,100,,,fee schedule,100% of CMS fee schedule,15.3,100,,,fee schedule,100% of CMS fee schedule,68.07,87.2,,,percent of total billed charges,87.2% of total billed charges,46.06,59,,36.85,percent of total billed charges,59% of total billed charges,68.07,87.2,,54.46,percent of total billed charges,87.2% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,63.45,81.29,,50.76,percent of total billed charges,81.29% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of totl billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,70.25,90,,56.2,percent of total billed charges,90% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,38.1,percent of total billed charges,61% of total billed charges,47.62,61,,,percent of total billed charges,61% of total billed charges,15.3,100,,,fee schedule,100% of CMS fee schedule,15.3,70.25,
MUMPS TITER,41000085,CDM,302,RC,86735,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,,percent of total billed charges,61% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,72.28,
"MUMPS, 1gG",41000573,CDM,302,RC,86735,HCPCS,Outpatient,,,46.44,37.15,,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,39.47,85,,31.58,percent of total billed charges,85% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,34.5,74,,27.6,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,40.5,87.2,,,percent of total billed charges,87.2% of total billed charges,27.4,59,,21.92,percent of total billed charges,59% of total billed charges,40.5,87.2,,32.4,percent of total billed charges,87.2% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,37.75,81.29,,30.2,percent of total billed charges,81.29% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of totl billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,41.8,90,,33.44,percent of total billed charges,90% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,22.66,percent of total billed charges,61% of total billed charges,28.33,61,,,percent of total billed charges,61% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,41.8,
"MUMPS, 1gM",41000574,CDM,302,RC,86735,HCPCS,Outpatient,,,54.65,43.72,,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,100,,,fee schedule,100% of CMS fee schedule,47.65,87.2,,,percent of total billed charges,87.2% of total billed charges,32.24,59,,25.79,percent of total billed charges,59% of total billed charges,47.65,87.2,,38.12,percent of total billed charges,87.2% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,44.42,81.29,,35.54,percent of total billed charges,81.29% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of totl billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,,percent of total billed charges,61% of total billed charges,13.05,100,,,fee schedule,100% of CMS fee schedule,13.05,49.19,
MYCOPLASMA TITER,41000037,CDM,302,RC,86738,HCPCS,Outpatient,,,125.17,100.14,,106.39,85,,85.11,percent of total billed charges,85% of total billed charges,106.39,85,,85.11,percent of total billed charges,85% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,92.98,74,,74.38,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,92.98,74,,74.38,percent of total billed charges,74.28% of total billed charges,76.35,61,,61.08,percent of total billed charges,61% of total billed charges,92.98,74,,74.38,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,112.65,90,,90.12,percent of total billed charges,90% of total billed charges,112.65,90,,90.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,109.15,87.2,,,percent of total billed charges,87.2% of total billed charges,73.85,59,,59.08,percent of total billed charges,59% of total billed charges,109.15,87.2,,87.32,percent of total billed charges,87.2% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,101.75,81.29,,81.4,percent of total billed charges,81.29% of total billed charges,112.65,90,,90.12,percent of total billed charges,90% of totl billed charges,112.65,90,,90.12,percent of total billed charges,90% of total billed charges,76.35,61,,61.08,percent of total billed charges,61% of total billed charges,76.35,61,,61.08,percent of total billed charges,61% of total billed charges,112.65,90,,90.12,percent of total billed charges,90% of total billed charges,112.65,90,,90.12,percent of total billed charges,90% of total billed charges,76.35,61,,61.08,percent of total billed charges,61% of total billed charges,76.35,61,,61.08,percent of total billed charges,61% of total billed charges,76.35,61,,,percent of total billed charges,61% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,112.65,
"PARVOVIRUS B19 HUMAN, IgG/IGM",41000806,CDM,302,RC,86747,HCPCS,Outpatient,,,89.53,71.62,,76.1,85,,60.88,percent of total billed charges,85% of total billed charges,76.1,85,,60.88,percent of total billed charges,85% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,66.5,74,,53.2,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,66.5,74,,53.2,percent of total billed charges,74.28% of total billed charges,54.61,61,,43.69,percent of total billed charges,61% of total billed charges,66.5,74,,53.2,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,80.58,90,,64.46,percent of total billed charges,90% of total billed charges,80.58,90,,64.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,78.07,87.2,,,percent of total billed charges,87.2% of total billed charges,52.82,59,,42.26,percent of total billed charges,59% of total billed charges,78.07,87.2,,62.46,percent of total billed charges,87.2% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,72.78,81.29,,58.22,percent of total billed charges,81.29% of total billed charges,80.58,90,,64.46,percent of total billed charges,90% of totl billed charges,80.58,90,,64.46,percent of total billed charges,90% of total billed charges,54.61,61,,43.69,percent of total billed charges,61% of total billed charges,54.61,61,,43.69,percent of total billed charges,61% of total billed charges,80.58,90,,64.46,percent of total billed charges,90% of total billed charges,80.58,90,,64.46,percent of total billed charges,90% of total billed charges,54.61,61,,43.69,percent of total billed charges,61% of total billed charges,54.61,61,,43.69,percent of total billed charges,61% of total billed charges,54.61,61,,,percent of total billed charges,61% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,80.58,
"PARVOVIRUS B19 ANTIBODY, IGG",41001065,CDM,302,RC,86747,HCPCS,Outpatient,,,34.87,27.9,,29.64,85,,23.71,percent of total billed charges,85% of total billed charges,29.64,85,,23.71,percent of total billed charges,85% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,25.9,74,,20.72,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,25.9,74,,20.72,percent of total billed charges,74.28% of total billed charges,21.27,61,,17.02,percent of total billed charges,61% of total billed charges,25.9,74,,20.72,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,31.38,90,,25.1,percent of total billed charges,90% of total billed charges,31.38,90,,25.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,30.41,87.2,,,percent of total billed charges,87.2% of total billed charges,20.57,59,,16.46,percent of total billed charges,59% of total billed charges,30.41,87.2,,24.33,percent of total billed charges,87.2% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,28.35,81.29,,22.68,percent of total billed charges,81.29% of total billed charges,31.38,90,,25.1,percent of total billed charges,90% of totl billed charges,31.38,90,,25.1,percent of total billed charges,90% of total billed charges,21.27,61,,17.02,percent of total billed charges,61% of total billed charges,21.27,61,,17.02,percent of total billed charges,61% of total billed charges,31.38,90,,25.1,percent of total billed charges,90% of total billed charges,31.38,90,,25.1,percent of total billed charges,90% of total billed charges,21.27,61,,17.02,percent of total billed charges,61% of total billed charges,21.27,61,,17.02,percent of total billed charges,61% of total billed charges,21.27,61,,,percent of total billed charges,61% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,31.38,
"PARVOVIRUS B19 ANTIBODY, IGM",41001066,CDM,302,RC,86747,HCPCS,Outpatient,,,54.65,43.72,,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,46.45,85,,37.16,percent of total billed charges,85% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,40.59,74,,32.47,percent of total billed charges,74.28% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,100,,,fee schedule,100% of CMS fee schedule,47.65,87.2,,,percent of total billed charges,87.2% of total billed charges,32.24,59,,25.79,percent of total billed charges,59% of total billed charges,47.65,87.2,,38.12,percent of total billed charges,87.2% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,44.42,81.29,,35.54,percent of total billed charges,81.29% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of totl billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,49.19,90,,39.35,percent of total billed charges,90% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,26.67,percent of total billed charges,61% of total billed charges,33.34,61,,,percent of total billed charges,61% of total billed charges,15.03,100,,,fee schedule,100% of CMS fee schedule,15.03,49.19,
ENTAMOEBA HISTOLYTICA SEROLOGY,41000306,CDM,302,RC,86753,HCPCS,Outpatient,,,36.66,29.33,,31.16,85,,24.93,percent of total billed charges,85% of total billed charges,31.16,85,,24.93,percent of total billed charges,85% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,27.23,74,,21.78,percent of total billed charges,74.28% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,27.23,74,,21.78,percent of total billed charges,74.28% of total billed charges,22.36,61,,17.89,percent of total billed charges,61% of total billed charges,27.23,74,,21.78,percent of total billed charges,74.28% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,32.99,90,,26.39,percent of total billed charges,90% of total billed charges,32.99,90,,26.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.39,100,,,fee schedule,100% of CMS fee schedule,12.39,100,,,fee schedule,100% of CMS fee schedule,31.97,87.2,,,percent of total billed charges,87.2% of total billed charges,21.63,59,,17.3,percent of total billed charges,59% of total billed charges,31.97,87.2,,25.58,percent of total billed charges,87.2% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,29.8,81.29,,23.84,percent of total billed charges,81.29% of total billed charges,32.99,90,,26.39,percent of total billed charges,90% of totl billed charges,32.99,90,,26.39,percent of total billed charges,90% of total billed charges,22.36,61,,17.89,percent of total billed charges,61% of total billed charges,22.36,61,,17.89,percent of total billed charges,61% of total billed charges,32.99,90,,26.39,percent of total billed charges,90% of total billed charges,32.99,90,,26.39,percent of total billed charges,90% of total billed charges,22.36,61,,17.89,percent of total billed charges,61% of total billed charges,22.36,61,,17.89,percent of total billed charges,61% of total billed charges,22.36,61,,,percent of total billed charges,61% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,12.39,32.99,
AMEBIC SEROLOGY,41000484,CDM,302,RC,86753,HCPCS,Outpatient,,,65.89,52.71,,56.01,85,,44.81,percent of total billed charges,85% of total billed charges,56.01,85,,44.81,percent of total billed charges,85% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,48.94,74,,39.15,percent of total billed charges,74.28% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,48.94,74,,39.15,percent of total billed charges,74.28% of total billed charges,40.19,61,,32.15,percent of total billed charges,61% of total billed charges,48.94,74,,39.15,percent of total billed charges,74.28% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,59.3,90,,47.44,percent of total billed charges,90% of total billed charges,59.3,90,,47.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.39,100,,,fee schedule,100% of CMS fee schedule,12.39,100,,,fee schedule,100% of CMS fee schedule,57.46,87.2,,,percent of total billed charges,87.2% of total billed charges,38.88,59,,31.1,percent of total billed charges,59% of total billed charges,57.46,87.2,,45.97,percent of total billed charges,87.2% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,53.56,81.29,,42.85,percent of total billed charges,81.29% of total billed charges,59.3,90,,47.44,percent of total billed charges,90% of totl billed charges,59.3,90,,47.44,percent of total billed charges,90% of total billed charges,40.19,61,,32.15,percent of total billed charges,61% of total billed charges,40.19,61,,32.15,percent of total billed charges,61% of total billed charges,59.3,90,,47.44,percent of total billed charges,90% of total billed charges,59.3,90,,47.44,percent of total billed charges,90% of total billed charges,40.19,61,,32.15,percent of total billed charges,61% of total billed charges,40.19,61,,32.15,percent of total billed charges,61% of total billed charges,40.19,61,,,percent of total billed charges,61% of total billed charges,12.39,100,,,fee schedule,100% of CMS fee schedule,12.39,59.3,
RSV (RESPIRATORY SYNCYTIAL VIR,41000462,CDM,302,RC,86756,HCPCS,Outpatient,,,152.61,122.09,,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,15.89,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,15.89,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,15.89,100,,,fee schedule,100% of CMS fee schedule,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.89,100,,,fee schedule,100% of CMS fee schedule,15.89,100,,,fee schedule,100% of CMS fee schedule,133.08,87.2,,,percent of total billed charges,87.2% of total billed charges,90.04,59,,72.03,percent of total billed charges,59% of total billed charges,133.08,87.2,,106.46,percent of total billed charges,87.2% of total billed charges,15.89,100,,,fee schedule,100% of CMS fee schedule,124.06,81.29,,99.25,percent of total billed charges,81.29% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of totl billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,,percent of total billed charges,61% of total billed charges,15.89,100,,,fee schedule,100% of CMS fee schedule,15.89,137.35,
"RUBELLA, IGG & IGM",41000283,CDM,302,RC,86762,HCPCS,Outpatient,,,49.33,39.46,,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,41.93,85,,33.54,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,36.64,74,,29.31,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,43.02,87.2,,,percent of total billed charges,87.2% of total billed charges,29.1,59,,23.28,percent of total billed charges,59% of total billed charges,43.02,87.2,,34.42,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,40.1,81.29,,32.08,percent of total billed charges,81.29% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of totl billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,44.4,90,,35.52,percent of total billed charges,90% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,24.07,percent of total billed charges,61% of total billed charges,30.09,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,44.4,
"RUBELLA, IGG",41000284,CDM,302,RC,86762,HCPCS,Outpatient,,,57.57,46.06,,48.93,85,,39.14,percent of total billed charges,85% of total billed charges,48.93,85,,39.14,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,42.76,74,,34.21,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,50.2,87.2,,,percent of total billed charges,87.2% of total billed charges,33.97,59,,27.18,percent of total billed charges,59% of total billed charges,50.2,87.2,,40.16,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,46.8,81.29,,37.44,percent of total billed charges,81.29% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of totl billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,51.81,90,,41.45,percent of total billed charges,90% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,28.1,percent of total billed charges,61% of total billed charges,35.12,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,51.81,
"RUBELLA, IGM",41000285,CDM,302,RC,86762,HCPCS,Outpatient,,,43.61,34.89,,37.07,85,,29.66,percent of total billed charges,85% of total billed charges,37.07,85,,29.66,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,38.03,87.2,,,percent of total billed charges,87.2% of total billed charges,25.73,59,,20.58,percent of total billed charges,59% of total billed charges,38.03,87.2,,30.42,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,35.45,81.29,,28.36,percent of total billed charges,81.29% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of totl billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,39.25,
RUBELLA IMUN STATUS,41001022,CDM,302,RC,86762,HCPCS,Outpatient,,,43.61,34.89,,37.07,85,,29.66,percent of total billed charges,85% of total billed charges,37.07,85,,29.66,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,32.39,74,,25.91,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,38.03,87.2,,,percent of total billed charges,87.2% of total billed charges,25.73,59,,20.58,percent of total billed charges,59% of total billed charges,38.03,87.2,,30.42,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,35.45,81.29,,28.36,percent of total billed charges,81.29% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of totl billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,39.25,90,,31.4,percent of total billed charges,90% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,21.28,percent of total billed charges,61% of total billed charges,26.6,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,39.25,
RUBEOLA TITER,41000056,CDM,302,RC,86765,HCPCS,Outpatient,,,77.75,62.2,,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,66.09,85,,52.87,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,57.75,74,,46.2,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,67.8,87.2,,,percent of total billed charges,87.2% of total billed charges,45.87,59,,36.7,percent of total billed charges,59% of total billed charges,67.8,87.2,,54.24,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,63.2,81.29,,50.56,percent of total billed charges,81.29% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of totl billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,69.98,90,,55.98,percent of total billed charges,90% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,37.94,percent of total billed charges,61% of total billed charges,47.43,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,69.98,
TETANUS TOXOID IgG AB,41001114,CDM,302,RC,86774,HCPCS,Outpatient,,,57.15,45.72,,48.58,85,,38.86,percent of total billed charges,85% of total billed charges,48.58,85,,38.86,percent of total billed charges,85% of total billed charges,14.8,100,,,fee schedule,100% of CMS fee schedule,42.45,74,,33.96,percent of total billed charges,74.28% of total billed charges,14.8,100,,,fee schedule,100% of CMS fee schedule,42.45,74,,33.96,percent of total billed charges,74.28% of total billed charges,34.86,61,,27.89,percent of total billed charges,61% of total billed charges,42.45,74,,33.96,percent of total billed charges,74.28% of total billed charges,14.8,100,,,fee schedule,100% of CMS fee schedule,51.44,90,,41.15,percent of total billed charges,90% of total billed charges,51.44,90,,41.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.8,100,,,fee schedule,100% of CMS fee schedule,14.8,100,,,fee schedule,100% of CMS fee schedule,49.83,87.2,,,percent of total billed charges,87.2% of total billed charges,33.72,59,,26.98,percent of total billed charges,59% of total billed charges,49.83,87.2,,39.86,percent of total billed charges,87.2% of total billed charges,14.8,100,,,fee schedule,100% of CMS fee schedule,46.46,81.29,,37.17,percent of total billed charges,81.29% of total billed charges,51.44,90,,41.15,percent of total billed charges,90% of totl billed charges,51.44,90,,41.15,percent of total billed charges,90% of total billed charges,34.86,61,,27.89,percent of total billed charges,61% of total billed charges,34.86,61,,27.89,percent of total billed charges,61% of total billed charges,51.44,90,,41.15,percent of total billed charges,90% of total billed charges,51.44,90,,41.15,percent of total billed charges,90% of total billed charges,34.86,61,,27.89,percent of total billed charges,61% of total billed charges,34.86,61,,27.89,percent of total billed charges,61% of total billed charges,34.86,61,,,percent of total billed charges,61% of total billed charges,14.8,100,,,fee schedule,100% of CMS fee schedule,14.8,51.44,
TOXOPLASMOSIS,41000439,CDM,302,RC,86777,HCPCS,Outpatient,,,144.14,115.31,,122.52,85,,98.02,percent of total billed charges,85% of total billed charges,122.52,85,,98.02,percent of total billed charges,85% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,107.07,74,,85.66,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,107.07,74,,85.66,percent of total billed charges,74.28% of total billed charges,87.93,61,,70.34,percent of total billed charges,61% of total billed charges,107.07,74,,85.66,percent of total billed charges,74.28% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,129.73,90,,103.78,percent of total billed charges,90% of total billed charges,129.73,90,,103.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,100,,,fee schedule,100% of CMS fee schedule,125.69,87.2,,,percent of total billed charges,87.2% of total billed charges,85.04,59,,68.03,percent of total billed charges,59% of total billed charges,125.69,87.2,,100.55,percent of total billed charges,87.2% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,117.17,81.29,,93.74,percent of total billed charges,81.29% of total billed charges,129.73,90,,103.78,percent of total billed charges,90% of totl billed charges,129.73,90,,103.78,percent of total billed charges,90% of total billed charges,87.93,61,,70.34,percent of total billed charges,61% of total billed charges,87.93,61,,70.34,percent of total billed charges,61% of total billed charges,129.73,90,,103.78,percent of total billed charges,90% of total billed charges,129.73,90,,103.78,percent of total billed charges,90% of total billed charges,87.93,61,,70.34,percent of total billed charges,61% of total billed charges,87.93,61,,70.34,percent of total billed charges,61% of total billed charges,87.93,61,,,percent of total billed charges,61% of total billed charges,14.39,100,,,fee schedule,100% of CMS fee schedule,14.39,129.73,
"TOXOPLASMOSIS,IGM,ANTIBODY",41000203,CDM,302,RC,86778,HCPCS,Outpatient,,,34.41,27.53,,29.25,85,,23.4,percent of total billed charges,85% of total billed charges,29.25,85,,23.4,percent of total billed charges,85% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,25.56,74,,20.45,percent of total billed charges,74.28% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,25.56,74,,20.45,percent of total billed charges,74.28% of total billed charges,20.99,61,,16.79,percent of total billed charges,61% of total billed charges,25.56,74,,20.45,percent of total billed charges,74.28% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,30.97,90,,24.78,percent of total billed charges,90% of total billed charges,30.97,90,,24.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.41,100,,,fee schedule,100% of CMS fee schedule,14.41,100,,,fee schedule,100% of CMS fee schedule,30.01,87.2,,,percent of total billed charges,87.2% of total billed charges,20.3,59,,16.24,percent of total billed charges,59% of total billed charges,30.01,87.2,,24.01,percent of total billed charges,87.2% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,27.97,81.29,,22.38,percent of total billed charges,81.29% of total billed charges,30.97,90,,24.78,percent of total billed charges,90% of totl billed charges,30.97,90,,24.78,percent of total billed charges,90% of total billed charges,20.99,61,,16.79,percent of total billed charges,61% of total billed charges,20.99,61,,16.79,percent of total billed charges,61% of total billed charges,30.97,90,,24.78,percent of total billed charges,90% of total billed charges,30.97,90,,24.78,percent of total billed charges,90% of total billed charges,20.99,61,,16.79,percent of total billed charges,61% of total billed charges,20.99,61,,16.79,percent of total billed charges,61% of total billed charges,20.99,61,,,percent of total billed charges,61% of total billed charges,14.41,100,,,fee schedule,100% of CMS fee schedule,14.41,30.97,
FLUORESCENT TREPONEMAL ANTIBOD,41000231,CDM,302,RC,86780,HCPCS,Outpatient,,,63.59,50.87,,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,54.05,85,,43.24,percent of total billed charges,85% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,47.23,74,,37.78,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,55.45,87.2,,,percent of total billed charges,87.2% of total billed charges,37.52,59,,30.02,percent of total billed charges,59% of total billed charges,55.45,87.2,,44.36,percent of total billed charges,87.2% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,51.69,81.29,,41.35,percent of total billed charges,81.29% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of totl billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,57.23,90,,45.78,percent of total billed charges,90% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,31.03,percent of total billed charges,61% of total billed charges,38.79,61,,,percent of total billed charges,61% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,57.23,
TREPONEMAL AB-FTA,41000405,CDM,302,RC,86780,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,13.24,100,,,fee schedule,100% of CMS fee schedule,13.24,66.47,
"VARICELLA,ANTIBODY",41000049,CDM,302,RC,86787,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,28.74,
"VIRAL SEROLOGY,ACUTE",41000168,CDM,302,RC,86790,HCPCS,Outpatient,,,45.76,36.61,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,33.99,74,,27.19,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,39.9,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.9,87.2,,31.92,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,37.2,81.29,,29.76,percent of total billed charges,81.29% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of totl billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,41.18,90,,32.94,percent of total billed charges,90% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,22.33,percent of total billed charges,61% of total billed charges,27.91,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,41.18,
"VIRAL SEROLOGY,CONVALESCENT",41000169,CDM,302,RC,86790,HCPCS,Outpatient,,,40.78,32.62,,34.66,85,,27.73,percent of total billed charges,85% of total billed charges,34.66,85,,27.73,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,30.29,74,,24.23,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,30.29,74,,24.23,percent of total billed charges,74.28% of total billed charges,24.88,61,,19.9,percent of total billed charges,61% of total billed charges,30.29,74,,24.23,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,36.7,90,,29.36,percent of total billed charges,90% of total billed charges,36.7,90,,29.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,35.56,87.2,,,percent of total billed charges,87.2% of total billed charges,24.06,59,,19.25,percent of total billed charges,59% of total billed charges,35.56,87.2,,28.45,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,33.15,81.29,,26.52,percent of total billed charges,81.29% of total billed charges,36.7,90,,29.36,percent of total billed charges,90% of totl billed charges,36.7,90,,29.36,percent of total billed charges,90% of total billed charges,24.88,61,,19.9,percent of total billed charges,61% of total billed charges,24.88,61,,19.9,percent of total billed charges,61% of total billed charges,36.7,90,,29.36,percent of total billed charges,90% of total billed charges,36.7,90,,29.36,percent of total billed charges,90% of total billed charges,24.88,61,,19.9,percent of total billed charges,61% of total billed charges,24.88,61,,19.9,percent of total billed charges,61% of total billed charges,24.88,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,36.7,
ARBOVIRUS 1gG PANEL (W NILE V),41000568,CDM,302,RC,86790,HCPCS,Outpatient,,,52.94,42.35,,45,85,,36,percent of total billed charges,85% of total billed charges,45,85,,36,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,39.32,74,,31.46,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,46.16,87.2,,,percent of total billed charges,87.2% of total billed charges,31.23,59,,24.98,percent of total billed charges,59% of total billed charges,46.16,87.2,,36.93,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,43.03,81.29,,34.42,percent of total billed charges,81.29% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of totl billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,47.65,90,,38.12,percent of total billed charges,90% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,25.83,percent of total billed charges,61% of total billed charges,32.29,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,47.65,
DENGUE FEVER VIRUS ANTIBODIES,41001174,CDM,302,RC,86790,HCPCS,Outpatient,,,71,56.8,,60.35,85,,48.28,percent of total billed charges,85% of total billed charges,60.35,85,,48.28,percent of total billed charges,85% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,52.74,74,,42.19,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,52.74,74,,42.19,percent of total billed charges,74.28% of total billed charges,43.31,61,,34.65,percent of total billed charges,61% of total billed charges,52.74,74,,42.19,percent of total billed charges,74.28% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,63.9,90,,51.12,percent of total billed charges,90% of total billed charges,63.9,90,,51.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,100,,,fee schedule,100% of CMS fee schedule,61.91,87.2,,,percent of total billed charges,87.2% of total billed charges,41.89,59,,33.51,percent of total billed charges,59% of total billed charges,61.91,87.2,,49.53,percent of total billed charges,87.2% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,57.72,81.29,,46.18,percent of total billed charges,81.29% of total billed charges,63.9,90,,51.12,percent of total billed charges,90% of totl billed charges,63.9,90,,51.12,percent of total billed charges,90% of total billed charges,43.31,61,,34.65,percent of total billed charges,61% of total billed charges,43.31,61,,34.65,percent of total billed charges,61% of total billed charges,63.9,90,,51.12,percent of total billed charges,90% of total billed charges,63.9,90,,51.12,percent of total billed charges,90% of total billed charges,43.31,61,,34.65,percent of total billed charges,61% of total billed charges,43.31,61,,34.65,percent of total billed charges,61% of total billed charges,43.31,61,,,percent of total billed charges,61% of total billed charges,12.88,100,,,fee schedule,100% of CMS fee schedule,12.88,63.9,
ANTI THYROGLOBULIN,41000419,CDM,302,RC,86800,HCPCS,Outpatient,,,56.85,45.48,,48.32,85,,38.66,percent of total billed charges,85% of total billed charges,48.32,85,,38.66,percent of total billed charges,85% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,42.23,74,,33.78,percent of total billed charges,74.28% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,42.23,74,,33.78,percent of total billed charges,74.28% of total billed charges,34.68,61,,27.74,percent of total billed charges,61% of total billed charges,42.23,74,,33.78,percent of total billed charges,74.28% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,51.17,90,,40.94,percent of total billed charges,90% of total billed charges,51.17,90,,40.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.91,100,,,fee schedule,100% of CMS fee schedule,15.91,100,,,fee schedule,100% of CMS fee schedule,49.57,87.2,,,percent of total billed charges,87.2% of total billed charges,33.54,59,,26.83,percent of total billed charges,59% of total billed charges,49.57,87.2,,39.66,percent of total billed charges,87.2% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,46.21,81.29,,36.97,percent of total billed charges,81.29% of total billed charges,51.17,90,,40.94,percent of total billed charges,90% of totl billed charges,51.17,90,,40.94,percent of total billed charges,90% of total billed charges,34.68,61,,27.74,percent of total billed charges,61% of total billed charges,34.68,61,,27.74,percent of total billed charges,61% of total billed charges,51.17,90,,40.94,percent of total billed charges,90% of total billed charges,51.17,90,,40.94,percent of total billed charges,90% of total billed charges,34.68,61,,27.74,percent of total billed charges,61% of total billed charges,34.68,61,,27.74,percent of total billed charges,61% of total billed charges,34.68,61,,,percent of total billed charges,61% of total billed charges,15.91,100,,,fee schedule,100% of CMS fee schedule,15.91,51.17,
HEPATITIS C ANTIBODY,41000082,CDM,302,RC,86803,HCPCS,Outpatient,,,75.24,60.19,,63.95,85,,51.16,percent of total billed charges,85% of total billed charges,63.95,85,,51.16,percent of total billed charges,85% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.27,100,,,fee schedule,100% of CMS fee schedule,14.27,100,,,fee schedule,100% of CMS fee schedule,65.61,87.2,,,percent of total billed charges,87.2% of total billed charges,44.39,59,,35.51,percent of total billed charges,59% of total billed charges,65.61,87.2,,52.49,percent of total billed charges,87.2% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,61.16,81.29,,48.93,percent of total billed charges,81.29% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of totl billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,,percent of total billed charges,61% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,14.27,67.72,
HCV ANTIBODY,41000801,CDM,302,RC,86803,HCPCS,Outpatient,,,75.24,60.19,,63.95,85,,51.16,percent of total billed charges,85% of total billed charges,63.95,85,,51.16,percent of total billed charges,85% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,55.89,74,,44.71,percent of total billed charges,74.28% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.27,100,,,fee schedule,100% of CMS fee schedule,14.27,100,,,fee schedule,100% of CMS fee schedule,65.61,87.2,,,percent of total billed charges,87.2% of total billed charges,44.39,59,,35.51,percent of total billed charges,59% of total billed charges,65.61,87.2,,52.49,percent of total billed charges,87.2% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,61.16,81.29,,48.93,percent of total billed charges,81.29% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of totl billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,67.72,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,,percent of total billed charges,61% of total billed charges,14.27,100,,,fee schedule,100% of CMS fee schedule,14.27,67.72,
HEPATIS C CONFIRMATION,41000237,CDM,302,RC,86804,HCPCS,Outpatient,,,89.33,71.46,,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,100,,,fee schedule,100% of CMS fee schedule,77.9,87.2,,,percent of total billed charges,87.2% of total billed charges,52.7,59,,42.16,percent of total billed charges,59% of total billed charges,77.9,87.2,,62.32,percent of total billed charges,87.2% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,72.62,81.29,,58.1,percent of total billed charges,81.29% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of totl billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,,percent of total billed charges,61% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,80.4,
RIBA II,41000238,CDM,302,RC,86804,HCPCS,Outpatient,,,89.33,71.46,,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,75.93,85,,60.74,percent of total billed charges,85% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,66.35,74,,53.08,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,100,,,fee schedule,100% of CMS fee schedule,77.9,87.2,,,percent of total billed charges,87.2% of total billed charges,52.7,59,,42.16,percent of total billed charges,59% of total billed charges,77.9,87.2,,62.32,percent of total billed charges,87.2% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,72.62,81.29,,58.1,percent of total billed charges,81.29% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of totl billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,80.4,90,,64.32,percent of total billed charges,90% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,43.59,percent of total billed charges,61% of total billed charges,54.49,61,,,percent of total billed charges,61% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,80.4,
HEPATITIS C BY RIBA,41001111,CDM,302,RC,86804,HCPCS,Outpatient,,,120.74,96.59,,102.63,85,,82.1,percent of total billed charges,85% of total billed charges,102.63,85,,82.1,percent of total billed charges,85% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,89.69,74,,71.75,percent of total billed charges,74.28% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,100,,,fee schedule,100% of CMS fee schedule,105.29,87.2,,,percent of total billed charges,87.2% of total billed charges,71.24,59,,56.99,percent of total billed charges,59% of total billed charges,105.29,87.2,,84.23,percent of total billed charges,87.2% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,98.15,81.29,,78.52,percent of total billed charges,81.29% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of totl billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,108.67,90,,86.94,percent of total billed charges,90% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,58.92,percent of total billed charges,61% of total billed charges,73.65,61,,,percent of total billed charges,61% of total billed charges,15.49,100,,,fee schedule,100% of CMS fee schedule,15.49,108.67,
HLA-B27,41001030,CDM,302,RC,86812,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,25.81,100,,,fee schedule,100% of CMS fee schedule,25.81,117.57,
HLA ANTIBODY 1D,41000767,CDM,302,RC,86813,HCPCS,Outpatient,,,156.46,125.17,,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,132.99,85,,106.39,percent of total billed charges,85% of total billed charges,58,100,,,fee schedule,100% of CMS fee schedule,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,58,100,,,fee schedule,100% of CMS fee schedule,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,116.22,74,,92.98,percent of total billed charges,74.28% of total billed charges,58,100,,,fee schedule,100% of CMS fee schedule,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58,100,,,fee schedule,100% of CMS fee schedule,58,100,,,fee schedule,100% of CMS fee schedule,136.43,87.2,,,percent of total billed charges,87.2% of total billed charges,92.31,59,,73.85,percent of total billed charges,59% of total billed charges,136.43,87.2,,109.14,percent of total billed charges,87.2% of total billed charges,58,100,,,fee schedule,100% of CMS fee schedule,127.19,81.29,,101.75,percent of total billed charges,81.29% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of totl billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,140.81,90,,112.65,percent of total billed charges,90% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,76.35,percent of total billed charges,61% of total billed charges,95.44,61,,,percent of total billed charges,61% of total billed charges,58,100,,,fee schedule,100% of CMS fee schedule,58,140.81,
ANTI 68KD ANTIBODIES IMMUNO,41009128,CDM,302,RC,86849,HCPCS,Outpatient,,,155.84,124.67,,132.46,85,,105.97,percent of total billed charges,85% of total billed charges,132.46,85,,105.97,percent of total billed charges,85% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,115.76,74,,92.61,percent of total billed charges,74.28% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,135.89,87.2,,,percent of total billed charges,87.2% of total billed charges,91.95,59,,73.56,percent of total billed charges,59% of total billed charges,135.89,87.2,,108.71,percent of total billed charges,87.2% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,126.68,81.29,,101.34,percent of total billed charges,81.29% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of totl billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,140.26,90,,112.21,percent of total billed charges,90% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,95.06,61,,76.05,percent of total billed charges,61% of total billed charges,81.04,52,,64.83,percent of total billed charges,52% of total billed charges,81.04,140.26,
ANTIBODY SCREEN,41040301,CDM,302,RC,86850,HCPCS,Outpatient,,,96.58,77.26,,82.09,85,,65.67,percent of total billed charges,85% of total billed charges,82.09,85,,65.67,percent of total billed charges,85% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,84.22,87.2,,,percent of total billed charges,87.2% of total billed charges,56.98,59,,45.58,percent of total billed charges,59% of total billed charges,84.22,87.2,,67.38,percent of total billed charges,87.2% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,78.51,81.29,,62.81,percent of total billed charges,81.29% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of totl billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,,percent of total billed charges,61% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,86.92,
"ANTIBODY, SCREEN, REF. LAB",41040317,CDM,302,RC,86850,HCPCS,Outpatient,,,97.25,77.8,,82.66,85,,66.13,percent of total billed charges,85% of total billed charges,82.66,85,,66.13,percent of total billed charges,85% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,100,,,fee schedule,100% of CMS fee schedule,84.8,87.2,,,percent of total billed charges,87.2% of total billed charges,57.38,59,,45.9,percent of total billed charges,59% of total billed charges,84.8,87.2,,67.84,percent of total billed charges,87.2% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,79.05,81.29,,63.24,percent of total billed charges,81.29% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of totl billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,,percent of total billed charges,61% of total billed charges,9.77,100,,,fee schedule,100% of CMS fee schedule,9.77,87.53,
ANTIBODY EVUTION (RBC) EA,41040323,CDM,302,RC,86860,HCPCS,Outpatient,,,90.48,72.38,,76.91,85,,61.53,percent of total billed charges,85% of total billed charges,76.91,85,,61.53,percent of total billed charges,85% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,67.21,74,,53.77,percent of total billed charges,74.28% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,67.21,74,,53.77,percent of total billed charges,74.28% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,67.21,74,,53.77,percent of total billed charges,74.28% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,81.43,90,,65.14,percent of total billed charges,90% of total billed charges,81.43,90,,65.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,78.9,87.2,,,percent of total billed charges,87.2% of total billed charges,53.38,59,,42.7,percent of total billed charges,59% of total billed charges,78.9,87.2,,63.12,percent of total billed charges,87.2% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,73.55,81.29,,58.84,percent of total billed charges,81.29% of total billed charges,81.43,90,,65.14,percent of total billed charges,90% of totl billed charges,81.43,90,,65.14,percent of total billed charges,90% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,81.43,90,,65.14,percent of total billed charges,90% of total billed charges,81.43,90,,65.14,percent of total billed charges,90% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,55.19,61,,44.15,percent of total billed charges,61% of total billed charges,47.05,52,,37.64,percent of total billed charges,52% of total billed charges,47.05,81.43,
ANTIBODY ID (INTERMEDIATE),41040264,CDM,302,RC,86870,HCPCS,Outpatient,,,402.82,322.26,,342.4,85,,273.92,percent of total billed charges,85% of total billed charges,342.4,85,,273.92,percent of total billed charges,85% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,299.21,74,,239.37,percent of total billed charges,74.28% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,299.21,74,,239.37,percent of total billed charges,74.28% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,299.21,74,,239.37,percent of total billed charges,74.28% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,362.54,90,,290.03,percent of total billed charges,90% of total billed charges,362.54,90,,290.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,351.26,87.2,,,percent of total billed charges,87.2% of total billed charges,237.66,59,,190.13,percent of total billed charges,59% of total billed charges,351.26,87.2,,281.01,percent of total billed charges,87.2% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,327.45,81.29,,261.96,percent of total billed charges,81.29% of total billed charges,362.54,90,,290.03,percent of total billed charges,90% of totl billed charges,362.54,90,,290.03,percent of total billed charges,90% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,362.54,90,,290.03,percent of total billed charges,90% of total billed charges,362.54,90,,290.03,percent of total billed charges,90% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,245.72,61,,196.58,percent of total billed charges,61% of total billed charges,209.47,52,,167.58,percent of total billed charges,52% of total billed charges,209.47,362.54,
ANTIBODY ID (ADVANCED),41040265,CDM,302,RC,86870,HCPCS,Outpatient,,,680.65,544.52,,578.55,85,,462.84,percent of total billed charges,85% of total billed charges,578.55,85,,462.84,percent of total billed charges,85% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,505.59,74,,404.47,percent of total billed charges,74.28% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,505.59,74,,404.47,percent of total billed charges,74.28% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,505.59,74,,404.47,percent of total billed charges,74.28% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,612.59,90,,490.07,percent of total billed charges,90% of total billed charges,612.59,90,,490.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,593.53,87.2,,,percent of total billed charges,87.2% of total billed charges,401.58,59,,321.26,percent of total billed charges,59% of total billed charges,593.53,87.2,,474.82,percent of total billed charges,87.2% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,553.3,81.29,,442.64,percent of total billed charges,81.29% of total billed charges,612.59,90,,490.07,percent of total billed charges,90% of totl billed charges,612.59,90,,490.07,percent of total billed charges,90% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,612.59,90,,490.07,percent of total billed charges,90% of total billed charges,612.59,90,,490.07,percent of total billed charges,90% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,415.2,61,,332.16,percent of total billed charges,61% of total billed charges,353.94,52,,283.15,percent of total billed charges,52% of total billed charges,353.94,612.59,
ANTIBODY ID (BASIC),41040305,CDM,302,RC,86870,HCPCS,Outpatient,,,106.33,85.06,,90.38,85,,72.3,percent of total billed charges,85% of total billed charges,90.38,85,,72.3,percent of total billed charges,85% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,78.98,74,,63.18,percent of total billed charges,74.28% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,78.98,74,,63.18,percent of total billed charges,74.28% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,78.98,74,,63.18,percent of total billed charges,74.28% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,95.7,90,,76.56,percent of total billed charges,90% of total billed charges,95.7,90,,76.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,92.72,87.2,,,percent of total billed charges,87.2% of total billed charges,62.73,59,,50.18,percent of total billed charges,59% of total billed charges,92.72,87.2,,74.18,percent of total billed charges,87.2% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,86.44,81.29,,69.15,percent of total billed charges,81.29% of total billed charges,95.7,90,,76.56,percent of total billed charges,90% of totl billed charges,95.7,90,,76.56,percent of total billed charges,90% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,95.7,90,,76.56,percent of total billed charges,90% of total billed charges,95.7,90,,76.56,percent of total billed charges,90% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,64.86,61,,51.89,percent of total billed charges,61% of total billed charges,55.29,52,,44.23,percent of total billed charges,52% of total billed charges,55.29,95.7,
AB ID/EA PANEL & MEDIA,41040325,CDM,302,RC,86870,HCPCS,Outpatient,,,240.24,192.19,,204.2,85,,163.36,percent of total billed charges,85% of total billed charges,204.2,85,,163.36,percent of total billed charges,85% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,178.45,74,,142.76,percent of total billed charges,74.28% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,178.45,74,,142.76,percent of total billed charges,74.28% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,178.45,74,,142.76,percent of total billed charges,74.28% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,216.22,90,,172.98,percent of total billed charges,90% of total billed charges,216.22,90,,172.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,209.49,87.2,,,percent of total billed charges,87.2% of total billed charges,141.74,59,,113.39,percent of total billed charges,59% of total billed charges,209.49,87.2,,167.59,percent of total billed charges,87.2% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,195.29,81.29,,156.23,percent of total billed charges,81.29% of total billed charges,216.22,90,,172.98,percent of total billed charges,90% of totl billed charges,216.22,90,,172.98,percent of total billed charges,90% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,216.22,90,,172.98,percent of total billed charges,90% of total billed charges,216.22,90,,172.98,percent of total billed charges,90% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,146.55,61,,117.24,percent of total billed charges,61% of total billed charges,124.92,52,,99.94,percent of total billed charges,52% of total billed charges,124.92,216.22,
DIRECT COMBS,41040205,CDM,302,RC,86880,HCPCS,Outpatient,,,51.58,41.26,,43.84,85,,35.07,percent of total billed charges,85% of total billed charges,43.84,85,,35.07,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,38.31,74,,30.65,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,38.31,74,,30.65,percent of total billed charges,74.28% of total billed charges,31.46,61,,25.17,percent of total billed charges,61% of total billed charges,38.31,74,,30.65,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,46.42,90,,37.14,percent of total billed charges,90% of total billed charges,46.42,90,,37.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,44.98,87.2,,,percent of total billed charges,87.2% of total billed charges,30.43,59,,24.34,percent of total billed charges,59% of total billed charges,44.98,87.2,,35.98,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,41.93,81.29,,33.54,percent of total billed charges,81.29% of total billed charges,46.42,90,,37.14,percent of total billed charges,90% of totl billed charges,46.42,90,,37.14,percent of total billed charges,90% of total billed charges,31.46,61,,25.17,percent of total billed charges,61% of total billed charges,31.46,61,,25.17,percent of total billed charges,61% of total billed charges,46.42,90,,37.14,percent of total billed charges,90% of total billed charges,46.42,90,,37.14,percent of total billed charges,90% of total billed charges,31.46,61,,25.17,percent of total billed charges,61% of total billed charges,31.46,61,,25.17,percent of total billed charges,61% of total billed charges,31.46,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,46.42,
"DIRECT COMBS, REF. LAB",41040316,CDM,302,RC,86880,HCPCS,Outpatient,,,52.18,41.74,,44.35,85,,35.48,percent of total billed charges,85% of total billed charges,44.35,85,,35.48,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,38.76,74,,31.01,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,38.76,74,,31.01,percent of total billed charges,74.28% of total billed charges,31.83,61,,25.46,percent of total billed charges,61% of total billed charges,38.76,74,,31.01,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,46.96,90,,37.57,percent of total billed charges,90% of total billed charges,46.96,90,,37.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,45.5,87.2,,,percent of total billed charges,87.2% of total billed charges,30.79,59,,24.63,percent of total billed charges,59% of total billed charges,45.5,87.2,,36.4,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,42.42,81.29,,33.94,percent of total billed charges,81.29% of total billed charges,46.96,90,,37.57,percent of total billed charges,90% of totl billed charges,46.96,90,,37.57,percent of total billed charges,90% of total billed charges,31.83,61,,25.46,percent of total billed charges,61% of total billed charges,31.83,61,,25.46,percent of total billed charges,61% of total billed charges,46.96,90,,37.57,percent of total billed charges,90% of total billed charges,46.96,90,,37.57,percent of total billed charges,90% of total billed charges,31.83,61,,25.46,percent of total billed charges,61% of total billed charges,31.83,61,,25.46,percent of total billed charges,61% of total billed charges,31.83,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,46.96,
DAT/EACH ANTISERUM,41040326,CDM,302,RC,86880,HCPCS,Outpatient,,,79.56,63.65,,67.63,85,,54.1,percent of total billed charges,85% of total billed charges,67.63,85,,54.1,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,59.1,74,,47.28,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,59.1,74,,47.28,percent of total billed charges,74.28% of total billed charges,48.53,61,,38.82,percent of total billed charges,61% of total billed charges,59.1,74,,47.28,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,71.6,90,,57.28,percent of total billed charges,90% of total billed charges,71.6,90,,57.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,69.38,87.2,,,percent of total billed charges,87.2% of total billed charges,46.94,59,,37.55,percent of total billed charges,59% of total billed charges,69.38,87.2,,55.5,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,64.67,81.29,,51.74,percent of total billed charges,81.29% of total billed charges,71.6,90,,57.28,percent of total billed charges,90% of totl billed charges,71.6,90,,57.28,percent of total billed charges,90% of total billed charges,48.53,61,,38.82,percent of total billed charges,61% of total billed charges,48.53,61,,38.82,percent of total billed charges,61% of total billed charges,71.6,90,,57.28,percent of total billed charges,90% of total billed charges,71.6,90,,57.28,percent of total billed charges,90% of total billed charges,48.53,61,,38.82,percent of total billed charges,61% of total billed charges,48.53,61,,38.82,percent of total billed charges,61% of total billed charges,48.53,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,71.6,
"INDIRECT TITER,REF.LAB",41009096,CDM,302,RC,86886,HCPCS,Outpatient,,,103.04,82.43,,87.58,85,,70.06,percent of total billed charges,85% of total billed charges,87.58,85,,70.06,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,76.54,74,,61.23,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,76.54,74,,61.23,percent of total billed charges,74.28% of total billed charges,62.85,61,,50.28,percent of total billed charges,61% of total billed charges,76.54,74,,61.23,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,92.74,90,,74.19,percent of total billed charges,90% of total billed charges,92.74,90,,74.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,89.85,87.2,,,percent of total billed charges,87.2% of total billed charges,60.79,59,,48.63,percent of total billed charges,59% of total billed charges,89.85,87.2,,71.88,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,83.76,81.29,,67.01,percent of total billed charges,81.29% of total billed charges,92.74,90,,74.19,percent of total billed charges,90% of totl billed charges,92.74,90,,74.19,percent of total billed charges,90% of total billed charges,62.85,61,,50.28,percent of total billed charges,61% of total billed charges,62.85,61,,50.28,percent of total billed charges,61% of total billed charges,92.74,90,,74.19,percent of total billed charges,90% of total billed charges,92.74,90,,74.19,percent of total billed charges,90% of total billed charges,62.85,61,,50.28,percent of total billed charges,61% of total billed charges,62.85,61,,50.28,percent of total billed charges,61% of total billed charges,62.85,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,92.74,
INDIRECT COOMBS ANTIBODY SCREE,41040206,CDM,302,RC,86886,HCPCS,Outpatient,,,96.58,77.26,,82.09,85,,65.67,percent of total billed charges,85% of total billed charges,82.09,85,,65.67,percent of total billed charges,85% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,71.74,74,,57.39,percent of total billed charges,74.28% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,100,,,fee schedule,100% of CMS fee schedule,84.22,87.2,,,percent of total billed charges,87.2% of total billed charges,56.98,59,,45.58,percent of total billed charges,59% of total billed charges,84.22,87.2,,67.38,percent of total billed charges,87.2% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,78.51,81.29,,62.81,percent of total billed charges,81.29% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of totl billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,86.92,90,,69.54,percent of total billed charges,90% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,47.13,percent of total billed charges,61% of total billed charges,58.91,61,,,percent of total billed charges,61% of total billed charges,5.18,100,,,fee schedule,100% of CMS fee schedule,5.18,86.92,
DIRECTED RBC'S,41040308,CDM,302,RC,86890,HCPCS,Outpatient,,,670.07,536.06,,569.56,85,,455.65,percent of total billed charges,85% of total billed charges,569.56,85,,455.65,percent of total billed charges,85% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,584.3,87.2,,,percent of total billed charges,87.2% of total billed charges,395.34,59,,316.27,percent of total billed charges,59% of total billed charges,584.3,87.2,,467.44,percent of total billed charges,87.2% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,544.7,81.29,,435.76,percent of total billed charges,81.29% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of totl billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,348.44,603.06,
AUTOLOGOUS BLOOD REINFUSION,32000024,CDM,391,RC,86891,HCPCS,Outpatient,,,36.18,28.94,,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,31.55,87.2,,,percent of total billed charges,87.2% of total billed charges,21.35,59,,17.08,percent of total billed charges,59% of total billed charges,31.55,87.2,,25.24,percent of total billed charges,87.2% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,29.41,81.29,,23.53,percent of total billed charges,81.29% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of totl billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,32.56,
ABO GROUP,41040209,CDM,302,RC,86900,HCPCS,Outpatient,,,27.22,21.78,,23.14,85,,18.51,percent of total billed charges,85% of total billed charges,23.14,85,,18.51,percent of total billed charges,85% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,20.22,74,,16.18,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,20.22,74,,16.18,percent of total billed charges,74.28% of total billed charges,16.6,61,,13.28,percent of total billed charges,61% of total billed charges,20.22,74,,16.18,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,24.5,90,,19.6,percent of total billed charges,90% of total billed charges,24.5,90,,19.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,23.74,87.2,,,percent of total billed charges,87.2% of total billed charges,16.06,59,,12.85,percent of total billed charges,59% of total billed charges,23.74,87.2,,18.99,percent of total billed charges,87.2% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,22.13,81.29,,17.7,percent of total billed charges,81.29% of total billed charges,24.5,90,,19.6,percent of total billed charges,90% of totl billed charges,24.5,90,,19.6,percent of total billed charges,90% of total billed charges,16.6,61,,13.28,percent of total billed charges,61% of total billed charges,16.6,61,,13.28,percent of total billed charges,61% of total billed charges,24.5,90,,19.6,percent of total billed charges,90% of total billed charges,24.5,90,,19.6,percent of total billed charges,90% of total billed charges,16.6,61,,13.28,percent of total billed charges,61% of total billed charges,16.6,61,,13.28,percent of total billed charges,61% of total billed charges,16.6,61,,,percent of total billed charges,61% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,24.5,
"ABO TYPE, REF. LAB",41040311,CDM,302,RC,86900,HCPCS,Outpatient,,,39.53,31.62,,33.6,85,,26.88,percent of total billed charges,85% of total billed charges,33.6,85,,26.88,percent of total billed charges,85% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,34.47,87.2,,,percent of total billed charges,87.2% of total billed charges,23.32,59,,18.66,percent of total billed charges,59% of total billed charges,34.47,87.2,,27.58,percent of total billed charges,87.2% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,32.13,81.29,,25.7,percent of total billed charges,81.29% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of totl billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,,percent of total billed charges,61% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,35.58,
RH TYPING,41040217,CDM,302,RC,86901,HCPCS,Outpatient,,,32.3,25.84,,27.46,85,,21.97,percent of total billed charges,85% of total billed charges,27.46,85,,21.97,percent of total billed charges,85% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,23.99,74,,19.19,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,23.99,74,,19.19,percent of total billed charges,74.28% of total billed charges,19.7,61,,15.76,percent of total billed charges,61% of total billed charges,23.99,74,,19.19,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,29.07,90,,23.26,percent of total billed charges,90% of total billed charges,29.07,90,,23.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,28.17,87.2,,,percent of total billed charges,87.2% of total billed charges,19.06,59,,15.25,percent of total billed charges,59% of total billed charges,28.17,87.2,,22.54,percent of total billed charges,87.2% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,26.26,81.29,,21.01,percent of total billed charges,81.29% of total billed charges,29.07,90,,23.26,percent of total billed charges,90% of totl billed charges,29.07,90,,23.26,percent of total billed charges,90% of total billed charges,19.7,61,,15.76,percent of total billed charges,61% of total billed charges,19.7,61,,15.76,percent of total billed charges,61% of total billed charges,29.07,90,,23.26,percent of total billed charges,90% of total billed charges,29.07,90,,23.26,percent of total billed charges,90% of total billed charges,19.7,61,,15.76,percent of total billed charges,61% of total billed charges,19.7,61,,15.76,percent of total billed charges,61% of total billed charges,19.7,61,,,percent of total billed charges,61% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,29.07,
"RH TYPE, REF. LAB",41040312,CDM,302,RC,86901,HCPCS,Outpatient,,,39.53,31.62,,33.6,85,,26.88,percent of total billed charges,85% of total billed charges,33.6,85,,26.88,percent of total billed charges,85% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,29.36,74,,23.49,percent of total billed charges,74.28% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,100,,,fee schedule,100% of CMS fee schedule,34.47,87.2,,,percent of total billed charges,87.2% of total billed charges,23.32,59,,18.66,percent of total billed charges,59% of total billed charges,34.47,87.2,,27.58,percent of total billed charges,87.2% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,32.13,81.29,,25.7,percent of total billed charges,81.29% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of totl billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,35.58,90,,28.46,percent of total billed charges,90% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,19.29,percent of total billed charges,61% of total billed charges,24.11,61,,,percent of total billed charges,61% of total billed charges,2.99,100,,,fee schedule,100% of CMS fee schedule,2.99,35.58,
ANTIGEN TYPE/ANTIGEN/UNIT,41040313,CDM,302,RC,86902,HCPCS,Outpatient,,,81.04,64.83,,68.88,85,,55.1,percent of total billed charges,85% of total billed charges,68.88,85,,55.1,percent of total billed charges,85% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,60.2,74,,48.16,percent of total billed charges,74.28% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.35,100,,,fee schedule,100% of CMS fee schedule,6.35,100,,,fee schedule,100% of CMS fee schedule,70.67,87.2,,,percent of total billed charges,87.2% of total billed charges,47.81,59,,38.25,percent of total billed charges,59% of total billed charges,70.67,87.2,,56.54,percent of total billed charges,87.2% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,65.88,81.29,,52.7,percent of total billed charges,81.29% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of totl billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,72.94,90,,58.35,percent of total billed charges,90% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,39.54,percent of total billed charges,61% of total billed charges,49.43,61,,,percent of total billed charges,61% of total billed charges,6.35,100,,,fee schedule,100% of CMS fee schedule,6.35,72.94,
"ANTIGEN SCREENING, PER UNIT",41040314,CDM,302,RC,86904,HCPCS,Outpatient,,,97.25,77.8,,82.66,85,,66.13,percent of total billed charges,85% of total billed charges,82.66,85,,66.13,percent of total billed charges,85% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,72.24,74,,57.79,percent of total billed charges,74.28% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,100,,,fee schedule,100% of CMS fee schedule,84.8,87.2,,,percent of total billed charges,87.2% of total billed charges,57.38,59,,45.9,percent of total billed charges,59% of total billed charges,84.8,87.2,,67.84,percent of total billed charges,87.2% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,79.05,81.29,,63.24,percent of total billed charges,81.29% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of totl billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,87.53,90,,70.02,percent of total billed charges,90% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,47.46,percent of total billed charges,61% of total billed charges,59.32,61,,,percent of total billed charges,61% of total billed charges,16.34,100,,,fee schedule,100% of CMS fee schedule,16.34,87.53,
RBC AG OTHER THAN ABO OR D,41040324,CDM,302,RC,86905,HCPCS,Outpatient,,,298.48,238.78,,253.71,85,,202.97,percent of total billed charges,85% of total billed charges,253.71,85,,202.97,percent of total billed charges,85% of total billed charges,3.83,100,,,fee schedule,100% of CMS fee schedule,221.71,74,,177.37,percent of total billed charges,74.28% of total billed charges,3.83,100,,,fee schedule,100% of CMS fee schedule,221.71,74,,177.37,percent of total billed charges,74.28% of total billed charges,182.07,61,,145.66,percent of total billed charges,61% of total billed charges,221.71,74,,177.37,percent of total billed charges,74.28% of total billed charges,3.83,100,,,fee schedule,100% of CMS fee schedule,268.63,90,,214.9,percent of total billed charges,90% of total billed charges,268.63,90,,214.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.83,100,,,fee schedule,100% of CMS fee schedule,3.83,100,,,fee schedule,100% of CMS fee schedule,260.27,87.2,,,percent of total billed charges,87.2% of total billed charges,176.1,59,,140.88,percent of total billed charges,59% of total billed charges,260.27,87.2,,208.22,percent of total billed charges,87.2% of total billed charges,3.83,100,,,fee schedule,100% of CMS fee schedule,242.63,81.29,,194.1,percent of total billed charges,81.29% of total billed charges,268.63,90,,214.9,percent of total billed charges,90% of totl billed charges,268.63,90,,214.9,percent of total billed charges,90% of total billed charges,182.07,61,,145.66,percent of total billed charges,61% of total billed charges,182.07,61,,145.66,percent of total billed charges,61% of total billed charges,268.63,90,,214.9,percent of total billed charges,90% of total billed charges,268.63,90,,214.9,percent of total billed charges,90% of total billed charges,182.07,61,,145.66,percent of total billed charges,61% of total billed charges,182.07,61,,145.66,percent of total billed charges,61% of total billed charges,182.07,61,,,percent of total billed charges,61% of total billed charges,3.83,100,,,fee schedule,100% of CMS fee schedule,3.83,268.63,
PHENOTYPING(PER ANTIGEN),41040260,CDM,302,RC,86906,HCPCS,Outpatient,,,82.89,66.31,,70.46,85,,56.37,percent of total billed charges,85% of total billed charges,70.46,85,,56.37,percent of total billed charges,85% of total billed charges,7.75,100,,,fee schedule,100% of CMS fee schedule,61.57,74,,49.26,percent of total billed charges,74.28% of total billed charges,7.75,100,,,fee schedule,100% of CMS fee schedule,61.57,74,,49.26,percent of total billed charges,74.28% of total billed charges,50.56,61,,40.45,percent of total billed charges,61% of total billed charges,61.57,74,,49.26,percent of total billed charges,74.28% of total billed charges,7.75,100,,,fee schedule,100% of CMS fee schedule,74.6,90,,59.68,percent of total billed charges,90% of total billed charges,74.6,90,,59.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.75,100,,,fee schedule,100% of CMS fee schedule,7.75,100,,,fee schedule,100% of CMS fee schedule,72.28,87.2,,,percent of total billed charges,87.2% of total billed charges,48.91,59,,39.13,percent of total billed charges,59% of total billed charges,72.28,87.2,,57.82,percent of total billed charges,87.2% of total billed charges,7.75,100,,,fee schedule,100% of CMS fee schedule,67.38,81.29,,53.9,percent of total billed charges,81.29% of total billed charges,74.6,90,,59.68,percent of total billed charges,90% of totl billed charges,74.6,90,,59.68,percent of total billed charges,90% of total billed charges,50.56,61,,40.45,percent of total billed charges,61% of total billed charges,50.56,61,,40.45,percent of total billed charges,61% of total billed charges,74.6,90,,59.68,percent of total billed charges,90% of total billed charges,74.6,90,,59.68,percent of total billed charges,90% of total billed charges,50.56,61,,40.45,percent of total billed charges,61% of total billed charges,50.56,61,,40.45,percent of total billed charges,61% of total billed charges,50.56,61,,,percent of total billed charges,61% of total billed charges,7.75,100,,,fee schedule,100% of CMS fee schedule,7.75,74.6,
PATERNITY TESTING,41000494,CDM,302,RC,86910,HCPCS,Outpatient,,,25.63,20.5,,21.79,85,,17.43,percent of total billed charges,85% of total billed charges,21.79,85,,17.43,percent of total billed charges,85% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,19.04,74,,15.23,percent of total billed charges,74.28% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,19.04,74,,15.23,percent of total billed charges,74.28% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,19.04,74,,15.23,percent of total billed charges,74.28% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,23.07,90,,18.46,percent of total billed charges,90% of total billed charges,23.07,90,,18.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,22.35,87.2,,,percent of total billed charges,87.2% of total billed charges,15.12,59,,12.1,percent of total billed charges,59% of total billed charges,22.35,87.2,,17.88,percent of total billed charges,87.2% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,20.83,81.29,,16.66,percent of total billed charges,81.29% of total billed charges,23.07,90,,18.46,percent of total billed charges,90% of totl billed charges,23.07,90,,18.46,percent of total billed charges,90% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,23.07,90,,18.46,percent of total billed charges,90% of total billed charges,23.07,90,,18.46,percent of total billed charges,90% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,15.63,61,,12.5,percent of total billed charges,61% of total billed charges,13.33,52,,10.66,percent of total billed charges,52% of total billed charges,13.33,23.07,
"COMPATIBILITY TEST,IMMEDIATE S",41040215,CDM,302,RC,86920,HCPCS,Outpatient,,,61.6,49.28,,52.36,85,,41.89,percent of total billed charges,85% of total billed charges,52.36,85,,41.89,percent of total billed charges,85% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,45.76,74,,36.61,percent of total billed charges,74.28% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,45.76,74,,36.61,percent of total billed charges,74.28% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,45.76,74,,36.61,percent of total billed charges,74.28% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,55.44,90,,44.35,percent of total billed charges,90% of total billed charges,55.44,90,,44.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,53.72,87.2,,,percent of total billed charges,87.2% of total billed charges,36.34,59,,29.07,percent of total billed charges,59% of total billed charges,53.72,87.2,,42.98,percent of total billed charges,87.2% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,50.07,81.29,,40.06,percent of total billed charges,81.29% of total billed charges,55.44,90,,44.35,percent of total billed charges,90% of totl billed charges,55.44,90,,44.35,percent of total billed charges,90% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,55.44,90,,44.35,percent of total billed charges,90% of total billed charges,55.44,90,,44.35,percent of total billed charges,90% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,37.58,61,,30.06,percent of total billed charges,61% of total billed charges,32.03,52,,25.62,percent of total billed charges,52% of total billed charges,32.03,55.44,
COMPAT. IMMEDIATE REF. LAB,41040319,CDM,302,RC,86920,HCPCS,Outpatient,,,106.01,84.81,,90.11,85,,72.09,percent of total billed charges,85% of total billed charges,90.11,85,,72.09,percent of total billed charges,85% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,78.74,74,,62.99,percent of total billed charges,74.28% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,78.74,74,,62.99,percent of total billed charges,74.28% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,78.74,74,,62.99,percent of total billed charges,74.28% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,95.41,90,,76.33,percent of total billed charges,90% of total billed charges,95.41,90,,76.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,92.44,87.2,,,percent of total billed charges,87.2% of total billed charges,62.55,59,,50.04,percent of total billed charges,59% of total billed charges,92.44,87.2,,73.95,percent of total billed charges,87.2% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,86.18,81.29,,68.94,percent of total billed charges,81.29% of total billed charges,95.41,90,,76.33,percent of total billed charges,90% of totl billed charges,95.41,90,,76.33,percent of total billed charges,90% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,95.41,90,,76.33,percent of total billed charges,90% of total billed charges,95.41,90,,76.33,percent of total billed charges,90% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,64.67,61,,51.74,percent of total billed charges,61% of total billed charges,55.13,52,,44.1,percent of total billed charges,52% of total billed charges,55.13,95.41,
"COMPATABILITY TEST,ANTIGLOBLN",41040203,CDM,302,RC,86922,HCPCS,Outpatient,,,133.09,106.47,,113.13,85,,90.5,percent of total billed charges,85% of total billed charges,113.13,85,,90.5,percent of total billed charges,85% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,98.86,74,,79.09,percent of total billed charges,74.28% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,98.86,74,,79.09,percent of total billed charges,74.28% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,98.86,74,,79.09,percent of total billed charges,74.28% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,119.78,90,,95.82,percent of total billed charges,90% of total billed charges,119.78,90,,95.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,116.05,87.2,,,percent of total billed charges,87.2% of total billed charges,78.52,59,,62.82,percent of total billed charges,59% of total billed charges,116.05,87.2,,92.84,percent of total billed charges,87.2% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,108.19,81.29,,86.55,percent of total billed charges,81.29% of total billed charges,119.78,90,,95.82,percent of total billed charges,90% of totl billed charges,119.78,90,,95.82,percent of total billed charges,90% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,119.78,90,,95.82,percent of total billed charges,90% of total billed charges,119.78,90,,95.82,percent of total billed charges,90% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,81.18,61,,64.94,percent of total billed charges,61% of total billed charges,69.21,52,,55.37,percent of total billed charges,52% of total billed charges,69.21,119.78,
COMPAT. AGT. REF. LAB,41040320,CDM,302,RC,86922,HCPCS,Outpatient,,,131.65,105.32,,111.9,85,,89.52,percent of total billed charges,85% of total billed charges,111.9,85,,89.52,percent of total billed charges,85% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,97.79,74,,78.23,percent of total billed charges,74.28% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,97.79,74,,78.23,percent of total billed charges,74.28% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,97.79,74,,78.23,percent of total billed charges,74.28% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,114.8,87.2,,,percent of total billed charges,87.2% of total billed charges,77.67,59,,62.14,percent of total billed charges,59% of total billed charges,114.8,87.2,,91.84,percent of total billed charges,87.2% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,107.02,81.29,,85.62,percent of total billed charges,81.29% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of totl billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,118.49,90,,94.79,percent of total billed charges,90% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,80.31,61,,64.25,percent of total billed charges,61% of total billed charges,68.46,52,,54.77,percent of total billed charges,52% of total billed charges,68.46,118.49,
F.P.P. THAWING,41040261,CDM,390,RC,86927,HCPCS,Outpatient,,,96.76,77.41,,82.25,85,,65.8,percent of total billed charges,85% of total billed charges,82.25,85,,65.8,percent of total billed charges,85% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,71.87,74,,57.5,percent of total billed charges,74.28% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,71.87,74,,57.5,percent of total billed charges,74.28% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,71.87,74,,57.5,percent of total billed charges,74.28% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,87.08,90,,69.66,percent of total billed charges,90% of total billed charges,87.08,90,,69.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,84.37,87.2,,,percent of total billed charges,87.2% of total billed charges,57.09,59,,45.67,percent of total billed charges,59% of total billed charges,84.37,87.2,,67.5,percent of total billed charges,87.2% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,78.66,81.29,,62.93,percent of total billed charges,81.29% of total billed charges,87.08,90,,69.66,percent of total billed charges,90% of totl billed charges,87.08,90,,69.66,percent of total billed charges,90% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,87.08,90,,69.66,percent of total billed charges,90% of total billed charges,87.08,90,,69.66,percent of total billed charges,90% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,59.02,61,,47.22,percent of total billed charges,61% of total billed charges,50.32,52,,40.26,percent of total billed charges,52% of total billed charges,50.32,87.08,
THAWING RARE REAGENT RBC'S,41040322,CDM,399,RC,86931,HCPCS,Outpatient,,,64.4,51.52,,54.74,85,,43.79,percent of total billed charges,85% of total billed charges,54.74,85,,43.79,percent of total billed charges,85% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,47.84,74,,38.27,percent of total billed charges,74.28% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,47.84,74,,38.27,percent of total billed charges,74.28% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,47.84,74,,38.27,percent of total billed charges,74.28% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,57.96,90,,46.37,percent of total billed charges,90% of total billed charges,57.96,90,,46.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,56.16,87.2,,,percent of total billed charges,87.2% of total billed charges,38,59,,30.4,percent of total billed charges,59% of total billed charges,56.16,87.2,,44.93,percent of total billed charges,87.2% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,52.35,81.29,,41.88,percent of total billed charges,81.29% of total billed charges,57.96,90,,46.37,percent of total billed charges,90% of totl billed charges,57.96,90,,46.37,percent of total billed charges,90% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,57.96,90,,46.37,percent of total billed charges,90% of total billed charges,57.96,90,,46.37,percent of total billed charges,90% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,39.28,61,,31.42,percent of total billed charges,61% of total billed charges,33.49,52,,26.79,percent of total billed charges,52% of total billed charges,33.49,57.96,
SUCROSE LYSIS TEST,41000354,CDM,302,RC,86941,HCPCS,Outpatient,,,110.85,88.68,,94.22,85,,75.38,percent of total billed charges,85% of total billed charges,94.22,85,,75.38,percent of total billed charges,85% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,82.34,74,,65.87,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,82.34,74,,65.87,percent of total billed charges,74.28% of total billed charges,67.62,61,,54.1,percent of total billed charges,61% of total billed charges,82.34,74,,65.87,percent of total billed charges,74.28% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,99.77,90,,79.82,percent of total billed charges,90% of total billed charges,99.77,90,,79.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,100,,,fee schedule,100% of CMS fee schedule,96.66,87.2,,,percent of total billed charges,87.2% of total billed charges,65.4,59,,52.32,percent of total billed charges,59% of total billed charges,96.66,87.2,,77.33,percent of total billed charges,87.2% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,90.11,81.29,,72.09,percent of total billed charges,81.29% of total billed charges,99.77,90,,79.82,percent of total billed charges,90% of totl billed charges,99.77,90,,79.82,percent of total billed charges,90% of total billed charges,67.62,61,,54.1,percent of total billed charges,61% of total billed charges,67.62,61,,54.1,percent of total billed charges,61% of total billed charges,99.77,90,,79.82,percent of total billed charges,90% of total billed charges,99.77,90,,79.82,percent of total billed charges,90% of total billed charges,67.62,61,,54.1,percent of total billed charges,61% of total billed charges,67.62,61,,54.1,percent of total billed charges,61% of total billed charges,67.62,61,,,percent of total billed charges,61% of total billed charges,12.11,100,,,fee schedule,100% of CMS fee schedule,12.11,99.77,
PLATELET POOLING FEE PER POOL,41040213,CDM,302,RC,86965,HCPCS,Outpatient,,,192.92,154.34,,163.98,85,,131.18,percent of total billed charges,85% of total billed charges,163.98,85,,131.18,percent of total billed charges,85% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,143.3,74,,114.64,percent of total billed charges,74.28% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,143.3,74,,114.64,percent of total billed charges,74.28% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,143.3,74,,114.64,percent of total billed charges,74.28% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,173.63,90,,138.9,percent of total billed charges,90% of total billed charges,173.63,90,,138.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,168.23,87.2,,,percent of total billed charges,87.2% of total billed charges,113.82,59,,91.06,percent of total billed charges,59% of total billed charges,168.23,87.2,,134.58,percent of total billed charges,87.2% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,156.82,81.29,,125.46,percent of total billed charges,81.29% of total billed charges,173.63,90,,138.9,percent of total billed charges,90% of totl billed charges,173.63,90,,138.9,percent of total billed charges,90% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,173.63,90,,138.9,percent of total billed charges,90% of total billed charges,173.63,90,,138.9,percent of total billed charges,90% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,117.68,61,,94.14,percent of total billed charges,61% of total billed charges,100.32,52,,80.26,percent of total billed charges,52% of total billed charges,100.32,173.63,
PRE-RX RBCS W/CHM/DRUGS PER,41040327,CDM,302,RC,86970,HCPCS,Outpatient,,,166.92,133.54,,141.88,85,,113.5,percent of total billed charges,85% of total billed charges,141.88,85,,113.5,percent of total billed charges,85% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,123.99,74,,99.19,percent of total billed charges,74.28% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,123.99,74,,99.19,percent of total billed charges,74.28% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,123.99,74,,99.19,percent of total billed charges,74.28% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,150.23,90,,120.18,percent of total billed charges,90% of total billed charges,150.23,90,,120.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,145.55,87.2,,,percent of total billed charges,87.2% of total billed charges,98.48,59,,78.78,percent of total billed charges,59% of total billed charges,145.55,87.2,,116.44,percent of total billed charges,87.2% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,135.69,81.29,,108.55,percent of total billed charges,81.29% of total billed charges,150.23,90,,120.18,percent of total billed charges,90% of totl billed charges,150.23,90,,120.18,percent of total billed charges,90% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,150.23,90,,120.18,percent of total billed charges,90% of total billed charges,150.23,90,,120.18,percent of total billed charges,90% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,101.82,61,,81.46,percent of total billed charges,61% of total billed charges,86.8,52,,69.44,percent of total billed charges,52% of total billed charges,86.8,150.23,
PRETREATMENT W/ENZYMES PER CEL,41040321,CDM,300,RC,86971,HCPCS,Outpatient,,,28.07,22.46,,23.86,85,,19.09,percent of total billed charges,85% of total billed charges,23.86,85,,19.09,percent of total billed charges,85% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,24.48,87.2,,,percent of total billed charges,87.2% of total billed charges,16.56,59,,13.25,percent of total billed charges,59% of total billed charges,24.48,87.2,,19.58,percent of total billed charges,87.2% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,22.82,81.29,,18.26,percent of total billed charges,81.29% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of totl billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,14.6,25.26,
RH ANTIBODY TITER,41040302,CDM,302,RC,86976,HCPCS,Outpatient,,,124.35,99.48,,105.7,85,,84.56,percent of total billed charges,85% of total billed charges,105.7,85,,84.56,percent of total billed charges,85% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,92.37,74,,73.9,percent of total billed charges,74.28% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,92.37,74,,73.9,percent of total billed charges,74.28% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,92.37,74,,73.9,percent of total billed charges,74.28% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,111.92,90,,89.54,percent of total billed charges,90% of total billed charges,111.92,90,,89.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,108.43,87.2,,,percent of total billed charges,87.2% of total billed charges,73.37,59,,58.7,percent of total billed charges,59% of total billed charges,108.43,87.2,,86.74,percent of total billed charges,87.2% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,101.08,81.29,,80.86,percent of total billed charges,81.29% of total billed charges,111.92,90,,89.54,percent of total billed charges,90% of totl billed charges,111.92,90,,89.54,percent of total billed charges,90% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,111.92,90,,89.54,percent of total billed charges,90% of total billed charges,111.92,90,,89.54,percent of total billed charges,90% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,75.85,61,,60.68,percent of total billed charges,61% of total billed charges,64.66,52,,51.73,percent of total billed charges,52% of total billed charges,64.66,111.92,
DIFF/AUTO ADS EAC ABSORPTION,41040328,CDM,302,RC,86978,HCPCS,Outpatient,,,222.56,178.05,,189.18,85,,151.34,percent of total billed charges,85% of total billed charges,189.18,85,,151.34,percent of total billed charges,85% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,165.32,74,,132.26,percent of total billed charges,74.28% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,165.32,74,,132.26,percent of total billed charges,74.28% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,165.32,74,,132.26,percent of total billed charges,74.28% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,200.3,90,,160.24,percent of total billed charges,90% of total billed charges,200.3,90,,160.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,194.07,87.2,,,percent of total billed charges,87.2% of total billed charges,131.31,59,,105.05,percent of total billed charges,59% of total billed charges,194.07,87.2,,155.26,percent of total billed charges,87.2% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,180.92,81.29,,144.74,percent of total billed charges,81.29% of total billed charges,200.3,90,,160.24,percent of total billed charges,90% of totl billed charges,200.3,90,,160.24,percent of total billed charges,90% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,200.3,90,,160.24,percent of total billed charges,90% of total billed charges,200.3,90,,160.24,percent of total billed charges,90% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,135.76,61,,108.61,percent of total billed charges,61% of total billed charges,115.73,52,,92.58,percent of total billed charges,52% of total billed charges,115.73,200.3,
STAT IRL SAMPLE,41040329,CDM,302,RC,86999,HCPCS,Outpatient,,,243.36,194.69,,206.86,85,,165.49,percent of total billed charges,85% of total billed charges,206.86,85,,165.49,percent of total billed charges,85% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,180.77,74,,144.62,percent of total billed charges,74.28% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,180.77,74,,144.62,percent of total billed charges,74.28% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,180.77,74,,144.62,percent of total billed charges,74.28% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,219.02,90,,175.22,percent of total billed charges,90% of total billed charges,219.02,90,,175.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,212.21,87.2,,,percent of total billed charges,87.2% of total billed charges,143.58,59,,114.86,percent of total billed charges,59% of total billed charges,212.21,87.2,,169.77,percent of total billed charges,87.2% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,197.83,81.29,,158.26,percent of total billed charges,81.29% of total billed charges,219.02,90,,175.22,percent of total billed charges,90% of totl billed charges,219.02,90,,175.22,percent of total billed charges,90% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,219.02,90,,175.22,percent of total billed charges,90% of total billed charges,219.02,90,,175.22,percent of total billed charges,90% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,148.45,61,,118.76,percent of total billed charges,61% of total billed charges,126.55,52,,101.24,percent of total billed charges,52% of total billed charges,126.55,219.02,
AFB SPECIMEN PROCESSING,41001207,CDM,306,RC,87015,HCPCS,Outpatient,,,17.15,13.72,,14.58,85,,11.66,percent of total billed charges,85% of total billed charges,14.58,85,,11.66,percent of total billed charges,85% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,12.74,74,,10.19,percent of total billed charges,74.28% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,12.74,74,,10.19,percent of total billed charges,74.28% of total billed charges,10.46,61,,8.37,percent of total billed charges,61% of total billed charges,12.74,74,,10.19,percent of total billed charges,74.28% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,15.44,90,,12.35,percent of total billed charges,90% of total billed charges,15.44,90,,12.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.68,100,,,fee schedule,100% of CMS fee schedule,6.68,100,,,fee schedule,100% of CMS fee schedule,14.95,87.2,,,percent of total billed charges,87.2% of total billed charges,10.12,59,,8.1,percent of total billed charges,59% of total billed charges,14.95,87.2,,11.96,percent of total billed charges,87.2% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,13.94,81.29,,11.15,percent of total billed charges,81.29% of total billed charges,15.44,90,,12.35,percent of total billed charges,90% of totl billed charges,15.44,90,,12.35,percent of total billed charges,90% of total billed charges,10.46,61,,8.37,percent of total billed charges,61% of total billed charges,10.46,61,,8.37,percent of total billed charges,61% of total billed charges,15.44,90,,12.35,percent of total billed charges,90% of total billed charges,15.44,90,,12.35,percent of total billed charges,90% of total billed charges,10.46,61,,8.37,percent of total billed charges,61% of total billed charges,10.46,61,,8.37,percent of total billed charges,61% of total billed charges,10.46,61,,,percent of total billed charges,61% of total billed charges,6.68,100,,,fee schedule,100% of CMS fee schedule,6.68,15.44,
"CULTURE,BLOOD(ARD)",41000307,CDM,306,RC,87040,HCPCS,Outpatient,,,152.61,122.09,,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,100,,,fee schedule,100% of CMS fee schedule,133.08,87.2,,,percent of total billed charges,87.2% of total billed charges,90.04,59,,72.03,percent of total billed charges,59% of total billed charges,133.08,87.2,,106.46,percent of total billed charges,87.2% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,124.06,81.29,,99.25,percent of total billed charges,81.29% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of totl billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,,percent of total billed charges,61% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,137.35,
"CULTURE,BLOOD",41000504,CDM,306,RC,87040,HCPCS,Outpatient,,,152.61,122.09,,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,129.72,85,,103.78,percent of total billed charges,85% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,113.36,74,,90.69,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,100,,,fee schedule,100% of CMS fee schedule,133.08,87.2,,,percent of total billed charges,87.2% of total billed charges,90.04,59,,72.03,percent of total billed charges,59% of total billed charges,133.08,87.2,,106.46,percent of total billed charges,87.2% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,124.06,81.29,,99.25,percent of total billed charges,81.29% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of totl billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,137.35,90,,109.88,percent of total billed charges,90% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,74.47,percent of total billed charges,61% of total billed charges,93.09,61,,,percent of total billed charges,61% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,137.35,
CULTURE-STOOL,41000503,CDM,306,RC,87045,HCPCS,Outpatient,,,122.43,97.94,,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.44,100,,,fee schedule,100% of CMS fee schedule,9.44,100,,,fee schedule,100% of CMS fee schedule,106.76,87.2,,,percent of total billed charges,87.2% of total billed charges,72.23,59,,57.78,percent of total billed charges,59% of total billed charges,106.76,87.2,,85.41,percent of total billed charges,87.2% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,99.52,81.29,,79.62,percent of total billed charges,81.29% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of totl billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,,percent of total billed charges,61% of total billed charges,9.44,100,,,fee schedule,100% of CMS fee schedule,9.44,110.19,
NASOPHARYNGEAL CULTURE,41000047,CDM,306,RC,87070,HCPCS,Outpatient,,,122.43,97.94,,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,106.76,87.2,,,percent of total billed charges,87.2% of total billed charges,72.23,59,,57.78,percent of total billed charges,59% of total billed charges,106.76,87.2,,85.41,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,99.52,81.29,,79.62,percent of total billed charges,81.29% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of totl billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,110.19,
"CULTURE,CERVICAL",41000093,CDM,306,RC,87070,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,66.47,
CULTURE-VAGINAL,41000221,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
CULTURE-BODY FLUID,41000222,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
"CULTURE, UROGENITAL",41000488,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
"CULTURE,SPUTUM",41000502,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
CULTURE-WOUND,41000505,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
CULTURE-OTHER,41000521,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
SPINAL FLUID CULTR,41000533,CDM,306,RC,87070,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,58.1,
LEGIONELLA CULTURE,41000768,CDM,306,RC,87070,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,123.29,
CULTURE-EYE,41009011,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
CULTURE-EAR,41009012,CDM,306,RC,87070,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.62,100,,,fee schedule,100% of CMS fee schedule,8.62,56.38,
ANAEROBIC CULTURE,41000538,CDM,306,RC,87075,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.47,100,,,fee schedule,100% of CMS fee schedule,9.47,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,9.47,100,,,fee schedule,100% of CMS fee schedule,9.47,35.94,
ORGANISM IDENTIFICATION (AERO),41000094,CDM,306,RC,87077,HCPCS,Outpatient,,,46.88,37.5,,39.85,85,,31.88,percent of total billed charges,85% of total billed charges,39.85,85,,31.88,percent of total billed charges,85% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,34.82,74,,27.86,percent of total billed charges,74.28% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,40.88,87.2,,,percent of total billed charges,87.2% of total billed charges,27.66,59,,22.13,percent of total billed charges,59% of total billed charges,40.88,87.2,,32.7,percent of total billed charges,87.2% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,38.11,81.29,,30.49,percent of total billed charges,81.29% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of totl billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,42.19,90,,33.75,percent of total billed charges,90% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,22.88,percent of total billed charges,61% of total billed charges,28.6,61,,,percent of total billed charges,61% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,42.19,
CLOTEST,41009086,CDM,306,RC,87077,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,8.08,100,,,fee schedule,100% of CMS fee schedule,8.08,28.74,
LEGIONNAIRES SCREEN,41000249,CDM,306,RC,87081,HCPCS,Outpatient,,,64.04,51.23,,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,54.43,85,,43.54,percent of total billed charges,85% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,47.57,74,,38.06,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,55.84,87.2,,,percent of total billed charges,87.2% of total billed charges,37.78,59,,30.22,percent of total billed charges,59% of total billed charges,55.84,87.2,,44.67,percent of total billed charges,87.2% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,52.06,81.29,,41.65,percent of total billed charges,81.29% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of totl billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,57.64,90,,46.11,percent of total billed charges,90% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,31.25,percent of total billed charges,61% of total billed charges,39.06,61,,,percent of total billed charges,61% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,57.64,
CULTURE-BORDETELLA PERTUSSIS##,41000259,CDM,306,RC,87081,HCPCS,Outpatient,,,46.18,36.94,,39.25,85,,31.4,percent of total billed charges,85% of total billed charges,39.25,85,,31.4,percent of total billed charges,85% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,34.3,74,,27.44,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,34.3,74,,27.44,percent of total billed charges,74.28% of total billed charges,28.17,61,,22.54,percent of total billed charges,61% of total billed charges,34.3,74,,27.44,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,41.56,90,,33.25,percent of total billed charges,90% of total billed charges,41.56,90,,33.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,40.27,87.2,,,percent of total billed charges,87.2% of total billed charges,27.25,59,,21.8,percent of total billed charges,59% of total billed charges,40.27,87.2,,32.22,percent of total billed charges,87.2% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,37.54,81.29,,30.03,percent of total billed charges,81.29% of total billed charges,41.56,90,,33.25,percent of total billed charges,90% of totl billed charges,41.56,90,,33.25,percent of total billed charges,90% of total billed charges,28.17,61,,22.54,percent of total billed charges,61% of total billed charges,28.17,61,,22.54,percent of total billed charges,61% of total billed charges,41.56,90,,33.25,percent of total billed charges,90% of total billed charges,41.56,90,,33.25,percent of total billed charges,90% of total billed charges,28.17,61,,22.54,percent of total billed charges,61% of total billed charges,28.17,61,,22.54,percent of total billed charges,61% of total billed charges,28.17,61,,,percent of total billed charges,61% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,41.56,
THROAT CULTURE,41000501,CDM,306,RC,87081,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,58.1,
CULTURE-G.C.,41000525,CDM,306,RC,87081,HCPCS,Outpatient,,,59.55,47.64,,50.62,85,,40.5,percent of total billed charges,85% of total billed charges,50.62,85,,40.5,percent of total billed charges,85% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,44.23,74,,35.38,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,44.23,74,,35.38,percent of total billed charges,74.28% of total billed charges,36.33,61,,29.06,percent of total billed charges,61% of total billed charges,44.23,74,,35.38,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,53.6,90,,42.88,percent of total billed charges,90% of total billed charges,53.6,90,,42.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,51.93,87.2,,,percent of total billed charges,87.2% of total billed charges,35.13,59,,28.1,percent of total billed charges,59% of total billed charges,51.93,87.2,,41.54,percent of total billed charges,87.2% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,48.41,81.29,,38.73,percent of total billed charges,81.29% of total billed charges,53.6,90,,42.88,percent of total billed charges,90% of totl billed charges,53.6,90,,42.88,percent of total billed charges,90% of total billed charges,36.33,61,,29.06,percent of total billed charges,61% of total billed charges,36.33,61,,29.06,percent of total billed charges,61% of total billed charges,53.6,90,,42.88,percent of total billed charges,90% of total billed charges,53.6,90,,42.88,percent of total billed charges,90% of total billed charges,36.33,61,,29.06,percent of total billed charges,61% of total billed charges,36.33,61,,29.06,percent of total billed charges,61% of total billed charges,36.33,61,,,percent of total billed charges,61% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,53.6,
MRSA DETECTION BY PCR PANEL,41001250,CDM,300,RC,87081,HCPCS,Outpatient,,,5.96,4.77,,5.07,85,,4.06,percent of total billed charges,85% of total billed charges,5.07,85,,4.06,percent of total billed charges,85% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,4.43,74,,3.54,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,4.43,74,,3.54,percent of total billed charges,74.28% of total billed charges,3.64,61,,2.91,percent of total billed charges,61% of total billed charges,4.43,74,,3.54,percent of total billed charges,74.28% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,5.36,90,,4.29,percent of total billed charges,90% of total billed charges,5.36,90,,4.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.63,100,,,fee schedule,100% of CMS fee schedule,6.63,100,,,fee schedule,100% of CMS fee schedule,5.2,87.2,,,percent of total billed charges,87.2% of total billed charges,3.52,59,,2.82,percent of total billed charges,59% of total billed charges,5.2,87.2,,4.16,percent of total billed charges,87.2% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,4.84,81.29,,3.87,percent of total billed charges,81.29% of total billed charges,5.36,90,,4.29,percent of total billed charges,90% of totl billed charges,5.36,90,,4.29,percent of total billed charges,90% of total billed charges,3.64,61,,2.91,percent of total billed charges,61% of total billed charges,3.64,61,,2.91,percent of total billed charges,61% of total billed charges,5.36,90,,4.29,percent of total billed charges,90% of total billed charges,5.36,90,,4.29,percent of total billed charges,90% of total billed charges,3.64,61,,2.91,percent of total billed charges,61% of total billed charges,3.64,61,,2.91,percent of total billed charges,61% of total billed charges,3.64,61,,,percent of total billed charges,61% of total billed charges,6.63,100,,,fee schedule,100% of CMS fee schedule,3.52,6.63,
COLONY CT W/CULTURE-URINE,41000506,CDM,306,RC,87086,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.07,100,,,fee schedule,100% of CMS fee schedule,8.07,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,8.07,56.38,
URINE COLONY COUNT,41009162,CDM,306,RC,87086,HCPCS,Outpatient,,,41.5,33.2,,35.28,85,,28.22,percent of total billed charges,85% of total billed charges,35.28,85,,28.22,percent of total billed charges,85% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,30.83,74,,24.66,percent of total billed charges,74.28% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,30.83,74,,24.66,percent of total billed charges,74.28% of total billed charges,25.32,61,,20.26,percent of total billed charges,61% of total billed charges,30.83,74,,24.66,percent of total billed charges,74.28% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,37.35,90,,29.88,percent of total billed charges,90% of total billed charges,37.35,90,,29.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.07,100,,,fee schedule,100% of CMS fee schedule,8.07,100,,,fee schedule,100% of CMS fee schedule,36.19,87.2,,,percent of total billed charges,87.2% of total billed charges,24.49,59,,19.59,percent of total billed charges,59% of total billed charges,36.19,87.2,,28.95,percent of total billed charges,87.2% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,33.74,81.29,,26.99,percent of total billed charges,81.29% of total billed charges,37.35,90,,29.88,percent of total billed charges,90% of totl billed charges,37.35,90,,29.88,percent of total billed charges,90% of total billed charges,25.32,61,,20.26,percent of total billed charges,61% of total billed charges,25.32,61,,20.26,percent of total billed charges,61% of total billed charges,37.35,90,,29.88,percent of total billed charges,90% of total billed charges,37.35,90,,29.88,percent of total billed charges,90% of total billed charges,25.32,61,,20.26,percent of total billed charges,61% of total billed charges,25.32,61,,20.26,percent of total billed charges,61% of total billed charges,25.32,61,,,percent of total billed charges,61% of total billed charges,8.07,100,,,fee schedule,100% of CMS fee schedule,8.07,37.35,
URINE CULTURE,41000030,CDM,306,RC,87088,HCPCS,Outpatient,,,62.64,50.11,,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,53.24,85,,42.59,percent of total billed charges,85% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,46.53,74,,37.22,percent of total billed charges,74.28% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.09,100,,,fee schedule,100% of CMS fee schedule,8.09,100,,,fee schedule,100% of CMS fee schedule,54.62,87.2,,,percent of total billed charges,87.2% of total billed charges,36.96,59,,29.57,percent of total billed charges,59% of total billed charges,54.62,87.2,,43.7,percent of total billed charges,87.2% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,50.92,81.29,,40.74,percent of total billed charges,81.29% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of totl billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,56.38,90,,45.1,percent of total billed charges,90% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,30.57,percent of total billed charges,61% of total billed charges,38.21,61,,,percent of total billed charges,61% of total billed charges,8.09,100,,,fee schedule,100% of CMS fee schedule,8.09,56.38,
CULTURE-FUNGUS,41000522,CDM,306,RC,87102,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.41,100,,,fee schedule,100% of CMS fee schedule,8.41,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,8.41,100,,,fee schedule,100% of CMS fee schedule,8.41,55.99,
"CULTURE,BLOOD FUNGAL",41009152,CDM,307,RC,87103,HCPCS,Outpatient,,,216.32,173.06,,183.87,85,,147.1,percent of total billed charges,85% of total billed charges,183.87,85,,147.1,percent of total billed charges,85% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,160.68,74,,128.54,percent of total billed charges,74.28% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,160.68,74,,128.54,percent of total billed charges,74.28% of total billed charges,131.96,61,,105.57,percent of total billed charges,61% of total billed charges,160.68,74,,128.54,percent of total billed charges,74.28% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,194.69,90,,155.75,percent of total billed charges,90% of total billed charges,194.69,90,,155.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.46,100,,,fee schedule,100% of CMS fee schedule,20.46,100,,,fee schedule,100% of CMS fee schedule,188.63,87.2,,,percent of total billed charges,87.2% of total billed charges,127.63,59,,102.1,percent of total billed charges,59% of total billed charges,188.63,87.2,,150.9,percent of total billed charges,87.2% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,175.85,81.29,,140.68,percent of total billed charges,81.29% of total billed charges,194.69,90,,155.75,percent of total billed charges,90% of totl billed charges,194.69,90,,155.75,percent of total billed charges,90% of total billed charges,131.96,61,,105.57,percent of total billed charges,61% of total billed charges,131.96,61,,105.57,percent of total billed charges,61% of total billed charges,194.69,90,,155.75,percent of total billed charges,90% of total billed charges,194.69,90,,155.75,percent of total billed charges,90% of total billed charges,131.96,61,,105.57,percent of total billed charges,61% of total billed charges,131.96,61,,105.57,percent of total billed charges,61% of total billed charges,131.96,61,,,percent of total billed charges,61% of total billed charges,20.46,100,,,fee schedule,100% of CMS fee schedule,20.46,194.69,
STOOL FOR YEAST,41000091,CDM,306,RC,87106,HCPCS,Outpatient,,,64.56,51.65,,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,54.88,85,,43.9,percent of total billed charges,85% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,47.96,74,,38.37,percent of total billed charges,74.28% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,100,,,fee schedule,100% of CMS fee schedule,56.3,87.2,,,percent of total billed charges,87.2% of total billed charges,38.09,59,,30.47,percent of total billed charges,59% of total billed charges,56.3,87.2,,45.04,percent of total billed charges,87.2% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,52.48,81.29,,41.98,percent of total billed charges,81.29% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of totl billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,58.1,90,,46.48,percent of total billed charges,90% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,31.5,percent of total billed charges,61% of total billed charges,39.38,61,,,percent of total billed charges,61% of total billed charges,10.32,100,,,fee schedule,100% of CMS fee schedule,10.32,58.1,
"CULTURE CHLAMYDIA,ANY SOURCE",41000098,CDM,306,RC,87110,HCPCS,Outpatient,,,73.86,59.09,,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,62.78,85,,50.22,percent of total billed charges,85% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,54.86,74,,43.89,percent of total billed charges,74.28% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.6,100,,,fee schedule,100% of CMS fee schedule,19.6,100,,,fee schedule,100% of CMS fee schedule,64.41,87.2,,,percent of total billed charges,87.2% of total billed charges,43.58,59,,34.86,percent of total billed charges,59% of total billed charges,64.41,87.2,,51.53,percent of total billed charges,87.2% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,60.04,81.29,,48.03,percent of total billed charges,81.29% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of totl billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,66.47,90,,53.18,percent of total billed charges,90% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,36.04,percent of total billed charges,61% of total billed charges,45.05,61,,,percent of total billed charges,61% of total billed charges,19.6,100,,,fee schedule,100% of CMS fee schedule,19.6,66.47,
TB SKIN TEST (Fire/Police),36000021,CDM,510,RC,87116,HCPCS,Outpatient,,,26.73,21.38,,22.72,85,,18.18,percent of total billed charges,85% of total billed charges,22.72,85,,18.18,percent of total billed charges,85% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,19.86,74,,15.89,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,19.86,74,,15.89,percent of total billed charges,74.28% of total billed charges,16.31,61,,13.05,percent of total billed charges,61% of total billed charges,19.86,74,,15.89,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,,,,,other ,not seperately reimbursable,24.06,90,,19.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,23.31,87.2,,,percent of total billed charges,87.2% of total billed charges,15.77,59,,12.62,percent of total billed charges,59% of total billed charges,23.31,87.2,,18.65,percent of total billed charges,87.2% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,21.73,81.29,,17.38,percent of total billed charges,81.29% of total billed charges,24.06,90,,19.25,percent of total billed charges,90% of totl billed charges,24.06,90,,19.25,percent of total billed charges,90% of total billed charges,16.31,61,,13.05,percent of total billed charges,61% of total billed charges,16.31,61,,13.05,percent of total billed charges,61% of total billed charges,24.06,90,,19.25,percent of total billed charges,90% of total billed charges,24.06,90,,19.25,percent of total billed charges,90% of total billed charges,16.31,61,,13.05,percent of total billed charges,61% of total billed charges,16.31,61,,13.05,percent of total billed charges,61% of total billed charges,16.31,61,,,percent of total billed charges,61% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,24.06,
ACID FAST CULTURE (AFB),41000456,CDM,306,RC,87116,HCPCS,Outpatient,,,33.14,26.51,,28.17,85,,22.54,percent of total billed charges,85% of total billed charges,28.17,85,,22.54,percent of total billed charges,85% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,24.62,74,,19.7,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,24.62,74,,19.7,percent of total billed charges,74.28% of total billed charges,20.22,61,,16.18,percent of total billed charges,61% of total billed charges,24.62,74,,19.7,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,29.83,90,,23.86,percent of total billed charges,90% of total billed charges,29.83,90,,23.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,28.9,87.2,,,percent of total billed charges,87.2% of total billed charges,19.55,59,,15.64,percent of total billed charges,59% of total billed charges,28.9,87.2,,23.12,percent of total billed charges,87.2% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,26.94,81.29,,21.55,percent of total billed charges,81.29% of total billed charges,29.83,90,,23.86,percent of total billed charges,90% of totl billed charges,29.83,90,,23.86,percent of total billed charges,90% of total billed charges,20.22,61,,16.18,percent of total billed charges,61% of total billed charges,20.22,61,,16.18,percent of total billed charges,61% of total billed charges,29.83,90,,23.86,percent of total billed charges,90% of total billed charges,29.83,90,,23.86,percent of total billed charges,90% of total billed charges,20.22,61,,16.18,percent of total billed charges,61% of total billed charges,20.22,61,,16.18,percent of total billed charges,61% of total billed charges,20.22,61,,,percent of total billed charges,61% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,29.83,
TB CULTURE,41000524,CDM,306,RC,87116,HCPCS,Outpatient,,,97.54,78.03,,82.91,85,,66.33,percent of total billed charges,85% of total billed charges,82.91,85,,66.33,percent of total billed charges,85% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,72.45,74,,57.96,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,85.05,87.2,,,percent of total billed charges,87.2% of total billed charges,57.55,59,,46.04,percent of total billed charges,59% of total billed charges,85.05,87.2,,68.04,percent of total billed charges,87.2% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,79.29,81.29,,63.43,percent of total billed charges,81.29% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of totl billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,87.79,90,,70.23,percent of total billed charges,90% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,47.6,percent of total billed charges,61% of total billed charges,59.5,61,,,percent of total billed charges,61% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,87.79,
AURM RHOD TB CULT,41000528,CDM,306,RC,87116,HCPCS,Outpatient,,,92.48,73.98,,78.61,85,,62.89,percent of total billed charges,85% of total billed charges,78.61,85,,62.89,percent of total billed charges,85% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,68.69,74,,54.95,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,68.69,74,,54.95,percent of total billed charges,74.28% of total billed charges,56.41,61,,45.13,percent of total billed charges,61% of total billed charges,68.69,74,,54.95,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,83.23,90,,66.58,percent of total billed charges,90% of total billed charges,83.23,90,,66.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,80.64,87.2,,,percent of total billed charges,87.2% of total billed charges,54.56,59,,43.65,percent of total billed charges,59% of total billed charges,80.64,87.2,,64.51,percent of total billed charges,87.2% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,75.18,81.29,,60.14,percent of total billed charges,81.29% of total billed charges,83.23,90,,66.58,percent of total billed charges,90% of totl billed charges,83.23,90,,66.58,percent of total billed charges,90% of total billed charges,56.41,61,,45.13,percent of total billed charges,61% of total billed charges,56.41,61,,45.13,percent of total billed charges,61% of total billed charges,83.23,90,,66.58,percent of total billed charges,90% of total billed charges,83.23,90,,66.58,percent of total billed charges,90% of total billed charges,56.41,61,,45.13,percent of total billed charges,61% of total billed charges,56.41,61,,45.13,percent of total billed charges,61% of total billed charges,56.41,61,,,percent of total billed charges,61% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,83.23,
TB SKIN TEST,43400155,CDM,761,RC,87116,HCPCS,Outpatient,,,26.66,21.33,,22.66,85,,18.13,percent of total billed charges,85% of total billed charges,22.66,85,,18.13,percent of total billed charges,85% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,19.8,74,,15.84,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,19.8,74,,15.84,percent of total billed charges,74.28% of total billed charges,16.26,61,,13.01,percent of total billed charges,61% of total billed charges,19.8,74,,15.84,percent of total billed charges,74.28% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,23.99,90,,19.19,percent of total billed charges,90% of total billed charges,23.99,90,,19.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,100,,,fee schedule,100% of CMS fee schedule,23.25,87.2,,,percent of total billed charges,87.2% of total billed charges,15.73,59,,12.58,percent of total billed charges,59% of total billed charges,23.25,87.2,,18.6,percent of total billed charges,87.2% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,21.67,81.29,,17.34,percent of total billed charges,81.29% of total billed charges,23.99,90,,19.19,percent of total billed charges,90% of totl billed charges,23.99,90,,19.19,percent of total billed charges,90% of total billed charges,16.26,61,,13.01,percent of total billed charges,61% of total billed charges,16.26,61,,13.01,percent of total billed charges,61% of total billed charges,23.99,90,,19.19,percent of total billed charges,90% of total billed charges,23.99,90,,19.19,percent of total billed charges,90% of total billed charges,16.26,61,,13.01,percent of total billed charges,61% of total billed charges,16.26,61,,13.01,percent of total billed charges,61% of total billed charges,16.26,61,,,percent of total billed charges,61% of total billed charges,10.8,100,,,fee schedule,100% of CMS fee schedule,10.8,23.99,
"SIROLIMUS(RAPAMUNE), BLOOD",41001211,CDM,306,RC,87149,HCPCS,Outpatient,,,36.32,29.06,,30.87,85,,24.7,percent of total billed charges,85% of total billed charges,30.87,85,,24.7,percent of total billed charges,85% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,26.98,74,,21.58,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,26.98,74,,21.58,percent of total billed charges,74.28% of total billed charges,22.16,61,,17.73,percent of total billed charges,61% of total billed charges,26.98,74,,21.58,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,32.69,90,,26.15,percent of total billed charges,90% of total billed charges,32.69,90,,26.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,31.67,87.2,,,percent of total billed charges,87.2% of total billed charges,21.43,59,,17.14,percent of total billed charges,59% of total billed charges,31.67,87.2,,25.34,percent of total billed charges,87.2% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,29.52,81.29,,23.62,percent of total billed charges,81.29% of total billed charges,32.69,90,,26.15,percent of total billed charges,90% of totl billed charges,32.69,90,,26.15,percent of total billed charges,90% of total billed charges,22.16,61,,17.73,percent of total billed charges,61% of total billed charges,22.16,61,,17.73,percent of total billed charges,61% of total billed charges,32.69,90,,26.15,percent of total billed charges,90% of total billed charges,32.69,90,,26.15,percent of total billed charges,90% of total billed charges,22.16,61,,17.73,percent of total billed charges,61% of total billed charges,22.16,61,,17.73,percent of total billed charges,61% of total billed charges,22.16,61,,,percent of total billed charges,61% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,32.69,
"ARTHROPOD, MACROSCOPIC EXAM",41001134,CDM,306,RC,87168,HCPCS,Outpatient,,,107.71,86.17,,91.55,85,,73.24,percent of total billed charges,85% of total billed charges,91.55,85,,73.24,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,80.01,74,,64.01,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,80.01,74,,64.01,percent of total billed charges,74.28% of total billed charges,65.7,61,,52.56,percent of total billed charges,61% of total billed charges,80.01,74,,64.01,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,96.94,90,,77.55,percent of total billed charges,90% of total billed charges,96.94,90,,77.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,93.92,87.2,,,percent of total billed charges,87.2% of total billed charges,63.55,59,,50.84,percent of total billed charges,59% of total billed charges,93.92,87.2,,75.14,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,87.56,81.29,,70.05,percent of total billed charges,81.29% of total billed charges,96.94,90,,77.55,percent of total billed charges,90% of totl billed charges,96.94,90,,77.55,percent of total billed charges,90% of total billed charges,65.7,61,,52.56,percent of total billed charges,61% of total billed charges,65.7,61,,52.56,percent of total billed charges,61% of total billed charges,96.94,90,,77.55,percent of total billed charges,90% of total billed charges,96.94,90,,77.55,percent of total billed charges,90% of total billed charges,65.7,61,,52.56,percent of total billed charges,61% of total billed charges,65.7,61,,52.56,percent of total billed charges,61% of total billed charges,65.7,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,96.94,
MACROSCOPIC EXAM ARTHROPOD,41009123,CDM,306,RC,87168,HCPCS,Outpatient,,,19.25,15.4,,16.36,85,,13.09,percent of total billed charges,85% of total billed charges,16.36,85,,13.09,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,16.79,87.2,,,percent of total billed charges,87.2% of total billed charges,11.36,59,,9.09,percent of total billed charges,59% of total billed charges,16.79,87.2,,13.43,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,15.65,81.29,,12.52,percent of total billed charges,81.29% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of totl billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,17.33,
"PARASITE, MACROSCOPIC EXAM",41001133,CDM,306,RC,87169,HCPCS,Outpatient,,,76.93,61.54,,65.39,85,,52.31,percent of total billed charges,85% of total billed charges,65.39,85,,52.31,percent of total billed charges,85% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,57.14,74,,45.71,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,57.14,74,,45.71,percent of total billed charges,74.28% of total billed charges,46.93,61,,37.54,percent of total billed charges,61% of total billed charges,57.14,74,,45.71,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,69.24,90,,55.39,percent of total billed charges,90% of total billed charges,69.24,90,,55.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,100,,,fee schedule,100% of CMS fee schedule,67.08,87.2,,,percent of total billed charges,87.2% of total billed charges,45.39,59,,36.31,percent of total billed charges,59% of total billed charges,67.08,87.2,,53.66,percent of total billed charges,87.2% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,62.54,81.29,,50.03,percent of total billed charges,81.29% of total billed charges,69.24,90,,55.39,percent of total billed charges,90% of totl billed charges,69.24,90,,55.39,percent of total billed charges,90% of total billed charges,46.93,61,,37.54,percent of total billed charges,61% of total billed charges,46.93,61,,37.54,percent of total billed charges,61% of total billed charges,69.24,90,,55.39,percent of total billed charges,90% of total billed charges,69.24,90,,55.39,percent of total billed charges,90% of total billed charges,46.93,61,,37.54,percent of total billed charges,61% of total billed charges,46.93,61,,37.54,percent of total billed charges,61% of total billed charges,46.93,61,,,percent of total billed charges,61% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,69.24,
MACROSCOPIC EXAM PARASITE,41009124,CDM,306,RC,87169,HCPCS,Outpatient,,,19.25,15.4,,16.36,85,,13.09,percent of total billed charges,85% of total billed charges,16.36,85,,13.09,percent of total billed charges,85% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,14.3,74,,11.44,percent of total billed charges,74.28% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,100,,,fee schedule,100% of CMS fee schedule,16.79,87.2,,,percent of total billed charges,87.2% of total billed charges,11.36,59,,9.09,percent of total billed charges,59% of total billed charges,16.79,87.2,,13.43,percent of total billed charges,87.2% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,15.65,81.29,,12.52,percent of total billed charges,81.29% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of totl billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,17.33,90,,13.86,percent of total billed charges,90% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,9.39,percent of total billed charges,61% of total billed charges,11.74,61,,,percent of total billed charges,61% of total billed charges,4.31,100,,,fee schedule,100% of CMS fee schedule,4.31,17.33,
PINWORM SMEAR,41000510,CDM,306,RC,87172,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,45.12,
PINWORM PREP,41009153,CDM,306,RC,87172,HCPCS,Outpatient,,,42.82,34.26,,36.4,85,,29.12,percent of total billed charges,85% of total billed charges,36.4,85,,29.12,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,31.81,74,,25.45,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,31.81,74,,25.45,percent of total billed charges,74.28% of total billed charges,26.12,61,,20.9,percent of total billed charges,61% of total billed charges,31.81,74,,25.45,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,38.54,90,,30.83,percent of total billed charges,90% of total billed charges,38.54,90,,30.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,37.34,87.2,,,percent of total billed charges,87.2% of total billed charges,25.26,59,,20.21,percent of total billed charges,59% of total billed charges,37.34,87.2,,29.87,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,34.81,81.29,,27.85,percent of total billed charges,81.29% of total billed charges,38.54,90,,30.83,percent of total billed charges,90% of totl billed charges,38.54,90,,30.83,percent of total billed charges,90% of total billed charges,26.12,61,,20.9,percent of total billed charges,61% of total billed charges,26.12,61,,20.9,percent of total billed charges,61% of total billed charges,38.54,90,,30.83,percent of total billed charges,90% of total billed charges,38.54,90,,30.83,percent of total billed charges,90% of total billed charges,26.12,61,,20.9,percent of total billed charges,61% of total billed charges,26.12,61,,20.9,percent of total billed charges,61% of total billed charges,26.12,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,38.54,
SENSITIVITY AEROBIC/ANAEROBIC#,41000508,CDM,306,RC,87184,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,7.48,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,7.48,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,7.48,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.48,100,,,fee schedule,100% of CMS fee schedule,7.48,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,7.48,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,7.48,100,,,fee schedule,100% of CMS fee schedule,7.48,123.29,
SCHLICTER TEST,41000438,CDM,306,RC,87197,HCPCS,Outpatient,,,196.56,157.25,,167.08,85,,133.66,percent of total billed charges,85% of total billed charges,167.08,85,,133.66,percent of total billed charges,85% of total billed charges,15.02,100,,,fee schedule,100% of CMS fee schedule,146,74,,116.8,percent of total billed charges,74.28% of total billed charges,15.02,100,,,fee schedule,100% of CMS fee schedule,146,74,,116.8,percent of total billed charges,74.28% of total billed charges,119.9,61,,95.92,percent of total billed charges,61% of total billed charges,146,74,,116.8,percent of total billed charges,74.28% of total billed charges,15.02,100,,,fee schedule,100% of CMS fee schedule,176.9,90,,141.52,percent of total billed charges,90% of total billed charges,176.9,90,,141.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.02,100,,,fee schedule,100% of CMS fee schedule,15.02,100,,,fee schedule,100% of CMS fee schedule,171.4,87.2,,,percent of total billed charges,87.2% of total billed charges,115.97,59,,92.78,percent of total billed charges,59% of total billed charges,171.4,87.2,,137.12,percent of total billed charges,87.2% of total billed charges,15.02,100,,,fee schedule,100% of CMS fee schedule,159.78,81.29,,127.82,percent of total billed charges,81.29% of total billed charges,176.9,90,,141.52,percent of total billed charges,90% of totl billed charges,176.9,90,,141.52,percent of total billed charges,90% of total billed charges,119.9,61,,95.92,percent of total billed charges,61% of total billed charges,119.9,61,,95.92,percent of total billed charges,61% of total billed charges,176.9,90,,141.52,percent of total billed charges,90% of total billed charges,176.9,90,,141.52,percent of total billed charges,90% of total billed charges,119.9,61,,95.92,percent of total billed charges,61% of total billed charges,119.9,61,,95.92,percent of total billed charges,61% of total billed charges,119.9,61,,,percent of total billed charges,61% of total billed charges,15.02,100,,,fee schedule,100% of CMS fee schedule,15.02,176.9,
URINE WRIGHT STAIN,41000302,CDM,306,RC,87205,HCPCS,Outpatient,,,19.78,15.82,,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,17.25,87.2,,,percent of total billed charges,87.2% of total billed charges,11.67,59,,9.34,percent of total billed charges,59% of total billed charges,17.25,87.2,,13.8,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,16.08,81.29,,12.86,percent of total billed charges,81.29% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of totl billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,17.8,
GRAM SMEAR,41000513,CDM,306,RC,87205,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,36.93,
FLUOR STAIN-OTHER,41000537,CDM,306,RC,87206,HCPCS,Outpatient,,,69.82,55.86,,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,59.35,85,,47.48,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,51.86,74,,41.49,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,60.88,87.2,,,percent of total billed charges,87.2% of total billed charges,41.19,59,,32.95,percent of total billed charges,59% of total billed charges,60.88,87.2,,48.7,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,56.76,81.29,,45.41,percent of total billed charges,81.29% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of totl billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,62.84,90,,50.27,percent of total billed charges,90% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,34.07,percent of total billed charges,61% of total billed charges,42.59,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,62.84,
ACID FAST SMEAR,41001008,CDM,306,RC,87206,HCPCS,Outpatient,,,21.81,17.45,,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,19.02,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.02,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,17.73,81.29,,14.18,percent of total billed charges,81.29% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of totl billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,19.63,
CRYPTOSPIRIDIUM-SMEAR,41009070,CDM,306,RC,87206,HCPCS,Outpatient,,,62.21,49.77,,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,52.88,85,,42.3,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,46.21,74,,36.97,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,54.25,87.2,,,percent of total billed charges,87.2% of total billed charges,36.7,59,,29.36,percent of total billed charges,59% of total billed charges,54.25,87.2,,43.4,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,50.57,81.29,,40.46,percent of total billed charges,81.29% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of totl billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,55.99,90,,44.79,percent of total billed charges,90% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,30.36,percent of total billed charges,61% of total billed charges,37.95,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,55.99,
FLUORO STAIN,43701328,CDM,306,RC,87206,HCPCS,Outpatient,,,56.46,45.17,,47.99,85,,38.39,percent of total billed charges,85% of total billed charges,47.99,85,,38.39,percent of total billed charges,85% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,41.94,74,,33.55,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,41.94,74,,33.55,percent of total billed charges,74.28% of total billed charges,34.44,61,,27.55,percent of total billed charges,61% of total billed charges,41.94,74,,33.55,percent of total billed charges,74.28% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,50.81,90,,40.65,percent of total billed charges,90% of total billed charges,50.81,90,,40.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,100,,,fee schedule,100% of CMS fee schedule,49.23,87.2,,,percent of total billed charges,87.2% of total billed charges,33.31,59,,26.65,percent of total billed charges,59% of total billed charges,49.23,87.2,,39.38,percent of total billed charges,87.2% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,45.9,81.29,,36.72,percent of total billed charges,81.29% of total billed charges,50.81,90,,40.65,percent of total billed charges,90% of totl billed charges,50.81,90,,40.65,percent of total billed charges,90% of total billed charges,34.44,61,,27.55,percent of total billed charges,61% of total billed charges,34.44,61,,27.55,percent of total billed charges,61% of total billed charges,50.81,90,,40.65,percent of total billed charges,90% of total billed charges,50.81,90,,40.65,percent of total billed charges,90% of total billed charges,34.44,61,,27.55,percent of total billed charges,61% of total billed charges,34.44,61,,27.55,percent of total billed charges,61% of total billed charges,34.44,61,,,percent of total billed charges,61% of total billed charges,5.39,100,,,fee schedule,100% of CMS fee schedule,5.39,50.81,
MALARIAL SMEAR,41000199,CDM,306,RC,87207,HCPCS,Outpatient,,,41.03,32.82,,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,34.88,85,,27.9,percent of total billed charges,85% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,30.48,74,,24.38,percent of total billed charges,74.28% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.99,100,,,fee schedule,100% of CMS fee schedule,5.99,100,,,fee schedule,100% of CMS fee schedule,35.78,87.2,,,percent of total billed charges,87.2% of total billed charges,24.21,59,,19.37,percent of total billed charges,59% of total billed charges,35.78,87.2,,28.62,percent of total billed charges,87.2% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,33.35,81.29,,26.68,percent of total billed charges,81.29% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of totl billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,36.93,90,,29.54,percent of total billed charges,90% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,20.02,percent of total billed charges,61% of total billed charges,25.03,61,,,percent of total billed charges,61% of total billed charges,5.99,100,,,fee schedule,100% of CMS fee schedule,5.99,36.93,
OVA AND PARASITES,41000512,CDM,306,RC,87209,HCPCS,Outpatient,,,85.2,68.16,,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,72.42,85,,57.94,percent of total billed charges,85% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,63.29,74,,50.63,percent of total billed charges,74.28% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.98,100,,,fee schedule,100% of CMS fee schedule,17.98,100,,,fee schedule,100% of CMS fee schedule,74.29,87.2,,,percent of total billed charges,87.2% of total billed charges,50.27,59,,40.22,percent of total billed charges,59% of total billed charges,74.29,87.2,,59.43,percent of total billed charges,87.2% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,69.26,81.29,,55.41,percent of total billed charges,81.29% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of totl billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,76.68,90,,61.34,percent of total billed charges,90% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,41.58,percent of total billed charges,61% of total billed charges,51.97,61,,,percent of total billed charges,61% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,17.98,76.68,
MODIFIED TRICHROME STAIN,41001110,CDM,306,RC,87209,HCPCS,Outpatient,,,77.51,62.01,,65.88,85,,52.7,percent of total billed charges,85% of total billed charges,65.88,85,,52.7,percent of total billed charges,85% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,57.57,74,,46.06,percent of total billed charges,74.28% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,57.57,74,,46.06,percent of total billed charges,74.28% of total billed charges,47.28,61,,37.82,percent of total billed charges,61% of total billed charges,57.57,74,,46.06,percent of total billed charges,74.28% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,69.76,90,,55.81,percent of total billed charges,90% of total billed charges,69.76,90,,55.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.98,100,,,fee schedule,100% of CMS fee schedule,17.98,100,,,fee schedule,100% of CMS fee schedule,67.59,87.2,,,percent of total billed charges,87.2% of total billed charges,45.73,59,,36.58,percent of total billed charges,59% of total billed charges,67.59,87.2,,54.07,percent of total billed charges,87.2% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,63.01,81.29,,50.41,percent of total billed charges,81.29% of total billed charges,69.76,90,,55.81,percent of total billed charges,90% of totl billed charges,69.76,90,,55.81,percent of total billed charges,90% of total billed charges,47.28,61,,37.82,percent of total billed charges,61% of total billed charges,47.28,61,,37.82,percent of total billed charges,61% of total billed charges,69.76,90,,55.81,percent of total billed charges,90% of total billed charges,69.76,90,,55.81,percent of total billed charges,90% of total billed charges,47.28,61,,37.82,percent of total billed charges,61% of total billed charges,47.28,61,,37.82,percent of total billed charges,61% of total billed charges,47.28,61,,,percent of total billed charges,61% of total billed charges,17.98,100,,,fee schedule,100% of CMS fee schedule,17.98,69.76,
WET PREP,41000451,CDM,306,RC,87210,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,30.5,
WET PREP,41000451,CDM,306,RC,87210,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,30.5,
HANGING DROP,41000516,CDM,306,RC,87210,HCPCS,Outpatient,,,19.78,15.82,,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,16.81,85,,13.45,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,14.69,74,,11.75,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,17.25,87.2,,,percent of total billed charges,87.2% of total billed charges,11.67,59,,9.34,percent of total billed charges,59% of total billed charges,17.25,87.2,,13.8,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,16.08,81.29,,12.86,percent of total billed charges,81.29% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of totl billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,17.8,90,,14.24,percent of total billed charges,90% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,9.66,percent of total billed charges,61% of total billed charges,12.07,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,17.8,
INDIA INK,41001137,CDM,306,RC,87210,HCPCS,Outpatient,,,94.02,75.22,,79.92,85,,63.94,percent of total billed charges,85% of total billed charges,79.92,85,,63.94,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,69.84,74,,55.87,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,69.84,74,,55.87,percent of total billed charges,74.28% of total billed charges,57.35,61,,45.88,percent of total billed charges,61% of total billed charges,69.84,74,,55.87,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,84.62,90,,67.7,percent of total billed charges,90% of total billed charges,84.62,90,,67.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,81.99,87.2,,,percent of total billed charges,87.2% of total billed charges,55.47,59,,44.38,percent of total billed charges,59% of total billed charges,81.99,87.2,,65.59,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,76.43,81.29,,61.14,percent of total billed charges,81.29% of total billed charges,84.62,90,,67.7,percent of total billed charges,90% of totl billed charges,84.62,90,,67.7,percent of total billed charges,90% of total billed charges,57.35,61,,45.88,percent of total billed charges,61% of total billed charges,57.35,61,,45.88,percent of total billed charges,61% of total billed charges,84.62,90,,67.7,percent of total billed charges,90% of total billed charges,84.62,90,,67.7,percent of total billed charges,90% of total billed charges,57.35,61,,45.88,percent of total billed charges,61% of total billed charges,57.35,61,,45.88,percent of total billed charges,61% of total billed charges,57.35,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,84.62,
WET PREP,43601162,CDM,306,RC,87210,HCPCS,Outpatient,,,8.19,6.55,,6.96,85,,5.57,percent of total billed charges,85% of total billed charges,6.96,85,,5.57,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,7.14,87.2,,,percent of total billed charges,87.2% of total billed charges,4.83,59,,3.86,percent of total billed charges,59% of total billed charges,7.14,87.2,,5.71,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.66,81.29,,5.33,percent of total billed charges,81.29% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of totl billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.83,7.37,
WET PREP,43701312,CDM,306,RC,87210,HCPCS,Outpatient,,,8.19,6.55,,6.96,85,,5.57,percent of total billed charges,85% of total billed charges,6.96,85,,5.57,percent of total billed charges,85% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,6.08,74,,4.86,percent of total billed charges,74.28% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.82,100,,,fee schedule,100% of CMS fee schedule,5.82,100,,,fee schedule,100% of CMS fee schedule,7.14,87.2,,,percent of total billed charges,87.2% of total billed charges,4.83,59,,3.86,percent of total billed charges,59% of total billed charges,7.14,87.2,,5.71,percent of total billed charges,87.2% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,6.66,81.29,,5.33,percent of total billed charges,81.29% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of totl billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,7.37,90,,5.9,percent of total billed charges,90% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,4,percent of total billed charges,61% of total billed charges,5,61,,,percent of total billed charges,61% of total billed charges,5.82,100,,,fee schedule,100% of CMS fee schedule,4.83,7.37,
KOH PREP SLIDES,41000133,CDM,306,RC,87220,HCPCS,Outpatient,,,31.93,25.54,,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,27.14,85,,21.71,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,23.72,74,,18.98,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,27.84,87.2,,,percent of total billed charges,87.2% of total billed charges,18.84,59,,15.07,percent of total billed charges,59% of total billed charges,27.84,87.2,,22.27,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,25.96,81.29,,20.77,percent of total billed charges,81.29% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of totl billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,28.74,90,,22.99,percent of total billed charges,90% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,15.58,percent of total billed charges,61% of total billed charges,19.48,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,28.74,
KOH PREP,43601163,CDM,306,RC,87220,HCPCS,Outpatient,,,5.45,4.36,,4.63,85,,3.7,percent of total billed charges,85% of total billed charges,4.63,85,,3.7,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.75,87.2,,,percent of total billed charges,87.2% of total billed charges,3.22,59,,2.58,percent of total billed charges,59% of total billed charges,4.75,87.2,,3.8,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.43,81.29,,3.54,percent of total billed charges,81.29% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of totl billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.22,4.91,
KOH PREP,43701313,CDM,306,RC,87220,HCPCS,Outpatient,,,5.45,4.36,,4.63,85,,3.7,percent of total billed charges,85% of total billed charges,4.63,85,,3.7,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,4.05,74,,3.24,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,4.75,87.2,,,percent of total billed charges,87.2% of total billed charges,3.22,59,,2.58,percent of total billed charges,59% of total billed charges,4.75,87.2,,3.8,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.43,81.29,,3.54,percent of total billed charges,81.29% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of totl billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,4.91,90,,3.93,percent of total billed charges,90% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,2.66,percent of total billed charges,61% of total billed charges,3.32,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,3.22,4.91,
VIRAL CULTURE,41000090,CDM,306,RC,87252,HCPCS,Outpatient,,,224.81,179.85,,191.09,85,,152.87,percent of total billed charges,85% of total billed charges,191.09,85,,152.87,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,166.99,74,,133.59,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,166.99,74,,133.59,percent of total billed charges,74.28% of total billed charges,137.13,61,,109.7,percent of total billed charges,61% of total billed charges,166.99,74,,133.59,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,202.33,90,,161.86,percent of total billed charges,90% of total billed charges,202.33,90,,161.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,196.03,87.2,,,percent of total billed charges,87.2% of total billed charges,132.64,59,,106.11,percent of total billed charges,59% of total billed charges,196.03,87.2,,156.82,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,182.75,81.29,,146.2,percent of total billed charges,81.29% of total billed charges,202.33,90,,161.86,percent of total billed charges,90% of totl billed charges,202.33,90,,161.86,percent of total billed charges,90% of total billed charges,137.13,61,,109.7,percent of total billed charges,61% of total billed charges,137.13,61,,109.7,percent of total billed charges,61% of total billed charges,202.33,90,,161.86,percent of total billed charges,90% of total billed charges,202.33,90,,161.86,percent of total billed charges,90% of total billed charges,137.13,61,,109.7,percent of total billed charges,61% of total billed charges,137.13,61,,109.7,percent of total billed charges,61% of total billed charges,137.13,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,202.33,
CULTURE-CMV,41000269,CDM,306,RC,87252,HCPCS,Outpatient,,,122.43,97.94,,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,104.07,85,,83.26,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,90.94,74,,72.75,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,106.76,87.2,,,percent of total billed charges,87.2% of total billed charges,72.23,59,,57.78,percent of total billed charges,59% of total billed charges,106.76,87.2,,85.41,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,99.52,81.29,,79.62,percent of total billed charges,81.29% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of totl billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,110.19,90,,88.15,percent of total billed charges,90% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,59.74,percent of total billed charges,61% of total billed charges,74.68,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,110.19,
CULTURE-EBV,41000270,CDM,306,RC,87252,HCPCS,Outpatient,,,130.63,104.5,,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,111.04,85,,88.83,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,97.03,74,,77.62,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,113.91,87.2,,,percent of total billed charges,87.2% of total billed charges,77.07,59,,61.66,percent of total billed charges,59% of total billed charges,113.91,87.2,,91.13,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,106.19,81.29,,84.95,percent of total billed charges,81.29% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of totl billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,117.57,90,,94.06,percent of total billed charges,90% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,63.74,percent of total billed charges,61% of total billed charges,79.68,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,117.57,
HERPES CULTURE,41000428,CDM,306,RC,87252,HCPCS,Outpatient,,,90.08,72.06,,76.57,85,,61.26,percent of total billed charges,85% of total billed charges,76.57,85,,61.26,percent of total billed charges,85% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,66.91,74,,53.53,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,66.91,74,,53.53,percent of total billed charges,74.28% of total billed charges,54.95,61,,43.96,percent of total billed charges,61% of total billed charges,66.91,74,,53.53,percent of total billed charges,74.28% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,81.07,90,,64.86,percent of total billed charges,90% of total billed charges,81.07,90,,64.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,100,,,fee schedule,100% of CMS fee schedule,78.55,87.2,,,percent of total billed charges,87.2% of total billed charges,53.15,59,,42.52,percent of total billed charges,59% of total billed charges,78.55,87.2,,62.84,percent of total billed charges,87.2% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,73.23,81.29,,58.58,percent of total billed charges,81.29% of total billed charges,81.07,90,,64.86,percent of total billed charges,90% of totl billed charges,81.07,90,,64.86,percent of total billed charges,90% of total billed charges,54.95,61,,43.96,percent of total billed charges,61% of total billed charges,54.95,61,,43.96,percent of total billed charges,61% of total billed charges,81.07,90,,64.86,percent of total billed charges,90% of total billed charges,81.07,90,,64.86,percent of total billed charges,90% of total billed charges,54.95,61,,43.96,percent of total billed charges,61% of total billed charges,54.95,61,,43.96,percent of total billed charges,61% of total billed charges,54.95,61,,,percent of total billed charges,61% of total billed charges,26.07,100,,,fee schedule,100% of CMS fee schedule,26.07,81.07,
FLUORESCENT AB (SPEC. ORGNISM),41000258,CDM,306,RC,87260,HCPCS,Outpatient,,,45.31,36.25,,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,38.51,85,,30.81,percent of total billed charges,85% of total billed charges,14.43,100,,,fee schedule,100% of CMS fee schedule,33.66,74,,26.93,percent of total billed charges,74.28% of total billed charges,14.43,100,,,fee schedule,100% of CMS fee schedule,33.66,74,,26.93,percent of total billed charges,74.28% of total billed charges,27.64,61,,22.11,percent of total billed charges,61% of total billed charges,33.66,74,,26.93,percent of total billed charges,74.28% of total billed charges,14.43,100,,,fee schedule,100% of CMS fee schedule,40.78,90,,32.62,percent of total billed charges,90% of total billed charges,40.78,90,,32.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.43,100,,,fee schedule,100% of CMS fee schedule,14.43,100,,,fee schedule,100% of CMS fee schedule,39.51,87.2,,,percent of total billed charges,87.2% of total billed charges,26.73,59,,21.38,percent of total billed charges,59% of total billed charges,39.51,87.2,,31.61,percent of total billed charges,87.2% of total billed charges,14.43,100,,,fee schedule,100% of CMS fee schedule,36.83,81.29,,29.46,percent of total billed charges,81.29% of total billed charges,40.78,90,,32.62,percent of total billed charges,90% of totl billed charges,40.78,90,,32.62,percent of total billed charges,90% of total billed charges,27.64,61,,22.11,percent of total billed charges,61% of total billed charges,27.64,61,,22.11,percent of total billed charges,61% of total billed charges,40.78,90,,32.62,percent of total billed charges,90% of total billed charges,40.78,90,,32.62,percent of total billed charges,90% of total billed charges,27.64,61,,22.11,percent of total billed charges,61% of total billed charges,27.64,61,,22.11,percent of total billed charges,61% of total billed charges,27.64,61,,,percent of total billed charges,61% of total billed charges,14.43,100,,,fee schedule,100% of CMS fee schedule,14.43,40.78,
"VARICELLA,ANTIGEN",41000601,CDM,306,RC,87290,HCPCS,Outpatient,,,70.11,56.09,,59.59,85,,47.67,percent of total billed charges,85% of total billed charges,59.59,85,,47.67,percent of total billed charges,85% of total billed charges,13.42,100,,,fee schedule,100% of CMS fee schedule,52.08,74,,41.66,percent of total billed charges,74.28% of total billed charges,13.42,100,,,fee schedule,100% of CMS fee schedule,52.08,74,,41.66,percent of total billed charges,74.28% of total billed charges,42.77,61,,34.22,percent of total billed charges,61% of total billed charges,52.08,74,,41.66,percent of total billed charges,74.28% of total billed charges,13.42,100,,,fee schedule,100% of CMS fee schedule,63.1,90,,50.48,percent of total billed charges,90% of total billed charges,63.1,90,,50.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.42,100,,,fee schedule,100% of CMS fee schedule,13.42,100,,,fee schedule,100% of CMS fee schedule,61.14,87.2,,,percent of total billed charges,87.2% of total billed charges,41.36,59,,33.09,percent of total billed charges,59% of total billed charges,61.14,87.2,,48.91,percent of total billed charges,87.2% of total billed charges,13.42,100,,,fee schedule,100% of CMS fee schedule,56.99,81.29,,45.59,percent of total billed charges,81.29% of total billed charges,63.1,90,,50.48,percent of total billed charges,90% of totl billed charges,63.1,90,,50.48,percent of total billed charges,90% of total billed charges,42.77,61,,34.22,percent of total billed charges,61% of total billed charges,42.77,61,,34.22,percent of total billed charges,61% of total billed charges,63.1,90,,50.48,percent of total billed charges,90% of total billed charges,63.1,90,,50.48,percent of total billed charges,90% of total billed charges,42.77,61,,34.22,percent of total billed charges,61% of total billed charges,42.77,61,,34.22,percent of total billed charges,61% of total billed charges,42.77,61,,,percent of total billed charges,61% of total billed charges,13.42,100,,,fee schedule,100% of CMS fee schedule,13.42,63.1,
HSV ANTIGEN,41009059,CDM,306,RC,87300,HCPCS,Outpatient,,,169.5,135.6,,144.08,85,,115.26,percent of total billed charges,85% of total billed charges,144.08,85,,115.26,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,125.9,74,,100.72,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,125.9,74,,100.72,percent of total billed charges,74.28% of total billed charges,103.4,61,,82.72,percent of total billed charges,61% of total billed charges,125.9,74,,100.72,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,152.55,90,,122.04,percent of total billed charges,90% of total billed charges,152.55,90,,122.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,147.8,87.2,,,percent of total billed charges,87.2% of total billed charges,100.01,59,,80.01,percent of total billed charges,59% of total billed charges,147.8,87.2,,118.24,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,137.79,81.29,,110.23,percent of total billed charges,81.29% of total billed charges,152.55,90,,122.04,percent of total billed charges,90% of totl billed charges,152.55,90,,122.04,percent of total billed charges,90% of total billed charges,103.4,61,,82.72,percent of total billed charges,61% of total billed charges,103.4,61,,82.72,percent of total billed charges,61% of total billed charges,152.55,90,,122.04,percent of total billed charges,90% of total billed charges,152.55,90,,122.04,percent of total billed charges,90% of total billed charges,103.4,61,,82.72,percent of total billed charges,61% of total billed charges,103.4,61,,82.72,percent of total billed charges,61% of total billed charges,103.4,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,152.55,
ASPERGILLUS ANTIGEN,41001179,CDM,302,RC,87305,HCPCS,Outpatient,,,89.67,71.74,,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,76.22,85,,60.98,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,66.61,74,,53.29,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,78.19,87.2,,,percent of total billed charges,87.2% of total billed charges,52.91,59,,42.33,percent of total billed charges,59% of total billed charges,78.19,87.2,,62.55,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,72.89,81.29,,58.31,percent of total billed charges,81.29% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of totl billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,80.7,90,,64.56,percent of total billed charges,90% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,43.76,percent of total billed charges,61% of total billed charges,54.7,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,80.7,
C-DIFFICILE TOXIN ASSAY,41001092,CDM,306,RC,87324,HCPCS,Outpatient,,,81.01,64.81,,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,68.86,85,,55.09,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,70.64,87.2,,,percent of total billed charges,87.2% of total billed charges,47.8,59,,38.24,percent of total billed charges,59% of total billed charges,70.64,87.2,,56.51,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,65.85,81.29,,52.68,percent of total billed charges,81.29% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of totl billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,72.91,90,,58.33,percent of total billed charges,90% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,39.54,percent of total billed charges,61% of total billed charges,49.42,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,72.91,
CRYPTOSPORIDIUM PARVUM ANTIGEN,41001128,CDM,301,RC,87328,HCPCS,Outpatient,,,87.18,69.74,,74.1,85,,59.28,percent of total billed charges,85% of total billed charges,74.1,85,,59.28,percent of total billed charges,85% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.82,100,,,fee schedule,100% of CMS fee schedule,13.82,100,,,fee schedule,100% of CMS fee schedule,76.02,87.2,,,percent of total billed charges,87.2% of total billed charges,51.44,59,,41.15,percent of total billed charges,59% of total billed charges,76.02,87.2,,60.82,percent of total billed charges,87.2% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,70.87,81.29,,56.7,percent of total billed charges,81.29% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of totl billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,,percent of total billed charges,61% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,13.82,78.46,
CRYPTOSPORIDIUM PARYUM ANTIGEN,41009161,CDM,306,RC,87328,HCPCS,Outpatient,,,87.72,70.18,,74.56,85,,59.65,percent of total billed charges,85% of total billed charges,74.56,85,,59.65,percent of total billed charges,85% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,65.16,74,,52.13,percent of total billed charges,74.28% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,65.16,74,,52.13,percent of total billed charges,74.28% of total billed charges,53.51,61,,42.81,percent of total billed charges,61% of total billed charges,65.16,74,,52.13,percent of total billed charges,74.28% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,78.95,90,,63.16,percent of total billed charges,90% of total billed charges,78.95,90,,63.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.82,100,,,fee schedule,100% of CMS fee schedule,13.82,100,,,fee schedule,100% of CMS fee schedule,76.49,87.2,,,percent of total billed charges,87.2% of total billed charges,51.75,59,,41.4,percent of total billed charges,59% of total billed charges,76.49,87.2,,61.19,percent of total billed charges,87.2% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,71.31,81.29,,57.05,percent of total billed charges,81.29% of total billed charges,78.95,90,,63.16,percent of total billed charges,90% of totl billed charges,78.95,90,,63.16,percent of total billed charges,90% of total billed charges,53.51,61,,42.81,percent of total billed charges,61% of total billed charges,53.51,61,,42.81,percent of total billed charges,61% of total billed charges,78.95,90,,63.16,percent of total billed charges,90% of total billed charges,78.95,90,,63.16,percent of total billed charges,90% of total billed charges,53.51,61,,42.81,percent of total billed charges,61% of total billed charges,53.51,61,,42.81,percent of total billed charges,61% of total billed charges,53.51,61,,,percent of total billed charges,61% of total billed charges,13.82,100,,,fee schedule,100% of CMS fee schedule,13.82,78.95,
GIARDIA ANTIBODY,41000096,CDM,306,RC,87329,HCPCS,Outpatient,,,89.04,71.23,,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,75.68,85,,60.54,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,66.14,74,,52.91,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,77.64,87.2,,,percent of total billed charges,87.2% of total billed charges,52.53,59,,42.02,percent of total billed charges,59% of total billed charges,77.64,87.2,,62.11,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,72.38,81.29,,57.9,percent of total billed charges,81.29% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of totl billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,80.14,90,,64.11,percent of total billed charges,90% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,43.45,percent of total billed charges,61% of total billed charges,54.31,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,80.14,
GIARDIA ANTIGEN,41009105,CDM,306,RC,87329,HCPCS,Outpatient,,,87.18,69.74,,74.1,85,,59.28,percent of total billed charges,85% of total billed charges,74.1,85,,59.28,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,64.76,74,,51.81,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,76.02,87.2,,,percent of total billed charges,87.2% of total billed charges,51.44,59,,41.15,percent of total billed charges,59% of total billed charges,76.02,87.2,,60.82,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,70.87,81.29,,56.7,percent of total billed charges,81.29% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of totl billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,78.46,90,,62.77,percent of total billed charges,90% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,42.54,percent of total billed charges,61% of total billed charges,53.18,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,78.46,
HELICOBACTER PYLORI AG FECAL,41001251,CDM,300,RC,87338,HCPCS,Outpatient,,,12.95,10.36,,11.01,85,,8.81,percent of total billed charges,85% of total billed charges,11.01,85,,8.81,percent of total billed charges,85% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,9.62,74,,7.7,percent of total billed charges,74.28% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,9.62,74,,7.7,percent of total billed charges,74.28% of total billed charges,7.9,61,,6.32,percent of total billed charges,61% of total billed charges,9.62,74,,7.7,percent of total billed charges,74.28% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,11.66,90,,9.33,percent of total billed charges,90% of total billed charges,11.66,90,,9.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.38,100,,,fee schedule,100% of CMS fee schedule,14.38,100,,,fee schedule,100% of CMS fee schedule,11.29,87.2,,,percent of total billed charges,87.2% of total billed charges,7.64,59,,6.11,percent of total billed charges,59% of total billed charges,11.29,87.2,,9.03,percent of total billed charges,87.2% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,10.53,81.29,,8.42,percent of total billed charges,81.29% of total billed charges,11.66,90,,9.33,percent of total billed charges,90% of totl billed charges,11.66,90,,9.33,percent of total billed charges,90% of total billed charges,7.9,61,,6.32,percent of total billed charges,61% of total billed charges,7.9,61,,6.32,percent of total billed charges,61% of total billed charges,11.66,90,,9.33,percent of total billed charges,90% of total billed charges,11.66,90,,9.33,percent of total billed charges,90% of total billed charges,7.9,61,,6.32,percent of total billed charges,61% of total billed charges,7.9,61,,6.32,percent of total billed charges,61% of total billed charges,7.9,61,,,percent of total billed charges,61% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,7.64,14.38,
H.PYLORI ANTIGEN - STOOL,41009099,CDM,306,RC,87338,HCPCS,Outpatient,,,106.19,84.95,,90.26,85,,72.21,percent of total billed charges,85% of total billed charges,90.26,85,,72.21,percent of total billed charges,85% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,78.88,74,,63.1,percent of total billed charges,74.28% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,78.88,74,,63.1,percent of total billed charges,74.28% of total billed charges,64.78,61,,51.82,percent of total billed charges,61% of total billed charges,78.88,74,,63.1,percent of total billed charges,74.28% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,95.57,90,,76.46,percent of total billed charges,90% of total billed charges,95.57,90,,76.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.38,100,,,fee schedule,100% of CMS fee schedule,14.38,100,,,fee schedule,100% of CMS fee schedule,92.6,87.2,,,percent of total billed charges,87.2% of total billed charges,62.65,59,,50.12,percent of total billed charges,59% of total billed charges,92.6,87.2,,74.08,percent of total billed charges,87.2% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,86.32,81.29,,69.06,percent of total billed charges,81.29% of total billed charges,95.57,90,,76.46,percent of total billed charges,90% of totl billed charges,95.57,90,,76.46,percent of total billed charges,90% of total billed charges,64.78,61,,51.82,percent of total billed charges,61% of total billed charges,64.78,61,,51.82,percent of total billed charges,61% of total billed charges,95.57,90,,76.46,percent of total billed charges,90% of total billed charges,95.57,90,,76.46,percent of total billed charges,90% of total billed charges,64.78,61,,51.82,percent of total billed charges,61% of total billed charges,64.78,61,,51.82,percent of total billed charges,61% of total billed charges,64.78,61,,,percent of total billed charges,61% of total billed charges,14.38,100,,,fee schedule,100% of CMS fee schedule,14.38,95.57,
HEPATITIS B SURFACE ANTIGEN,41001013,CDM,306,RC,87340,HCPCS,Outpatient,,,44.36,35.49,,37.71,85,,30.17,percent of total billed charges,85% of total billed charges,37.71,85,,30.17,percent of total billed charges,85% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,32.95,74,,26.36,percent of total billed charges,74.28% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.33,100,,,fee schedule,100% of CMS fee schedule,10.33,100,,,fee schedule,100% of CMS fee schedule,38.68,87.2,,,percent of total billed charges,87.2% of total billed charges,26.17,59,,20.94,percent of total billed charges,59% of total billed charges,38.68,87.2,,30.94,percent of total billed charges,87.2% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,36.06,81.29,,28.85,percent of total billed charges,81.29% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of totl billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,39.92,90,,31.94,percent of total billed charges,90% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,21.65,percent of total billed charges,61% of total billed charges,27.06,61,,,percent of total billed charges,61% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,10.33,39.92,
HAA,41009021,CDM,302,RC,87340,HCPCS,Outpatient,,,124.76,99.81,,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,106.05,85,,84.84,percent of total billed charges,85% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,92.67,74,,74.14,percent of total billed charges,74.28% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.33,100,,,fee schedule,100% of CMS fee schedule,10.33,100,,,fee schedule,100% of CMS fee schedule,108.79,87.2,,,percent of total billed charges,87.2% of total billed charges,73.61,59,,58.89,percent of total billed charges,59% of total billed charges,108.79,87.2,,87.03,percent of total billed charges,87.2% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,101.42,81.29,,81.14,percent of total billed charges,81.29% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of totl billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,112.28,90,,89.82,percent of total billed charges,90% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,60.88,percent of total billed charges,61% of total billed charges,76.1,61,,,percent of total billed charges,61% of total billed charges,10.33,100,,,fee schedule,100% of CMS fee schedule,10.33,112.28,
HEPATITIS BE AG,41000282,CDM,306,RC,87350,HCPCS,Outpatient,,,68.11,54.49,,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,57.89,85,,46.31,percent of total billed charges,85% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,50.59,74,,40.47,percent of total billed charges,74.28% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,100,,,fee schedule,100% of CMS fee schedule,59.39,87.2,,,percent of total billed charges,87.2% of total billed charges,40.18,59,,32.14,percent of total billed charges,59% of total billed charges,59.39,87.2,,47.51,percent of total billed charges,87.2% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,55.37,81.29,,44.3,percent of total billed charges,81.29% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of totl billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,61.3,90,,49.04,percent of total billed charges,90% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,33.24,percent of total billed charges,61% of total billed charges,41.55,61,,,percent of total billed charges,61% of total billed charges,11.53,100,,,fee schedule,100% of CMS fee schedule,11.53,61.3,
HISTOPLASMA ANTIGEN (URINE),41001130,CDM,306,RC,87385,HCPCS,Outpatient,,,192.4,153.92,,163.54,85,,130.83,percent of total billed charges,85% of total billed charges,163.54,85,,130.83,percent of total billed charges,85% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,142.91,74,,114.33,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,142.91,74,,114.33,percent of total billed charges,74.28% of total billed charges,117.36,61,,93.89,percent of total billed charges,61% of total billed charges,142.91,74,,114.33,percent of total billed charges,74.28% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,173.16,90,,138.53,percent of total billed charges,90% of total billed charges,173.16,90,,138.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,100,,,fee schedule,100% of CMS fee schedule,167.77,87.2,,,percent of total billed charges,87.2% of total billed charges,113.52,59,,90.82,percent of total billed charges,59% of total billed charges,167.77,87.2,,134.22,percent of total billed charges,87.2% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,156.4,81.29,,125.12,percent of total billed charges,81.29% of total billed charges,173.16,90,,138.53,percent of total billed charges,90% of totl billed charges,173.16,90,,138.53,percent of total billed charges,90% of total billed charges,117.36,61,,93.89,percent of total billed charges,61% of total billed charges,117.36,61,,93.89,percent of total billed charges,61% of total billed charges,173.16,90,,138.53,percent of total billed charges,90% of total billed charges,173.16,90,,138.53,percent of total billed charges,90% of total billed charges,117.36,61,,93.89,percent of total billed charges,61% of total billed charges,117.36,61,,93.89,percent of total billed charges,61% of total billed charges,117.36,61,,,percent of total billed charges,61% of total billed charges,13.25,100,,,fee schedule,100% of CMS fee schedule,13.25,173.16,
HTLV III (HIV),41009046,CDM,306,RC,87390,HCPCS,Outpatient,,,74.25,59.4,,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,63.11,85,,50.49,percent of total billed charges,85% of total billed charges,24.06,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,24.06,100,,,fee schedule,100% of CMS fee schedule,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,55.15,74,,44.12,percent of total billed charges,74.28% of total billed charges,24.06,100,,,fee schedule,100% of CMS fee schedule,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.06,100,,,fee schedule,100% of CMS fee schedule,24.06,100,,,fee schedule,100% of CMS fee schedule,64.75,87.2,,,percent of total billed charges,87.2% of total billed charges,43.81,59,,35.05,percent of total billed charges,59% of total billed charges,64.75,87.2,,51.8,percent of total billed charges,87.2% of total billed charges,24.06,100,,,fee schedule,100% of CMS fee schedule,60.36,81.29,,48.29,percent of total billed charges,81.29% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of totl billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,66.83,90,,53.46,percent of total billed charges,90% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,36.23,percent of total billed charges,61% of total billed charges,45.29,61,,,percent of total billed charges,61% of total billed charges,24.06,100,,,fee schedule,100% of CMS fee schedule,24.06,66.83,
INFLUENZA A &/OR B,41001206,CDM,306,RC,87400,HCPCS,Outpatient,,,60.93,48.74,,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,100,,,fee schedule,100% of CMS fee schedule,53.13,87.2,,,percent of total billed charges,87.2% of total billed charges,35.95,59,,28.76,percent of total billed charges,59% of total billed charges,53.13,87.2,,42.5,percent of total billed charges,87.2% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,49.53,81.29,,39.62,percent of total billed charges,81.29% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of totl billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,,percent of total billed charges,61% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,54.84,
INFLUENZA A,41009103,CDM,306,RC,87400,HCPCS,Outpatient,,,60.93,48.74,,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,100,,,fee schedule,100% of CMS fee schedule,53.13,87.2,,,percent of total billed charges,87.2% of total billed charges,35.95,59,,28.76,percent of total billed charges,59% of total billed charges,53.13,87.2,,42.5,percent of total billed charges,87.2% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,49.53,81.29,,39.62,percent of total billed charges,81.29% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of totl billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,,percent of total billed charges,61% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,54.84,
INFLUENZA B,41009104,CDM,306,RC,87400,HCPCS,Outpatient,,,60.93,48.74,,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,51.79,85,,41.43,percent of total billed charges,85% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,45.26,74,,36.21,percent of total billed charges,74.28% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,100,,,fee schedule,100% of CMS fee schedule,53.13,87.2,,,percent of total billed charges,87.2% of total billed charges,35.95,59,,28.76,percent of total billed charges,59% of total billed charges,53.13,87.2,,42.5,percent of total billed charges,87.2% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,49.53,81.29,,39.62,percent of total billed charges,81.29% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of totl billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,54.84,90,,43.87,percent of total billed charges,90% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,29.74,percent of total billed charges,61% of total billed charges,37.17,61,,,percent of total billed charges,61% of total billed charges,14.13,100,,,fee schedule,100% of CMS fee schedule,14.13,54.84,
ROTOVIRUS,41000437,CDM,306,RC,87425,HCPCS,Outpatient,,,121.48,97.18,,103.26,85,,82.61,percent of total billed charges,85% of total billed charges,103.26,85,,82.61,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,90.24,74,,72.19,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,90.24,74,,72.19,percent of total billed charges,74.28% of total billed charges,74.1,61,,59.28,percent of total billed charges,61% of total billed charges,90.24,74,,72.19,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,109.33,90,,87.46,percent of total billed charges,90% of total billed charges,109.33,90,,87.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,105.93,87.2,,,percent of total billed charges,87.2% of total billed charges,71.67,59,,57.34,percent of total billed charges,59% of total billed charges,105.93,87.2,,84.74,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,98.75,81.29,,79,percent of total billed charges,81.29% of total billed charges,109.33,90,,87.46,percent of total billed charges,90% of totl billed charges,109.33,90,,87.46,percent of total billed charges,90% of total billed charges,74.1,61,,59.28,percent of total billed charges,61% of total billed charges,74.1,61,,59.28,percent of total billed charges,61% of total billed charges,109.33,90,,87.46,percent of total billed charges,90% of total billed charges,109.33,90,,87.46,percent of total billed charges,90% of total billed charges,74.1,61,,59.28,percent of total billed charges,61% of total billed charges,74.1,61,,59.28,percent of total billed charges,61% of total billed charges,74.1,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,109.33,
SHIGA-LIKE TOXIN,41001093,CDM,306,RC,87427,HCPCS,Outpatient,,,65.12,52.1,,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,55.35,85,,44.28,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,48.37,74,,38.7,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,56.78,87.2,,,percent of total billed charges,87.2% of total billed charges,38.42,59,,30.74,percent of total billed charges,59% of total billed charges,56.78,87.2,,45.42,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,52.94,81.29,,42.35,percent of total billed charges,81.29% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of totl billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,58.61,90,,46.89,percent of total billed charges,90% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,31.78,percent of total billed charges,61% of total billed charges,39.72,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,58.61,
LEGIONELLA PREUMOPHLN URINE AN,41000373,CDM,306,RC,87449,HCPCS,Outpatient,,,106.37,85.1,,90.41,85,,72.33,percent of total billed charges,85% of total billed charges,90.41,85,,72.33,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,92.75,87.2,,,percent of total billed charges,87.2% of total billed charges,62.76,59,,50.21,percent of total billed charges,59% of total billed charges,92.75,87.2,,74.2,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,86.47,81.29,,69.18,percent of total billed charges,81.29% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of totl billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,95.73,
"LEGIONELLA ANTIGEN,URINE",41000410,CDM,306,RC,87449,HCPCS,Outpatient,,,118.46,94.77,,100.69,85,,80.55,percent of total billed charges,85% of total billed charges,100.69,85,,80.55,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,87.99,74,,70.39,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,87.99,74,,70.39,percent of total billed charges,74.28% of total billed charges,72.26,61,,57.81,percent of total billed charges,61% of total billed charges,87.99,74,,70.39,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,103.3,87.2,,,percent of total billed charges,87.2% of total billed charges,69.89,59,,55.91,percent of total billed charges,59% of total billed charges,103.3,87.2,,82.64,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,96.3,81.29,,77.04,percent of total billed charges,81.29% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of totl billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,72.26,61,,57.81,percent of total billed charges,61% of total billed charges,72.26,61,,57.81,percent of total billed charges,61% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,72.26,61,,57.81,percent of total billed charges,61% of total billed charges,72.26,61,,57.81,percent of total billed charges,61% of total billed charges,72.26,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,106.61,
CLOSTRIDIUM DIFFICILE,41000420,CDM,306,RC,87449,HCPCS,Outpatient,,,41.9,33.52,,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,35.62,85,,28.5,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,31.12,74,,24.9,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,36.54,87.2,,,percent of total billed charges,87.2% of total billed charges,24.72,59,,19.78,percent of total billed charges,59% of total billed charges,36.54,87.2,,29.23,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,34.06,81.29,,27.25,percent of total billed charges,81.29% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of totl billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,37.71,90,,30.17,percent of total billed charges,90% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,20.45,percent of total billed charges,61% of total billed charges,25.56,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,37.71,
LEGIONELLA DFA SMEAR,41001090,CDM,306,RC,87449,HCPCS,Outpatient,,,117.6,94.08,,99.96,85,,79.97,percent of total billed charges,85% of total billed charges,99.96,85,,79.97,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,71.74,61,,57.39,percent of total billed charges,61% of total billed charges,87.35,74,,69.88,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,105.84,90,,84.67,percent of total billed charges,90% of total billed charges,105.84,90,,84.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,102.55,87.2,,,percent of total billed charges,87.2% of total billed charges,69.38,59,,55.5,percent of total billed charges,59% of total billed charges,102.55,87.2,,82.04,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,95.6,81.29,,76.48,percent of total billed charges,81.29% of total billed charges,105.84,90,,84.67,percent of total billed charges,90% of totl billed charges,105.84,90,,84.67,percent of total billed charges,90% of total billed charges,71.74,61,,57.39,percent of total billed charges,61% of total billed charges,71.74,61,,57.39,percent of total billed charges,61% of total billed charges,105.84,90,,84.67,percent of total billed charges,90% of total billed charges,105.84,90,,84.67,percent of total billed charges,90% of total billed charges,71.74,61,,57.39,percent of total billed charges,61% of total billed charges,71.74,61,,57.39,percent of total billed charges,61% of total billed charges,71.74,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,105.84,
NORWALK VIRAL CULTURE,41001091,CDM,306,RC,87449,HCPCS,Outpatient,,,208.25,166.6,,177.01,85,,141.61,percent of total billed charges,85% of total billed charges,177.01,85,,141.61,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,154.69,74,,123.75,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,154.69,74,,123.75,percent of total billed charges,74.28% of total billed charges,127.03,61,,101.62,percent of total billed charges,61% of total billed charges,154.69,74,,123.75,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,187.43,90,,149.94,percent of total billed charges,90% of total billed charges,187.43,90,,149.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,181.59,87.2,,,percent of total billed charges,87.2% of total billed charges,122.87,59,,98.3,percent of total billed charges,59% of total billed charges,181.59,87.2,,145.27,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,169.29,81.29,,135.43,percent of total billed charges,81.29% of total billed charges,187.43,90,,149.94,percent of total billed charges,90% of totl billed charges,187.43,90,,149.94,percent of total billed charges,90% of total billed charges,127.03,61,,101.62,percent of total billed charges,61% of total billed charges,127.03,61,,101.62,percent of total billed charges,61% of total billed charges,187.43,90,,149.94,percent of total billed charges,90% of total billed charges,187.43,90,,149.94,percent of total billed charges,90% of total billed charges,127.03,61,,101.62,percent of total billed charges,61% of total billed charges,127.03,61,,101.62,percent of total billed charges,61% of total billed charges,127.03,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,187.43,
FUNGITELL ASSAY,41001178,CDM,302,RC,87449,HCPCS,Outpatient,,,216.74,173.39,,184.23,85,,147.38,percent of total billed charges,85% of total billed charges,184.23,85,,147.38,percent of total billed charges,85% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,160.99,74,,128.79,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,160.99,74,,128.79,percent of total billed charges,74.28% of total billed charges,132.21,61,,105.77,percent of total billed charges,61% of total billed charges,160.99,74,,128.79,percent of total billed charges,74.28% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,195.07,90,,156.06,percent of total billed charges,90% of total billed charges,195.07,90,,156.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,100,,,fee schedule,100% of CMS fee schedule,189,87.2,,,percent of total billed charges,87.2% of total billed charges,127.88,59,,102.3,percent of total billed charges,59% of total billed charges,189,87.2,,151.2,percent of total billed charges,87.2% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,176.19,81.29,,140.95,percent of total billed charges,81.29% of total billed charges,195.07,90,,156.06,percent of total billed charges,90% of totl billed charges,195.07,90,,156.06,percent of total billed charges,90% of total billed charges,132.21,61,,105.77,percent of total billed charges,61% of total billed charges,132.21,61,,105.77,percent of total billed charges,61% of total billed charges,195.07,90,,156.06,percent of total billed charges,90% of total billed charges,195.07,90,,156.06,percent of total billed charges,90% of total billed charges,132.21,61,,105.77,percent of total billed charges,61% of total billed charges,132.21,61,,105.77,percent of total billed charges,61% of total billed charges,132.21,61,,,percent of total billed charges,61% of total billed charges,11.98,100,,,fee schedule,100% of CMS fee schedule,11.98,195.07,
CANDIDA SPEC DIR PROBE,41001244,CDM,309,RC,87480,HCPCS,Outpatient,,,18.76,15.01,,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,16.36,87.2,,,percent of total billed charges,87.2% of total billed charges,11.07,59,,8.86,percent of total billed charges,59% of total billed charges,16.36,87.2,,13.09,percent of total billed charges,87.2% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,15.25,81.29,,12.2,percent of total billed charges,81.29% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of totl billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,,percent of total billed charges,61% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,11.07,20.05,
"CHLAMYDIA, GEN PROBE",41000357,CDM,306,RC,87491,HCPCS,Outpatient,,,136.99,109.59,,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,116.44,85,,93.15,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,101.76,74,,81.41,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,119.46,87.2,,,percent of total billed charges,87.2% of total billed charges,80.82,59,,64.66,percent of total billed charges,59% of total billed charges,119.46,87.2,,95.57,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,111.36,81.29,,89.09,percent of total billed charges,81.29% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of totl billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,123.29,90,,98.63,percent of total billed charges,90% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,66.85,percent of total billed charges,61% of total billed charges,83.56,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,123.29,
MOLECULAR CDIFFICILE TOXIN SCR,41001188,CDM,306,RC,87493,HCPCS,Outpatient,,,82.98,66.38,,70.53,85,,56.42,percent of total billed charges,85% of total billed charges,70.53,85,,56.42,percent of total billed charges,85% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,61.64,74,,49.31,percent of total billed charges,74.28% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,61.64,74,,49.31,percent of total billed charges,74.28% of total billed charges,50.62,61,,40.5,percent of total billed charges,61% of total billed charges,61.64,74,,49.31,percent of total billed charges,74.28% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,74.68,90,,59.74,percent of total billed charges,90% of total billed charges,74.68,90,,59.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.27,100,,,fee schedule,100% of CMS fee schedule,37.27,100,,,fee schedule,100% of CMS fee schedule,72.36,87.2,,,percent of total billed charges,87.2% of total billed charges,48.96,59,,39.17,percent of total billed charges,59% of total billed charges,72.36,87.2,,57.89,percent of total billed charges,87.2% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,67.45,81.29,,53.96,percent of total billed charges,81.29% of total billed charges,74.68,90,,59.74,percent of total billed charges,90% of totl billed charges,74.68,90,,59.74,percent of total billed charges,90% of total billed charges,50.62,61,,40.5,percent of total billed charges,61% of total billed charges,50.62,61,,40.5,percent of total billed charges,61% of total billed charges,74.68,90,,59.74,percent of total billed charges,90% of total billed charges,74.68,90,,59.74,percent of total billed charges,90% of total billed charges,50.62,61,,40.5,percent of total billed charges,61% of total billed charges,50.62,61,,40.5,percent of total billed charges,61% of total billed charges,50.62,61,,,percent of total billed charges,61% of total billed charges,37.27,100,,,fee schedule,100% of CMS fee schedule,37.27,74.68,
CMV QUANTITATION BY PCR,41001087,CDM,306,RC,87497,HCPCS,Outpatient,,,176.43,141.14,,149.97,85,,119.98,percent of total billed charges,85% of total billed charges,149.97,85,,119.98,percent of total billed charges,85% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,131.05,74,,104.84,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,131.05,74,,104.84,percent of total billed charges,74.28% of total billed charges,107.62,61,,86.1,percent of total billed charges,61% of total billed charges,131.05,74,,104.84,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,158.79,90,,127.03,percent of total billed charges,90% of total billed charges,158.79,90,,127.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,153.85,87.2,,,percent of total billed charges,87.2% of total billed charges,104.09,59,,83.27,percent of total billed charges,59% of total billed charges,153.85,87.2,,123.08,percent of total billed charges,87.2% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,143.42,81.29,,114.74,percent of total billed charges,81.29% of total billed charges,158.79,90,,127.03,percent of total billed charges,90% of totl billed charges,158.79,90,,127.03,percent of total billed charges,90% of total billed charges,107.62,61,,86.1,percent of total billed charges,61% of total billed charges,107.62,61,,86.1,percent of total billed charges,61% of total billed charges,158.79,90,,127.03,percent of total billed charges,90% of total billed charges,158.79,90,,127.03,percent of total billed charges,90% of total billed charges,107.62,61,,86.1,percent of total billed charges,61% of total billed charges,107.62,61,,86.1,percent of total billed charges,61% of total billed charges,107.62,61,,,percent of total billed charges,61% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,158.79,
FLU AB PCR,41009164,CDM,300,RC,87502,HCPCS,Outpatient,,,224.17,179.34,,190.54,85,,152.43,percent of total billed charges,85% of total billed charges,190.54,85,,152.43,percent of total billed charges,85% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,166.51,74,,133.21,percent of total billed charges,74.28% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,166.51,74,,133.21,percent of total billed charges,74.28% of total billed charges,136.74,61,,109.39,percent of total billed charges,61% of total billed charges,166.51,74,,133.21,percent of total billed charges,74.28% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,201.75,90,,161.4,percent of total billed charges,90% of total billed charges,201.75,90,,161.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,95.8,100,,,fee schedule,100% of CMS fee schedule,95.8,100,,,fee schedule,100% of CMS fee schedule,195.48,87.2,,,percent of total billed charges,87.2% of total billed charges,132.26,59,,105.81,percent of total billed charges,59% of total billed charges,195.48,87.2,,156.38,percent of total billed charges,87.2% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,182.23,81.29,,145.78,percent of total billed charges,81.29% of total billed charges,201.75,90,,161.4,percent of total billed charges,90% of totl billed charges,201.75,90,,161.4,percent of total billed charges,90% of total billed charges,136.74,61,,109.39,percent of total billed charges,61% of total billed charges,136.74,61,,109.39,percent of total billed charges,61% of total billed charges,201.75,90,,161.4,percent of total billed charges,90% of total billed charges,201.75,90,,161.4,percent of total billed charges,90% of total billed charges,136.74,61,,109.39,percent of total billed charges,61% of total billed charges,136.74,61,,109.39,percent of total billed charges,61% of total billed charges,136.74,61,,,percent of total billed charges,61% of total billed charges,95.8,100,,,fee schedule,100% of CMS fee schedule,95.8,201.75,
GARDNERELLA VAGINALIS,41001245,CDM,309,RC,87510,HCPCS,Outpatient,,,18.76,15.01,,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,16.36,87.2,,,percent of total billed charges,87.2% of total billed charges,11.07,59,,8.86,percent of total billed charges,59% of total billed charges,16.36,87.2,,13.09,percent of total billed charges,87.2% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,15.25,81.29,,12.2,percent of total billed charges,81.29% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of totl billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,,percent of total billed charges,61% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,11.07,20.05,
HEPATITIS B VIRUS DNA QUANTITA,41001131,CDM,302,RC,87517,HCPCS,Outpatient,,,290.92,232.74,,247.28,85,,197.82,percent of total billed charges,85% of total billed charges,247.28,85,,197.82,percent of total billed charges,85% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,216.1,74,,172.88,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,216.1,74,,172.88,percent of total billed charges,74.28% of total billed charges,177.46,61,,141.97,percent of total billed charges,61% of total billed charges,216.1,74,,172.88,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,261.83,90,,209.46,percent of total billed charges,90% of total billed charges,261.83,90,,209.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,253.68,87.2,,,percent of total billed charges,87.2% of total billed charges,171.64,59,,137.31,percent of total billed charges,59% of total billed charges,253.68,87.2,,202.94,percent of total billed charges,87.2% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,236.49,81.29,,189.19,percent of total billed charges,81.29% of total billed charges,261.83,90,,209.46,percent of total billed charges,90% of totl billed charges,261.83,90,,209.46,percent of total billed charges,90% of total billed charges,177.46,61,,141.97,percent of total billed charges,61% of total billed charges,177.46,61,,141.97,percent of total billed charges,61% of total billed charges,261.83,90,,209.46,percent of total billed charges,90% of total billed charges,261.83,90,,209.46,percent of total billed charges,90% of total billed charges,177.46,61,,141.97,percent of total billed charges,61% of total billed charges,177.46,61,,141.97,percent of total billed charges,61% of total billed charges,177.46,61,,,percent of total billed charges,61% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,261.83,
"HEPATITIS C RNA, QUAL",41000400,CDM,306,RC,87521,HCPCS,Outpatient,,,267.5,214,,227.38,85,,181.9,percent of total billed charges,85% of total billed charges,227.38,85,,181.9,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,198.7,74,,158.96,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,233.26,87.2,,,percent of total billed charges,87.2% of total billed charges,157.83,59,,126.26,percent of total billed charges,59% of total billed charges,233.26,87.2,,186.61,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,217.45,81.29,,173.96,percent of total billed charges,81.29% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of totl billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,240.75,90,,192.6,percent of total billed charges,90% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,130.54,percent of total billed charges,61% of total billed charges,163.18,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,240.75,
"HEPATITIS C RNA, QUANT",41000352,CDM,306,RC,87522,HCPCS,Outpatient,,,356.2,284.96,,302.77,85,,242.22,percent of total billed charges,85% of total billed charges,302.77,85,,242.22,percent of total billed charges,85% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,264.59,74,,211.67,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,264.59,74,,211.67,percent of total billed charges,74.28% of total billed charges,217.28,61,,173.82,percent of total billed charges,61% of total billed charges,264.59,74,,211.67,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,320.58,90,,256.46,percent of total billed charges,90% of total billed charges,320.58,90,,256.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,310.61,87.2,,,percent of total billed charges,87.2% of total billed charges,210.16,59,,168.13,percent of total billed charges,59% of total billed charges,310.61,87.2,,248.49,percent of total billed charges,87.2% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,289.55,81.29,,231.64,percent of total billed charges,81.29% of total billed charges,320.58,90,,256.46,percent of total billed charges,90% of totl billed charges,320.58,90,,256.46,percent of total billed charges,90% of total billed charges,217.28,61,,173.82,percent of total billed charges,61% of total billed charges,217.28,61,,173.82,percent of total billed charges,61% of total billed charges,320.58,90,,256.46,percent of total billed charges,90% of total billed charges,320.58,90,,256.46,percent of total billed charges,90% of total billed charges,217.28,61,,173.82,percent of total billed charges,61% of total billed charges,217.28,61,,173.82,percent of total billed charges,61% of total billed charges,217.28,61,,,percent of total billed charges,61% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,320.58,
FLU AB RSV PCR,41009165,CDM,300,RC,87631,HCPCS,Outpatient,,,333.75,267,,283.69,85,,226.95,percent of total billed charges,85% of total billed charges,283.69,85,,226.95,percent of total billed charges,85% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,291.03,87.2,,,percent of total billed charges,87.2% of total billed charges,196.91,59,,157.53,percent of total billed charges,59% of total billed charges,291.03,87.2,,232.82,percent of total billed charges,87.2% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,271.31,81.29,,217.05,percent of total billed charges,81.29% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of totl billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,,percent of total billed charges,61% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,300.38,
RSV PCR,41009166,CDM,300,RC,87634,HCPCS,Outpatient,,,164.27,131.42,,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,100,,,fee schedule,100% of CMS fee schedule,70.2,100,,,fee schedule,100% of CMS fee schedule,143.24,87.2,,,percent of total billed charges,87.2% of total billed charges,96.92,59,,77.54,percent of total billed charges,59% of total billed charges,143.24,87.2,,114.59,percent of total billed charges,87.2% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,133.54,81.29,,106.83,percent of total billed charges,81.29% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of totl billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,,percent of total billed charges,61% of total billed charges,70.2,100,,,fee schedule,100% of CMS fee schedule,70.2,147.84,
COVID-19,41001236,CDM,300,RC,87635,HCPCS,Outpatient,,,123.55,98.84,,105.02,85,,84.02,percent of total billed charges,85% of total billed charges,105.02,85,,84.02,percent of total billed charges,85% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,91.77,74,,73.42,percent of total billed charges,74.28% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,91.77,74,,73.42,percent of total billed charges,74.28% of total billed charges,75.37,61,,60.3,percent of total billed charges,61% of total billed charges,91.77,74,,73.42,percent of total billed charges,74.28% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,111.2,90,,88.96,percent of total billed charges,90% of total billed charges,111.2,90,,88.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.31,100,,,fee schedule,100% of CMS fee schedule,51.31,100,,,fee schedule,100% of CMS fee schedule,107.74,87.2,,,percent of total billed charges,87.2% of total billed charges,72.89,59,,58.31,percent of total billed charges,59% of total billed charges,107.74,87.2,,86.19,percent of total billed charges,87.2% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,100.43,81.29,,80.34,percent of total billed charges,81.29% of total billed charges,111.2,90,,88.96,percent of total billed charges,90% of totl billed charges,111.2,90,,88.96,percent of total billed charges,90% of total billed charges,75.37,61,,60.3,percent of total billed charges,61% of total billed charges,75.37,61,,60.3,percent of total billed charges,61% of total billed charges,111.2,90,,88.96,percent of total billed charges,90% of total billed charges,111.2,90,,88.96,percent of total billed charges,90% of total billed charges,75.37,61,,60.3,percent of total billed charges,61% of total billed charges,75.37,61,,60.3,percent of total billed charges,61% of total billed charges,75.37,61,,,percent of total billed charges,61% of total billed charges,51.31,100,,,fee schedule,100% of CMS fee schedule,51.31,111.2,
RESP PANEL FLU AB RSV COVID,41009167,CDM,300,RC,87637,HCPCS,Outpatient,,,333.75,267,,283.69,85,,226.95,percent of total billed charges,85% of total billed charges,283.69,85,,226.95,percent of total billed charges,85% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,247.91,74,,198.33,percent of total billed charges,74.28% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,100,,,fee schedule,100% of CMS fee schedule,291.03,87.2,,,percent of total billed charges,87.2% of total billed charges,196.91,59,,157.53,percent of total billed charges,59% of total billed charges,291.03,87.2,,232.82,percent of total billed charges,87.2% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,271.31,81.29,,217.05,percent of total billed charges,81.29% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of totl billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,300.38,90,,240.3,percent of total billed charges,90% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,162.87,percent of total billed charges,61% of total billed charges,203.59,61,,,percent of total billed charges,61% of total billed charges,142.63,100,,,fee schedule,100% of CMS fee schedule,142.63,300.38,
STREP A PCR 280150,41001227,CDM,306,RC,87651,HCPCS,Outpatient,,,47.39,37.91,,40.28,85,,32.22,percent of total billed charges,85% of total billed charges,40.28,85,,32.22,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.2,74,,28.16,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.2,74,,28.16,percent of total billed charges,74.28% of total billed charges,28.91,61,,23.13,percent of total billed charges,61% of total billed charges,35.2,74,,28.16,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,42.65,90,,34.12,percent of total billed charges,90% of total billed charges,42.65,90,,34.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,41.32,87.2,,,percent of total billed charges,87.2% of total billed charges,27.96,59,,22.37,percent of total billed charges,59% of total billed charges,41.32,87.2,,33.06,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,38.52,81.29,,30.82,percent of total billed charges,81.29% of total billed charges,42.65,90,,34.12,percent of total billed charges,90% of totl billed charges,42.65,90,,34.12,percent of total billed charges,90% of total billed charges,28.91,61,,23.13,percent of total billed charges,61% of total billed charges,28.91,61,,23.13,percent of total billed charges,61% of total billed charges,42.65,90,,34.12,percent of total billed charges,90% of total billed charges,42.65,90,,34.12,percent of total billed charges,90% of total billed charges,28.91,61,,23.13,percent of total billed charges,61% of total billed charges,28.91,61,,23.13,percent of total billed charges,61% of total billed charges,28.91,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,27.96,42.65,
GROUP A STREP PCR,41009168,CDM,300,RC,87651,HCPCS,Outpatient,,,109.48,87.58,,93.06,85,,74.45,percent of total billed charges,85% of total billed charges,93.06,85,,74.45,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,81.32,74,,65.06,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,81.32,74,,65.06,percent of total billed charges,74.28% of total billed charges,66.78,61,,53.42,percent of total billed charges,61% of total billed charges,81.32,74,,65.06,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,98.53,90,,78.82,percent of total billed charges,90% of total billed charges,98.53,90,,78.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,95.47,87.2,,,percent of total billed charges,87.2% of total billed charges,64.59,59,,51.67,percent of total billed charges,59% of total billed charges,95.47,87.2,,76.38,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,89,81.29,,71.2,percent of total billed charges,81.29% of total billed charges,98.53,90,,78.82,percent of total billed charges,90% of totl billed charges,98.53,90,,78.82,percent of total billed charges,90% of total billed charges,66.78,61,,53.42,percent of total billed charges,61% of total billed charges,66.78,61,,53.42,percent of total billed charges,61% of total billed charges,98.53,90,,78.82,percent of total billed charges,90% of total billed charges,98.53,90,,78.82,percent of total billed charges,90% of total billed charges,66.78,61,,53.42,percent of total billed charges,61% of total billed charges,66.78,61,,53.42,percent of total billed charges,61% of total billed charges,66.78,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,98.53,
TRICHOMONAS VAGINALIS,41001246,CDM,309,RC,87660,HCPCS,Outpatient,,,18.76,15.01,,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,15.95,85,,12.76,percent of total billed charges,85% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,13.93,74,,11.14,percent of total billed charges,74.28% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.05,100,,,fee schedule,100% of CMS fee schedule,20.05,100,,,fee schedule,100% of CMS fee schedule,16.36,87.2,,,percent of total billed charges,87.2% of total billed charges,11.07,59,,8.86,percent of total billed charges,59% of total billed charges,16.36,87.2,,13.09,percent of total billed charges,87.2% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,15.25,81.29,,12.2,percent of total billed charges,81.29% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of totl billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,16.88,90,,13.5,percent of total billed charges,90% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,9.15,percent of total billed charges,61% of total billed charges,11.44,61,,,percent of total billed charges,61% of total billed charges,20.05,100,,,fee schedule,100% of CMS fee schedule,11.07,20.05,
NOROVIRUS DETECT REAL TIME PCR,41000800,CDM,306,RC,87798,HCPCS,Outpatient,,,332.29,265.83,,282.45,85,,225.96,percent of total billed charges,85% of total billed charges,282.45,85,,225.96,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,289.76,87.2,,,percent of total billed charges,87.2% of total billed charges,196.05,59,,156.84,percent of total billed charges,59% of total billed charges,289.76,87.2,,231.81,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,270.12,81.29,,216.1,percent of total billed charges,81.29% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of totl billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,299.06,
PNEUMOCYSTIS BY PCR,41001086,CDM,306,RC,87798,HCPCS,Outpatient,,,332.29,265.83,,282.45,85,,225.96,percent of total billed charges,85% of total billed charges,282.45,85,,225.96,percent of total billed charges,85% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,246.83,74,,197.46,percent of total billed charges,74.28% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,100,,,fee schedule,100% of CMS fee schedule,289.76,87.2,,,percent of total billed charges,87.2% of total billed charges,196.05,59,,156.84,percent of total billed charges,59% of total billed charges,289.76,87.2,,231.81,percent of total billed charges,87.2% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,270.12,81.29,,216.1,percent of total billed charges,81.29% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of totl billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,299.06,90,,239.25,percent of total billed charges,90% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,162.16,percent of total billed charges,61% of total billed charges,202.7,61,,,percent of total billed charges,61% of total billed charges,35.09,100,,,fee schedule,100% of CMS fee schedule,35.09,299.06,
"BK VIRUS DNA PCR,QUANTITATIVE",41001159,CDM,300,RC,87799,HCPCS,Outpatient,,,261.57,209.26,,222.33,85,,177.86,percent of total billed charges,85% of total billed charges,222.33,85,,177.86,percent of total billed charges,85% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,194.29,74,,155.43,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,194.29,74,,155.43,percent of total billed charges,74.28% of total billed charges,159.56,61,,127.65,percent of total billed charges,61% of total billed charges,194.29,74,,155.43,percent of total billed charges,74.28% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,235.41,90,,188.33,percent of total billed charges,90% of total billed charges,235.41,90,,188.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,100,,,fee schedule,100% of CMS fee schedule,228.09,87.2,,,percent of total billed charges,87.2% of total billed charges,154.33,59,,123.46,percent of total billed charges,59% of total billed charges,228.09,87.2,,182.47,percent of total billed charges,87.2% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,212.63,81.29,,170.1,percent of total billed charges,81.29% of total billed charges,235.41,90,,188.33,percent of total billed charges,90% of totl billed charges,235.41,90,,188.33,percent of total billed charges,90% of total billed charges,159.56,61,,127.65,percent of total billed charges,61% of total billed charges,159.56,61,,127.65,percent of total billed charges,61% of total billed charges,235.41,90,,188.33,percent of total billed charges,90% of total billed charges,235.41,90,,188.33,percent of total billed charges,90% of total billed charges,159.56,61,,127.65,percent of total billed charges,61% of total billed charges,159.56,61,,127.65,percent of total billed charges,61% of total billed charges,159.56,61,,,percent of total billed charges,61% of total billed charges,42.84,100,,,fee schedule,100% of CMS fee schedule,42.84,235.41,
RAPID FLU TEST *,43600313,CDM,300,RC,87804,HCPCS,Outpatient,,,119.99,95.99,,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.55,100,,,fee schedule,100% of CMS fee schedule,16.55,100,,,fee schedule,100% of CMS fee schedule,104.63,87.2,,,percent of total billed charges,87.2% of total billed charges,70.79,59,,56.63,percent of total billed charges,59% of total billed charges,104.63,87.2,,83.7,percent of total billed charges,87.2% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,97.54,81.29,,78.03,percent of total billed charges,81.29% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of totl billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,,percent of total billed charges,61% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,16.55,107.99,
RAPID FLU TEST *,43700313,CDM,300,RC,87804,HCPCS,Outpatient,,,119.99,95.99,,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,101.99,85,,81.59,percent of total billed charges,85% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,89.13,74,,71.3,percent of total billed charges,74.28% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.55,100,,,fee schedule,100% of CMS fee schedule,16.55,100,,,fee schedule,100% of CMS fee schedule,104.63,87.2,,,percent of total billed charges,87.2% of total billed charges,70.79,59,,56.63,percent of total billed charges,59% of total billed charges,104.63,87.2,,83.7,percent of total billed charges,87.2% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,97.54,81.29,,78.03,percent of total billed charges,81.29% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of totl billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,107.99,90,,86.39,percent of total billed charges,90% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,58.55,percent of total billed charges,61% of total billed charges,73.19,61,,,percent of total billed charges,61% of total billed charges,16.55,100,,,fee schedule,100% of CMS fee schedule,16.55,107.99,
STREP SCREEN,41000530,CDM,306,RC,87880,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,43.26,
Strep Screen *,43601367,CDM,306,RC,87880,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,100,,,fee schedule,100% of CMS fee schedule,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,,percent of total billed charges,61% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,34.36,
STREP SCREEN *,43701137,CDM,306,RC,87880,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,100,,,fee schedule,100% of CMS fee schedule,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,,percent of total billed charges,61% of total billed charges,16.53,100,,,fee schedule,100% of CMS fee schedule,16.53,34.36,
"HEP C GENO,NUCLEIC ACID EXT",41001045,CDM,301,RC,87902,HCPCS,Outpatient,,,104.42,83.54,,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,91.05,87.2,,,percent of total billed charges,87.2% of total billed charges,61.61,59,,49.29,percent of total billed charges,59% of total billed charges,91.05,87.2,,72.84,percent of total billed charges,87.2% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,84.88,81.29,,67.9,percent of total billed charges,81.29% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of totl billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,,percent of total billed charges,61% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,61.61,257.45,
"HEP C,GENO,NUCLEIC ACID PROBE",41001046,CDM,301,RC,87902,HCPCS,Outpatient,,,104.42,83.54,,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,91.05,87.2,,,percent of total billed charges,87.2% of total billed charges,61.61,59,,49.29,percent of total billed charges,59% of total billed charges,91.05,87.2,,72.84,percent of total billed charges,87.2% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,84.88,81.29,,67.9,percent of total billed charges,81.29% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of totl billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,,percent of total billed charges,61% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,61.61,257.45,
"HEP C,GENO,N.AC,AMPLIC",41001047,CDM,301,RC,87902,HCPCS,Outpatient,,,104.42,83.54,,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,91.05,87.2,,,percent of total billed charges,87.2% of total billed charges,61.61,59,,49.29,percent of total billed charges,59% of total billed charges,91.05,87.2,,72.84,percent of total billed charges,87.2% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,84.88,81.29,,67.9,percent of total billed charges,81.29% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of totl billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,,percent of total billed charges,61% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,61.61,257.45,
"HEP C,GENO INTERPRETATION",41001048,CDM,301,RC,87902,HCPCS,Outpatient,,,104.42,83.54,,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,88.76,85,,71.01,percent of total billed charges,85% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,77.56,74,,62.05,percent of total billed charges,74.28% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.45,100,,,fee schedule,100% of CMS fee schedule,257.45,100,,,fee schedule,100% of CMS fee schedule,91.05,87.2,,,percent of total billed charges,87.2% of total billed charges,61.61,59,,49.29,percent of total billed charges,59% of total billed charges,91.05,87.2,,72.84,percent of total billed charges,87.2% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,84.88,81.29,,67.9,percent of total billed charges,81.29% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of totl billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,93.98,90,,75.18,percent of total billed charges,90% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,50.96,percent of total billed charges,61% of total billed charges,63.7,61,,,percent of total billed charges,61% of total billed charges,257.45,100,,,fee schedule,100% of CMS fee schedule,61.61,257.45,
CYTOPATHOLOGY (LQUID BASE SLID,41001203,CDM,311,RC,88112,HCPCS,Outpatient,,,77.34,61.87,,65.74,85,,52.59,percent of total billed charges,85% of total billed charges,65.74,85,,52.59,percent of total billed charges,85% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,57.45,74,,45.96,percent of total billed charges,74.28% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,57.45,74,,45.96,percent of total billed charges,74.28% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,57.45,74,,45.96,percent of total billed charges,74.28% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,69.61,90,,55.69,percent of total billed charges,90% of total billed charges,69.61,90,,55.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,67.44,87.2,,,percent of total billed charges,87.2% of total billed charges,45.63,59,,36.5,percent of total billed charges,59% of total billed charges,67.44,87.2,,53.95,percent of total billed charges,87.2% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,62.87,81.29,,50.3,percent of total billed charges,81.29% of total billed charges,69.61,90,,55.69,percent of total billed charges,90% of totl billed charges,69.61,90,,55.69,percent of total billed charges,90% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,69.61,90,,55.69,percent of total billed charges,90% of total billed charges,69.61,90,,55.69,percent of total billed charges,90% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,47.18,61,,37.74,percent of total billed charges,61% of total billed charges,40.22,52,,32.18,percent of total billed charges,52% of total billed charges,40.22,69.61,
TZANCK SMEAR,41000358,CDM,310,RC,88160,HCPCS,Outpatient,,,92.29,73.83,,78.45,85,,62.76,percent of total billed charges,85% of total billed charges,78.45,85,,62.76,percent of total billed charges,85% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,68.55,74,,54.84,percent of total billed charges,74.28% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,68.55,74,,54.84,percent of total billed charges,74.28% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,68.55,74,,54.84,percent of total billed charges,74.28% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,83.06,90,,66.45,percent of total billed charges,90% of total billed charges,83.06,90,,66.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,80.48,87.2,,,percent of total billed charges,87.2% of total billed charges,54.45,59,,43.56,percent of total billed charges,59% of total billed charges,80.48,87.2,,64.38,percent of total billed charges,87.2% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,75.02,81.29,,60.02,percent of total billed charges,81.29% of total billed charges,83.06,90,,66.45,percent of total billed charges,90% of totl billed charges,83.06,90,,66.45,percent of total billed charges,90% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,83.06,90,,66.45,percent of total billed charges,90% of total billed charges,83.06,90,,66.45,percent of total billed charges,90% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,56.3,61,,45.04,percent of total billed charges,61% of total billed charges,47.99,52,,38.39,percent of total billed charges,52% of total billed charges,47.99,83.06,
"CYTOPATH, FNA;INTERPRET & RPT",41001225,CDM,311,RC,88173,HCPCS,Outpatient,,,83.64,66.91,,71.09,85,,56.87,percent of total billed charges,85% of total billed charges,71.09,85,,56.87,percent of total billed charges,85% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,72.93,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.93,87.2,,58.34,percent of total billed charges,87.2% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,67.99,81.29,,54.39,percent of total billed charges,81.29% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of totl billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,43.49,75.28,
CYTOPATH FNA IMM CYSTOHISTOLOG,41001226,CDM,311,RC,88173,HCPCS,Outpatient,,,83.64,66.91,,71.09,85,,56.87,percent of total billed charges,85% of total billed charges,71.09,85,,56.87,percent of total billed charges,85% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,62.13,74,,49.7,percent of total billed charges,74.28% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,72.93,87.2,,,percent of total billed charges,87.2% of total billed charges,49.35,59,,39.48,percent of total billed charges,59% of total billed charges,72.93,87.2,,58.34,percent of total billed charges,87.2% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,67.99,81.29,,54.39,percent of total billed charges,81.29% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of totl billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,75.28,90,,60.22,percent of total billed charges,90% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,51.02,61,,40.82,percent of total billed charges,61% of total billed charges,43.49,52,,34.79,percent of total billed charges,52% of total billed charges,43.49,75.28,
DNA PLOIDY-URINE,41000164,CDM,310,RC,88182,HCPCS,Outpatient,,,179.28,143.42,,152.39,85,,121.91,percent of total billed charges,85% of total billed charges,152.39,85,,121.91,percent of total billed charges,85% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,133.17,74,,106.54,percent of total billed charges,74.28% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,133.17,74,,106.54,percent of total billed charges,74.28% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,133.17,74,,106.54,percent of total billed charges,74.28% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,161.35,90,,129.08,percent of total billed charges,90% of total billed charges,161.35,90,,129.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,156.33,87.2,,,percent of total billed charges,87.2% of total billed charges,105.78,59,,84.62,percent of total billed charges,59% of total billed charges,156.33,87.2,,125.06,percent of total billed charges,87.2% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,145.74,81.29,,116.59,percent of total billed charges,81.29% of total billed charges,161.35,90,,129.08,percent of total billed charges,90% of totl billed charges,161.35,90,,129.08,percent of total billed charges,90% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,161.35,90,,129.08,percent of total billed charges,90% of total billed charges,161.35,90,,129.08,percent of total billed charges,90% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,109.36,61,,87.49,percent of total billed charges,61% of total billed charges,93.23,52,,74.58,percent of total billed charges,52% of total billed charges,93.23,161.35,
LYMPHOMA PANEL,41000215,CDM,310,RC,88182,HCPCS,Outpatient,,,283.7,226.96,,241.15,85,,192.92,percent of total billed charges,85% of total billed charges,241.15,85,,192.92,percent of total billed charges,85% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,210.73,74,,168.58,percent of total billed charges,74.28% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,210.73,74,,168.58,percent of total billed charges,74.28% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,210.73,74,,168.58,percent of total billed charges,74.28% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,255.33,90,,204.26,percent of total billed charges,90% of total billed charges,255.33,90,,204.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,247.39,87.2,,,percent of total billed charges,87.2% of total billed charges,167.38,59,,133.9,percent of total billed charges,59% of total billed charges,247.39,87.2,,197.91,percent of total billed charges,87.2% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,230.62,81.29,,184.5,percent of total billed charges,81.29% of total billed charges,255.33,90,,204.26,percent of total billed charges,90% of totl billed charges,255.33,90,,204.26,percent of total billed charges,90% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,255.33,90,,204.26,percent of total billed charges,90% of total billed charges,255.33,90,,204.26,percent of total billed charges,90% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,173.06,61,,138.45,percent of total billed charges,61% of total billed charges,147.52,52,,118.02,percent of total billed charges,52% of total billed charges,147.52,255.33,
T & B ABSOLUTE,41000248,CDM,302,RC,88182,HCPCS,Outpatient,,,259.54,207.63,,220.61,85,,176.49,percent of total billed charges,85% of total billed charges,220.61,85,,176.49,percent of total billed charges,85% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,192.79,74,,154.23,percent of total billed charges,74.28% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,192.79,74,,154.23,percent of total billed charges,74.28% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,192.79,74,,154.23,percent of total billed charges,74.28% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,233.59,90,,186.87,percent of total billed charges,90% of total billed charges,233.59,90,,186.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,226.32,87.2,,,percent of total billed charges,87.2% of total billed charges,153.13,59,,122.5,percent of total billed charges,59% of total billed charges,226.32,87.2,,181.06,percent of total billed charges,87.2% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,210.98,81.29,,168.78,percent of total billed charges,81.29% of total billed charges,233.59,90,,186.87,percent of total billed charges,90% of totl billed charges,233.59,90,,186.87,percent of total billed charges,90% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,233.59,90,,186.87,percent of total billed charges,90% of total billed charges,233.59,90,,186.87,percent of total billed charges,90% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,158.32,61,,126.66,percent of total billed charges,61% of total billed charges,134.96,52,,107.97,percent of total billed charges,52% of total billed charges,134.96,233.59,
CHRONIC LEUKEMIA PANEL,41000265,CDM,310,RC,88182,HCPCS,Outpatient,,,404.47,323.58,,343.8,85,,275.04,percent of total billed charges,85% of total billed charges,343.8,85,,275.04,percent of total billed charges,85% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,300.44,74,,240.35,percent of total billed charges,74.28% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,300.44,74,,240.35,percent of total billed charges,74.28% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,300.44,74,,240.35,percent of total billed charges,74.28% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,364.02,90,,291.22,percent of total billed charges,90% of total billed charges,364.02,90,,291.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,352.7,87.2,,,percent of total billed charges,87.2% of total billed charges,238.64,59,,190.91,percent of total billed charges,59% of total billed charges,352.7,87.2,,282.16,percent of total billed charges,87.2% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,328.79,81.29,,263.03,percent of total billed charges,81.29% of total billed charges,364.02,90,,291.22,percent of total billed charges,90% of totl billed charges,364.02,90,,291.22,percent of total billed charges,90% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,364.02,90,,291.22,percent of total billed charges,90% of total billed charges,364.02,90,,291.22,percent of total billed charges,90% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,246.73,61,,197.38,percent of total billed charges,61% of total billed charges,210.32,52,,168.26,percent of total billed charges,52% of total billed charges,210.32,364.02,
T & B LYMPHOCYTE STUDIES,41000295,CDM,310,RC,88182,HCPCS,Outpatient,,,214.95,171.96,,182.71,85,,146.17,percent of total billed charges,85% of total billed charges,182.71,85,,146.17,percent of total billed charges,85% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,159.66,74,,127.73,percent of total billed charges,74.28% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,159.66,74,,127.73,percent of total billed charges,74.28% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,159.66,74,,127.73,percent of total billed charges,74.28% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,193.46,90,,154.77,percent of total billed charges,90% of total billed charges,193.46,90,,154.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,187.44,87.2,,,percent of total billed charges,87.2% of total billed charges,126.82,59,,101.46,percent of total billed charges,59% of total billed charges,187.44,87.2,,149.95,percent of total billed charges,87.2% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,174.73,81.29,,139.78,percent of total billed charges,81.29% of total billed charges,193.46,90,,154.77,percent of total billed charges,90% of totl billed charges,193.46,90,,154.77,percent of total billed charges,90% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,193.46,90,,154.77,percent of total billed charges,90% of total billed charges,193.46,90,,154.77,percent of total billed charges,90% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,131.12,61,,104.9,percent of total billed charges,61% of total billed charges,111.77,52,,89.42,percent of total billed charges,52% of total billed charges,111.77,193.46,
"FIRST MARKER/LEUKEMIA,LYMPHOMA",41001162,CDM,305,RC,88184,HCPCS,Outpatient,,,162.91,130.33,,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,142.06,87.2,,,percent of total billed charges,87.2% of total billed charges,96.12,59,,76.9,percent of total billed charges,59% of total billed charges,142.06,87.2,,113.65,percent of total billed charges,87.2% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,132.43,81.29,,105.94,percent of total billed charges,81.29% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of totl billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,146.62,
EACH ADDITIONAL MARKER,41001163,CDM,350,RC,88185,HCPCS,Outpatient,,,162.91,130.33,,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,142.06,87.2,,,percent of total billed charges,87.2% of total billed charges,96.12,59,,76.9,percent of total billed charges,59% of total billed charges,142.06,87.2,,113.65,percent of total billed charges,87.2% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,132.43,81.29,,105.94,percent of total billed charges,81.29% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of totl billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,146.62,
16 OR MORE MARKERS,41001164,CDM,305,RC,88189,HCPCS,Outpatient,,,162.91,130.33,,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,138.47,85,,110.78,percent of total billed charges,85% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,121.01,74,,96.81,percent of total billed charges,74.28% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,142.06,87.2,,,percent of total billed charges,87.2% of total billed charges,96.12,59,,76.9,percent of total billed charges,59% of total billed charges,142.06,87.2,,113.65,percent of total billed charges,87.2% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,132.43,81.29,,105.94,percent of total billed charges,81.29% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of totl billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,146.62,90,,117.3,percent of total billed charges,90% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,99.38,61,,79.5,percent of total billed charges,61% of total billed charges,84.71,52,,67.77,percent of total billed charges,52% of total billed charges,84.71,146.62,
"CHROMOSOME ANAL., PART I",41000293,CDM,310,RC,88230,HCPCS,Outpatient,,,340.07,272.06,,289.06,85,,231.25,percent of total billed charges,85% of total billed charges,289.06,85,,231.25,percent of total billed charges,85% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,252.6,74,,202.08,percent of total billed charges,74.28% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,252.6,74,,202.08,percent of total billed charges,74.28% of total billed charges,207.44,61,,165.95,percent of total billed charges,61% of total billed charges,252.6,74,,202.08,percent of total billed charges,74.28% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,306.06,90,,244.85,percent of total billed charges,90% of total billed charges,306.06,90,,244.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.49,100,,,fee schedule,100% of CMS fee schedule,116.49,100,,,fee schedule,100% of CMS fee schedule,296.54,87.2,,,percent of total billed charges,87.2% of total billed charges,200.64,59,,160.51,percent of total billed charges,59% of total billed charges,296.54,87.2,,237.23,percent of total billed charges,87.2% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,276.44,81.29,,221.15,percent of total billed charges,81.29% of total billed charges,306.06,90,,244.85,percent of total billed charges,90% of totl billed charges,306.06,90,,244.85,percent of total billed charges,90% of total billed charges,207.44,61,,165.95,percent of total billed charges,61% of total billed charges,207.44,61,,165.95,percent of total billed charges,61% of total billed charges,306.06,90,,244.85,percent of total billed charges,90% of total billed charges,306.06,90,,244.85,percent of total billed charges,90% of total billed charges,207.44,61,,165.95,percent of total billed charges,61% of total billed charges,207.44,61,,165.95,percent of total billed charges,61% of total billed charges,207.44,61,,,percent of total billed charges,61% of total billed charges,116.49,100,,,fee schedule,100% of CMS fee schedule,116.49,306.06,
"TISSUE CULTURE, HEMATOLOGIC",41001165,CDM,305,RC,88237,HCPCS,Outpatient,,,429.72,343.78,,365.26,85,,292.21,percent of total billed charges,85% of total billed charges,365.26,85,,292.21,percent of total billed charges,85% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,319.2,74,,255.36,percent of total billed charges,74.28% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,319.2,74,,255.36,percent of total billed charges,74.28% of total billed charges,262.13,61,,209.7,percent of total billed charges,61% of total billed charges,319.2,74,,255.36,percent of total billed charges,74.28% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,386.75,90,,309.4,percent of total billed charges,90% of total billed charges,386.75,90,,309.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,143.75,100,,,fee schedule,100% of CMS fee schedule,143.75,100,,,fee schedule,100% of CMS fee schedule,374.72,87.2,,,percent of total billed charges,87.2% of total billed charges,253.53,59,,202.82,percent of total billed charges,59% of total billed charges,374.72,87.2,,299.78,percent of total billed charges,87.2% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,349.32,81.29,,279.46,percent of total billed charges,81.29% of total billed charges,386.75,90,,309.4,percent of total billed charges,90% of totl billed charges,386.75,90,,309.4,percent of total billed charges,90% of total billed charges,262.13,61,,209.7,percent of total billed charges,61% of total billed charges,262.13,61,,209.7,percent of total billed charges,61% of total billed charges,386.75,90,,309.4,percent of total billed charges,90% of total billed charges,386.75,90,,309.4,percent of total billed charges,90% of total billed charges,262.13,61,,209.7,percent of total billed charges,61% of total billed charges,262.13,61,,209.7,percent of total billed charges,61% of total billed charges,262.13,61,,,percent of total billed charges,61% of total billed charges,143.75,100,,,fee schedule,100% of CMS fee schedule,143.75,386.75,
"CHROMOSOME ANAL., PART II",41000294,CDM,310,RC,88262,HCPCS,Outpatient,,,612.57,490.06,,520.68,85,,416.54,percent of total billed charges,85% of total billed charges,520.68,85,,416.54,percent of total billed charges,85% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,455.02,74,,364.02,percent of total billed charges,74.28% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,455.02,74,,364.02,percent of total billed charges,74.28% of total billed charges,373.67,61,,298.94,percent of total billed charges,61% of total billed charges,455.02,74,,364.02,percent of total billed charges,74.28% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,551.31,90,,441.05,percent of total billed charges,90% of total billed charges,551.31,90,,441.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,125.49,100,,,fee schedule,100% of CMS fee schedule,125.49,100,,,fee schedule,100% of CMS fee schedule,534.16,87.2,,,percent of total billed charges,87.2% of total billed charges,361.42,59,,289.14,percent of total billed charges,59% of total billed charges,534.16,87.2,,427.33,percent of total billed charges,87.2% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,497.96,81.29,,398.37,percent of total billed charges,81.29% of total billed charges,551.31,90,,441.05,percent of total billed charges,90% of totl billed charges,551.31,90,,441.05,percent of total billed charges,90% of total billed charges,373.67,61,,298.94,percent of total billed charges,61% of total billed charges,373.67,61,,298.94,percent of total billed charges,61% of total billed charges,551.31,90,,441.05,percent of total billed charges,90% of total billed charges,551.31,90,,441.05,percent of total billed charges,90% of total billed charges,373.67,61,,298.94,percent of total billed charges,61% of total billed charges,373.67,61,,298.94,percent of total billed charges,61% of total billed charges,373.67,61,,,percent of total billed charges,61% of total billed charges,125.49,100,,,fee schedule,100% of CMS fee schedule,125.49,551.31,
SURGICAL PATHOLOGY LEVEL 1,41001189,CDM,314,RC,88300,HCPCS,Outpatient,,,35.67,28.54,,30.32,85,,24.26,percent of total billed charges,85% of total billed charges,30.32,85,,24.26,percent of total billed charges,85% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,26.5,74,,21.2,percent of total billed charges,74.28% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,26.5,74,,21.2,percent of total billed charges,74.28% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,26.5,74,,21.2,percent of total billed charges,74.28% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,32.1,90,,25.68,percent of total billed charges,90% of total billed charges,32.1,90,,25.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,31.1,87.2,,,percent of total billed charges,87.2% of total billed charges,21.05,59,,16.84,percent of total billed charges,59% of total billed charges,31.1,87.2,,24.88,percent of total billed charges,87.2% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,29,81.29,,23.2,percent of total billed charges,81.29% of total billed charges,32.1,90,,25.68,percent of total billed charges,90% of totl billed charges,32.1,90,,25.68,percent of total billed charges,90% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,32.1,90,,25.68,percent of total billed charges,90% of total billed charges,32.1,90,,25.68,percent of total billed charges,90% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,21.76,61,,17.41,percent of total billed charges,61% of total billed charges,18.55,52,,14.84,percent of total billed charges,52% of total billed charges,18.55,32.1,
SURGICAL PATHOLOGY LEVEL II,41001190,CDM,314,RC,88302,HCPCS,Outpatient,,,73.82,59.06,,62.75,85,,50.2,percent of total billed charges,85% of total billed charges,62.75,85,,50.2,percent of total billed charges,85% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,54.83,74,,43.86,percent of total billed charges,74.28% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,54.83,74,,43.86,percent of total billed charges,74.28% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,54.83,74,,43.86,percent of total billed charges,74.28% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,66.44,90,,53.15,percent of total billed charges,90% of total billed charges,66.44,90,,53.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,64.37,87.2,,,percent of total billed charges,87.2% of total billed charges,43.55,59,,34.84,percent of total billed charges,59% of total billed charges,64.37,87.2,,51.5,percent of total billed charges,87.2% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,60.01,81.29,,48.01,percent of total billed charges,81.29% of total billed charges,66.44,90,,53.15,percent of total billed charges,90% of totl billed charges,66.44,90,,53.15,percent of total billed charges,90% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,66.44,90,,53.15,percent of total billed charges,90% of total billed charges,66.44,90,,53.15,percent of total billed charges,90% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,45.03,61,,36.02,percent of total billed charges,61% of total billed charges,38.39,52,,30.71,percent of total billed charges,52% of total billed charges,38.39,66.44,
SURGICAL PATHOLOGY LEVEL III,41001191,CDM,314,RC,88304,HCPCS,Outpatient,,,76.35,61.08,,64.9,85,,51.92,percent of total billed charges,85% of total billed charges,64.9,85,,51.92,percent of total billed charges,85% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,56.71,74,,45.37,percent of total billed charges,74.28% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,56.71,74,,45.37,percent of total billed charges,74.28% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,56.71,74,,45.37,percent of total billed charges,74.28% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,66.58,87.2,,,percent of total billed charges,87.2% of total billed charges,45.05,59,,36.04,percent of total billed charges,59% of total billed charges,66.58,87.2,,53.26,percent of total billed charges,87.2% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,62.06,81.29,,49.65,percent of total billed charges,81.29% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of totl billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,68.72,90,,54.98,percent of total billed charges,90% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,46.57,61,,37.26,percent of total billed charges,61% of total billed charges,39.7,52,,31.76,percent of total billed charges,52% of total billed charges,39.7,68.72,
SURGICAL PATHOLOGY LEVEL IV,41001192,CDM,314,RC,88305,HCPCS,Outpatient,,,104.29,83.43,,88.65,85,,70.92,percent of total billed charges,85% of total billed charges,88.65,85,,70.92,percent of total billed charges,85% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,77.47,74,,61.98,percent of total billed charges,74.28% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,77.47,74,,61.98,percent of total billed charges,74.28% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,77.47,74,,61.98,percent of total billed charges,74.28% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,93.86,90,,75.09,percent of total billed charges,90% of total billed charges,93.86,90,,75.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,90.94,87.2,,,percent of total billed charges,87.2% of total billed charges,61.53,59,,49.22,percent of total billed charges,59% of total billed charges,90.94,87.2,,72.75,percent of total billed charges,87.2% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,84.78,81.29,,67.82,percent of total billed charges,81.29% of total billed charges,93.86,90,,75.09,percent of total billed charges,90% of totl billed charges,93.86,90,,75.09,percent of total billed charges,90% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,93.86,90,,75.09,percent of total billed charges,90% of total billed charges,93.86,90,,75.09,percent of total billed charges,90% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,63.62,61,,50.9,percent of total billed charges,61% of total billed charges,54.23,52,,43.38,percent of total billed charges,52% of total billed charges,54.23,93.86,
SURGICAL PATHOLOGY LEVEL V,41001193,CDM,314,RC,88307,HCPCS,Outpatient,,,232.48,185.98,,197.61,85,,158.09,percent of total billed charges,85% of total billed charges,197.61,85,,158.09,percent of total billed charges,85% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,172.69,74,,138.15,percent of total billed charges,74.28% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,172.69,74,,138.15,percent of total billed charges,74.28% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,172.69,74,,138.15,percent of total billed charges,74.28% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,209.23,90,,167.38,percent of total billed charges,90% of total billed charges,209.23,90,,167.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,202.72,87.2,,,percent of total billed charges,87.2% of total billed charges,137.16,59,,109.73,percent of total billed charges,59% of total billed charges,202.72,87.2,,162.18,percent of total billed charges,87.2% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,188.98,81.29,,151.18,percent of total billed charges,81.29% of total billed charges,209.23,90,,167.38,percent of total billed charges,90% of totl billed charges,209.23,90,,167.38,percent of total billed charges,90% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,209.23,90,,167.38,percent of total billed charges,90% of total billed charges,209.23,90,,167.38,percent of total billed charges,90% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,141.81,61,,113.45,percent of total billed charges,61% of total billed charges,120.89,52,,96.71,percent of total billed charges,52% of total billed charges,120.89,209.23,
SURGICAL PATHOLOGY LEVEL VI,41001194,CDM,314,RC,88309,HCPCS,Outpatient,,,323.65,258.92,,275.1,85,,220.08,percent of total billed charges,85% of total billed charges,275.1,85,,220.08,percent of total billed charges,85% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,240.41,74,,192.33,percent of total billed charges,74.28% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,240.41,74,,192.33,percent of total billed charges,74.28% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,240.41,74,,192.33,percent of total billed charges,74.28% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,291.29,90,,233.03,percent of total billed charges,90% of total billed charges,291.29,90,,233.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,282.22,87.2,,,percent of total billed charges,87.2% of total billed charges,190.95,59,,152.76,percent of total billed charges,59% of total billed charges,282.22,87.2,,225.78,percent of total billed charges,87.2% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,263.1,81.29,,210.48,percent of total billed charges,81.29% of total billed charges,291.29,90,,233.03,percent of total billed charges,90% of totl billed charges,291.29,90,,233.03,percent of total billed charges,90% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,291.29,90,,233.03,percent of total billed charges,90% of total billed charges,291.29,90,,233.03,percent of total billed charges,90% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,197.43,61,,157.94,percent of total billed charges,61% of total billed charges,168.3,52,,134.64,percent of total billed charges,52% of total billed charges,168.3,291.29,
DECALCIFICATION,41001195,CDM,310,RC,88311,HCPCS,Outpatient,,,10.75,8.6,,9.14,85,,7.31,percent of total billed charges,85% of total billed charges,9.14,85,,7.31,percent of total billed charges,85% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,7.99,74,,6.39,percent of total billed charges,74.28% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,7.99,74,,6.39,percent of total billed charges,74.28% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,7.99,74,,6.39,percent of total billed charges,74.28% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,9.68,90,,7.74,percent of total billed charges,90% of total billed charges,9.68,90,,7.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,9.37,87.2,,,percent of total billed charges,87.2% of total billed charges,6.34,59,,5.07,percent of total billed charges,59% of total billed charges,9.37,87.2,,7.5,percent of total billed charges,87.2% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,8.74,81.29,,6.99,percent of total billed charges,81.29% of total billed charges,9.68,90,,7.74,percent of total billed charges,90% of totl billed charges,9.68,90,,7.74,percent of total billed charges,90% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,9.68,90,,7.74,percent of total billed charges,90% of total billed charges,9.68,90,,7.74,percent of total billed charges,90% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,6.56,61,,5.25,percent of total billed charges,61% of total billed charges,5.59,52,,4.47,percent of total billed charges,52% of total billed charges,5.59,9.68,
SPECIAL STAIN GROUP I,41001196,CDM,312,RC,88312,HCPCS,Outpatient,,,101.28,81.02,,86.09,85,,68.87,percent of total billed charges,85% of total billed charges,86.09,85,,68.87,percent of total billed charges,85% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,75.23,74,,60.18,percent of total billed charges,74.28% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,75.23,74,,60.18,percent of total billed charges,74.28% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,75.23,74,,60.18,percent of total billed charges,74.28% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,91.15,90,,72.92,percent of total billed charges,90% of total billed charges,91.15,90,,72.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,88.32,87.2,,,percent of total billed charges,87.2% of total billed charges,59.76,59,,47.81,percent of total billed charges,59% of total billed charges,88.32,87.2,,70.66,percent of total billed charges,87.2% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,82.33,81.29,,65.86,percent of total billed charges,81.29% of total billed charges,91.15,90,,72.92,percent of total billed charges,90% of totl billed charges,91.15,90,,72.92,percent of total billed charges,90% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,91.15,90,,72.92,percent of total billed charges,90% of total billed charges,91.15,90,,72.92,percent of total billed charges,90% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,61.78,61,,49.42,percent of total billed charges,61% of total billed charges,52.67,52,,42.14,percent of total billed charges,52% of total billed charges,52.67,91.15,
SPECIAL STAIN GROUP II,41001197,CDM,312,RC,88313,HCPCS,Outpatient,,,80.95,64.76,,68.81,85,,55.05,percent of total billed charges,85% of total billed charges,68.81,85,,55.05,percent of total billed charges,85% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,60.13,74,,48.1,percent of total billed charges,74.28% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,60.13,74,,48.1,percent of total billed charges,74.28% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,60.13,74,,48.1,percent of total billed charges,74.28% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,72.86,90,,58.29,percent of total billed charges,90% of total billed charges,72.86,90,,58.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,70.59,87.2,,,percent of total billed charges,87.2% of total billed charges,47.76,59,,38.21,percent of total billed charges,59% of total billed charges,70.59,87.2,,56.47,percent of total billed charges,87.2% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,65.8,81.29,,52.64,percent of total billed charges,81.29% of total billed charges,72.86,90,,58.29,percent of total billed charges,90% of totl billed charges,72.86,90,,58.29,percent of total billed charges,90% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,72.86,90,,58.29,percent of total billed charges,90% of total billed charges,72.86,90,,58.29,percent of total billed charges,90% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,49.38,61,,39.5,percent of total billed charges,61% of total billed charges,42.09,52,,33.67,percent of total billed charges,52% of total billed charges,42.09,72.86,
FROZEN SECTION 1ST TISSU BLOCK,41001198,CDM,314,RC,88331,HCPCS,Outpatient,,,50.42,40.34,,42.86,85,,34.29,percent of total billed charges,85% of total billed charges,42.86,85,,34.29,percent of total billed charges,85% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,37.45,74,,29.96,percent of total billed charges,74.28% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,37.45,74,,29.96,percent of total billed charges,74.28% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,37.45,74,,29.96,percent of total billed charges,74.28% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,45.38,90,,36.3,percent of total billed charges,90% of total billed charges,45.38,90,,36.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,43.97,87.2,,,percent of total billed charges,87.2% of total billed charges,29.75,59,,23.8,percent of total billed charges,59% of total billed charges,43.97,87.2,,35.18,percent of total billed charges,87.2% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,40.99,81.29,,32.79,percent of total billed charges,81.29% of total billed charges,45.38,90,,36.3,percent of total billed charges,90% of totl billed charges,45.38,90,,36.3,percent of total billed charges,90% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,45.38,90,,36.3,percent of total billed charges,90% of total billed charges,45.38,90,,36.3,percent of total billed charges,90% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,30.76,61,,24.61,percent of total billed charges,61% of total billed charges,26.22,52,,20.98,percent of total billed charges,52% of total billed charges,26.22,45.38,
FROZEN SECTION EA ADD'L BLOCK,41001199,CDM,314,RC,88332,HCPCS,Outpatient,,,17.39,13.91,,14.78,85,,11.82,percent of total billed charges,85% of total billed charges,14.78,85,,11.82,percent of total billed charges,85% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,12.92,74,,10.34,percent of total billed charges,74.28% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,12.92,74,,10.34,percent of total billed charges,74.28% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,12.92,74,,10.34,percent of total billed charges,74.28% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,15.65,90,,12.52,percent of total billed charges,90% of total billed charges,15.65,90,,12.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,15.16,87.2,,,percent of total billed charges,87.2% of total billed charges,10.26,59,,8.21,percent of total billed charges,59% of total billed charges,15.16,87.2,,12.13,percent of total billed charges,87.2% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,14.14,81.29,,11.31,percent of total billed charges,81.29% of total billed charges,15.65,90,,12.52,percent of total billed charges,90% of totl billed charges,15.65,90,,12.52,percent of total billed charges,90% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,15.65,90,,12.52,percent of total billed charges,90% of total billed charges,15.65,90,,12.52,percent of total billed charges,90% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,10.61,61,,8.49,percent of total billed charges,61% of total billed charges,9.04,52,,7.23,percent of total billed charges,52% of total billed charges,9.04,15.65,
EACH ADDITIONL ANTIBODY STRAIN,41001224,CDM,312,RC,88341,HCPCS,Outpatient,,,32.79,26.23,,27.87,85,,22.3,percent of total billed charges,85% of total billed charges,27.87,85,,22.3,percent of total billed charges,85% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,24.36,74,,19.49,percent of total billed charges,74.28% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,24.36,74,,19.49,percent of total billed charges,74.28% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,24.36,74,,19.49,percent of total billed charges,74.28% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,29.51,90,,23.61,percent of total billed charges,90% of total billed charges,29.51,90,,23.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,28.59,87.2,,,percent of total billed charges,87.2% of total billed charges,19.35,59,,15.48,percent of total billed charges,59% of total billed charges,28.59,87.2,,22.87,percent of total billed charges,87.2% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,26.65,81.29,,21.32,percent of total billed charges,81.29% of total billed charges,29.51,90,,23.61,percent of total billed charges,90% of totl billed charges,29.51,90,,23.61,percent of total billed charges,90% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,29.51,90,,23.61,percent of total billed charges,90% of total billed charges,29.51,90,,23.61,percent of total billed charges,90% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,20,61,,16,percent of total billed charges,61% of total billed charges,17.05,52,,13.64,percent of total billed charges,52% of total billed charges,17.05,29.51,
IMMUNO STAINS,41001200,CDM,312,RC,88342,HCPCS,Outpatient,,,88.61,70.89,,75.32,85,,60.26,percent of total billed charges,85% of total billed charges,75.32,85,,60.26,percent of total billed charges,85% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,65.82,74,,52.66,percent of total billed charges,74.28% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,65.82,74,,52.66,percent of total billed charges,74.28% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,65.82,74,,52.66,percent of total billed charges,74.28% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,79.75,90,,63.8,percent of total billed charges,90% of total billed charges,79.75,90,,63.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,77.27,87.2,,,percent of total billed charges,87.2% of total billed charges,52.28,59,,41.82,percent of total billed charges,59% of total billed charges,77.27,87.2,,61.82,percent of total billed charges,87.2% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,72.03,81.29,,57.62,percent of total billed charges,81.29% of total billed charges,79.75,90,,63.8,percent of total billed charges,90% of totl billed charges,79.75,90,,63.8,percent of total billed charges,90% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,79.75,90,,63.8,percent of total billed charges,90% of total billed charges,79.75,90,,63.8,percent of total billed charges,90% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,54.05,61,,43.24,percent of total billed charges,61% of total billed charges,46.08,52,,36.86,percent of total billed charges,52% of total billed charges,46.08,79.75,
EACH ADD'L ANTIBODY PER SLIDE,41001221,CDM,312,RC,88343,HCPCS,Outpatient,,,62.84,50.27,,53.41,85,,42.73,percent of total billed charges,85% of total billed charges,53.41,85,,42.73,percent of total billed charges,85% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,46.68,74,,37.34,percent of total billed charges,74.28% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,46.68,74,,37.34,percent of total billed charges,74.28% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,46.68,74,,37.34,percent of total billed charges,74.28% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,56.56,90,,45.25,percent of total billed charges,90% of total billed charges,56.56,90,,45.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,54.8,87.2,,,percent of total billed charges,87.2% of total billed charges,37.08,59,,29.66,percent of total billed charges,59% of total billed charges,54.8,87.2,,43.84,percent of total billed charges,87.2% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,51.08,81.29,,40.86,percent of total billed charges,81.29% of total billed charges,56.56,90,,45.25,percent of total billed charges,90% of totl billed charges,56.56,90,,45.25,percent of total billed charges,90% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,56.56,90,,45.25,percent of total billed charges,90% of total billed charges,56.56,90,,45.25,percent of total billed charges,90% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,38.33,61,,30.66,percent of total billed charges,61% of total billed charges,32.68,52,,26.14,percent of total billed charges,52% of total billed charges,32.68,56.56,
TUMOR IMMUNOHISTOCHEM MANUAL,41001222,CDM,312,RC,88360,HCPCS,Outpatient,,,160.63,128.5,,136.54,85,,109.23,percent of total billed charges,85% of total billed charges,136.54,85,,109.23,percent of total billed charges,85% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,119.32,74,,95.46,percent of total billed charges,74.28% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,119.32,74,,95.46,percent of total billed charges,74.28% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,119.32,74,,95.46,percent of total billed charges,74.28% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,144.57,90,,115.66,percent of total billed charges,90% of total billed charges,144.57,90,,115.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,140.07,87.2,,,percent of total billed charges,87.2% of total billed charges,94.77,59,,75.82,percent of total billed charges,59% of total billed charges,140.07,87.2,,112.06,percent of total billed charges,87.2% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,130.58,81.29,,104.46,percent of total billed charges,81.29% of total billed charges,144.57,90,,115.66,percent of total billed charges,90% of totl billed charges,144.57,90,,115.66,percent of total billed charges,90% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,144.57,90,,115.66,percent of total billed charges,90% of total billed charges,144.57,90,,115.66,percent of total billed charges,90% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,97.98,61,,78.38,percent of total billed charges,61% of total billed charges,83.53,52,,66.82,percent of total billed charges,52% of total billed charges,83.53,144.57,
MORPHOMETRIC ANALYSIS PC ASS'T,41001201,CDM,310,RC,88361,HCPCS,Outpatient,,,142.98,114.38,,121.53,85,,97.22,percent of total billed charges,85% of total billed charges,121.53,85,,97.22,percent of total billed charges,85% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,106.21,74,,84.97,percent of total billed charges,74.28% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,106.21,74,,84.97,percent of total billed charges,74.28% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,106.21,74,,84.97,percent of total billed charges,74.28% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,128.68,90,,102.94,percent of total billed charges,90% of total billed charges,128.68,90,,102.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,124.68,87.2,,,percent of total billed charges,87.2% of total billed charges,84.36,59,,67.49,percent of total billed charges,59% of total billed charges,124.68,87.2,,99.74,percent of total billed charges,87.2% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,116.23,81.29,,92.98,percent of total billed charges,81.29% of total billed charges,128.68,90,,102.94,percent of total billed charges,90% of totl billed charges,128.68,90,,102.94,percent of total billed charges,90% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,128.68,90,,102.94,percent of total billed charges,90% of total billed charges,128.68,90,,102.94,percent of total billed charges,90% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,87.22,61,,69.78,percent of total billed charges,61% of total billed charges,74.35,52,,59.48,percent of total billed charges,52% of total billed charges,74.35,128.68,
IN SITU HYBRIDIZATION,41001202,CDM,310,RC,88368,HCPCS,Outpatient,,,239.1,191.28,,203.24,85,,162.59,percent of total billed charges,85% of total billed charges,203.24,85,,162.59,percent of total billed charges,85% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,177.6,74,,142.08,percent of total billed charges,74.28% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,177.6,74,,142.08,percent of total billed charges,74.28% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,177.6,74,,142.08,percent of total billed charges,74.28% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,215.19,90,,172.15,percent of total billed charges,90% of total billed charges,215.19,90,,172.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,208.5,87.2,,,percent of total billed charges,87.2% of total billed charges,141.07,59,,112.86,percent of total billed charges,59% of total billed charges,208.5,87.2,,166.8,percent of total billed charges,87.2% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,194.36,81.29,,155.49,percent of total billed charges,81.29% of total billed charges,215.19,90,,172.15,percent of total billed charges,90% of totl billed charges,215.19,90,,172.15,percent of total billed charges,90% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,215.19,90,,172.15,percent of total billed charges,90% of total billed charges,215.19,90,,172.15,percent of total billed charges,90% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,145.85,61,,116.68,percent of total billed charges,61% of total billed charges,124.33,52,,99.46,percent of total billed charges,52% of total billed charges,124.33,215.19,
"SYNOVIAL FLUID,CELL COUNT",41000324,CDM,309,RC,89050,HCPCS,Outpatient,,,23.57,18.86,,20.03,85,,16.02,percent of total billed charges,85% of total billed charges,20.03,85,,16.02,percent of total billed charges,85% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,17.51,74,,14.01,percent of total billed charges,74.28% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.72,100,,,fee schedule,100% of CMS fee schedule,4.72,100,,,fee schedule,100% of CMS fee schedule,20.55,87.2,,,percent of total billed charges,87.2% of total billed charges,13.91,59,,11.13,percent of total billed charges,59% of total billed charges,20.55,87.2,,16.44,percent of total billed charges,87.2% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,19.16,81.29,,15.33,percent of total billed charges,81.29% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of totl billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,21.21,90,,16.97,percent of total billed charges,90% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,11.5,percent of total billed charges,61% of total billed charges,14.38,61,,,percent of total billed charges,61% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,4.72,21.21,
BODY FLUID RBC,41001036,CDM,309,RC,89050,HCPCS,Outpatient,,,45.82,36.66,,38.95,85,,31.16,percent of total billed charges,85% of total billed charges,38.95,85,,31.16,percent of total billed charges,85% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,34.04,74,,27.23,percent of total billed charges,74.28% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.72,100,,,fee schedule,100% of CMS fee schedule,4.72,100,,,fee schedule,100% of CMS fee schedule,39.96,87.2,,,percent of total billed charges,87.2% of total billed charges,27.03,59,,21.62,percent of total billed charges,59% of total billed charges,39.96,87.2,,31.97,percent of total billed charges,87.2% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,37.25,81.29,,29.8,percent of total billed charges,81.29% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of totl billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,41.24,90,,32.99,percent of total billed charges,90% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,22.36,percent of total billed charges,61% of total billed charges,27.95,61,,,percent of total billed charges,61% of total billed charges,4.72,100,,,fee schedule,100% of CMS fee schedule,4.72,41.24,
CELL COUNT(FLUID)W/DIFF,41000187,CDM,305,RC,89051,HCPCS,Outpatient,,,54.77,43.82,,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,47.76,87.2,,,percent of total billed charges,87.2% of total billed charges,32.31,59,,25.85,percent of total billed charges,59% of total billed charges,47.76,87.2,,38.21,percent of total billed charges,87.2% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,44.52,81.29,,35.62,percent of total billed charges,81.29% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of totl billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,,percent of total billed charges,61% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,49.29,
"SYNOVIAL FLUID,DIFF",41000325,CDM,309,RC,89051,HCPCS,Outpatient,,,42.13,33.7,,35.81,85,,28.65,percent of total billed charges,85% of total billed charges,35.81,85,,28.65,percent of total billed charges,85% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,31.29,74,,25.03,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,31.29,74,,25.03,percent of total billed charges,74.28% of total billed charges,25.7,61,,20.56,percent of total billed charges,61% of total billed charges,31.29,74,,25.03,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,37.92,90,,30.34,percent of total billed charges,90% of total billed charges,37.92,90,,30.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,36.74,87.2,,,percent of total billed charges,87.2% of total billed charges,24.86,59,,19.89,percent of total billed charges,59% of total billed charges,36.74,87.2,,29.39,percent of total billed charges,87.2% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,34.25,81.29,,27.4,percent of total billed charges,81.29% of total billed charges,37.92,90,,30.34,percent of total billed charges,90% of totl billed charges,37.92,90,,30.34,percent of total billed charges,90% of total billed charges,25.7,61,,20.56,percent of total billed charges,61% of total billed charges,25.7,61,,20.56,percent of total billed charges,61% of total billed charges,37.92,90,,30.34,percent of total billed charges,90% of total billed charges,37.92,90,,30.34,percent of total billed charges,90% of total billed charges,25.7,61,,20.56,percent of total billed charges,61% of total billed charges,25.7,61,,20.56,percent of total billed charges,61% of total billed charges,25.7,61,,,percent of total billed charges,61% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,37.92,
CSF CELL CT/DIFF,41000726,CDM,309,RC,89051,HCPCS,Outpatient,,,54.15,43.32,,46.03,85,,36.82,percent of total billed charges,85% of total billed charges,46.03,85,,36.82,percent of total billed charges,85% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,40.22,74,,32.18,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,47.22,87.2,,,percent of total billed charges,87.2% of total billed charges,31.95,59,,25.56,percent of total billed charges,59% of total billed charges,47.22,87.2,,37.78,percent of total billed charges,87.2% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,44.02,81.29,,35.22,percent of total billed charges,81.29% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of totl billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,48.74,90,,38.99,percent of total billed charges,90% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,26.42,percent of total billed charges,61% of total billed charges,33.03,61,,,percent of total billed charges,61% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,48.74,
BODY FLUID WBC,41001037,CDM,309,RC,89051,HCPCS,Outpatient,,,54.77,43.82,,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,46.55,85,,37.24,percent of total billed charges,85% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,40.68,74,,32.54,percent of total billed charges,74.28% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,100,,,fee schedule,100% of CMS fee schedule,47.76,87.2,,,percent of total billed charges,87.2% of total billed charges,32.31,59,,25.85,percent of total billed charges,59% of total billed charges,47.76,87.2,,38.21,percent of total billed charges,87.2% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,44.52,81.29,,35.62,percent of total billed charges,81.29% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of totl billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,49.29,90,,39.43,percent of total billed charges,90% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,26.73,percent of total billed charges,61% of total billed charges,33.41,61,,,percent of total billed charges,61% of total billed charges,5.6,100,,,fee schedule,100% of CMS fee schedule,5.6,49.29,
FECAL LEUKOCYTE,41000424,CDM,319,RC,89055,HCPCS,Outpatient,,,21.81,17.45,,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,18.54,85,,14.83,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,16.2,74,,12.96,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,19.02,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.02,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,17.73,81.29,,14.18,percent of total billed charges,81.29% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of totl billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,19.63,90,,15.7,percent of total billed charges,90% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,10.64,percent of total billed charges,61% of total billed charges,13.3,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,19.63,
"CRYSTALS, SYNOVIAL FLUIDS",41000041,CDM,305,RC,89060,HCPCS,Outpatient,,,52.24,41.79,,44.4,85,,35.52,percent of total billed charges,85% of total billed charges,44.4,85,,35.52,percent of total billed charges,85% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,38.8,74,,31.04,percent of total billed charges,74.28% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,38.8,74,,31.04,percent of total billed charges,74.28% of total billed charges,31.87,61,,25.5,percent of total billed charges,61% of total billed charges,38.8,74,,31.04,percent of total billed charges,74.28% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,47.02,90,,37.62,percent of total billed charges,90% of total billed charges,47.02,90,,37.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.33,100,,,fee schedule,100% of CMS fee schedule,7.33,100,,,fee schedule,100% of CMS fee schedule,45.55,87.2,,,percent of total billed charges,87.2% of total billed charges,30.82,59,,24.66,percent of total billed charges,59% of total billed charges,45.55,87.2,,36.44,percent of total billed charges,87.2% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,42.47,81.29,,33.98,percent of total billed charges,81.29% of total billed charges,47.02,90,,37.62,percent of total billed charges,90% of totl billed charges,47.02,90,,37.62,percent of total billed charges,90% of total billed charges,31.87,61,,25.5,percent of total billed charges,61% of total billed charges,31.87,61,,25.5,percent of total billed charges,61% of total billed charges,47.02,90,,37.62,percent of total billed charges,90% of total billed charges,47.02,90,,37.62,percent of total billed charges,90% of total billed charges,31.87,61,,25.5,percent of total billed charges,61% of total billed charges,31.87,61,,25.5,percent of total billed charges,61% of total billed charges,31.87,61,,,percent of total billed charges,61% of total billed charges,7.33,100,,,fee schedule,100% of CMS fee schedule,7.33,47.02,
"FAT STAIN,FECES,URINE,RESP",41000161,CDM,309,RC,89125,HCPCS,Outpatient,,,32.62,26.1,,27.73,85,,22.18,percent of total billed charges,85% of total billed charges,27.73,85,,22.18,percent of total billed charges,85% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,24.23,74,,19.38,percent of total billed charges,74.28% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,24.23,74,,19.38,percent of total billed charges,74.28% of total billed charges,19.9,61,,15.92,percent of total billed charges,61% of total billed charges,24.23,74,,19.38,percent of total billed charges,74.28% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,29.36,90,,23.49,percent of total billed charges,90% of total billed charges,29.36,90,,23.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.88,100,,,fee schedule,100% of CMS fee schedule,5.88,100,,,fee schedule,100% of CMS fee schedule,28.44,87.2,,,percent of total billed charges,87.2% of total billed charges,19.25,59,,15.4,percent of total billed charges,59% of total billed charges,28.44,87.2,,22.75,percent of total billed charges,87.2% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,26.52,81.29,,21.22,percent of total billed charges,81.29% of total billed charges,29.36,90,,23.49,percent of total billed charges,90% of totl billed charges,29.36,90,,23.49,percent of total billed charges,90% of total billed charges,19.9,61,,15.92,percent of total billed charges,61% of total billed charges,19.9,61,,15.92,percent of total billed charges,61% of total billed charges,29.36,90,,23.49,percent of total billed charges,90% of total billed charges,29.36,90,,23.49,percent of total billed charges,90% of total billed charges,19.9,61,,15.92,percent of total billed charges,61% of total billed charges,19.9,61,,15.92,percent of total billed charges,61% of total billed charges,19.9,61,,,percent of total billed charges,61% of total billed charges,5.88,100,,,fee schedule,100% of CMS fee schedule,5.88,29.36,
EOSINOPHIL NASAL SMEAR,41000210,CDM,309,RC,89190,HCPCS,Outpatient,,,20.69,16.55,,17.59,85,,14.07,percent of total billed charges,85% of total billed charges,17.59,85,,14.07,percent of total billed charges,85% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,15.37,74,,12.3,percent of total billed charges,74.28% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,15.37,74,,12.3,percent of total billed charges,74.28% of total billed charges,12.62,61,,10.1,percent of total billed charges,61% of total billed charges,15.37,74,,12.3,percent of total billed charges,74.28% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,18.62,90,,14.9,percent of total billed charges,90% of total billed charges,18.62,90,,14.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.79,100,,,fee schedule,100% of CMS fee schedule,5.79,100,,,fee schedule,100% of CMS fee schedule,18.04,87.2,,,percent of total billed charges,87.2% of total billed charges,12.21,59,,9.77,percent of total billed charges,59% of total billed charges,18.04,87.2,,14.43,percent of total billed charges,87.2% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,16.82,81.29,,13.46,percent of total billed charges,81.29% of total billed charges,18.62,90,,14.9,percent of total billed charges,90% of totl billed charges,18.62,90,,14.9,percent of total billed charges,90% of total billed charges,12.62,61,,10.1,percent of total billed charges,61% of total billed charges,12.62,61,,10.1,percent of total billed charges,61% of total billed charges,18.62,90,,14.9,percent of total billed charges,90% of total billed charges,18.62,90,,14.9,percent of total billed charges,90% of total billed charges,12.62,61,,10.1,percent of total billed charges,61% of total billed charges,12.62,61,,10.1,percent of total billed charges,61% of total billed charges,12.62,61,,,percent of total billed charges,61% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,5.79,18.62,
EOS-NASAL SMEAR,41009009,CDM,305,RC,89190,HCPCS,Outpatient,,,21.4,17.12,,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,18.19,85,,14.55,percent of total billed charges,85% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,15.9,74,,12.72,percent of total billed charges,74.28% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.79,100,,,fee schedule,100% of CMS fee schedule,5.79,100,,,fee schedule,100% of CMS fee schedule,18.66,87.2,,,percent of total billed charges,87.2% of total billed charges,12.63,59,,10.1,percent of total billed charges,59% of total billed charges,18.66,87.2,,14.93,percent of total billed charges,87.2% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,17.4,81.29,,13.92,percent of total billed charges,81.29% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of totl billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,19.26,90,,15.41,percent of total billed charges,90% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,10.44,percent of total billed charges,61% of total billed charges,13.05,61,,,percent of total billed charges,61% of total billed charges,5.79,100,,,fee schedule,100% of CMS fee schedule,5.79,19.26,
"CHLORIDE,SWEAT",41000715,CDM,309,RC,89230,HCPCS,Outpatient,,,90.32,72.26,,76.77,85,,61.42,percent of total billed charges,85% of total billed charges,76.77,85,,61.42,percent of total billed charges,85% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,67.09,74,,53.67,percent of total billed charges,74.28% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,67.09,74,,53.67,percent of total billed charges,74.28% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,67.09,74,,53.67,percent of total billed charges,74.28% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,81.29,90,,65.03,percent of total billed charges,90% of total billed charges,81.29,90,,65.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,78.76,87.2,,,percent of total billed charges,87.2% of total billed charges,53.29,59,,42.63,percent of total billed charges,59% of total billed charges,78.76,87.2,,63.01,percent of total billed charges,87.2% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,73.42,81.29,,58.74,percent of total billed charges,81.29% of total billed charges,81.29,90,,65.03,percent of total billed charges,90% of totl billed charges,81.29,90,,65.03,percent of total billed charges,90% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,81.29,90,,65.03,percent of total billed charges,90% of total billed charges,81.29,90,,65.03,percent of total billed charges,90% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,55.1,61,,44.08,percent of total billed charges,61% of total billed charges,46.97,52,,37.58,percent of total billed charges,52% of total billed charges,46.97,81.29,
SPERM COUNT,41000046,CDM,309,RC,89310,HCPCS,Outpatient,,,39.93,31.94,,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,33.94,85,,27.15,percent of total billed charges,85% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,29.66,74,,23.73,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,34.82,87.2,,,percent of total billed charges,87.2% of total billed charges,23.56,59,,18.85,percent of total billed charges,59% of total billed charges,34.82,87.2,,27.86,percent of total billed charges,87.2% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,32.46,81.29,,25.97,percent of total billed charges,81.29% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of totl billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,35.94,90,,28.75,percent of total billed charges,90% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,19.49,percent of total billed charges,61% of total billed charges,24.36,61,,,percent of total billed charges,61% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,35.94,
SPERM COUNT,41000517,CDM,305,RC,89310,HCPCS,Outpatient,,,48.07,38.46,,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,40.86,85,,32.69,percent of total billed charges,85% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,35.71,74,,28.57,percent of total billed charges,74.28% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,100,,,fee schedule,100% of CMS fee schedule,41.92,87.2,,,percent of total billed charges,87.2% of total billed charges,28.36,59,,22.69,percent of total billed charges,59% of total billed charges,41.92,87.2,,33.54,percent of total billed charges,87.2% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,39.08,81.29,,31.26,percent of total billed charges,81.29% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of totl billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,43.26,90,,34.61,percent of total billed charges,90% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,23.46,percent of total billed charges,61% of total billed charges,29.32,61,,,percent of total billed charges,61% of total billed charges,8.61,100,,,fee schedule,100% of CMS fee schedule,8.61,43.26,
SEMEN ANALYSIS W/ COUNT,41000518,CDM,309,RC,89320,HCPCS,Outpatient,,,72.06,57.65,,61.25,85,,49,percent of total billed charges,85% of total billed charges,61.25,85,,49,percent of total billed charges,85% of total billed charges,12.31,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,12.31,100,,,fee schedule,100% of CMS fee schedule,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,53.53,74,,42.82,percent of total billed charges,74.28% of total billed charges,12.31,100,,,fee schedule,100% of CMS fee schedule,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.31,100,,,fee schedule,100% of CMS fee schedule,12.31,100,,,fee schedule,100% of CMS fee schedule,62.84,87.2,,,percent of total billed charges,87.2% of total billed charges,42.52,59,,34.02,percent of total billed charges,59% of total billed charges,62.84,87.2,,50.27,percent of total billed charges,87.2% of total billed charges,12.31,100,,,fee schedule,100% of CMS fee schedule,58.58,81.29,,46.86,percent of total billed charges,81.29% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of totl billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,64.85,90,,51.88,percent of total billed charges,90% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,35.17,percent of total billed charges,61% of total billed charges,43.96,61,,,percent of total billed charges,61% of total billed charges,12.31,100,,,fee schedule,100% of CMS fee schedule,12.31,64.85,
SAMPLE TRANSPORTATION,41040318,CDM,300,RC,90001,HCPCS,Outpatient,,,66.61,53.29,,56.62,85,,45.3,percent of total billed charges,85% of total billed charges,56.62,85,,45.3,percent of total billed charges,85% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,49.48,74,,39.58,percent of total billed charges,74.28% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,58.08,87.2,,,percent of total billed charges,87.2% of total billed charges,39.3,59,,31.44,percent of total billed charges,59% of total billed charges,58.08,87.2,,46.46,percent of total billed charges,87.2% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,54.15,81.29,,43.32,percent of total billed charges,81.29% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of totl billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,59.95,90,,47.96,percent of total billed charges,90% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,40.63,61,,32.5,percent of total billed charges,61% of total billed charges,34.64,52,,27.71,percent of total billed charges,52% of total billed charges,34.64,59.95,
RSV BEYFORTUS 50MG,43601816,CDM,521,RC,90380,HCPCS,Outpatient,,,639.45,511.56,,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,557.6,87.2,,,percent of total billed charges,87.2% of total billed charges,377.28,59,,301.82,percent of total billed charges,59% of total billed charges,557.6,87.2,,446.08,percent of total billed charges,87.2% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,519.81,81.29,,415.85,percent of total billed charges,81.29% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of totl billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,575.51,
RSV BEYFORTUS 50MG,43701816,CDM,521,RC,90380,HCPCS,Outpatient,,,639.45,511.56,,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,557.6,87.2,,,percent of total billed charges,87.2% of total billed charges,377.28,59,,301.82,percent of total billed charges,59% of total billed charges,557.6,87.2,,446.08,percent of total billed charges,87.2% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,519.81,81.29,,415.85,percent of total billed charges,81.29% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of totl billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,575.51,
RSV BEYFORTUS 100MG,43601818,CDM,521,RC,90381,HCPCS,Outpatient,,,639.45,511.56,,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,557.6,87.2,,,percent of total billed charges,87.2% of total billed charges,377.28,59,,301.82,percent of total billed charges,59% of total billed charges,557.6,87.2,,446.08,percent of total billed charges,87.2% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,519.81,81.29,,415.85,percent of total billed charges,81.29% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of totl billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,575.51,
RSV BEYFORTUS 100MG,43701818,CDM,521,RC,90381,HCPCS,Outpatient,,,639.45,511.56,,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,543.53,85,,434.82,percent of total billed charges,85% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,474.98,74,,379.98,percent of total billed charges,74.28% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,557.6,87.2,,,percent of total billed charges,87.2% of total billed charges,377.28,59,,301.82,percent of total billed charges,59% of total billed charges,557.6,87.2,,446.08,percent of total billed charges,87.2% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,519.81,81.29,,415.85,percent of total billed charges,81.29% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of totl billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,575.51,90,,460.41,percent of total billed charges,90% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,390.06,61,,312.05,percent of total billed charges,61% of total billed charges,332.51,52,,266.01,percent of total billed charges,52% of total billed charges,332.51,575.51,
ADMIN HEPATITIS B VACCINE (MS),32009071,CDM,771,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
INJECTION VACCINE FIRST,36000042,CDM,450,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
ADMIN HEPATITIS B VACCINE (ER),36009197,CDM,771,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
VACCINE ADMIN 1ST VACCINE (ER),36009203,CDM,771,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
ADMIN HEPATITIS B VACCINE (SC),43301103,CDM,771,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
IM INJ RABIES VACCINE HOP,43400017,CDM,771,RC,90471,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
IMM ADMIN FEE (1),43600155,CDM,521,RC,90471,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
IMM ADMIN FEE (1),43701274,CDM,521,RC,90471,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
VACCINE ADMIN EACH ADD (ER),36009204,CDM,771,RC,90472,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
IMMUNIZ ADMIN FEE (2 OR MORE),43600156,CDM,521,RC,90472,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
IMMUNIZ ADMIN FEE (2 OR MORE),43701275,CDM,521,RC,90472,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
COVID-19 INJECTION ADMIN,43701804,CDM,521,RC,90480,HCPCS,Outpatient,,,28.95,23.16,,24.61,85,,19.69,percent of total billed charges,85% of total billed charges,24.61,85,,19.69,percent of total billed charges,85% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,21.5,74,,17.2,percent of total billed charges,74.28% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,26.06,90,,20.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,25.24,87.2,,,percent of total billed charges,87.2% of total billed charges,17.08,59,,13.66,percent of total billed charges,59% of total billed charges,25.24,87.2,,20.19,percent of total billed charges,87.2% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,23.53,81.29,,18.82,percent of total billed charges,81.29% of total billed charges,26.06,90,,20.85,percent of total billed charges,90% of totl billed charges,26.06,90,,20.85,percent of total billed charges,90% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,26.06,90,,20.85,percent of total billed charges,90% of total billed charges,26.06,90,,20.85,percent of total billed charges,90% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,17.66,61,,14.13,percent of total billed charges,61% of total billed charges,15.05,52,,12.04,percent of total billed charges,52% of total billed charges,15.05,26.06,
Memingococcal B 0.5ML,43601402,CDM,521,RC,90620,HCPCS,Outpatient,,,233.16,186.53,,198.19,85,,158.55,percent of total billed charges,85% of total billed charges,198.19,85,,158.55,percent of total billed charges,85% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,203.32,87.2,,,percent of total billed charges,87.2% of total billed charges,137.56,59,,110.05,percent of total billed charges,59% of total billed charges,203.32,87.2,,162.66,percent of total billed charges,87.2% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,189.54,81.29,,151.63,percent of total billed charges,81.29% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of totl billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,121.24,209.84,
Meningococcal B 0.5ML,43701402,CDM,521,RC,90620,HCPCS,Outpatient,,,233.16,186.53,,198.19,85,,158.55,percent of total billed charges,85% of total billed charges,198.19,85,,158.55,percent of total billed charges,85% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,173.19,74,,138.55,percent of total billed charges,74.28% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,203.32,87.2,,,percent of total billed charges,87.2% of total billed charges,137.56,59,,110.05,percent of total billed charges,59% of total billed charges,203.32,87.2,,162.66,percent of total billed charges,87.2% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,189.54,81.29,,151.63,percent of total billed charges,81.29% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of totl billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,209.84,90,,167.87,percent of total billed charges,90% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,142.23,61,,113.78,percent of total billed charges,61% of total billed charges,121.24,52,,96.99,percent of total billed charges,52% of total billed charges,121.24,209.84,
Hepatitis A Virus Vaccine Adul,43601403,CDM,521,RC,90632,HCPCS,Outpatient,1,ML,99.6,79.68,,84.66,85,,67.73,percent of total billed charges,85% of total billed charges,84.66,85,,67.73,percent of total billed charges,85% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,86.85,87.2,,,percent of total billed charges,87.2% of total billed charges,58.76,59,,47.01,percent of total billed charges,59% of total billed charges,86.85,87.2,,69.48,percent of total billed charges,87.2% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,80.96,81.29,,64.77,percent of total billed charges,81.29% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of totl billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,51.79,89.64,
Hepatitis A Virus Vaccine Adul,43701403,CDM,521,RC,90632,HCPCS,Outpatient,1,ML,99.6,79.68,,84.66,85,,67.73,percent of total billed charges,85% of total billed charges,84.66,85,,67.73,percent of total billed charges,85% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,73.98,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,86.85,87.2,,,percent of total billed charges,87.2% of total billed charges,58.76,59,,47.01,percent of total billed charges,59% of total billed charges,86.85,87.2,,69.48,percent of total billed charges,87.2% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,80.96,81.29,,64.77,percent of total billed charges,81.29% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of totl billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,89.64,90,,71.71,percent of total billed charges,90% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,60.76,61,,48.61,percent of total billed charges,61% of total billed charges,51.79,52,,41.43,percent of total billed charges,52% of total billed charges,51.79,89.64,
Hepatitis A Virus Vaccine Peds,43601404,CDM,521,RC,90633,HCPCS,Outpatient,1,ML,53.82,43.06,,45.75,85,,36.6,percent of total billed charges,85% of total billed charges,45.75,85,,36.6,percent of total billed charges,85% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,46.93,87.2,,,percent of total billed charges,87.2% of total billed charges,31.75,59,,25.4,percent of total billed charges,59% of total billed charges,46.93,87.2,,37.54,percent of total billed charges,87.2% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,43.75,81.29,,35,percent of total billed charges,81.29% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of totl billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,27.99,48.44,
Hepatitis A Virus Vaccine Peds,43701404,CDM,521,RC,90633,HCPCS,Outpatient,1,ML,53.82,43.06,,45.75,85,,36.6,percent of total billed charges,85% of total billed charges,45.75,85,,36.6,percent of total billed charges,85% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,39.98,74,,31.98,percent of total billed charges,74.28% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,46.93,87.2,,,percent of total billed charges,87.2% of total billed charges,31.75,59,,25.4,percent of total billed charges,59% of total billed charges,46.93,87.2,,37.54,percent of total billed charges,87.2% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,43.75,81.29,,35,percent of total billed charges,81.29% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of totl billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,48.44,90,,38.75,percent of total billed charges,90% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,32.83,61,,26.26,percent of total billed charges,61% of total billed charges,27.99,52,,22.39,percent of total billed charges,52% of total billed charges,27.99,48.44,
Haemph B Polysac Conj-Menin/PF,43601405,CDM,521,RC,90647,HCPCS,Outpatient,,,46,36.8,,39.1,85,,31.28,percent of total billed charges,85% of total billed charges,39.1,85,,31.28,percent of total billed charges,85% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,40.11,87.2,,,percent of total billed charges,87.2% of total billed charges,27.14,59,,21.71,percent of total billed charges,59% of total billed charges,40.11,87.2,,32.09,percent of total billed charges,87.2% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,37.39,81.29,,29.91,percent of total billed charges,81.29% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of totl billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,23.92,41.4,
Haemph B Polysac Conj-Menin/PF,43701405,CDM,521,RC,90647,HCPCS,Outpatient,,,46,36.8,,39.1,85,,31.28,percent of total billed charges,85% of total billed charges,39.1,85,,31.28,percent of total billed charges,85% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,34.17,74,,27.34,percent of total billed charges,74.28% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,40.11,87.2,,,percent of total billed charges,87.2% of total billed charges,27.14,59,,21.71,percent of total billed charges,59% of total billed charges,40.11,87.2,,32.09,percent of total billed charges,87.2% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,37.39,81.29,,29.91,percent of total billed charges,81.29% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of totl billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,41.4,90,,33.12,percent of total billed charges,90% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,28.06,61,,22.45,percent of total billed charges,61% of total billed charges,23.92,52,,19.14,percent of total billed charges,52% of total billed charges,23.92,41.4,
Haemph B PRP-TConj,43601406,CDM,521,RC,90648,HCPCS,Outpatient,,,36.82,29.46,,31.3,85,,25.04,percent of total billed charges,85% of total billed charges,31.3,85,,25.04,percent of total billed charges,85% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,32.11,87.2,,,percent of total billed charges,87.2% of total billed charges,21.72,59,,17.38,percent of total billed charges,59% of total billed charges,32.11,87.2,,25.69,percent of total billed charges,87.2% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,29.93,81.29,,23.94,percent of total billed charges,81.29% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of totl billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,19.15,33.14,
Haemph B PRP-TConj,43701406,CDM,521,RC,90648,HCPCS,Outpatient,,,36.82,29.46,,31.3,85,,25.04,percent of total billed charges,85% of total billed charges,31.3,85,,25.04,percent of total billed charges,85% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,27.35,74,,21.88,percent of total billed charges,74.28% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,32.11,87.2,,,percent of total billed charges,87.2% of total billed charges,21.72,59,,17.38,percent of total billed charges,59% of total billed charges,32.11,87.2,,25.69,percent of total billed charges,87.2% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,29.93,81.29,,23.94,percent of total billed charges,81.29% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of totl billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,33.14,90,,26.51,percent of total billed charges,90% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,22.46,61,,17.97,percent of total billed charges,61% of total billed charges,19.15,52,,15.32,percent of total billed charges,52% of total billed charges,19.15,33.14,
Human Papilomavirus 4,43601407,CDM,521,RC,90649,HCPCS,Outpatient,,,208.62,166.9,,177.33,85,,141.86,percent of total billed charges,85% of total billed charges,177.33,85,,141.86,percent of total billed charges,85% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,181.92,87.2,,,percent of total billed charges,87.2% of total billed charges,123.09,59,,98.47,percent of total billed charges,59% of total billed charges,181.92,87.2,,145.54,percent of total billed charges,87.2% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,169.59,81.29,,135.67,percent of total billed charges,81.29% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of totl billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,108.48,187.76,
Human Papilomavirus 4,43701407,CDM,521,RC,90649,HCPCS,Outpatient,,,208.62,166.9,,177.33,85,,141.86,percent of total billed charges,85% of total billed charges,177.33,85,,141.86,percent of total billed charges,85% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,154.96,74,,123.97,percent of total billed charges,74.28% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,181.92,87.2,,,percent of total billed charges,87.2% of total billed charges,123.09,59,,98.47,percent of total billed charges,59% of total billed charges,181.92,87.2,,145.54,percent of total billed charges,87.2% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,169.59,81.29,,135.67,percent of total billed charges,81.29% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of totl billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,187.76,90,,150.21,percent of total billed charges,90% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,127.26,61,,101.81,percent of total billed charges,61% of total billed charges,108.48,52,,86.78,percent of total billed charges,52% of total billed charges,108.48,187.76,
Human Papilomavirus 9,43601408,CDM,521,RC,90651,HCPCS,Outpatient,,,231.62,185.3,,196.88,85,,157.5,percent of total billed charges,85% of total billed charges,196.88,85,,157.5,percent of total billed charges,85% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,201.97,87.2,,,percent of total billed charges,87.2% of total billed charges,136.66,59,,109.33,percent of total billed charges,59% of total billed charges,201.97,87.2,,161.58,percent of total billed charges,87.2% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,188.28,81.29,,150.62,percent of total billed charges,81.29% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of totl billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,120.44,208.46,
Human Papilomavirus 9,43701408,CDM,521,RC,90651,HCPCS,Outpatient,,,231.62,185.3,,196.88,85,,157.5,percent of total billed charges,85% of total billed charges,196.88,85,,157.5,percent of total billed charges,85% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,172.05,74,,137.64,percent of total billed charges,74.28% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,201.97,87.2,,,percent of total billed charges,87.2% of total billed charges,136.66,59,,109.33,percent of total billed charges,59% of total billed charges,201.97,87.2,,161.58,percent of total billed charges,87.2% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,188.28,81.29,,150.62,percent of total billed charges,81.29% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of totl billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,208.46,90,,166.77,percent of total billed charges,90% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,141.29,61,,113.03,percent of total billed charges,61% of total billed charges,120.44,52,,96.35,percent of total billed charges,52% of total billed charges,120.44,208.46,
FLU VAC HD TV 24-25 (65+),43601808,CDM,636,RC,90662,HCPCS,Outpatient,,,78.48,62.78,,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,68.43,87.2,,,percent of total billed charges,87.2% of total billed charges,46.3,59,,37.04,percent of total billed charges,59% of total billed charges,68.43,87.2,,54.74,percent of total billed charges,87.2% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,63.8,81.29,,51.04,percent of total billed charges,81.29% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of totl billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,70.63,
FLU VAC HD TV 24-25 (65+),43701808,CDM,636,RC,90662,HCPCS,Outpatient,,,78.48,62.78,,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,68.43,87.2,,,percent of total billed charges,87.2% of total billed charges,46.3,59,,37.04,percent of total billed charges,59% of total billed charges,68.43,87.2,,54.74,percent of total billed charges,87.2% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,63.8,81.29,,51.04,percent of total billed charges,81.29% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of totl billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,70.63,
FLU VAC HD TV 24-25 VAC ONLY,44000002,CDM,636,RC,90662,HCPCS,Outpatient,,,78.48,62.78,,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,66.71,85,,53.37,percent of total billed charges,85% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,58.29,74,,46.63,percent of total billed charges,74.28% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,68.43,87.2,,,percent of total billed charges,87.2% of total billed charges,46.3,59,,37.04,percent of total billed charges,59% of total billed charges,68.43,87.2,,54.74,percent of total billed charges,87.2% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,63.8,81.29,,51.04,percent of total billed charges,81.29% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of totl billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,70.63,90,,56.5,percent of total billed charges,90% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,47.87,61,,38.3,percent of total billed charges,61% of total billed charges,40.81,52,,32.65,percent of total billed charges,52% of total billed charges,40.81,70.63,
Pneumococal 13,43601409,CDM,521,RC,90670,HCPCS,Outpatient,,,215.17,172.14,,182.89,85,,146.31,percent of total billed charges,85% of total billed charges,182.89,85,,146.31,percent of total billed charges,85% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,187.63,87.2,,,percent of total billed charges,87.2% of total billed charges,126.95,59,,101.56,percent of total billed charges,59% of total billed charges,187.63,87.2,,150.1,percent of total billed charges,87.2% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,174.91,81.29,,139.93,percent of total billed charges,81.29% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of totl billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,111.89,193.65,
Pneumococal 13,43701409,CDM,521,RC,90670,HCPCS,Outpatient,,,215.17,172.14,,182.89,85,,146.31,percent of total billed charges,85% of total billed charges,182.89,85,,146.31,percent of total billed charges,85% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,159.83,74,,127.86,percent of total billed charges,74.28% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,187.63,87.2,,,percent of total billed charges,87.2% of total billed charges,126.95,59,,101.56,percent of total billed charges,59% of total billed charges,187.63,87.2,,150.1,percent of total billed charges,87.2% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,174.91,81.29,,139.93,percent of total billed charges,81.29% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of totl billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,193.65,90,,154.92,percent of total billed charges,90% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,131.25,61,,105,percent of total billed charges,61% of total billed charges,111.89,52,,89.51,percent of total billed charges,52% of total billed charges,111.89,193.65,
PREVNAR 20,43701715,CDM,636,RC,90677,HCPCS,Outpatient,,,314.4,251.52,,267.24,85,,213.79,percent of total billed charges,85% of total billed charges,267.24,85,,213.79,percent of total billed charges,85% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,233.54,74,,186.83,percent of total billed charges,74.28% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,233.54,74,,186.83,percent of total billed charges,74.28% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,233.54,74,,186.83,percent of total billed charges,74.28% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,282.96,90,,226.37,percent of total billed charges,90% of total billed charges,282.96,90,,226.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,274.16,87.2,,,percent of total billed charges,87.2% of total billed charges,185.5,59,,148.4,percent of total billed charges,59% of total billed charges,274.16,87.2,,219.33,percent of total billed charges,87.2% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,255.58,81.29,,204.46,percent of total billed charges,81.29% of total billed charges,282.96,90,,226.37,percent of total billed charges,90% of totl billed charges,282.96,90,,226.37,percent of total billed charges,90% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,282.96,90,,226.37,percent of total billed charges,90% of total billed charges,282.96,90,,226.37,percent of total billed charges,90% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,191.78,61,,153.42,percent of total billed charges,61% of total billed charges,163.49,52,,130.79,percent of total billed charges,52% of total billed charges,163.49,282.96,
Rotavirus Vaccine - 3 Dose,43601410,CDM,521,RC,90680,HCPCS,Outpatient,1,ML,86.94,69.55,,73.9,85,,59.12,percent of total billed charges,85% of total billed charges,73.9,85,,59.12,percent of total billed charges,85% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,75.81,87.2,,,percent of total billed charges,87.2% of total billed charges,51.29,59,,41.03,percent of total billed charges,59% of total billed charges,75.81,87.2,,60.65,percent of total billed charges,87.2% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,70.67,81.29,,56.54,percent of total billed charges,81.29% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of totl billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,45.21,78.25,
Rotavirus Vaccine - 3 Dose,43701410,CDM,521,RC,90680,HCPCS,Outpatient,1,ML,86.94,69.55,,73.9,85,,59.12,percent of total billed charges,85% of total billed charges,73.9,85,,59.12,percent of total billed charges,85% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,64.58,74,,51.66,percent of total billed charges,74.28% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,75.81,87.2,,,percent of total billed charges,87.2% of total billed charges,51.29,59,,41.03,percent of total billed charges,59% of total billed charges,75.81,87.2,,60.65,percent of total billed charges,87.2% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,70.67,81.29,,56.54,percent of total billed charges,81.29% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of totl billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,78.25,90,,62.6,percent of total billed charges,90% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,53.03,61,,42.42,percent of total billed charges,61% of total billed charges,45.21,52,,36.17,percent of total billed charges,52% of total billed charges,45.21,78.25,
Rotavirus Vaccine - 2 Dose,43601664,CDM,521,RC,90681,HCPCS,Outpatient,1,ML,155.33,124.26,,132.03,85,,105.62,percent of total billed charges,85% of total billed charges,132.03,85,,105.62,percent of total billed charges,85% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,135.45,87.2,,,percent of total billed charges,87.2% of total billed charges,91.64,59,,73.31,percent of total billed charges,59% of total billed charges,135.45,87.2,,108.36,percent of total billed charges,87.2% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,126.27,81.29,,101.02,percent of total billed charges,81.29% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of totl billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,80.77,139.8,
Rotavirus Vaccine - 2 Dose,43701664,CDM,521,RC,90681,HCPCS,Outpatient,1,ML,155.33,124.26,,132.03,85,,105.62,percent of total billed charges,85% of total billed charges,132.03,85,,105.62,percent of total billed charges,85% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,115.38,74,,92.3,percent of total billed charges,74.28% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,135.45,87.2,,,percent of total billed charges,87.2% of total billed charges,91.64,59,,73.31,percent of total billed charges,59% of total billed charges,135.45,87.2,,108.36,percent of total billed charges,87.2% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,126.27,81.29,,101.02,percent of total billed charges,81.29% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of totl billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,139.8,90,,111.84,percent of total billed charges,90% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,94.75,61,,75.8,percent of total billed charges,61% of total billed charges,80.77,52,,64.62,percent of total billed charges,52% of total billed charges,80.77,139.8,
Influenza Vaccine,43601412,CDM,521,RC,90686,HCPCS,Outpatient,1,ML,21.03,16.82,,17.88,85,,14.3,percent of total billed charges,85% of total billed charges,17.88,85,,14.3,percent of total billed charges,85% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,18.34,87.2,,,percent of total billed charges,87.2% of total billed charges,12.41,59,,9.93,percent of total billed charges,59% of total billed charges,18.34,87.2,,14.67,percent of total billed charges,87.2% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,17.1,81.29,,13.68,percent of total billed charges,81.29% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of totl billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,10.94,18.93,
Influenza Vaccine,43601473,CDM,521,RC,90686,HCPCS,Outpatient,1,ML,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
FLU VAC TV 24-25,43601809,CDM,636,RC,90686,HCPCS,Outpatient,,,22.79,18.23,,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,19.87,87.2,,,percent of total billed charges,87.2% of total billed charges,13.45,59,,10.76,percent of total billed charges,59% of total billed charges,19.87,87.2,,15.9,percent of total billed charges,87.2% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,18.53,81.29,,14.82,percent of total billed charges,81.29% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of totl billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,20.51,
Influenza Vaccine,43701412,CDM,521,RC,90686,HCPCS,Outpatient,1,ML,21.03,16.82,,17.88,85,,14.3,percent of total billed charges,85% of total billed charges,17.88,85,,14.3,percent of total billed charges,85% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,15.62,74,,12.5,percent of total billed charges,74.28% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,18.34,87.2,,,percent of total billed charges,87.2% of total billed charges,12.41,59,,9.93,percent of total billed charges,59% of total billed charges,18.34,87.2,,14.67,percent of total billed charges,87.2% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,17.1,81.29,,13.68,percent of total billed charges,81.29% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of totl billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,18.93,90,,15.14,percent of total billed charges,90% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,12.83,61,,10.26,percent of total billed charges,61% of total billed charges,10.94,52,,8.75,percent of total billed charges,52% of total billed charges,10.94,18.93,
Influenza Vaccine,43701473,CDM,521,RC,90686,HCPCS,Outpatient,1,ML,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
FLU VAC TV 24-25,43701809,CDM,636,RC,90686,HCPCS,Outpatient,,,22.79,18.23,,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,19.87,87.2,,,percent of total billed charges,87.2% of total billed charges,13.45,59,,10.76,percent of total billed charges,59% of total billed charges,19.87,87.2,,15.9,percent of total billed charges,87.2% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,18.53,81.29,,14.82,percent of total billed charges,81.29% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of totl billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,20.51,
FLU VAC TS 24-25 VACCINE ONLY,44000001,CDM,636,RC,90686,HCPCS,Outpatient,,,22.79,18.23,,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,19.37,85,,15.5,percent of total billed charges,85% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,16.93,74,,13.54,percent of total billed charges,74.28% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,19.87,87.2,,,percent of total billed charges,87.2% of total billed charges,13.45,59,,10.76,percent of total billed charges,59% of total billed charges,19.87,87.2,,15.9,percent of total billed charges,87.2% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,18.53,81.29,,14.82,percent of total billed charges,81.29% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of totl billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,20.51,90,,16.41,percent of total billed charges,90% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,13.9,61,,11.12,percent of total billed charges,61% of total billed charges,11.85,52,,9.48,percent of total billed charges,52% of total billed charges,11.85,20.51,
DTaP-IPV,43601413,CDM,521,RC,90696,HCPCS,Outpatient,,,76.09,60.87,,64.68,85,,51.74,percent of total billed charges,85% of total billed charges,64.68,85,,51.74,percent of total billed charges,85% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,66.35,87.2,,,percent of total billed charges,87.2% of total billed charges,44.89,59,,35.91,percent of total billed charges,59% of total billed charges,66.35,87.2,,53.08,percent of total billed charges,87.2% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,61.85,81.29,,49.48,percent of total billed charges,81.29% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of totl billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,39.57,68.48,
DTaP-IPV,43701413,CDM,521,RC,90696,HCPCS,Outpatient,,,76.09,60.87,,64.68,85,,51.74,percent of total billed charges,85% of total billed charges,64.68,85,,51.74,percent of total billed charges,85% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,56.52,74,,45.22,percent of total billed charges,74.28% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,66.35,87.2,,,percent of total billed charges,87.2% of total billed charges,44.89,59,,35.91,percent of total billed charges,59% of total billed charges,66.35,87.2,,53.08,percent of total billed charges,87.2% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,61.85,81.29,,49.48,percent of total billed charges,81.29% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of totl billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,68.48,90,,54.78,percent of total billed charges,90% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,46.41,61,,37.13,percent of total billed charges,61% of total billed charges,39.57,52,,31.66,percent of total billed charges,52% of total billed charges,39.57,68.48,
DTap-IPV-Hib-HepB 0.5ml,43601739,CDM,521,RC,90697,HCPCS,Outpatient,,,186.26,149.01,,158.32,85,,126.66,percent of total billed charges,85% of total billed charges,158.32,85,,126.66,percent of total billed charges,85% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,162.42,87.2,,,percent of total billed charges,87.2% of total billed charges,109.89,59,,87.91,percent of total billed charges,59% of total billed charges,162.42,87.2,,129.94,percent of total billed charges,87.2% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,151.41,81.29,,121.13,percent of total billed charges,81.29% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of totl billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,96.86,167.63,
DTap-IPV-Hib-HepB 0.5ml,43701739,CDM,521,RC,90697,HCPCS,Outpatient,,,186.26,149.01,,158.32,85,,126.66,percent of total billed charges,85% of total billed charges,158.32,85,,126.66,percent of total billed charges,85% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,138.35,74,,110.68,percent of total billed charges,74.28% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,162.42,87.2,,,percent of total billed charges,87.2% of total billed charges,109.89,59,,87.91,percent of total billed charges,59% of total billed charges,162.42,87.2,,129.94,percent of total billed charges,87.2% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,151.41,81.29,,121.13,percent of total billed charges,81.29% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of totl billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,167.63,90,,134.1,percent of total billed charges,90% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,113.62,61,,90.9,percent of total billed charges,61% of total billed charges,96.86,52,,77.49,percent of total billed charges,52% of total billed charges,96.86,167.63,
"DIPH,Tet,ACell Pert,Polio,Haem",43601414,CDM,521,RC,90698,HCPCS,Outpatient,,,104.84,83.87,,89.11,85,,71.29,percent of total billed charges,85% of total billed charges,89.11,85,,71.29,percent of total billed charges,85% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,91.42,87.2,,,percent of total billed charges,87.2% of total billed charges,61.86,59,,49.49,percent of total billed charges,59% of total billed charges,91.42,87.2,,73.14,percent of total billed charges,87.2% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,85.22,81.29,,68.18,percent of total billed charges,81.29% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of totl billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,54.52,94.36,
"DIPH,Tet,ACell Pert,Polio,Haem",43701414,CDM,521,RC,90698,HCPCS,Outpatient,,,104.84,83.87,,89.11,85,,71.29,percent of total billed charges,85% of total billed charges,89.11,85,,71.29,percent of total billed charges,85% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,77.88,74,,62.3,percent of total billed charges,74.28% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,91.42,87.2,,,percent of total billed charges,87.2% of total billed charges,61.86,59,,49.49,percent of total billed charges,59% of total billed charges,91.42,87.2,,73.14,percent of total billed charges,87.2% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,85.22,81.29,,68.18,percent of total billed charges,81.29% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of totl billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,94.36,90,,75.49,percent of total billed charges,90% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,63.95,61,,51.16,percent of total billed charges,61% of total billed charges,54.52,52,,43.62,percent of total billed charges,52% of total billed charges,54.52,94.36,
DTaP,43601415,CDM,521,RC,90700,HCPCS,Outpatient,,,42.3,33.84,,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22,52,,17.6,percent of total billed charges,52% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,36.89,87.2,,,percent of total billed charges,87.2% of total billed charges,24.96,59,,19.97,percent of total billed charges,59% of total billed charges,36.89,87.2,,29.51,percent of total billed charges,87.2% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,34.39,81.29,,27.51,percent of total billed charges,81.29% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of totl billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,22,38.07,
DTaP,43701415,CDM,521,RC,90700,HCPCS,Outpatient,,,42.3,33.84,,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,35.96,85,,28.77,percent of total billed charges,85% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,31.42,74,,25.14,percent of total billed charges,74.28% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22,52,,17.6,percent of total billed charges,52% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,36.89,87.2,,,percent of total billed charges,87.2% of total billed charges,24.96,59,,19.97,percent of total billed charges,59% of total billed charges,36.89,87.2,,29.51,percent of total billed charges,87.2% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,34.39,81.29,,27.51,percent of total billed charges,81.29% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of totl billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,38.07,90,,30.46,percent of total billed charges,90% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,25.8,61,,20.64,percent of total billed charges,61% of total billed charges,22,52,,17.6,percent of total billed charges,52% of total billed charges,22,38.07,
Measles/Mumps/Rubella,43601416,CDM,521,RC,90707,HCPCS,Outpatient,,,92.65,74.12,,78.75,85,,63,percent of total billed charges,85% of total billed charges,78.75,85,,63,percent of total billed charges,85% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,80.79,87.2,,,percent of total billed charges,87.2% of total billed charges,54.66,59,,43.73,percent of total billed charges,59% of total billed charges,80.79,87.2,,64.63,percent of total billed charges,87.2% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,75.32,81.29,,60.26,percent of total billed charges,81.29% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of totl billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,48.18,83.39,
Measles/Mumps/Rubella,43601478,CDM,521,RC,90707,HCPCS,Outpatient,,,79.63,63.7,,67.69,85,,54.15,percent of total billed charges,85% of total billed charges,67.69,85,,54.15,percent of total billed charges,85% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,69.44,87.2,,,percent of total billed charges,87.2% of total billed charges,46.98,59,,37.58,percent of total billed charges,59% of total billed charges,69.44,87.2,,55.55,percent of total billed charges,87.2% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,64.73,81.29,,51.78,percent of total billed charges,81.29% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of totl billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,41.41,71.67,
Measles/Mumps/Rubella,43701416,CDM,521,RC,90707,HCPCS,Outpatient,,,92.65,74.12,,78.75,85,,63,percent of total billed charges,85% of total billed charges,78.75,85,,63,percent of total billed charges,85% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,68.82,74,,55.06,percent of total billed charges,74.28% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,80.79,87.2,,,percent of total billed charges,87.2% of total billed charges,54.66,59,,43.73,percent of total billed charges,59% of total billed charges,80.79,87.2,,64.63,percent of total billed charges,87.2% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,75.32,81.29,,60.26,percent of total billed charges,81.29% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of totl billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,83.39,90,,66.71,percent of total billed charges,90% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,56.52,61,,45.22,percent of total billed charges,61% of total billed charges,48.18,52,,38.54,percent of total billed charges,52% of total billed charges,48.18,83.39,
Measles/Mumps/Rubella,43701478,CDM,521,RC,90707,HCPCS,Outpatient,,,79.63,63.7,,67.69,85,,54.15,percent of total billed charges,85% of total billed charges,67.69,85,,54.15,percent of total billed charges,85% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,59.15,74,,47.32,percent of total billed charges,74.28% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,69.44,87.2,,,percent of total billed charges,87.2% of total billed charges,46.98,59,,37.58,percent of total billed charges,59% of total billed charges,69.44,87.2,,55.55,percent of total billed charges,87.2% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,64.73,81.29,,51.78,percent of total billed charges,81.29% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of totl billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,71.67,90,,57.34,percent of total billed charges,90% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,48.57,61,,38.86,percent of total billed charges,61% of total billed charges,41.41,52,,33.13,percent of total billed charges,52% of total billed charges,41.41,71.67,
Measles/Mumps/Rubella/Varicell,43601417,CDM,521,RC,90710,HCPCS,Outpatient,,,237.04,189.63,,201.48,85,,161.18,percent of total billed charges,85% of total billed charges,201.48,85,,161.18,percent of total billed charges,85% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,206.7,87.2,,,percent of total billed charges,87.2% of total billed charges,139.85,59,,111.88,percent of total billed charges,59% of total billed charges,206.7,87.2,,165.36,percent of total billed charges,87.2% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,192.69,81.29,,154.15,percent of total billed charges,81.29% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of totl billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,123.26,213.34,
Measles/Mumps/Rubella/Varicell,43701417,CDM,521,RC,90710,HCPCS,Outpatient,,,237.04,189.63,,201.48,85,,161.18,percent of total billed charges,85% of total billed charges,201.48,85,,161.18,percent of total billed charges,85% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,176.07,74,,140.86,percent of total billed charges,74.28% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,206.7,87.2,,,percent of total billed charges,87.2% of total billed charges,139.85,59,,111.88,percent of total billed charges,59% of total billed charges,206.7,87.2,,165.36,percent of total billed charges,87.2% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,192.69,81.29,,154.15,percent of total billed charges,81.29% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of totl billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,213.34,90,,170.67,percent of total billed charges,90% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,144.59,61,,115.67,percent of total billed charges,61% of total billed charges,123.26,52,,98.61,percent of total billed charges,52% of total billed charges,123.26,213.34,
Poliovirus Vaccine,43601418,CDM,521,RC,90713,HCPCS,Outpatient,10,ML,62.19,49.75,,52.86,85,,42.29,percent of total billed charges,85% of total billed charges,52.86,85,,42.29,percent of total billed charges,85% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,54.23,87.2,,,percent of total billed charges,87.2% of total billed charges,36.69,59,,29.35,percent of total billed charges,59% of total billed charges,54.23,87.2,,43.38,percent of total billed charges,87.2% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,50.55,81.29,,40.44,percent of total billed charges,81.29% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of totl billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,32.34,55.97,
Poliovirus Vaccine,43701418,CDM,521,RC,90713,HCPCS,Outpatient,10,ML,62.19,49.75,,52.86,85,,42.29,percent of total billed charges,85% of total billed charges,52.86,85,,42.29,percent of total billed charges,85% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,46.19,74,,36.95,percent of total billed charges,74.28% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,54.23,87.2,,,percent of total billed charges,87.2% of total billed charges,36.69,59,,29.35,percent of total billed charges,59% of total billed charges,54.23,87.2,,43.38,percent of total billed charges,87.2% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,50.55,81.29,,40.44,percent of total billed charges,81.29% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of totl billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,55.97,90,,44.78,percent of total billed charges,90% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,37.94,61,,30.35,percent of total billed charges,61% of total billed charges,32.34,52,,25.87,percent of total billed charges,52% of total billed charges,32.34,55.97,
Td (Adult) Tenivac,43601419,CDM,636,RC,90714,HCPCS,Outpatient,,,59.99,47.99,,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,52.31,87.2,,,percent of total billed charges,87.2% of total billed charges,35.39,59,,28.31,percent of total billed charges,59% of total billed charges,52.31,87.2,,41.85,percent of total billed charges,87.2% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of totl billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,53.99,
Td (Adult) Tenivac,43601482,CDM,521,RC,90714,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,44.18,
Td (Adult) TDVAX,43601610,CDM,636,RC,90714,HCPCS,Outpatient,,,38.97,31.18,,33.12,85,,26.5,percent of total billed charges,85% of total billed charges,33.12,85,,26.5,percent of total billed charges,85% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,33.98,87.2,,,percent of total billed charges,87.2% of total billed charges,22.99,59,,18.39,percent of total billed charges,59% of total billed charges,33.98,87.2,,27.18,percent of total billed charges,87.2% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,31.68,81.29,,25.34,percent of total billed charges,81.29% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of totl billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,20.26,35.07,
Td (Adult) Tenivac,43701419,CDM,636,RC,90714,HCPCS,Outpatient,,,59.99,47.99,,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,50.99,85,,40.79,percent of total billed charges,85% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,44.56,74,,35.65,percent of total billed charges,74.28% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,52.31,87.2,,,percent of total billed charges,87.2% of total billed charges,35.39,59,,28.31,percent of total billed charges,59% of total billed charges,52.31,87.2,,41.85,percent of total billed charges,87.2% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of totl billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,53.99,90,,43.19,percent of total billed charges,90% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,36.59,61,,29.27,percent of total billed charges,61% of total billed charges,31.19,52,,24.95,percent of total billed charges,52% of total billed charges,31.19,53.99,
Td (Adult) Tenivac,43701482,CDM,521,RC,90714,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,44.18,
Td (Adult) TDVAX,43701610,CDM,636,RC,90714,HCPCS,Outpatient,,,38.97,31.18,,33.12,85,,26.5,percent of total billed charges,85% of total billed charges,33.12,85,,26.5,percent of total billed charges,85% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,28.95,74,,23.16,percent of total billed charges,74.28% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,33.98,87.2,,,percent of total billed charges,87.2% of total billed charges,22.99,59,,18.39,percent of total billed charges,59% of total billed charges,33.98,87.2,,27.18,percent of total billed charges,87.2% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,31.68,81.29,,25.34,percent of total billed charges,81.29% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of totl billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,35.07,90,,28.06,percent of total billed charges,90% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,23.77,61,,19.02,percent of total billed charges,61% of total billed charges,20.26,52,,16.21,percent of total billed charges,52% of total billed charges,20.26,35.07,
"VACCINE,TETANUS (Fire/Police)",36000022,CDM,510,RC,90715,HCPCS,Outpatient,1,ML,38.94,31.15,,33.1,85,,26.48,percent of total billed charges,85% of total billed charges,33.1,85,,26.48,percent of total billed charges,85% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,28.92,74,,23.14,percent of total billed charges,74.28% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,28.92,74,,23.14,percent of total billed charges,74.28% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,28.92,74,,23.14,percent of total billed charges,74.28% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,35.05,90,,28.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,33.96,87.2,,,percent of total billed charges,87.2% of total billed charges,22.97,59,,18.38,percent of total billed charges,59% of total billed charges,33.96,87.2,,27.17,percent of total billed charges,87.2% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,31.65,81.29,,25.32,percent of total billed charges,81.29% of total billed charges,35.05,90,,28.04,percent of total billed charges,90% of totl billed charges,35.05,90,,28.04,percent of total billed charges,90% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,35.05,90,,28.04,percent of total billed charges,90% of total billed charges,35.05,90,,28.04,percent of total billed charges,90% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,23.75,61,,19,percent of total billed charges,61% of total billed charges,20.25,52,,16.2,percent of total billed charges,52% of total billed charges,20.25,35.05,
Diphtheria/Tetanus/ACell Pertu,43601420,CDM,521,RC,90715,HCPCS,Outpatient,,,63.39,50.71,,53.88,85,,43.1,percent of total billed charges,85% of total billed charges,53.88,85,,43.1,percent of total billed charges,85% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,55.28,87.2,,,percent of total billed charges,87.2% of total billed charges,37.4,59,,29.92,percent of total billed charges,59% of total billed charges,55.28,87.2,,44.22,percent of total billed charges,87.2% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,51.53,81.29,,41.22,percent of total billed charges,81.29% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of totl billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,32.96,57.05,
Diptheria/Tetanus/ACell Pertus,43601484,CDM,521,RC,90715,HCPCS,Outpatient,,,51.27,41.02,,43.58,85,,34.86,percent of total billed charges,85% of total billed charges,43.58,85,,34.86,percent of total billed charges,85% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,44.71,87.2,,,percent of total billed charges,87.2% of total billed charges,30.25,59,,24.2,percent of total billed charges,59% of total billed charges,44.71,87.2,,35.77,percent of total billed charges,87.2% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,41.68,81.29,,33.34,percent of total billed charges,81.29% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of totl billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,26.66,46.14,
Diphtheria/Tetanus/ACell Pertu,43701420,CDM,521,RC,90715,HCPCS,Outpatient,,,63.39,50.71,,53.88,85,,43.1,percent of total billed charges,85% of total billed charges,53.88,85,,43.1,percent of total billed charges,85% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,47.09,74,,37.67,percent of total billed charges,74.28% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,55.28,87.2,,,percent of total billed charges,87.2% of total billed charges,37.4,59,,29.92,percent of total billed charges,59% of total billed charges,55.28,87.2,,44.22,percent of total billed charges,87.2% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,51.53,81.29,,41.22,percent of total billed charges,81.29% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of totl billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,57.05,90,,45.64,percent of total billed charges,90% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,38.67,61,,30.94,percent of total billed charges,61% of total billed charges,32.96,52,,26.37,percent of total billed charges,52% of total billed charges,32.96,57.05,
Diptheria/Tetanus/ACell Pertus,43701484,CDM,521,RC,90715,HCPCS,Outpatient,,,51.27,41.02,,43.58,85,,34.86,percent of total billed charges,85% of total billed charges,43.58,85,,34.86,percent of total billed charges,85% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,38.08,74,,30.46,percent of total billed charges,74.28% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,44.71,87.2,,,percent of total billed charges,87.2% of total billed charges,30.25,59,,24.2,percent of total billed charges,59% of total billed charges,44.71,87.2,,35.77,percent of total billed charges,87.2% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,41.68,81.29,,33.34,percent of total billed charges,81.29% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of totl billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,46.14,90,,36.91,percent of total billed charges,90% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,31.27,61,,25.02,percent of total billed charges,61% of total billed charges,26.66,52,,21.33,percent of total billed charges,52% of total billed charges,26.66,46.14,
Varicella Vaccine,43601421,CDM,521,RC,90716,HCPCS,Outpatient,1,UN,147.99,118.39,,125.79,85,,100.63,percent of total billed charges,85% of total billed charges,125.79,85,,100.63,percent of total billed charges,85% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,129.05,87.2,,,percent of total billed charges,87.2% of total billed charges,87.31,59,,69.85,percent of total billed charges,59% of total billed charges,129.05,87.2,,103.24,percent of total billed charges,87.2% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,120.3,81.29,,96.24,percent of total billed charges,81.29% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of totl billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,76.95,133.19,
Varicella Vaccine,43701421,CDM,521,RC,90716,HCPCS,Outpatient,1,UN,147.99,118.39,,125.79,85,,100.63,percent of total billed charges,85% of total billed charges,125.79,85,,100.63,percent of total billed charges,85% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,109.93,74,,87.94,percent of total billed charges,74.28% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,129.05,87.2,,,percent of total billed charges,87.2% of total billed charges,87.31,59,,69.85,percent of total billed charges,59% of total billed charges,129.05,87.2,,103.24,percent of total billed charges,87.2% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,120.3,81.29,,96.24,percent of total billed charges,81.29% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of totl billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,133.19,90,,106.55,percent of total billed charges,90% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,90.27,61,,72.22,percent of total billed charges,61% of total billed charges,76.95,52,,61.56,percent of total billed charges,52% of total billed charges,76.95,133.19,
DTap-HepB-IPV-0.5ML,43601422,CDM,521,RC,90723,HCPCS,Outpatient,,,111.26,89.01,,94.57,85,,75.66,percent of total billed charges,85% of total billed charges,94.57,85,,75.66,percent of total billed charges,85% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,97.02,87.2,,,percent of total billed charges,87.2% of total billed charges,65.64,59,,52.51,percent of total billed charges,59% of total billed charges,97.02,87.2,,77.62,percent of total billed charges,87.2% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,90.44,81.29,,72.35,percent of total billed charges,81.29% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of totl billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,57.86,100.13,
DTap-HepB-IPV-0.5ML,43701422,CDM,521,RC,90723,HCPCS,Outpatient,,,111.26,89.01,,94.57,85,,75.66,percent of total billed charges,85% of total billed charges,94.57,85,,75.66,percent of total billed charges,85% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,82.64,74,,66.11,percent of total billed charges,74.28% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,97.02,87.2,,,percent of total billed charges,87.2% of total billed charges,65.64,59,,52.51,percent of total billed charges,59% of total billed charges,97.02,87.2,,77.62,percent of total billed charges,87.2% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,90.44,81.29,,72.35,percent of total billed charges,81.29% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of totl billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,100.13,90,,80.1,percent of total billed charges,90% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,67.87,61,,54.3,percent of total billed charges,61% of total billed charges,57.86,52,,46.29,percent of total billed charges,52% of total billed charges,57.86,100.13,
Pneumococal,43601423,CDM,521,RC,90732,HCPCS,Outpatient,,,111.93,89.54,,95.14,85,,76.11,percent of total billed charges,85% of total billed charges,95.14,85,,76.11,percent of total billed charges,85% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,97.6,87.2,,,percent of total billed charges,87.2% of total billed charges,66.04,59,,52.83,percent of total billed charges,59% of total billed charges,97.6,87.2,,78.08,percent of total billed charges,87.2% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,90.99,81.29,,72.79,percent of total billed charges,81.29% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of totl billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,58.2,100.74,
Pneumococal,43701423,CDM,521,RC,90732,HCPCS,Outpatient,,,111.93,89.54,,95.14,85,,76.11,percent of total billed charges,85% of total billed charges,95.14,85,,76.11,percent of total billed charges,85% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,83.14,74,,66.51,percent of total billed charges,74.28% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,97.6,87.2,,,percent of total billed charges,87.2% of total billed charges,66.04,59,,52.83,percent of total billed charges,59% of total billed charges,97.6,87.2,,78.08,percent of total billed charges,87.2% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,90.99,81.29,,72.79,percent of total billed charges,81.29% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of totl billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,100.74,90,,80.59,percent of total billed charges,90% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,68.28,61,,54.62,percent of total billed charges,61% of total billed charges,58.2,52,,46.56,percent of total billed charges,52% of total billed charges,58.2,100.74,
Meningococcal Vaccine,43601424,CDM,521,RC,90734,HCPCS,Outpatient,1,UN,169.89,135.91,,144.41,85,,115.53,percent of total billed charges,85% of total billed charges,144.41,85,,115.53,percent of total billed charges,85% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,148.14,87.2,,,percent of total billed charges,87.2% of total billed charges,100.24,59,,80.19,percent of total billed charges,59% of total billed charges,148.14,87.2,,118.51,percent of total billed charges,87.2% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,138.1,81.29,,110.48,percent of total billed charges,81.29% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of totl billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,88.34,152.9,
Meningococcal Vaccine,43701424,CDM,521,RC,90734,HCPCS,Outpatient,1,UN,169.89,135.91,,144.41,85,,115.53,percent of total billed charges,85% of total billed charges,144.41,85,,115.53,percent of total billed charges,85% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,126.19,74,,100.95,percent of total billed charges,74.28% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,148.14,87.2,,,percent of total billed charges,87.2% of total billed charges,100.24,59,,80.19,percent of total billed charges,59% of total billed charges,148.14,87.2,,118.51,percent of total billed charges,87.2% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,138.1,81.29,,110.48,percent of total billed charges,81.29% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of totl billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,152.9,90,,122.32,percent of total billed charges,90% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,103.63,61,,82.9,percent of total billed charges,61% of total billed charges,88.34,52,,70.67,percent of total billed charges,52% of total billed charges,88.34,152.9,
Hepatitis B Vaccine (Peds),43601425,CDM,521,RC,90744,HCPCS,Outpatient,1,ML,44.16,35.33,,37.54,85,,30.03,percent of total billed charges,85% of total billed charges,37.54,85,,30.03,percent of total billed charges,85% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,38.51,87.2,,,percent of total billed charges,87.2% of total billed charges,26.05,59,,20.84,percent of total billed charges,59% of total billed charges,38.51,87.2,,30.81,percent of total billed charges,87.2% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,35.9,81.29,,28.72,percent of total billed charges,81.29% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of totl billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,22.96,39.74,
Hepatitis B Vaccine (Peds),43701425,CDM,521,RC,90744,HCPCS,Outpatient,1,ML,44.16,35.33,,37.54,85,,30.03,percent of total billed charges,85% of total billed charges,37.54,85,,30.03,percent of total billed charges,85% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,32.8,74,,26.24,percent of total billed charges,74.28% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,38.51,87.2,,,percent of total billed charges,87.2% of total billed charges,26.05,59,,20.84,percent of total billed charges,59% of total billed charges,38.51,87.2,,30.81,percent of total billed charges,87.2% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,35.9,81.29,,28.72,percent of total billed charges,81.29% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of totl billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,39.74,90,,31.79,percent of total billed charges,90% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,26.94,61,,21.55,percent of total billed charges,61% of total billed charges,22.96,52,,18.37,percent of total billed charges,52% of total billed charges,22.96,39.74,
VACCINE HEPATITIS B (Fire/Poli,36000023,CDM,510,RC,90746,HCPCS,Outpatient,1,ML,53.6,42.88,,45.56,85,,36.45,percent of total billed charges,85% of total billed charges,45.56,85,,36.45,percent of total billed charges,85% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,39.81,74,,31.85,percent of total billed charges,74.28% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,39.81,74,,31.85,percent of total billed charges,74.28% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,39.81,74,,31.85,percent of total billed charges,74.28% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,48.24,90,,38.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,46.74,87.2,,,percent of total billed charges,87.2% of total billed charges,31.62,59,,25.3,percent of total billed charges,59% of total billed charges,46.74,87.2,,37.39,percent of total billed charges,87.2% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,43.57,81.29,,34.86,percent of total billed charges,81.29% of total billed charges,48.24,90,,38.59,percent of total billed charges,90% of totl billed charges,48.24,90,,38.59,percent of total billed charges,90% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,48.24,90,,38.59,percent of total billed charges,90% of total billed charges,48.24,90,,38.59,percent of total billed charges,90% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,32.7,61,,26.16,percent of total billed charges,61% of total billed charges,27.87,52,,22.3,percent of total billed charges,52% of total billed charges,27.87,48.24,
Hepatitis B Vaccine (Adult),43601426,CDM,521,RC,90746,HCPCS,Outpatient,1,ML,94.32,75.46,,80.17,85,,64.14,percent of total billed charges,85% of total billed charges,80.17,85,,64.14,percent of total billed charges,85% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,82.25,87.2,,,percent of total billed charges,87.2% of total billed charges,55.65,59,,44.52,percent of total billed charges,59% of total billed charges,82.25,87.2,,65.8,percent of total billed charges,87.2% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,76.67,81.29,,61.34,percent of total billed charges,81.29% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of totl billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,49.05,84.89,
Hepatitus B Virus (Adult),43601492,CDM,521,RC,90746,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
Hepatitis B Vaccine (Adult),43701426,CDM,521,RC,90746,HCPCS,Outpatient,1,ML,94.32,75.46,,80.17,85,,64.14,percent of total billed charges,85% of total billed charges,80.17,85,,64.14,percent of total billed charges,85% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,70.06,74,,56.05,percent of total billed charges,74.28% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,82.25,87.2,,,percent of total billed charges,87.2% of total billed charges,55.65,59,,44.52,percent of total billed charges,59% of total billed charges,82.25,87.2,,65.8,percent of total billed charges,87.2% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,76.67,81.29,,61.34,percent of total billed charges,81.29% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of totl billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,84.89,90,,67.91,percent of total billed charges,90% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,57.54,61,,46.03,percent of total billed charges,61% of total billed charges,49.05,52,,39.24,percent of total billed charges,52% of total billed charges,49.05,84.89,
Hepatitus B Virus (Adult),43701492,CDM,521,RC,90746,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
Zoster Vaccine,43601427,CDM,521,RC,90750,HCPCS,Outpatient,1,UN,201.8,161.44,,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,175.97,87.2,,,percent of total billed charges,87.2% of total billed charges,119.06,59,,95.25,percent of total billed charges,59% of total billed charges,175.97,87.2,,140.78,percent of total billed charges,87.2% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,164.04,81.29,,131.23,percent of total billed charges,81.29% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of totl billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,181.62,
Zoster Vaccine,43701427,CDM,521,RC,90750,HCPCS,Outpatient,1,UN,201.8,161.44,,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,171.53,85,,137.22,percent of total billed charges,85% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,149.9,74,,119.92,percent of total billed charges,74.28% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,175.97,87.2,,,percent of total billed charges,87.2% of total billed charges,119.06,59,,95.25,percent of total billed charges,59% of total billed charges,175.97,87.2,,140.78,percent of total billed charges,87.2% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,164.04,81.29,,131.23,percent of total billed charges,81.29% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of totl billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,181.62,90,,145.3,percent of total billed charges,90% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,123.1,61,,98.48,percent of total billed charges,61% of total billed charges,104.94,52,,83.95,percent of total billed charges,52% of total billed charges,104.94,181.62,
IV PUSH SINGLE/INITIAL OP/ER,36000012,CDM,260,RC,90774,HCPCS,Outpatient,,,292.09,233.67,,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,254.7,87.2,,,percent of total billed charges,87.2% of total billed charges,172.33,59,,137.86,percent of total billed charges,59% of total billed charges,254.7,87.2,,203.76,percent of total billed charges,87.2% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,237.44,81.29,,189.95,percent of total billed charges,81.29% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of totl billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,262.88,
IV PUSH SINGLE/INITIAL OP/ER,36000012,CDM,260,RC,90774,HCPCS,Outpatient,,,292.09,233.67,,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,254.7,87.2,,,percent of total billed charges,87.2% of total billed charges,172.33,59,,137.86,percent of total billed charges,59% of total billed charges,254.7,87.2,,203.76,percent of total billed charges,87.2% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,237.44,81.29,,189.95,percent of total billed charges,81.29% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of totl billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,262.88,
"ALBUMIN, 50ML 25%",41040220,CDM,390,RC,90784,HCPCS,Outpatient,,,380.59,304.47,,323.5,85,,258.8,percent of total billed charges,85% of total billed charges,323.5,85,,258.8,percent of total billed charges,85% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,331.87,87.2,,,percent of total billed charges,87.2% of total billed charges,224.55,59,,179.64,percent of total billed charges,59% of total billed charges,331.87,87.2,,265.5,percent of total billed charges,87.2% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,309.38,81.29,,247.5,percent of total billed charges,81.29% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of totl billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,197.91,342.53,
PSYCHOTHERAPY COMPLEX INTER,43701350,CDM,900,RC,90785,HCPCS,Outpatient,,,10,8,,8.5,85,,6.8,percent of total billed charges,85% of total billed charges,8.5,85,,6.8,percent of total billed charges,85% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,7.43,74,,5.94,percent of total billed charges,74.28% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,7.43,74,,5.94,percent of total billed charges,74.28% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,7.43,74,,5.94,percent of total billed charges,74.28% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,9,90,,7.2,percent of total billed charges,90% of total billed charges,9,90,,7.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,8.72,87.2,,,percent of total billed charges,87.2% of total billed charges,5.9,59,,4.72,percent of total billed charges,59% of total billed charges,8.72,87.2,,6.98,percent of total billed charges,87.2% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,8.13,81.29,,6.5,percent of total billed charges,81.29% of total billed charges,9,90,,7.2,percent of total billed charges,90% of totl billed charges,9,90,,7.2,percent of total billed charges,90% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,9,90,,7.2,percent of total billed charges,90% of total billed charges,9,90,,7.2,percent of total billed charges,90% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,6.1,61,,4.88,percent of total billed charges,61% of total billed charges,5.2,52,,4.16,percent of total billed charges,52% of total billed charges,5.2,9,
PSYCHOTHERAPY DIAG EVAL,43701340,CDM,900,RC,90791,HCPCS,Outpatient,,,230,184,,195.5,85,,156.4,percent of total billed charges,85% of total billed charges,195.5,85,,156.4,percent of total billed charges,85% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,170.84,74,,136.67,percent of total billed charges,74.28% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,170.84,74,,136.67,percent of total billed charges,74.28% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,170.84,74,,136.67,percent of total billed charges,74.28% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,207,90,,165.6,percent of total billed charges,90% of total billed charges,207,90,,165.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,200.56,87.2,,,percent of total billed charges,87.2% of total billed charges,135.7,59,,108.56,percent of total billed charges,59% of total billed charges,200.56,87.2,,160.45,percent of total billed charges,87.2% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,186.97,81.29,,149.58,percent of total billed charges,81.29% of total billed charges,207,90,,165.6,percent of total billed charges,90% of totl billed charges,207,90,,165.6,percent of total billed charges,90% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,207,90,,165.6,percent of total billed charges,90% of total billed charges,207,90,,165.6,percent of total billed charges,90% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,140.3,61,,112.24,percent of total billed charges,61% of total billed charges,119.6,52,,95.68,percent of total billed charges,52% of total billed charges,119.6,207,
PSYCHOTHERAPY 30 MIN,43701341,CDM,900,RC,90832,HCPCS,Outpatient,,,96,76.8,,81.6,85,,65.28,percent of total billed charges,85% of total billed charges,81.6,85,,65.28,percent of total billed charges,85% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,83.71,87.2,,,percent of total billed charges,87.2% of total billed charges,56.64,59,,45.31,percent of total billed charges,59% of total billed charges,83.71,87.2,,66.97,percent of total billed charges,87.2% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,78.04,81.29,,62.43,percent of total billed charges,81.29% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of totl billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,49.92,86.4,
PSYCHOTHERAPY 45 MIN,43701342,CDM,900,RC,90834,HCPCS,Outpatient,,,123,98.4,,104.55,85,,83.64,percent of total billed charges,85% of total billed charges,104.55,85,,83.64,percent of total billed charges,85% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,91.36,74,,73.09,percent of total billed charges,74.28% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,91.36,74,,73.09,percent of total billed charges,74.28% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,91.36,74,,73.09,percent of total billed charges,74.28% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,110.7,90,,88.56,percent of total billed charges,90% of total billed charges,110.7,90,,88.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,107.26,87.2,,,percent of total billed charges,87.2% of total billed charges,72.57,59,,58.06,percent of total billed charges,59% of total billed charges,107.26,87.2,,85.81,percent of total billed charges,87.2% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,99.99,81.29,,79.99,percent of total billed charges,81.29% of total billed charges,110.7,90,,88.56,percent of total billed charges,90% of totl billed charges,110.7,90,,88.56,percent of total billed charges,90% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,110.7,90,,88.56,percent of total billed charges,90% of total billed charges,110.7,90,,88.56,percent of total billed charges,90% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,75.03,61,,60.02,percent of total billed charges,61% of total billed charges,63.96,52,,51.17,percent of total billed charges,52% of total billed charges,63.96,110.7,
PSYCHOTHERAPY 60 MIN,43701343,CDM,900,RC,90837,HCPCS,Outpatient,,,180,144,,153,85,,122.4,percent of total billed charges,85% of total billed charges,153,85,,122.4,percent of total billed charges,85% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,156.96,87.2,,,percent of total billed charges,87.2% of total billed charges,106.2,59,,84.96,percent of total billed charges,59% of total billed charges,156.96,87.2,,125.57,percent of total billed charges,87.2% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,146.32,81.29,,117.06,percent of total billed charges,81.29% of total billed charges,162,90,,129.6,percent of total billed charges,90% of totl billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,162,
PSYCHOTHERAPY 60 MIN ADD-ON,43701348,CDM,900,RC,90839,HCPCS,Outpatient,,,180,144,,153,85,,122.4,percent of total billed charges,85% of total billed charges,153,85,,122.4,percent of total billed charges,85% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,156.96,87.2,,,percent of total billed charges,87.2% of total billed charges,106.2,59,,84.96,percent of total billed charges,59% of total billed charges,156.96,87.2,,125.57,percent of total billed charges,87.2% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,146.32,81.29,,117.06,percent of total billed charges,81.29% of total billed charges,162,90,,129.6,percent of total billed charges,90% of totl billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,162,
PSYCHOTHERAPY 30 MIN ADD-ON,43701349,CDM,900,RC,90840,HCPCS,Outpatient,,,96,76.8,,81.6,85,,65.28,percent of total billed charges,85% of total billed charges,81.6,85,,65.28,percent of total billed charges,85% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,71.31,74,,57.05,percent of total billed charges,74.28% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,83.71,87.2,,,percent of total billed charges,87.2% of total billed charges,56.64,59,,45.31,percent of total billed charges,59% of total billed charges,83.71,87.2,,66.97,percent of total billed charges,87.2% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,78.04,81.29,,62.43,percent of total billed charges,81.29% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of totl billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,86.4,90,,69.12,percent of total billed charges,90% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,58.56,61,,46.85,percent of total billed charges,61% of total billed charges,49.92,52,,39.94,percent of total billed charges,52% of total billed charges,49.92,86.4,
PSYCHOTHERAPY FAM W/O PT,43701344,CDM,900,RC,90846,HCPCS,Outpatient,,,133,106.4,,113.05,85,,90.44,percent of total billed charges,85% of total billed charges,113.05,85,,90.44,percent of total billed charges,85% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,98.79,74,,79.03,percent of total billed charges,74.28% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,98.79,74,,79.03,percent of total billed charges,74.28% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,98.79,74,,79.03,percent of total billed charges,74.28% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,119.7,90,,95.76,percent of total billed charges,90% of total billed charges,119.7,90,,95.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,115.98,87.2,,,percent of total billed charges,87.2% of total billed charges,78.47,59,,62.78,percent of total billed charges,59% of total billed charges,115.98,87.2,,92.78,percent of total billed charges,87.2% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,108.12,81.29,,86.5,percent of total billed charges,81.29% of total billed charges,119.7,90,,95.76,percent of total billed charges,90% of totl billed charges,119.7,90,,95.76,percent of total billed charges,90% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,119.7,90,,95.76,percent of total billed charges,90% of total billed charges,119.7,90,,95.76,percent of total billed charges,90% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,81.13,61,,64.9,percent of total billed charges,61% of total billed charges,69.16,52,,55.33,percent of total billed charges,52% of total billed charges,69.16,119.7,
PSYCHOTHERAPY FAM W/PT,43701345,CDM,900,RC,90847,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
PSYCHOTHERAPY MULT FAM GRP,43701346,CDM,900,RC,90849,HCPCS,Outpatient,,,88,70.4,,74.8,85,,59.84,percent of total billed charges,85% of total billed charges,74.8,85,,59.84,percent of total billed charges,85% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,65.37,74,,52.3,percent of total billed charges,74.28% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,65.37,74,,52.3,percent of total billed charges,74.28% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,65.37,74,,52.3,percent of total billed charges,74.28% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,79.2,90,,63.36,percent of total billed charges,90% of total billed charges,79.2,90,,63.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,76.74,87.2,,,percent of total billed charges,87.2% of total billed charges,51.92,59,,41.54,percent of total billed charges,59% of total billed charges,76.74,87.2,,61.39,percent of total billed charges,87.2% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,71.54,81.29,,57.23,percent of total billed charges,81.29% of total billed charges,79.2,90,,63.36,percent of total billed charges,90% of totl billed charges,79.2,90,,63.36,percent of total billed charges,90% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,79.2,90,,63.36,percent of total billed charges,90% of total billed charges,79.2,90,,63.36,percent of total billed charges,90% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,53.68,61,,42.94,percent of total billed charges,61% of total billed charges,45.76,52,,36.61,percent of total billed charges,52% of total billed charges,45.76,79.2,
PSYCHOTHERAPY GRP W/O MF,43701347,CDM,900,RC,90853,HCPCS,Outpatient,,,38,30.4,,32.3,85,,25.84,percent of total billed charges,85% of total billed charges,32.3,85,,25.84,percent of total billed charges,85% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,28.23,74,,22.58,percent of total billed charges,74.28% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,28.23,74,,22.58,percent of total billed charges,74.28% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,28.23,74,,22.58,percent of total billed charges,74.28% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,34.2,90,,27.36,percent of total billed charges,90% of total billed charges,34.2,90,,27.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,33.14,87.2,,,percent of total billed charges,87.2% of total billed charges,22.42,59,,17.94,percent of total billed charges,59% of total billed charges,33.14,87.2,,26.51,percent of total billed charges,87.2% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,30.89,81.29,,24.71,percent of total billed charges,81.29% of total billed charges,34.2,90,,27.36,percent of total billed charges,90% of totl billed charges,34.2,90,,27.36,percent of total billed charges,90% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,34.2,90,,27.36,percent of total billed charges,90% of total billed charges,34.2,90,,27.36,percent of total billed charges,90% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,23.18,61,,18.54,percent of total billed charges,61% of total billed charges,19.76,52,,15.81,percent of total billed charges,52% of total billed charges,19.76,34.2,
COVID-19 VAC 6MO-11YRS,43701805,CDM,521,RC,91321,HCPCS,Outpatient,,,169.35,135.48,,143.95,85,,115.16,percent of total billed charges,85% of total billed charges,143.95,85,,115.16,percent of total billed charges,85% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,125.79,74,,100.63,percent of total billed charges,74.28% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,125.79,74,,100.63,percent of total billed charges,74.28% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,125.79,74,,100.63,percent of total billed charges,74.28% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,152.42,90,,121.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,147.67,87.2,,,percent of total billed charges,87.2% of total billed charges,99.92,59,,79.94,percent of total billed charges,59% of total billed charges,147.67,87.2,,118.14,percent of total billed charges,87.2% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,137.66,81.29,,110.13,percent of total billed charges,81.29% of total billed charges,152.42,90,,121.94,percent of total billed charges,90% of totl billed charges,152.42,90,,121.94,percent of total billed charges,90% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,152.42,90,,121.94,percent of total billed charges,90% of total billed charges,152.42,90,,121.94,percent of total billed charges,90% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,103.3,61,,82.64,percent of total billed charges,61% of total billed charges,88.06,52,,70.45,percent of total billed charges,52% of total billed charges,88.06,152.42,
SPEECH THERAPY TREATMENT,48309001,CDM,441,RC,92507,HCPCS,Outpatient,,,118.45,94.76,,100.68,85,,80.54,percent of total billed charges,85% of total billed charges,100.68,85,,80.54,percent of total billed charges,85% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,87.98,74,,70.38,percent of total billed charges,74.28% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,87.98,74,,70.38,percent of total billed charges,74.28% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,87.98,74,,70.38,percent of total billed charges,74.28% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,103.29,87.2,,,percent of total billed charges,87.2% of total billed charges,69.89,59,,55.91,percent of total billed charges,59% of total billed charges,103.29,87.2,,82.63,percent of total billed charges,87.2% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,96.29,81.29,,77.03,percent of total billed charges,81.29% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of totl billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,106.61,90,,85.29,percent of total billed charges,90% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,72.25,61,,57.8,percent of total billed charges,61% of total billed charges,61.59,52,,49.27,percent of total billed charges,52% of total billed charges,61.59,106.61,
SPEECH EVAL FLUENCY,48309012,CDM,444,RC,92521,HCPCS,Outpatient,,,215.33,172.26,,183.03,85,,146.42,percent of total billed charges,85% of total billed charges,183.03,85,,146.42,percent of total billed charges,85% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,159.95,74,,127.96,percent of total billed charges,74.28% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,159.95,74,,127.96,percent of total billed charges,74.28% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,159.95,74,,127.96,percent of total billed charges,74.28% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,193.8,90,,155.04,percent of total billed charges,90% of total billed charges,193.8,90,,155.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,187.77,87.2,,,percent of total billed charges,87.2% of total billed charges,127.04,59,,101.63,percent of total billed charges,59% of total billed charges,187.77,87.2,,150.22,percent of total billed charges,87.2% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,175.04,81.29,,140.03,percent of total billed charges,81.29% of total billed charges,193.8,90,,155.04,percent of total billed charges,90% of totl billed charges,193.8,90,,155.04,percent of total billed charges,90% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,193.8,90,,155.04,percent of total billed charges,90% of total billed charges,193.8,90,,155.04,percent of total billed charges,90% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,131.35,61,,105.08,percent of total billed charges,61% of total billed charges,111.97,52,,89.58,percent of total billed charges,52% of total billed charges,111.97,193.8,
SPEECH EVAL SOUND PROD,48309013,CDM,444,RC,92522,HCPCS,Outpatient,,,175.5,140.4,,149.18,85,,119.34,percent of total billed charges,85% of total billed charges,149.18,85,,119.34,percent of total billed charges,85% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,130.36,74,,104.29,percent of total billed charges,74.28% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,130.36,74,,104.29,percent of total billed charges,74.28% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,130.36,74,,104.29,percent of total billed charges,74.28% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,157.95,90,,126.36,percent of total billed charges,90% of total billed charges,157.95,90,,126.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,153.04,87.2,,,percent of total billed charges,87.2% of total billed charges,103.55,59,,82.84,percent of total billed charges,59% of total billed charges,153.04,87.2,,122.43,percent of total billed charges,87.2% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,142.66,81.29,,114.13,percent of total billed charges,81.29% of total billed charges,157.95,90,,126.36,percent of total billed charges,90% of totl billed charges,157.95,90,,126.36,percent of total billed charges,90% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,157.95,90,,126.36,percent of total billed charges,90% of total billed charges,157.95,90,,126.36,percent of total billed charges,90% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,107.06,61,,85.65,percent of total billed charges,61% of total billed charges,91.26,52,,73.01,percent of total billed charges,52% of total billed charges,91.26,157.95,
SPEECH EVAL SOUND PROD/LANG,48309014,CDM,444,RC,92523,HCPCS,Outpatient,,,363.91,291.13,,309.32,85,,247.46,percent of total billed charges,85% of total billed charges,309.32,85,,247.46,percent of total billed charges,85% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,270.31,74,,216.25,percent of total billed charges,74.28% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,270.31,74,,216.25,percent of total billed charges,74.28% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,270.31,74,,216.25,percent of total billed charges,74.28% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,327.52,90,,262.02,percent of total billed charges,90% of total billed charges,327.52,90,,262.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,317.33,87.2,,,percent of total billed charges,87.2% of total billed charges,214.71,59,,171.77,percent of total billed charges,59% of total billed charges,317.33,87.2,,253.86,percent of total billed charges,87.2% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,295.82,81.29,,236.66,percent of total billed charges,81.29% of total billed charges,327.52,90,,262.02,percent of total billed charges,90% of totl billed charges,327.52,90,,262.02,percent of total billed charges,90% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,327.52,90,,262.02,percent of total billed charges,90% of total billed charges,327.52,90,,262.02,percent of total billed charges,90% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,221.99,61,,177.59,percent of total billed charges,61% of total billed charges,189.23,52,,151.38,percent of total billed charges,52% of total billed charges,189.23,327.52,
SPEECH EVAL VOICE & RESONANCE,48309015,CDM,444,RC,92524,HCPCS,Outpatient,,,183.03,146.42,,155.58,85,,124.46,percent of total billed charges,85% of total billed charges,155.58,85,,124.46,percent of total billed charges,85% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,135.95,74,,108.76,percent of total billed charges,74.28% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,135.95,74,,108.76,percent of total billed charges,74.28% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,135.95,74,,108.76,percent of total billed charges,74.28% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,164.73,90,,131.78,percent of total billed charges,90% of total billed charges,164.73,90,,131.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,159.6,87.2,,,percent of total billed charges,87.2% of total billed charges,107.99,59,,86.39,percent of total billed charges,59% of total billed charges,159.6,87.2,,127.68,percent of total billed charges,87.2% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,148.79,81.29,,119.03,percent of total billed charges,81.29% of total billed charges,164.73,90,,131.78,percent of total billed charges,90% of totl billed charges,164.73,90,,131.78,percent of total billed charges,90% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,164.73,90,,131.78,percent of total billed charges,90% of total billed charges,164.73,90,,131.78,percent of total billed charges,90% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,111.65,61,,89.32,percent of total billed charges,61% of total billed charges,95.18,52,,76.14,percent of total billed charges,52% of total billed charges,95.18,164.73,
TRMT OF SWALLOWING DYSFUNCT,48105289,CDM,421,RC,92526,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
TRMT OF SWALLOWING DYSFUNC,48207049,CDM,431,RC,92526,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
TRMT OF SWALLOWING DYSFUNC,48309003,CDM,441,RC,92526,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
AIR AND BONE,43410002,CDM,471,RC,92553,HCPCS,Outpatient,,,72.74,58.19,,61.83,85,,49.46,percent of total billed charges,85% of total billed charges,61.83,85,,49.46,percent of total billed charges,85% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,54.03,74,,43.22,percent of total billed charges,74.28% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,54.03,74,,43.22,percent of total billed charges,74.28% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,54.03,74,,43.22,percent of total billed charges,74.28% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,65.47,90,,52.38,percent of total billed charges,90% of total billed charges,65.47,90,,52.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,63.43,87.2,,,percent of total billed charges,87.2% of total billed charges,42.92,59,,34.34,percent of total billed charges,59% of total billed charges,63.43,87.2,,50.74,percent of total billed charges,87.2% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,59.13,81.29,,47.3,percent of total billed charges,81.29% of total billed charges,65.47,90,,52.38,percent of total billed charges,90% of totl billed charges,65.47,90,,52.38,percent of total billed charges,90% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,65.47,90,,52.38,percent of total billed charges,90% of total billed charges,65.47,90,,52.38,percent of total billed charges,90% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,44.37,61,,35.5,percent of total billed charges,61% of total billed charges,37.82,52,,30.26,percent of total billed charges,52% of total billed charges,37.82,65.47,
SWALLOWING EVALUATION,48105304,CDM,424,RC,92610,HCPCS,Outpatient,,,155.77,124.62,,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,135.83,87.2,,,percent of total billed charges,87.2% of total billed charges,91.9,59,,73.52,percent of total billed charges,59% of total billed charges,135.83,87.2,,108.66,percent of total billed charges,87.2% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,126.63,81.29,,101.3,percent of total billed charges,81.29% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of totl billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,140.19,
SWALLOWING EVALUATION,48207066,CDM,434,RC,92610,HCPCS,Outpatient,,,155.77,124.62,,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,135.83,87.2,,,percent of total billed charges,87.2% of total billed charges,91.9,59,,73.52,percent of total billed charges,59% of total billed charges,135.83,87.2,,108.66,percent of total billed charges,87.2% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,126.63,81.29,,101.3,percent of total billed charges,81.29% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of totl billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,140.19,
SWALLOWING EVALUATION,48309007,CDM,444,RC,92610,HCPCS,Outpatient,,,155.77,124.62,,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,132.4,85,,105.92,percent of total billed charges,85% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,115.71,74,,92.57,percent of total billed charges,74.28% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,135.83,87.2,,,percent of total billed charges,87.2% of total billed charges,91.9,59,,73.52,percent of total billed charges,59% of total billed charges,135.83,87.2,,108.66,percent of total billed charges,87.2% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,126.63,81.29,,101.3,percent of total billed charges,81.29% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of totl billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,140.19,90,,112.15,percent of total billed charges,90% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,95.02,61,,76.02,percent of total billed charges,61% of total billed charges,81,52,,64.8,percent of total billed charges,52% of total billed charges,81,140.19,
CARDIOPULMONARY RESUSCITATION,36010117,CDM,981,RC,92950,HCPCS,Outpatient,,,442.58,354.06,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RESP. CPR ASSISTANCE PER HOUR,43102052,CDM,410,RC,92950,HCPCS,Outpatient,,,130.15,104.12,,110.63,85,,88.5,percent of total billed charges,85% of total billed charges,110.63,85,,88.5,percent of total billed charges,85% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,96.68,74,,77.34,percent of total billed charges,74.28% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,96.68,74,,77.34,percent of total billed charges,74.28% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,96.68,74,,77.34,percent of total billed charges,74.28% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,117.14,90,,93.71,percent of total billed charges,90% of total billed charges,117.14,90,,93.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,113.49,87.2,,,percent of total billed charges,87.2% of total billed charges,76.79,59,,61.43,percent of total billed charges,59% of total billed charges,113.49,87.2,,90.79,percent of total billed charges,87.2% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,105.8,81.29,,84.64,percent of total billed charges,81.29% of total billed charges,117.14,90,,93.71,percent of total billed charges,90% of totl billed charges,117.14,90,,93.71,percent of total billed charges,90% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,117.14,90,,93.71,percent of total billed charges,90% of total billed charges,117.14,90,,93.71,percent of total billed charges,90% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,79.39,61,,63.51,percent of total billed charges,61% of total billed charges,67.68,52,,54.14,percent of total billed charges,52% of total billed charges,67.68,117.14,
CARDIOVERSION EXTERNAL,35000029,CDM,480,RC,92960,HCPCS,Outpatient,,,482.96,386.37,,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,410.52,85,,328.42,percent of total billed charges,85% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,358.74,74,,286.99,percent of total billed charges,74.28% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,421.14,87.2,,,percent of total billed charges,87.2% of total billed charges,284.95,59,,227.96,percent of total billed charges,59% of total billed charges,421.14,87.2,,336.91,percent of total billed charges,87.2% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,392.6,81.29,,314.08,percent of total billed charges,81.29% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of totl billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,434.66,90,,347.73,percent of total billed charges,90% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,294.61,61,,235.69,percent of total billed charges,61% of total billed charges,251.14,52,,200.91,percent of total billed charges,52% of total billed charges,251.14,434.66,
"CARDIOVERSION,EXTERNAL",36010118,CDM,981,RC,92960,HCPCS,Outpatient,,,482.96,386.37,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EKG w/Interp & Report,43601428,CDM,730,RC,93000,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
EKG w/Interp & Report,43701428,CDM,730,RC,93000,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
EKG - TRACING ONLY,43102076,CDM,730,RC,93005,HCPCS,Outpatient,,,92.34,73.87,,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,80.52,87.2,,,percent of total billed charges,87.2% of total billed charges,54.48,59,,43.58,percent of total billed charges,59% of total billed charges,80.52,87.2,,64.42,percent of total billed charges,87.2% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,75.06,81.29,,60.05,percent of total billed charges,81.29% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of totl billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,83.11,
"EKG REG,TRACING ONLY W/O I&R",43509000,CDM,730,RC,93005,HCPCS,Outpatient,,,92.34,73.87,,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,80.52,87.2,,,percent of total billed charges,87.2% of total billed charges,54.48,59,,43.58,percent of total billed charges,59% of total billed charges,80.52,87.2,,64.42,percent of total billed charges,87.2% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,75.06,81.29,,60.05,percent of total billed charges,81.29% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of totl billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,83.11,
HEART STATION EKG-TRACING ONLY,43509027,CDM,730,RC,93005,HCPCS,Outpatient,,,92.34,73.87,,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,80.52,87.2,,,percent of total billed charges,87.2% of total billed charges,54.48,59,,43.58,percent of total billed charges,59% of total billed charges,80.52,87.2,,64.42,percent of total billed charges,87.2% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,75.06,81.29,,60.05,percent of total billed charges,81.29% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of totl billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,83.11,
EKG - TRACING ONLY - SMC,43601720,CDM,521,RC,93005,HCPCS,Outpatient,,,82.21,65.77,,69.88,85,,55.9,percent of total billed charges,85% of total billed charges,69.88,85,,55.9,percent of total billed charges,85% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,71.69,87.2,,,percent of total billed charges,87.2% of total billed charges,48.5,59,,38.8,percent of total billed charges,59% of total billed charges,71.69,87.2,,57.35,percent of total billed charges,87.2% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,66.83,81.29,,53.46,percent of total billed charges,81.29% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of totl billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,42.75,73.99,
EKG - TRACING ONLY - RHC,43701720,CDM,521,RC,93005,HCPCS,Outpatient,,,82.21,65.77,,69.88,85,,55.9,percent of total billed charges,85% of total billed charges,69.88,85,,55.9,percent of total billed charges,85% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,61.07,74,,48.86,percent of total billed charges,74.28% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,71.69,87.2,,,percent of total billed charges,87.2% of total billed charges,48.5,59,,38.8,percent of total billed charges,59% of total billed charges,71.69,87.2,,57.35,percent of total billed charges,87.2% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,66.83,81.29,,53.46,percent of total billed charges,81.29% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of totl billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,73.99,90,,59.19,percent of total billed charges,90% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,50.15,61,,40.12,percent of total billed charges,61% of total billed charges,42.75,52,,34.2,percent of total billed charges,52% of total billed charges,42.75,73.99,
EKG - INTER AND REPORT ONLY,43102078,CDM,985,RC,93010,HCPCS,Outpatient,,,20.38,16.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EKG Interp & Report,43601368,CDM,985,RC,93010,HCPCS,Outpatient,,,49.09,39.27,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EKG INTERPRETATION,43701297,CDM,521,RC,93010,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,44.18,
Stress Test Supervision Only,43601369,CDM,521,RC,93016,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
STRESS TEST SUPERVISION ONLY,43700147,CDM,987,RC,93016,HCPCS,Outpatient,,,54.54,43.63,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
STRESSTEST SUPERVISION ONLY,43701280,CDM,521,RC,93016,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
EKG STRESS NM TRACING ONLY W/O,42109002,CDM,482,RC,93017,HCPCS,Outpatient,,,426.54,341.23,,362.56,85,,290.05,percent of total billed charges,85% of total billed charges,362.56,85,,290.05,percent of total billed charges,85% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,371.94,87.2,,,percent of total billed charges,87.2% of total billed charges,251.66,59,,201.33,percent of total billed charges,59% of total billed charges,371.94,87.2,,297.55,percent of total billed charges,87.2% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,346.73,81.29,,277.38,percent of total billed charges,81.29% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of totl billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,221.8,383.89,
"EKG STRESS, TRACING ONLY W/O I",43509002,CDM,482,RC,93017,HCPCS,Outpatient,,,426.54,341.23,,362.56,85,,290.05,percent of total billed charges,85% of total billed charges,362.56,85,,290.05,percent of total billed charges,85% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,316.83,74,,253.46,percent of total billed charges,74.28% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,371.94,87.2,,,percent of total billed charges,87.2% of total billed charges,251.66,59,,201.33,percent of total billed charges,59% of total billed charges,371.94,87.2,,297.55,percent of total billed charges,87.2% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,346.73,81.29,,277.38,percent of total billed charges,81.29% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of totl billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,383.89,90,,307.11,percent of total billed charges,90% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,260.19,61,,208.15,percent of total billed charges,61% of total billed charges,221.8,52,,177.44,percent of total billed charges,52% of total billed charges,221.8,383.89,
Stress Test Interpret & Report,43601370,CDM,521,RC,93018,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
STRESS TEST INTERPRET & REPORT,43700148,CDM,987,RC,93018,HCPCS,Outpatient,,,38.18,30.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
STRESS TEST INTERPRET & REPORT,43701281,CDM,521,RC,93018,HCPCS,Outpatient,,,38.18,30.54,,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,32.45,85,,25.96,percent of total billed charges,85% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,28.36,74,,22.69,percent of total billed charges,74.28% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,33.29,87.2,,,percent of total billed charges,87.2% of total billed charges,22.53,59,,18.02,percent of total billed charges,59% of total billed charges,33.29,87.2,,26.63,percent of total billed charges,87.2% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,31.04,81.29,,24.83,percent of total billed charges,81.29% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of totl billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,34.36,90,,27.49,percent of total billed charges,90% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,23.29,61,,18.63,percent of total billed charges,61% of total billed charges,19.85,52,,15.88,percent of total billed charges,52% of total billed charges,19.85,34.36,
CARDIAC MONITORING,36001005,CDM,730,RC,93041,HCPCS,Outpatient,,,45.77,36.62,,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,38.9,85,,31.12,percent of total billed charges,85% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,34,74,,27.2,percent of total billed charges,74.28% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,34,74,,27.2,percent of total billed charges,74.28% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,34,74,,27.2,percent of total billed charges,74.28% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,41.19,90,,32.95,percent of total billed charges,90% of total billed charges,41.19,90,,32.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,39.91,87.2,,,percent of total billed charges,87.2% of total billed charges,27,59,,21.6,percent of total billed charges,59% of total billed charges,39.91,87.2,,31.93,percent of total billed charges,87.2% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,37.21,81.29,,29.77,percent of total billed charges,81.29% of total billed charges,41.19,90,,32.95,percent of total billed charges,90% of totl billed charges,41.19,90,,32.95,percent of total billed charges,90% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,41.19,90,,32.95,percent of total billed charges,90% of total billed charges,41.19,90,,32.95,percent of total billed charges,90% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,27.92,61,,22.34,percent of total billed charges,61% of total billed charges,23.8,52,,19.04,percent of total billed charges,52% of total billed charges,23.8,41.19,
"RHYTHM, TRACING W/O INTERPRETA",43509001,CDM,730,RC,93041,HCPCS,Outpatient,,,92.34,73.87,,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,78.49,85,,62.79,percent of total billed charges,85% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,68.59,74,,54.87,percent of total billed charges,74.28% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,80.52,87.2,,,percent of total billed charges,87.2% of total billed charges,54.48,59,,43.58,percent of total billed charges,59% of total billed charges,80.52,87.2,,64.42,percent of total billed charges,87.2% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,75.06,81.29,,60.05,percent of total billed charges,81.29% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of totl billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,83.11,90,,66.49,percent of total billed charges,90% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,56.33,61,,45.06,percent of total billed charges,61% of total billed charges,48.02,52,,38.42,percent of total billed charges,52% of total billed charges,48.02,83.11,
HOLTER RECORDER HOOK-UP + DISC,43509022,CDM,731,RC,93225,HCPCS,Outpatient,,,65.8,52.64,,55.93,85,,44.74,percent of total billed charges,85% of total billed charges,55.93,85,,44.74,percent of total billed charges,85% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,48.88,74,,39.1,percent of total billed charges,74.28% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,48.88,74,,39.1,percent of total billed charges,74.28% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,48.88,74,,39.1,percent of total billed charges,74.28% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,59.22,90,,47.38,percent of total billed charges,90% of total billed charges,59.22,90,,47.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,57.38,87.2,,,percent of total billed charges,87.2% of total billed charges,38.82,59,,31.06,percent of total billed charges,59% of total billed charges,57.38,87.2,,45.9,percent of total billed charges,87.2% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,53.49,81.29,,42.79,percent of total billed charges,81.29% of total billed charges,59.22,90,,47.38,percent of total billed charges,90% of totl billed charges,59.22,90,,47.38,percent of total billed charges,90% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,59.22,90,,47.38,percent of total billed charges,90% of total billed charges,59.22,90,,47.38,percent of total billed charges,90% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,40.14,61,,32.11,percent of total billed charges,61% of total billed charges,34.22,52,,27.38,percent of total billed charges,52% of total billed charges,34.22,59.22,
HOLTER SCANNING ANALYSIS,43102075,CDM,731,RC,93226,HCPCS,Outpatient,,,99.58,79.66,,84.64,85,,67.71,percent of total billed charges,85% of total billed charges,84.64,85,,67.71,percent of total billed charges,85% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,73.97,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,73.97,74,,59.18,percent of total billed charges,74.28% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,73.97,74,,59.18,percent of total billed charges,74.28% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,89.62,90,,71.7,percent of total billed charges,90% of total billed charges,89.62,90,,71.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,86.83,87.2,,,percent of total billed charges,87.2% of total billed charges,58.75,59,,47,percent of total billed charges,59% of total billed charges,86.83,87.2,,69.46,percent of total billed charges,87.2% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,80.95,81.29,,64.76,percent of total billed charges,81.29% of total billed charges,89.62,90,,71.7,percent of total billed charges,90% of totl billed charges,89.62,90,,71.7,percent of total billed charges,90% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,89.62,90,,71.7,percent of total billed charges,90% of total billed charges,89.62,90,,71.7,percent of total billed charges,90% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,60.74,61,,48.59,percent of total billed charges,61% of total billed charges,51.78,52,,41.42,percent of total billed charges,52% of total billed charges,51.78,89.62,
HOLTER SCANNING ANALYSIS,43509023,CDM,731,RC,93226,HCPCS,Outpatient,,,97.15,77.72,,82.58,85,,66.06,percent of total billed charges,85% of total billed charges,82.58,85,,66.06,percent of total billed charges,85% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,72.16,74,,57.73,percent of total billed charges,74.28% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,72.16,74,,57.73,percent of total billed charges,74.28% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,72.16,74,,57.73,percent of total billed charges,74.28% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,87.44,90,,69.95,percent of total billed charges,90% of total billed charges,87.44,90,,69.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,84.71,87.2,,,percent of total billed charges,87.2% of total billed charges,57.32,59,,45.86,percent of total billed charges,59% of total billed charges,84.71,87.2,,67.77,percent of total billed charges,87.2% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,78.97,81.29,,63.18,percent of total billed charges,81.29% of total billed charges,87.44,90,,69.95,percent of total billed charges,90% of totl billed charges,87.44,90,,69.95,percent of total billed charges,90% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,87.44,90,,69.95,percent of total billed charges,90% of total billed charges,87.44,90,,69.95,percent of total billed charges,90% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,59.26,61,,47.41,percent of total billed charges,61% of total billed charges,50.52,52,,40.42,percent of total billed charges,52% of total billed charges,50.52,87.44,
ECHO W/CF & CARDIAC DOPPLER,43509012,CDM,483,RC,93306,HCPCS,Outpatient,,,1291.22,1032.98,,1097.54,85,,878.03,percent of total billed charges,85% of total billed charges,1097.54,85,,878.03,percent of total billed charges,85% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1125.94,87.2,,,percent of total billed charges,87.2% of total billed charges,761.82,59,,609.46,percent of total billed charges,59% of total billed charges,1125.94,87.2,,900.75,percent of total billed charges,87.2% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1049.63,81.29,,839.7,percent of total billed charges,81.29% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of totl billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,671.43,1162.1,
ECHO W/CF &CARD DOPP W/SI,43509062,CDM,483,RC,93306,HCPCS,Outpatient,,,1291.22,1032.98,,1097.54,85,,878.03,percent of total billed charges,85% of total billed charges,1097.54,85,,878.03,percent of total billed charges,85% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,959.12,74,,767.3,percent of total billed charges,74.28% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1125.94,87.2,,,percent of total billed charges,87.2% of total billed charges,761.82,59,,609.46,percent of total billed charges,59% of total billed charges,1125.94,87.2,,900.75,percent of total billed charges,87.2% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,1049.63,81.29,,839.7,percent of total billed charges,81.29% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of totl billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,1162.1,90,,929.68,percent of total billed charges,90% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,787.64,61,,630.11,percent of total billed charges,61% of total billed charges,671.43,52,,537.14,percent of total billed charges,52% of total billed charges,671.43,1162.1,
ECHOCARDIOGRAPHY 2 D COMPLETE,43509010,CDM,483,RC,93307,HCPCS,Outpatient,,,436.74,349.39,,371.23,85,,296.98,percent of total billed charges,85% of total billed charges,371.23,85,,296.98,percent of total billed charges,85% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,380.84,87.2,,,percent of total billed charges,87.2% of total billed charges,257.68,59,,206.14,percent of total billed charges,59% of total billed charges,380.84,87.2,,304.67,percent of total billed charges,87.2% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,355.03,81.29,,284.02,percent of total billed charges,81.29% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of totl billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,227.1,393.07,
ECHOCARDIOGRAM 2D COMP W/SI,43509058,CDM,483,RC,93307,HCPCS,Outpatient,,,436.74,349.39,,371.23,85,,296.98,percent of total billed charges,85% of total billed charges,371.23,85,,296.98,percent of total billed charges,85% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,324.41,74,,259.53,percent of total billed charges,74.28% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,380.84,87.2,,,percent of total billed charges,87.2% of total billed charges,257.68,59,,206.14,percent of total billed charges,59% of total billed charges,380.84,87.2,,304.67,percent of total billed charges,87.2% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,355.03,81.29,,284.02,percent of total billed charges,81.29% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of totl billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,393.07,90,,314.46,percent of total billed charges,90% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,266.41,61,,213.13,percent of total billed charges,61% of total billed charges,227.1,52,,181.68,percent of total billed charges,52% of total billed charges,227.1,393.07,
ECHOCARDIOGRAPHY 2 D LIMITED,43509026,CDM,483,RC,93308,HCPCS,Outpatient,,,264.08,211.26,,224.47,85,,179.58,percent of total billed charges,85% of total billed charges,224.47,85,,179.58,percent of total billed charges,85% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,230.28,87.2,,,percent of total billed charges,87.2% of total billed charges,155.81,59,,124.65,percent of total billed charges,59% of total billed charges,230.28,87.2,,184.22,percent of total billed charges,87.2% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,214.67,81.29,,171.74,percent of total billed charges,81.29% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of totl billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,137.32,237.67,
ECHOCARDIOGRAM 2D LIM W/SI,43509060,CDM,483,RC,93308,HCPCS,Outpatient,,,264.08,211.26,,224.47,85,,179.58,percent of total billed charges,85% of total billed charges,224.47,85,,179.58,percent of total billed charges,85% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,196.16,74,,156.93,percent of total billed charges,74.28% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,230.28,87.2,,,percent of total billed charges,87.2% of total billed charges,155.81,59,,124.65,percent of total billed charges,59% of total billed charges,230.28,87.2,,184.22,percent of total billed charges,87.2% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,214.67,81.29,,171.74,percent of total billed charges,81.29% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of totl billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,237.67,90,,190.14,percent of total billed charges,90% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,161.09,61,,128.87,percent of total billed charges,61% of total billed charges,137.32,52,,109.86,percent of total billed charges,52% of total billed charges,137.32,237.67,
ECHO WITH DOPPLER,43509011,CDM,483,RC,93320,HCPCS,Outpatient,,,419.5,335.6,,356.58,85,,285.26,percent of total billed charges,85% of total billed charges,356.58,85,,285.26,percent of total billed charges,85% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,311.6,74,,249.28,percent of total billed charges,74.28% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,311.6,74,,249.28,percent of total billed charges,74.28% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,311.6,74,,249.28,percent of total billed charges,74.28% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,377.55,90,,302.04,percent of total billed charges,90% of total billed charges,377.55,90,,302.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,365.8,87.2,,,percent of total billed charges,87.2% of total billed charges,247.51,59,,198.01,percent of total billed charges,59% of total billed charges,365.8,87.2,,292.64,percent of total billed charges,87.2% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,341.01,81.29,,272.81,percent of total billed charges,81.29% of total billed charges,377.55,90,,302.04,percent of total billed charges,90% of totl billed charges,377.55,90,,302.04,percent of total billed charges,90% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,377.55,90,,302.04,percent of total billed charges,90% of total billed charges,377.55,90,,302.04,percent of total billed charges,90% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,255.9,61,,204.72,percent of total billed charges,61% of total billed charges,218.14,52,,174.51,percent of total billed charges,52% of total billed charges,218.14,377.55,
CARDIAC DOPPLER F/U OR LIMITED,43509018,CDM,483,RC,93321,HCPCS,Outpatient,,,506.04,404.83,,430.13,85,,344.1,percent of total billed charges,85% of total billed charges,430.13,85,,344.1,percent of total billed charges,85% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,375.89,74,,300.71,percent of total billed charges,74.28% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,375.89,74,,300.71,percent of total billed charges,74.28% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,375.89,74,,300.71,percent of total billed charges,74.28% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,455.44,90,,364.35,percent of total billed charges,90% of total billed charges,455.44,90,,364.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,441.27,87.2,,,percent of total billed charges,87.2% of total billed charges,298.56,59,,238.85,percent of total billed charges,59% of total billed charges,441.27,87.2,,353.02,percent of total billed charges,87.2% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,411.36,81.29,,329.09,percent of total billed charges,81.29% of total billed charges,455.44,90,,364.35,percent of total billed charges,90% of totl billed charges,455.44,90,,364.35,percent of total billed charges,90% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,455.44,90,,364.35,percent of total billed charges,90% of total billed charges,455.44,90,,364.35,percent of total billed charges,90% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,308.68,61,,246.94,percent of total billed charges,61% of total billed charges,263.14,52,,210.51,percent of total billed charges,52% of total billed charges,263.14,455.44,
DOPPLER COLOR FLOW,43509004,CDM,483,RC,93325,HCPCS,Outpatient,,,434.97,347.98,,369.72,85,,295.78,percent of total billed charges,85% of total billed charges,369.72,85,,295.78,percent of total billed charges,85% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,323.1,74,,258.48,percent of total billed charges,74.28% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,323.1,74,,258.48,percent of total billed charges,74.28% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,323.1,74,,258.48,percent of total billed charges,74.28% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,391.47,90,,313.18,percent of total billed charges,90% of total billed charges,391.47,90,,313.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,379.29,87.2,,,percent of total billed charges,87.2% of total billed charges,256.63,59,,205.3,percent of total billed charges,59% of total billed charges,379.29,87.2,,303.43,percent of total billed charges,87.2% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,353.59,81.29,,282.87,percent of total billed charges,81.29% of total billed charges,391.47,90,,313.18,percent of total billed charges,90% of totl billed charges,391.47,90,,313.18,percent of total billed charges,90% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,391.47,90,,313.18,percent of total billed charges,90% of total billed charges,391.47,90,,313.18,percent of total billed charges,90% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,265.33,61,,212.26,percent of total billed charges,61% of total billed charges,226.18,52,,180.94,percent of total billed charges,52% of total billed charges,226.18,391.47,
ECHO MYOCARDIAL STRAIN IMAGING,43509064,CDM,483,RC,93356,HCPCS,Outpatient,,,286.09,228.87,,243.18,85,,194.54,percent of total billed charges,85% of total billed charges,243.18,85,,194.54,percent of total billed charges,85% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,212.51,74,,170.01,percent of total billed charges,74.28% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,212.51,74,,170.01,percent of total billed charges,74.28% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,212.51,74,,170.01,percent of total billed charges,74.28% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,257.48,90,,205.98,percent of total billed charges,90% of total billed charges,257.48,90,,205.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,249.47,87.2,,,percent of total billed charges,87.2% of total billed charges,168.79,59,,135.03,percent of total billed charges,59% of total billed charges,249.47,87.2,,199.58,percent of total billed charges,87.2% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,232.56,81.29,,186.05,percent of total billed charges,81.29% of total billed charges,257.48,90,,205.98,percent of total billed charges,90% of totl billed charges,257.48,90,,205.98,percent of total billed charges,90% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,257.48,90,,205.98,percent of total billed charges,90% of total billed charges,257.48,90,,205.98,percent of total billed charges,90% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,174.51,61,,139.61,percent of total billed charges,61% of total billed charges,148.77,52,,119.02,percent of total billed charges,52% of total billed charges,148.77,257.48,
SUPERVISED EX. THERAPY-PAD,48105320,CDM,943,RC,93668,HCPCS,Outpatient,,,69.76,55.81,,59.3,85,,47.44,percent of total billed charges,85% of total billed charges,59.3,85,,47.44,percent of total billed charges,85% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,60.83,87.2,,,percent of total billed charges,87.2% of total billed charges,41.16,59,,32.93,percent of total billed charges,59% of total billed charges,60.83,87.2,,48.66,percent of total billed charges,87.2% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,56.71,81.29,,45.37,percent of total billed charges,81.29% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of totl billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,36.28,62.78,
SUPERVISED EX. THERAPY-PAD,48207074,CDM,943,RC,93668,HCPCS,Outpatient,,,69.76,55.81,,59.3,85,,47.44,percent of total billed charges,85% of total billed charges,59.3,85,,47.44,percent of total billed charges,85% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,51.82,74,,41.46,percent of total billed charges,74.28% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,60.83,87.2,,,percent of total billed charges,87.2% of total billed charges,41.16,59,,32.93,percent of total billed charges,59% of total billed charges,60.83,87.2,,48.66,percent of total billed charges,87.2% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,56.71,81.29,,45.37,percent of total billed charges,81.29% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of totl billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,62.78,90,,50.22,percent of total billed charges,90% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,42.55,61,,34.04,percent of total billed charges,61% of total billed charges,36.28,52,,29.02,percent of total billed charges,52% of total billed charges,36.28,62.78,
CARDIAC REHAB PHASE 3,48105315,CDM,421,RC,93797,HCPCS,Outpatient,,,10.4,8.32,,8.84,85,,7.07,percent of total billed charges,85% of total billed charges,8.84,85,,7.07,percent of total billed charges,85% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,9.07,87.2,,,percent of total billed charges,87.2% of total billed charges,6.14,59,,4.91,percent of total billed charges,59% of total billed charges,9.07,87.2,,7.26,percent of total billed charges,87.2% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,8.45,81.29,,6.76,percent of total billed charges,81.29% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of totl billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,5.41,9.36,
CARDIAC REHAB PHASE 3,48205315,CDM,943,RC,93797,HCPCS,Outpatient,,,10.4,8.32,,8.84,85,,7.07,percent of total billed charges,85% of total billed charges,8.84,85,,7.07,percent of total billed charges,85% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,7.73,74,,6.18,percent of total billed charges,74.28% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,9.07,87.2,,,percent of total billed charges,87.2% of total billed charges,6.14,59,,4.91,percent of total billed charges,59% of total billed charges,9.07,87.2,,7.26,percent of total billed charges,87.2% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,8.45,81.29,,6.76,percent of total billed charges,81.29% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of totl billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,9.36,90,,7.49,percent of total billed charges,90% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,6.34,61,,5.07,percent of total billed charges,61% of total billed charges,5.41,52,,4.33,percent of total billed charges,52% of total billed charges,5.41,9.36,
OP CARDIAC REHAB W ECG MONITOR,48105047,CDM,943,RC,93798,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
OP CARDIAC REHAB W ECG MONITOR,48207052,CDM,943,RC,93798,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
CAROTID DOPPLER-COMPLETE BILAT,42001048,CDM,921,RC,93880,HCPCS,Outpatient,,,580.99,464.79,,493.84,85,,395.07,percent of total billed charges,85% of total billed charges,493.84,85,,395.07,percent of total billed charges,85% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,506.62,87.2,,,percent of total billed charges,87.2% of total billed charges,342.78,59,,274.22,percent of total billed charges,59% of total billed charges,506.62,87.2,,405.3,percent of total billed charges,87.2% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,472.29,81.29,,377.83,percent of total billed charges,81.29% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of totl billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,302.11,522.89,
DUPLEX SCAN BIL CAROTID,43509005,CDM,921,RC,93880,HCPCS,Outpatient,,,305.71,244.57,,259.85,85,,207.88,percent of total billed charges,85% of total billed charges,259.85,85,,207.88,percent of total billed charges,85% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,227.08,74,,181.66,percent of total billed charges,74.28% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,227.08,74,,181.66,percent of total billed charges,74.28% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,227.08,74,,181.66,percent of total billed charges,74.28% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,275.14,90,,220.11,percent of total billed charges,90% of total billed charges,275.14,90,,220.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,266.58,87.2,,,percent of total billed charges,87.2% of total billed charges,180.37,59,,144.3,percent of total billed charges,59% of total billed charges,266.58,87.2,,213.26,percent of total billed charges,87.2% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,248.51,81.29,,198.81,percent of total billed charges,81.29% of total billed charges,275.14,90,,220.11,percent of total billed charges,90% of totl billed charges,275.14,90,,220.11,percent of total billed charges,90% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,275.14,90,,220.11,percent of total billed charges,90% of total billed charges,275.14,90,,220.11,percent of total billed charges,90% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,186.48,61,,149.18,percent of total billed charges,61% of total billed charges,158.97,52,,127.18,percent of total billed charges,52% of total billed charges,158.97,275.14,
HS-ART DOPPLER CAROTID BIL,43509028,CDM,921,RC,93880,HCPCS,Outpatient,,,580.99,464.79,,493.84,85,,395.07,percent of total billed charges,85% of total billed charges,493.84,85,,395.07,percent of total billed charges,85% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,431.56,74,,345.25,percent of total billed charges,74.28% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,506.62,87.2,,,percent of total billed charges,87.2% of total billed charges,342.78,59,,274.22,percent of total billed charges,59% of total billed charges,506.62,87.2,,405.3,percent of total billed charges,87.2% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,472.29,81.29,,377.83,percent of total billed charges,81.29% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of totl billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,522.89,90,,418.31,percent of total billed charges,90% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,354.4,61,,283.52,percent of total billed charges,61% of total billed charges,302.11,52,,241.69,percent of total billed charges,52% of total billed charges,302.11,522.89,
CAROTID LIMITED,43502074,CDM,921,RC,93882,HCPCS,Outpatient,,,308.34,246.67,,262.09,85,,209.67,percent of total billed charges,85% of total billed charges,262.09,85,,209.67,percent of total billed charges,85% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,229.03,74,,183.22,percent of total billed charges,74.28% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,229.03,74,,183.22,percent of total billed charges,74.28% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,229.03,74,,183.22,percent of total billed charges,74.28% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,277.51,90,,222.01,percent of total billed charges,90% of total billed charges,277.51,90,,222.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,268.87,87.2,,,percent of total billed charges,87.2% of total billed charges,181.92,59,,145.54,percent of total billed charges,59% of total billed charges,268.87,87.2,,215.1,percent of total billed charges,87.2% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,250.65,81.29,,200.52,percent of total billed charges,81.29% of total billed charges,277.51,90,,222.01,percent of total billed charges,90% of totl billed charges,277.51,90,,222.01,percent of total billed charges,90% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,277.51,90,,222.01,percent of total billed charges,90% of total billed charges,277.51,90,,222.01,percent of total billed charges,90% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,188.09,61,,150.47,percent of total billed charges,61% of total billed charges,160.34,52,,128.27,percent of total billed charges,52% of total billed charges,160.34,277.51,
"DPLX ARTER UE/LE SING LV, BIL",43509017,CDM,921,RC,93922,HCPCS,Outpatient,,,224.62,179.7,,190.93,85,,152.74,percent of total billed charges,85% of total billed charges,190.93,85,,152.74,percent of total billed charges,85% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,195.87,87.2,,,percent of total billed charges,87.2% of total billed charges,132.53,59,,106.02,percent of total billed charges,59% of total billed charges,195.87,87.2,,156.7,percent of total billed charges,87.2% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,182.59,81.29,,146.07,percent of total billed charges,81.29% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of totl billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,116.8,202.16,
HS-ANKLE BRACHIAL INDEX,43509044,CDM,921,RC,93922,HCPCS,Outpatient,,,185.79,148.63,,157.92,85,,126.34,percent of total billed charges,85% of total billed charges,157.92,85,,126.34,percent of total billed charges,85% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,138,74,,110.4,percent of total billed charges,74.28% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,138,74,,110.4,percent of total billed charges,74.28% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,138,74,,110.4,percent of total billed charges,74.28% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,167.21,90,,133.77,percent of total billed charges,90% of total billed charges,167.21,90,,133.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,162.01,87.2,,,percent of total billed charges,87.2% of total billed charges,109.62,59,,87.7,percent of total billed charges,59% of total billed charges,162.01,87.2,,129.61,percent of total billed charges,87.2% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,151.03,81.29,,120.82,percent of total billed charges,81.29% of total billed charges,167.21,90,,133.77,percent of total billed charges,90% of totl billed charges,167.21,90,,133.77,percent of total billed charges,90% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,167.21,90,,133.77,percent of total billed charges,90% of total billed charges,167.21,90,,133.77,percent of total billed charges,90% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,113.33,61,,90.66,percent of total billed charges,61% of total billed charges,96.61,52,,77.29,percent of total billed charges,52% of total billed charges,96.61,167.21,
HS-ANKLE & TOE BRACHIAL INDEX,43509072,CDM,921,RC,93922,HCPCS,Outpatient,,,224.62,179.7,,190.93,85,,152.74,percent of total billed charges,85% of total billed charges,190.93,85,,152.74,percent of total billed charges,85% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,166.85,74,,133.48,percent of total billed charges,74.28% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,195.87,87.2,,,percent of total billed charges,87.2% of total billed charges,132.53,59,,106.02,percent of total billed charges,59% of total billed charges,195.87,87.2,,156.7,percent of total billed charges,87.2% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,182.59,81.29,,146.07,percent of total billed charges,81.29% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of totl billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,202.16,90,,161.73,percent of total billed charges,90% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,137.02,61,,109.62,percent of total billed charges,61% of total billed charges,116.8,52,,93.44,percent of total billed charges,52% of total billed charges,116.8,202.16,
ARTERIAL DOPPLER UP/LOWER SEG,43509006,CDM,921,RC,93923,HCPCS,Outpatient,,,241.73,193.38,,205.47,85,,164.38,percent of total billed charges,85% of total billed charges,205.47,85,,164.38,percent of total billed charges,85% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,179.56,74,,143.65,percent of total billed charges,74.28% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,179.56,74,,143.65,percent of total billed charges,74.28% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,179.56,74,,143.65,percent of total billed charges,74.28% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,217.56,90,,174.05,percent of total billed charges,90% of total billed charges,217.56,90,,174.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,210.79,87.2,,,percent of total billed charges,87.2% of total billed charges,142.62,59,,114.1,percent of total billed charges,59% of total billed charges,210.79,87.2,,168.63,percent of total billed charges,87.2% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,196.5,81.29,,157.2,percent of total billed charges,81.29% of total billed charges,217.56,90,,174.05,percent of total billed charges,90% of totl billed charges,217.56,90,,174.05,percent of total billed charges,90% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,217.56,90,,174.05,percent of total billed charges,90% of total billed charges,217.56,90,,174.05,percent of total billed charges,90% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,147.46,61,,117.97,percent of total billed charges,61% of total billed charges,125.7,52,,100.56,percent of total billed charges,52% of total billed charges,125.7,217.56,
ART DOPP BILAT LOW EXTREMITIES,42001062,CDM,920,RC,93925,HCPCS,Outpatient,,,666.43,533.14,,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,581.13,87.2,,,percent of total billed charges,87.2% of total billed charges,393.19,59,,314.55,percent of total billed charges,59% of total billed charges,581.13,87.2,,464.9,percent of total billed charges,87.2% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,541.74,81.29,,433.39,percent of total billed charges,81.29% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of totl billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,599.79,
DUPLEX ARTERIAL BIL LOW EXT,43509016,CDM,921,RC,93925,HCPCS,Outpatient,,,299.68,239.74,,254.73,85,,203.78,percent of total billed charges,85% of total billed charges,254.73,85,,203.78,percent of total billed charges,85% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,222.6,74,,178.08,percent of total billed charges,74.28% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,222.6,74,,178.08,percent of total billed charges,74.28% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,222.6,74,,178.08,percent of total billed charges,74.28% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,269.71,90,,215.77,percent of total billed charges,90% of total billed charges,269.71,90,,215.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,261.32,87.2,,,percent of total billed charges,87.2% of total billed charges,176.81,59,,141.45,percent of total billed charges,59% of total billed charges,261.32,87.2,,209.06,percent of total billed charges,87.2% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,243.61,81.29,,194.89,percent of total billed charges,81.29% of total billed charges,269.71,90,,215.77,percent of total billed charges,90% of totl billed charges,269.71,90,,215.77,percent of total billed charges,90% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,269.71,90,,215.77,percent of total billed charges,90% of total billed charges,269.71,90,,215.77,percent of total billed charges,90% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,182.8,61,,146.24,percent of total billed charges,61% of total billed charges,155.83,52,,124.66,percent of total billed charges,52% of total billed charges,155.83,269.71,
HS-ART DOPPLER LOWER EXT BIL,43509029,CDM,920,RC,93925,HCPCS,Outpatient,,,666.43,533.14,,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,581.13,87.2,,,percent of total billed charges,87.2% of total billed charges,393.19,59,,314.55,percent of total billed charges,59% of total billed charges,581.13,87.2,,464.9,percent of total billed charges,87.2% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,541.74,81.29,,433.39,percent of total billed charges,81.29% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of totl billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,599.79,
ARTERIAL DOPPLER LOW EXTREM LT,42001055,CDM,921,RC,93926,HCPCS,Outpatient,,,477.52,382.02,,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,416.4,87.2,,,percent of total billed charges,87.2% of total billed charges,281.74,59,,225.39,percent of total billed charges,59% of total billed charges,416.4,87.2,,333.12,percent of total billed charges,87.2% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,388.18,81.29,,310.54,percent of total billed charges,81.29% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of totl billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,429.77,
ARTERIAL DOPPLER LOW EXTREM RT,42001056,CDM,921,RC,93926,HCPCS,Outpatient,,,477.52,382.02,,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,416.4,87.2,,,percent of total billed charges,87.2% of total billed charges,281.74,59,,225.39,percent of total billed charges,59% of total billed charges,416.4,87.2,,333.12,percent of total billed charges,87.2% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,388.18,81.29,,310.54,percent of total billed charges,81.29% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of totl billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,429.77,
ARTERIAL DUPLEX FU OR LIMITED,43509019,CDM,921,RC,93926,HCPCS,Outpatient,,,285.24,228.19,,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,248.73,87.2,,,percent of total billed charges,87.2% of total billed charges,168.29,59,,134.63,percent of total billed charges,59% of total billed charges,248.73,87.2,,198.98,percent of total billed charges,87.2% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,231.87,81.29,,185.5,percent of total billed charges,81.29% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of totl billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,256.72,
HS-ART DOPPLER LOWER EXT LT,43509030,CDM,921,RC,93926,HCPCS,Outpatient,,,477.52,382.02,,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,416.4,87.2,,,percent of total billed charges,87.2% of total billed charges,281.74,59,,225.39,percent of total billed charges,59% of total billed charges,416.4,87.2,,333.12,percent of total billed charges,87.2% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,388.18,81.29,,310.54,percent of total billed charges,81.29% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of totl billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,429.77,
HS-ART DOPPLER LOWER EXT RT,43509031,CDM,921,RC,93926,HCPCS,Outpatient,,,477.52,382.02,,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,405.89,85,,324.71,percent of total billed charges,85% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,354.7,74,,283.76,percent of total billed charges,74.28% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,416.4,87.2,,,percent of total billed charges,87.2% of total billed charges,281.74,59,,225.39,percent of total billed charges,59% of total billed charges,416.4,87.2,,333.12,percent of total billed charges,87.2% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,388.18,81.29,,310.54,percent of total billed charges,81.29% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of totl billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,429.77,90,,343.82,percent of total billed charges,90% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,291.29,61,,233.03,percent of total billed charges,61% of total billed charges,248.31,52,,198.65,percent of total billed charges,52% of total billed charges,248.31,429.77,
ART DOPP BILAT UPP EXTREMITIES,42001061,CDM,920,RC,93930,HCPCS,Outpatient,,,666.43,533.14,,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,581.13,87.2,,,percent of total billed charges,87.2% of total billed charges,393.19,59,,314.55,percent of total billed charges,59% of total billed charges,581.13,87.2,,464.9,percent of total billed charges,87.2% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,541.74,81.29,,433.39,percent of total billed charges,81.29% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of totl billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,599.79,
ARTERIAL DUPLEX UPPER EXTR BIL,43509020,CDM,921,RC,93930,HCPCS,Outpatient,,,285.24,228.19,,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,248.73,87.2,,,percent of total billed charges,87.2% of total billed charges,168.29,59,,134.63,percent of total billed charges,59% of total billed charges,248.73,87.2,,198.98,percent of total billed charges,87.2% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,231.87,81.29,,185.5,percent of total billed charges,81.29% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of totl billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,256.72,
HS-ART DOPPLER UPPER EXT BIL,43509032,CDM,920,RC,93930,HCPCS,Outpatient,,,666.43,533.14,,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,566.47,85,,453.18,percent of total billed charges,85% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,495.02,74,,396.02,percent of total billed charges,74.28% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,581.13,87.2,,,percent of total billed charges,87.2% of total billed charges,393.19,59,,314.55,percent of total billed charges,59% of total billed charges,581.13,87.2,,464.9,percent of total billed charges,87.2% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,541.74,81.29,,433.39,percent of total billed charges,81.29% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of totl billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,599.79,90,,479.83,percent of total billed charges,90% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,406.52,61,,325.22,percent of total billed charges,61% of total billed charges,346.54,52,,277.23,percent of total billed charges,52% of total billed charges,346.54,599.79,
ARTERIAL DOPPLER UPP EXTREM LT,42001053,CDM,921,RC,93931,HCPCS,Outpatient,,,388.12,310.5,,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,338.44,87.2,,,percent of total billed charges,87.2% of total billed charges,228.99,59,,183.19,percent of total billed charges,59% of total billed charges,338.44,87.2,,270.75,percent of total billed charges,87.2% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,315.5,81.29,,252.4,percent of total billed charges,81.29% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of totl billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,349.31,
ARTERIAL DOPPLER UPP EXTREM RT,42001054,CDM,921,RC,93931,HCPCS,Outpatient,,,388.12,310.5,,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,338.44,87.2,,,percent of total billed charges,87.2% of total billed charges,228.99,59,,183.19,percent of total billed charges,59% of total billed charges,338.44,87.2,,270.75,percent of total billed charges,87.2% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,315.5,81.29,,252.4,percent of total billed charges,81.29% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of totl billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,349.31,
ARTERIAL DUPLEX UPPER EXTR LIM,43509021,CDM,921,RC,93931,HCPCS,Outpatient,,,285.24,228.19,,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,242.45,85,,193.96,percent of total billed charges,85% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,211.88,74,,169.5,percent of total billed charges,74.28% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,248.73,87.2,,,percent of total billed charges,87.2% of total billed charges,168.29,59,,134.63,percent of total billed charges,59% of total billed charges,248.73,87.2,,198.98,percent of total billed charges,87.2% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,231.87,81.29,,185.5,percent of total billed charges,81.29% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of totl billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,256.72,90,,205.38,percent of total billed charges,90% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,174,61,,139.2,percent of total billed charges,61% of total billed charges,148.32,52,,118.66,percent of total billed charges,52% of total billed charges,148.32,256.72,
HS-ART DOPPLER UPPER EXT LT,43509033,CDM,921,RC,93931,HCPCS,Outpatient,,,388.12,310.5,,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,338.44,87.2,,,percent of total billed charges,87.2% of total billed charges,228.99,59,,183.19,percent of total billed charges,59% of total billed charges,338.44,87.2,,270.75,percent of total billed charges,87.2% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,315.5,81.29,,252.4,percent of total billed charges,81.29% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of totl billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,349.31,
HS-ART DOPPLER UPPER EXT RT,43509034,CDM,921,RC,93931,HCPCS,Outpatient,,,388.12,310.5,,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,329.9,85,,263.92,percent of total billed charges,85% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,288.3,74,,230.64,percent of total billed charges,74.28% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,338.44,87.2,,,percent of total billed charges,87.2% of total billed charges,228.99,59,,183.19,percent of total billed charges,59% of total billed charges,338.44,87.2,,270.75,percent of total billed charges,87.2% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,315.5,81.29,,252.4,percent of total billed charges,81.29% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of totl billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,349.31,90,,279.45,percent of total billed charges,90% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,236.75,61,,189.4,percent of total billed charges,61% of total billed charges,201.82,52,,161.46,percent of total billed charges,52% of total billed charges,201.82,349.31,
VEN DOPP BILAT UPP EXTREMITIES,42001059,CDM,920,RC,93970,HCPCS,Outpatient,,,601.36,481.09,,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,524.39,87.2,,,percent of total billed charges,87.2% of total billed charges,354.8,59,,283.84,percent of total billed charges,59% of total billed charges,524.39,87.2,,419.51,percent of total billed charges,87.2% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,488.85,81.29,,391.08,percent of total billed charges,81.29% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of totl billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,541.22,
VEN DOPP BILAT LOW EXTREMITIES,42001060,CDM,920,RC,93970,HCPCS,Outpatient,,,601.36,481.09,,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,524.39,87.2,,,percent of total billed charges,87.2% of total billed charges,354.8,59,,283.84,percent of total billed charges,59% of total billed charges,524.39,87.2,,419.51,percent of total billed charges,87.2% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,488.85,81.29,,391.08,percent of total billed charges,81.29% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of totl billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,541.22,
DPLX SCAN VENOUS EXTRE COMPL,43509014,CDM,921,RC,93970,HCPCS,Outpatient,,,337.41,269.93,,286.8,85,,229.44,percent of total billed charges,85% of total billed charges,286.8,85,,229.44,percent of total billed charges,85% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,250.63,74,,200.5,percent of total billed charges,74.28% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,250.63,74,,200.5,percent of total billed charges,74.28% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,250.63,74,,200.5,percent of total billed charges,74.28% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,303.67,90,,242.94,percent of total billed charges,90% of total billed charges,303.67,90,,242.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,294.22,87.2,,,percent of total billed charges,87.2% of total billed charges,199.07,59,,159.26,percent of total billed charges,59% of total billed charges,294.22,87.2,,235.38,percent of total billed charges,87.2% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,274.28,81.29,,219.42,percent of total billed charges,81.29% of total billed charges,303.67,90,,242.94,percent of total billed charges,90% of totl billed charges,303.67,90,,242.94,percent of total billed charges,90% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,303.67,90,,242.94,percent of total billed charges,90% of total billed charges,303.67,90,,242.94,percent of total billed charges,90% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,205.82,61,,164.66,percent of total billed charges,61% of total billed charges,175.45,52,,140.36,percent of total billed charges,52% of total billed charges,175.45,303.67,
HS-VEN DOPPLER LOWER EXT BIL,43509038,CDM,920,RC,93970,HCPCS,Outpatient,,,601.36,481.09,,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,524.39,87.2,,,percent of total billed charges,87.2% of total billed charges,354.8,59,,283.84,percent of total billed charges,59% of total billed charges,524.39,87.2,,419.51,percent of total billed charges,87.2% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,488.85,81.29,,391.08,percent of total billed charges,81.29% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of totl billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,541.22,
HS-VEN DOPPLER UPPER EXT BIL,43509041,CDM,920,RC,93970,HCPCS,Outpatient,,,601.36,481.09,,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,524.39,87.2,,,percent of total billed charges,87.2% of total billed charges,354.8,59,,283.84,percent of total billed charges,59% of total billed charges,524.39,87.2,,419.51,percent of total billed charges,87.2% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,488.85,81.29,,391.08,percent of total billed charges,81.29% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of totl billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,541.22,
HS-BIL LOWER EXT VENOUS INSUFF,43509073,CDM,402,RC,93970,HCPCS,Outpatient,,,601.36,481.09,,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,511.16,85,,408.93,percent of total billed charges,85% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,446.69,74,,357.35,percent of total billed charges,74.28% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,524.39,87.2,,,percent of total billed charges,87.2% of total billed charges,354.8,59,,283.84,percent of total billed charges,59% of total billed charges,524.39,87.2,,419.51,percent of total billed charges,87.2% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,488.85,81.29,,391.08,percent of total billed charges,81.29% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of totl billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,541.22,90,,432.98,percent of total billed charges,90% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,366.83,61,,293.46,percent of total billed charges,61% of total billed charges,312.71,52,,250.17,percent of total billed charges,52% of total billed charges,312.71,541.22,
HS-BLE VENOUS DOPPLER,43509076,CDM,921,RC,93970,HCPCS,Outpatient,,,604.09,483.27,,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,526.77,87.2,,,percent of total billed charges,87.2% of total billed charges,356.41,59,,285.13,percent of total billed charges,59% of total billed charges,526.77,87.2,,421.42,percent of total billed charges,87.2% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,491.06,81.29,,392.85,percent of total billed charges,81.29% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of totl billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,543.68,
VENOUS DOPPLER UPPER EXTREM LT,42001049,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
VENOUS DOPPLER UPPER EXTREM RT,42001050,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
VENOUS DOPPLER LOWER EXTREM LT,42001051,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
VENOUS DOPPLER LOWER EXTREM RT,42001052,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
DPLX SCAN VENOUS EXTRE LIMITED,43509015,CDM,921,RC,93971,HCPCS,Outpatient,,,301.97,241.58,,256.67,85,,205.34,percent of total billed charges,85% of total billed charges,256.67,85,,205.34,percent of total billed charges,85% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,224.3,74,,179.44,percent of total billed charges,74.28% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,224.3,74,,179.44,percent of total billed charges,74.28% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,224.3,74,,179.44,percent of total billed charges,74.28% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,271.77,90,,217.42,percent of total billed charges,90% of total billed charges,271.77,90,,217.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,263.32,87.2,,,percent of total billed charges,87.2% of total billed charges,178.16,59,,142.53,percent of total billed charges,59% of total billed charges,263.32,87.2,,210.66,percent of total billed charges,87.2% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,245.47,81.29,,196.38,percent of total billed charges,81.29% of total billed charges,271.77,90,,217.42,percent of total billed charges,90% of totl billed charges,271.77,90,,217.42,percent of total billed charges,90% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,271.77,90,,217.42,percent of total billed charges,90% of total billed charges,271.77,90,,217.42,percent of total billed charges,90% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,184.2,61,,147.36,percent of total billed charges,61% of total billed charges,157.02,52,,125.62,percent of total billed charges,52% of total billed charges,157.02,271.77,
HS-VEN DOPPLER LOWER EXT LT,43509039,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-VEN DOPPLER LOWER EXT RT,43509040,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-VEN DOPPLER UPPER EXT LT,43509042,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-VEN DOPPLER UPPER EXT RT,43509043,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-RT LOWER EXT VENOUS INSUFF,43509074,CDM,402,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-LT LOWER EXT VENOUS INSUFF,43509075,CDM,402,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-RLE VENOUS DOPPLER,43509077,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
HS-LLE VENOUS DOPPLER,43509078,CDM,921,RC,93971,HCPCS,Outpatient,,,357.54,286.03,,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,303.91,85,,243.13,percent of total billed charges,85% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,265.58,74,,212.46,percent of total billed charges,74.28% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,311.77,87.2,,,percent of total billed charges,87.2% of total billed charges,210.95,59,,168.76,percent of total billed charges,59% of total billed charges,311.77,87.2,,249.42,percent of total billed charges,87.2% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,290.64,81.29,,232.51,percent of total billed charges,81.29% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of totl billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,321.79,90,,257.43,percent of total billed charges,90% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,218.1,61,,174.48,percent of total billed charges,61% of total billed charges,185.92,52,,148.74,percent of total billed charges,52% of total billed charges,185.92,321.79,
US NON-INVASIVE COMP DUPLEX,42002001,CDM,402,RC,93975,HCPCS,Outpatient,,,604.09,483.27,,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,526.77,87.2,,,percent of total billed charges,87.2% of total billed charges,356.41,59,,285.13,percent of total billed charges,59% of total billed charges,526.77,87.2,,421.42,percent of total billed charges,87.2% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,491.06,81.29,,392.85,percent of total billed charges,81.29% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of totl billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,543.68,
HS-ART DOPP REN/SMA/CELIAC COM,43509065,CDM,402,RC,93975,HCPCS,Outpatient,,,604.09,483.27,,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,513.48,85,,410.78,percent of total billed charges,85% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,448.72,74,,358.98,percent of total billed charges,74.28% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,526.77,87.2,,,percent of total billed charges,87.2% of total billed charges,356.41,59,,285.13,percent of total billed charges,59% of total billed charges,526.77,87.2,,421.42,percent of total billed charges,87.2% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,491.06,81.29,,392.85,percent of total billed charges,81.29% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of totl billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,543.68,90,,434.94,percent of total billed charges,90% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,368.49,61,,294.79,percent of total billed charges,61% of total billed charges,314.13,52,,251.3,percent of total billed charges,52% of total billed charges,314.13,543.68,
US NON-INVASIVE LIMITED DUPLEX,42002002,CDM,402,RC,93976,HCPCS,Outpatient,,,351.4,281.12,,298.69,85,,238.95,percent of total billed charges,85% of total billed charges,298.69,85,,238.95,percent of total billed charges,85% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,306.42,87.2,,,percent of total billed charges,87.2% of total billed charges,207.33,59,,165.86,percent of total billed charges,59% of total billed charges,306.42,87.2,,245.14,percent of total billed charges,87.2% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,285.65,81.29,,228.52,percent of total billed charges,81.29% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of totl billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,182.73,316.26,
HS-ART DOPP REN/SMA/CELIAC LIM,43509066,CDM,402,RC,93976,HCPCS,Outpatient,,,351.4,281.12,,298.69,85,,238.95,percent of total billed charges,85% of total billed charges,298.69,85,,238.95,percent of total billed charges,85% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,261.02,74,,208.82,percent of total billed charges,74.28% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,306.42,87.2,,,percent of total billed charges,87.2% of total billed charges,207.33,59,,165.86,percent of total billed charges,59% of total billed charges,306.42,87.2,,245.14,percent of total billed charges,87.2% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,285.65,81.29,,228.52,percent of total billed charges,81.29% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of totl billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,316.26,90,,253.01,percent of total billed charges,90% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,214.35,61,,171.48,percent of total billed charges,61% of total billed charges,182.73,52,,146.18,percent of total billed charges,52% of total billed charges,182.73,316.26,
US AORTA COMP W DOPPLER/DUPLEX,42002065,CDM,402,RC,93978,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
VENOUS DOPPLER INFERIOR VENA C,42002201,CDM,920,RC,93978,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
HS-AORTA/IVC/ILIACS COMPLETE,43509047,CDM,402,RC,93978,HCPCS,Outpatient,,,510.26,408.21,,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,433.72,85,,346.98,percent of total billed charges,85% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,379.02,74,,303.22,percent of total billed charges,74.28% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,444.95,87.2,,,percent of total billed charges,87.2% of total billed charges,301.05,59,,240.84,percent of total billed charges,59% of total billed charges,444.95,87.2,,355.96,percent of total billed charges,87.2% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,414.79,81.29,,331.83,percent of total billed charges,81.29% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of totl billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,459.23,90,,367.38,percent of total billed charges,90% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,311.26,61,,249.01,percent of total billed charges,61% of total billed charges,265.34,52,,212.27,percent of total billed charges,52% of total billed charges,265.34,459.23,
US AORTA LTD W DOPPLER/UNI/LTD,42002066,CDM,402,RC,93979,HCPCS,Outpatient,,,258.68,206.94,,219.88,85,,175.9,percent of total billed charges,85% of total billed charges,219.88,85,,175.9,percent of total billed charges,85% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,225.57,87.2,,,percent of total billed charges,87.2% of total billed charges,152.62,59,,122.1,percent of total billed charges,59% of total billed charges,225.57,87.2,,180.46,percent of total billed charges,87.2% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,210.28,81.29,,168.22,percent of total billed charges,81.29% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of totl billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,134.51,232.81,
HS-AORTA/IVC/ILIACS LIMITED,43509048,CDM,402,RC,93979,HCPCS,Outpatient,,,258.68,206.94,,219.88,85,,175.9,percent of total billed charges,85% of total billed charges,219.88,85,,175.9,percent of total billed charges,85% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,192.15,74,,153.72,percent of total billed charges,74.28% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,225.57,87.2,,,percent of total billed charges,87.2% of total billed charges,152.62,59,,122.1,percent of total billed charges,59% of total billed charges,225.57,87.2,,180.46,percent of total billed charges,87.2% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,210.28,81.29,,168.22,percent of total billed charges,81.29% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of totl billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,232.81,90,,186.25,percent of total billed charges,90% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,157.79,61,,126.23,percent of total billed charges,61% of total billed charges,134.51,52,,107.61,percent of total billed charges,52% of total billed charges,134.51,232.81,
"VENTILATOR ASSIST & MGMT, 1ST",43102010,CDM,410,RC,94002,HCPCS,Outpatient,,,599.85,479.88,,509.87,85,,407.9,percent of total billed charges,85% of total billed charges,509.87,85,,407.9,percent of total billed charges,85% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,445.57,74,,356.46,percent of total billed charges,74.28% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,445.57,74,,356.46,percent of total billed charges,74.28% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,445.57,74,,356.46,percent of total billed charges,74.28% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,539.87,90,,431.9,percent of total billed charges,90% of total billed charges,539.87,90,,431.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,523.07,87.2,,,percent of total billed charges,87.2% of total billed charges,353.91,59,,283.13,percent of total billed charges,59% of total billed charges,523.07,87.2,,418.46,percent of total billed charges,87.2% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,487.62,81.29,,390.1,percent of total billed charges,81.29% of total billed charges,539.87,90,,431.9,percent of total billed charges,90% of totl billed charges,539.87,90,,431.9,percent of total billed charges,90% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,539.87,90,,431.9,percent of total billed charges,90% of total billed charges,539.87,90,,431.9,percent of total billed charges,90% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,365.91,61,,292.73,percent of total billed charges,61% of total billed charges,311.92,52,,249.54,percent of total billed charges,52% of total billed charges,311.92,539.87,
VENTILATOR ASSIST & MGNT SUBSE,43102065,CDM,410,RC,94003,HCPCS,Outpatient,,,544.84,435.87,,463.11,85,,370.49,percent of total billed charges,85% of total billed charges,463.11,85,,370.49,percent of total billed charges,85% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,404.71,74,,323.77,percent of total billed charges,74.28% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,404.71,74,,323.77,percent of total billed charges,74.28% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,404.71,74,,323.77,percent of total billed charges,74.28% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,490.36,90,,392.29,percent of total billed charges,90% of total billed charges,490.36,90,,392.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,475.1,87.2,,,percent of total billed charges,87.2% of total billed charges,321.46,59,,257.17,percent of total billed charges,59% of total billed charges,475.1,87.2,,380.08,percent of total billed charges,87.2% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,442.9,81.29,,354.32,percent of total billed charges,81.29% of total billed charges,490.36,90,,392.29,percent of total billed charges,90% of totl billed charges,490.36,90,,392.29,percent of total billed charges,90% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,490.36,90,,392.29,percent of total billed charges,90% of total billed charges,490.36,90,,392.29,percent of total billed charges,90% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,332.35,61,,265.88,percent of total billed charges,61% of total billed charges,283.32,52,,226.66,percent of total billed charges,52% of total billed charges,283.32,490.36,
SPIROMETRY/FVL,43102036,CDM,460,RC,94010,HCPCS,Outpatient,,,197.25,157.8,,167.66,85,,134.13,percent of total billed charges,85% of total billed charges,167.66,85,,134.13,percent of total billed charges,85% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,172,87.2,,,percent of total billed charges,87.2% of total billed charges,116.38,59,,93.1,percent of total billed charges,59% of total billed charges,172,87.2,,137.6,percent of total billed charges,87.2% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,160.34,81.29,,128.27,percent of total billed charges,81.29% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of totl billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,102.57,177.53,
INCENTIVE SPIROMETRY,43102039,CDM,460,RC,94010,HCPCS,Outpatient,,,106.92,85.54,,90.88,85,,72.7,percent of total billed charges,85% of total billed charges,90.88,85,,72.7,percent of total billed charges,85% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,79.42,74,,63.54,percent of total billed charges,74.28% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,79.42,74,,63.54,percent of total billed charges,74.28% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,79.42,74,,63.54,percent of total billed charges,74.28% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,96.23,90,,76.98,percent of total billed charges,90% of total billed charges,96.23,90,,76.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,93.23,87.2,,,percent of total billed charges,87.2% of total billed charges,63.08,59,,50.46,percent of total billed charges,59% of total billed charges,93.23,87.2,,74.58,percent of total billed charges,87.2% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,86.92,81.29,,69.54,percent of total billed charges,81.29% of total billed charges,96.23,90,,76.98,percent of total billed charges,90% of totl billed charges,96.23,90,,76.98,percent of total billed charges,90% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,96.23,90,,76.98,percent of total billed charges,90% of total billed charges,96.23,90,,76.98,percent of total billed charges,90% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,65.22,61,,52.18,percent of total billed charges,61% of total billed charges,55.6,52,,44.48,percent of total billed charges,52% of total billed charges,55.6,96.23,
PFT:FLOW VOL LOOP A&P DIALATO,43102037,CDM,460,RC,94060,HCPCS,Outpatient,,,363.12,290.5,,308.65,85,,246.92,percent of total billed charges,85% of total billed charges,308.65,85,,246.92,percent of total billed charges,85% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,269.73,74,,215.78,percent of total billed charges,74.28% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,269.73,74,,215.78,percent of total billed charges,74.28% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,269.73,74,,215.78,percent of total billed charges,74.28% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,326.81,90,,261.45,percent of total billed charges,90% of total billed charges,326.81,90,,261.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,316.64,87.2,,,percent of total billed charges,87.2% of total billed charges,214.24,59,,171.39,percent of total billed charges,59% of total billed charges,316.64,87.2,,253.31,percent of total billed charges,87.2% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,295.18,81.29,,236.14,percent of total billed charges,81.29% of total billed charges,326.81,90,,261.45,percent of total billed charges,90% of totl billed charges,326.81,90,,261.45,percent of total billed charges,90% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,326.81,90,,261.45,percent of total billed charges,90% of total billed charges,326.81,90,,261.45,percent of total billed charges,90% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,221.5,61,,177.2,percent of total billed charges,61% of total billed charges,188.82,52,,151.06,percent of total billed charges,52% of total billed charges,188.82,326.81,
PULM FUNCTION POST EXERCISE,43102058,CDM,460,RC,94070,HCPCS,Outpatient,,,304.83,243.86,,259.11,85,,207.29,percent of total billed charges,85% of total billed charges,259.11,85,,207.29,percent of total billed charges,85% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,226.43,74,,181.14,percent of total billed charges,74.28% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,226.43,74,,181.14,percent of total billed charges,74.28% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,226.43,74,,181.14,percent of total billed charges,74.28% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,274.35,90,,219.48,percent of total billed charges,90% of total billed charges,274.35,90,,219.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,265.81,87.2,,,percent of total billed charges,87.2% of total billed charges,179.85,59,,143.88,percent of total billed charges,59% of total billed charges,265.81,87.2,,212.65,percent of total billed charges,87.2% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,247.8,81.29,,198.24,percent of total billed charges,81.29% of total billed charges,274.35,90,,219.48,percent of total billed charges,90% of totl billed charges,274.35,90,,219.48,percent of total billed charges,90% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,274.35,90,,219.48,percent of total billed charges,90% of total billed charges,274.35,90,,219.48,percent of total billed charges,90% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,185.95,61,,148.76,percent of total billed charges,61% of total billed charges,158.51,52,,126.81,percent of total billed charges,52% of total billed charges,158.51,274.35,
"POST EXP EVAL, SPIROMTRY/METH/",43102060,CDM,460,RC,94070,HCPCS,Outpatient,,,368.4,294.72,,313.14,85,,250.51,percent of total billed charges,85% of total billed charges,313.14,85,,250.51,percent of total billed charges,85% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,273.65,74,,218.92,percent of total billed charges,74.28% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,273.65,74,,218.92,percent of total billed charges,74.28% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,273.65,74,,218.92,percent of total billed charges,74.28% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,331.56,90,,265.25,percent of total billed charges,90% of total billed charges,331.56,90,,265.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,321.24,87.2,,,percent of total billed charges,87.2% of total billed charges,217.36,59,,173.89,percent of total billed charges,59% of total billed charges,321.24,87.2,,256.99,percent of total billed charges,87.2% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,299.47,81.29,,239.58,percent of total billed charges,81.29% of total billed charges,331.56,90,,265.25,percent of total billed charges,90% of totl billed charges,331.56,90,,265.25,percent of total billed charges,90% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,331.56,90,,265.25,percent of total billed charges,90% of total billed charges,331.56,90,,265.25,percent of total billed charges,90% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,224.72,61,,179.78,percent of total billed charges,61% of total billed charges,191.57,52,,153.26,percent of total billed charges,52% of total billed charges,191.57,331.56,
VITAL CAPACITY PEAK FLOW,43102045,CDM,460,RC,94150,HCPCS,Outpatient,,,72.03,57.62,,61.23,85,,48.98,percent of total billed charges,85% of total billed charges,61.23,85,,48.98,percent of total billed charges,85% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,53.5,74,,42.8,percent of total billed charges,74.28% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,53.5,74,,42.8,percent of total billed charges,74.28% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,53.5,74,,42.8,percent of total billed charges,74.28% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,64.83,90,,51.86,percent of total billed charges,90% of total billed charges,64.83,90,,51.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,62.81,87.2,,,percent of total billed charges,87.2% of total billed charges,42.5,59,,34,percent of total billed charges,59% of total billed charges,62.81,87.2,,50.25,percent of total billed charges,87.2% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,58.55,81.29,,46.84,percent of total billed charges,81.29% of total billed charges,64.83,90,,51.86,percent of total billed charges,90% of totl billed charges,64.83,90,,51.86,percent of total billed charges,90% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,64.83,90,,51.86,percent of total billed charges,90% of total billed charges,64.83,90,,51.86,percent of total billed charges,90% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,43.94,61,,35.15,percent of total billed charges,61% of total billed charges,37.46,52,,29.97,percent of total billed charges,52% of total billed charges,37.46,64.83,
MAXIMUM VOLUNTARY VENTILATION,43102050,CDM,460,RC,94200,HCPCS,Outpatient,,,168.5,134.8,,143.23,85,,114.58,percent of total billed charges,85% of total billed charges,143.23,85,,114.58,percent of total billed charges,85% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,125.16,74,,100.13,percent of total billed charges,74.28% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,125.16,74,,100.13,percent of total billed charges,74.28% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,125.16,74,,100.13,percent of total billed charges,74.28% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,151.65,90,,121.32,percent of total billed charges,90% of total billed charges,151.65,90,,121.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,146.93,87.2,,,percent of total billed charges,87.2% of total billed charges,99.42,59,,79.54,percent of total billed charges,59% of total billed charges,146.93,87.2,,117.54,percent of total billed charges,87.2% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,136.97,81.29,,109.58,percent of total billed charges,81.29% of total billed charges,151.65,90,,121.32,percent of total billed charges,90% of totl billed charges,151.65,90,,121.32,percent of total billed charges,90% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,151.65,90,,121.32,percent of total billed charges,90% of total billed charges,151.65,90,,121.32,percent of total billed charges,90% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,102.79,61,,82.23,percent of total billed charges,61% of total billed charges,87.62,52,,70.1,percent of total billed charges,52% of total billed charges,87.62,151.65,
PULM STRESS TESTING-6MIN WALK,43102016,CDM,460,RC,94618,HCPCS,Outpatient,,,124.1,99.28,,105.49,85,,84.39,percent of total billed charges,85% of total billed charges,105.49,85,,84.39,percent of total billed charges,85% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,92.18,74,,73.74,percent of total billed charges,74.28% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,92.18,74,,73.74,percent of total billed charges,74.28% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,92.18,74,,73.74,percent of total billed charges,74.28% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,111.69,90,,89.35,percent of total billed charges,90% of total billed charges,111.69,90,,89.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,108.22,87.2,,,percent of total billed charges,87.2% of total billed charges,73.22,59,,58.58,percent of total billed charges,59% of total billed charges,108.22,87.2,,86.58,percent of total billed charges,87.2% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,100.88,81.29,,80.7,percent of total billed charges,81.29% of total billed charges,111.69,90,,89.35,percent of total billed charges,90% of totl billed charges,111.69,90,,89.35,percent of total billed charges,90% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,111.69,90,,89.35,percent of total billed charges,90% of total billed charges,111.69,90,,89.35,percent of total billed charges,90% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,75.7,61,,60.56,percent of total billed charges,61% of total billed charges,64.53,52,,51.62,percent of total billed charges,52% of total billed charges,64.53,111.69,
AEROSOL TX/HHN,43102004,CDM,412,RC,94640,HCPCS,Outpatient,,,61.67,49.34,,52.42,85,,41.94,percent of total billed charges,85% of total billed charges,52.42,85,,41.94,percent of total billed charges,85% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,53.78,87.2,,,percent of total billed charges,87.2% of total billed charges,36.39,59,,29.11,percent of total billed charges,59% of total billed charges,53.78,87.2,,43.02,percent of total billed charges,87.2% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,50.13,81.29,,40.1,percent of total billed charges,81.29% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of totl billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,32.07,55.5,
REPEAT AEROSOL TX/HHN,43102006,CDM,412,RC,94640,HCPCS,Outpatient,,,61.67,49.34,,52.42,85,,41.94,percent of total billed charges,85% of total billed charges,52.42,85,,41.94,percent of total billed charges,85% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,45.81,74,,36.65,percent of total billed charges,74.28% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,53.78,87.2,,,percent of total billed charges,87.2% of total billed charges,36.39,59,,29.11,percent of total billed charges,59% of total billed charges,53.78,87.2,,43.02,percent of total billed charges,87.2% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,50.13,81.29,,40.1,percent of total billed charges,81.29% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of totl billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,55.5,90,,44.4,percent of total billed charges,90% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,37.62,61,,30.1,percent of total billed charges,61% of total billed charges,32.07,52,,25.66,percent of total billed charges,52% of total billed charges,32.07,55.5,
ACUTE INDUCT SPUTUM (R),43102007,CDM,412,RC,94640,HCPCS,Outpatient,,,114.74,91.79,,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,100.05,87.2,,,percent of total billed charges,87.2% of total billed charges,67.7,59,,54.16,percent of total billed charges,59% of total billed charges,100.05,87.2,,80.04,percent of total billed charges,87.2% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,93.27,81.29,,74.62,percent of total billed charges,81.29% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of totl billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,103.27,
"METERED DOSE,AEROSOL (R)",43102008,CDM,412,RC,94640,HCPCS,Outpatient,,,45.74,36.59,,38.88,85,,31.1,percent of total billed charges,85% of total billed charges,38.88,85,,31.1,percent of total billed charges,85% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,39.89,87.2,,,percent of total billed charges,87.2% of total billed charges,26.99,59,,21.59,percent of total billed charges,59% of total billed charges,39.89,87.2,,31.91,percent of total billed charges,87.2% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,37.18,81.29,,29.74,percent of total billed charges,81.29% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of totl billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,23.78,41.17,
REPEAT CONT AEROSOL OR HUMID,43102011,CDM,412,RC,94640,HCPCS,Outpatient,,,69.54,55.63,,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,60.64,87.2,,,percent of total billed charges,87.2% of total billed charges,41.03,59,,32.82,percent of total billed charges,59% of total billed charges,60.64,87.2,,48.51,percent of total billed charges,87.2% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,56.53,81.29,,45.22,percent of total billed charges,81.29% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of totl billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,62.59,
"ACUTE INDUCT,SPUTUM (I)",43102031,CDM,412,RC,94640,HCPCS,Outpatient,,,114.74,91.79,,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,100.05,87.2,,,percent of total billed charges,87.2% of total billed charges,67.7,59,,54.16,percent of total billed charges,59% of total billed charges,100.05,87.2,,80.04,percent of total billed charges,87.2% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,93.27,81.29,,74.62,percent of total billed charges,81.29% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of totl billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,103.27,
UNT TREATMENT (I),43102061,CDM,410,RC,94640,HCPCS,Outpatient,,,75.37,60.3,,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,65.72,87.2,,,percent of total billed charges,87.2% of total billed charges,44.47,59,,35.58,percent of total billed charges,59% of total billed charges,65.72,87.2,,52.58,percent of total billed charges,87.2% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,61.27,81.29,,49.02,percent of total billed charges,81.29% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of totl billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,67.83,
IPPB TREATMENT,43102062,CDM,412,RC,94640,HCPCS,Outpatient,,,69.54,55.63,,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,60.64,87.2,,,percent of total billed charges,87.2% of total billed charges,41.03,59,,32.82,percent of total billed charges,59% of total billed charges,60.64,87.2,,48.51,percent of total billed charges,87.2% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,56.53,81.29,,45.22,percent of total billed charges,81.29% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of totl billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,62.59,
"METERED DOSE, AEROSOL (I)",43102067,CDM,412,RC,94640,HCPCS,Outpatient,,,45.74,36.59,,38.88,85,,31.1,percent of total billed charges,85% of total billed charges,38.88,85,,31.1,percent of total billed charges,85% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,33.98,74,,27.18,percent of total billed charges,74.28% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,39.89,87.2,,,percent of total billed charges,87.2% of total billed charges,26.99,59,,21.59,percent of total billed charges,59% of total billed charges,39.89,87.2,,31.91,percent of total billed charges,87.2% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,37.18,81.29,,29.74,percent of total billed charges,81.29% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of totl billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,41.17,90,,32.94,percent of total billed charges,90% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,27.9,61,,22.32,percent of total billed charges,61% of total billed charges,23.78,52,,19.02,percent of total billed charges,52% of total billed charges,23.78,41.17,
UNT TREATMENT (S),43102070,CDM,410,RC,94640,HCPCS,Outpatient,,,75.37,60.3,,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,65.72,87.2,,,percent of total billed charges,87.2% of total billed charges,44.47,59,,35.58,percent of total billed charges,59% of total billed charges,65.72,87.2,,52.58,percent of total billed charges,87.2% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,61.27,81.29,,49.02,percent of total billed charges,81.29% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of totl billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,67.83,
CONTINOUS AEROSOL OR HUMIDITY,43104018,CDM,412,RC,94640,HCPCS,Outpatient,,,69.54,55.63,,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,59.11,85,,47.29,percent of total billed charges,85% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,51.65,74,,41.32,percent of total billed charges,74.28% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,60.64,87.2,,,percent of total billed charges,87.2% of total billed charges,41.03,59,,32.82,percent of total billed charges,59% of total billed charges,60.64,87.2,,48.51,percent of total billed charges,87.2% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,56.53,81.29,,45.22,percent of total billed charges,81.29% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of totl billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,62.59,90,,50.07,percent of total billed charges,90% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,42.42,61,,33.94,percent of total billed charges,61% of total billed charges,36.16,52,,28.93,percent of total billed charges,52% of total billed charges,36.16,62.59,
AEROSOL TREATMENT,43600302,CDM,521,RC,94640,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
AEROSOL TREATMENT (RFP RHC),43701293,CDM,521,RC,94640,HCPCS,Outpatient,,,54.54,43.63,,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,46.36,85,,37.09,percent of total billed charges,85% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,40.51,74,,32.41,percent of total billed charges,74.28% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,47.56,87.2,,,percent of total billed charges,87.2% of total billed charges,32.18,59,,25.74,percent of total billed charges,59% of total billed charges,47.56,87.2,,38.05,percent of total billed charges,87.2% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,44.34,81.29,,35.47,percent of total billed charges,81.29% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of totl billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,49.09,90,,39.27,percent of total billed charges,90% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,33.27,61,,26.62,percent of total billed charges,61% of total billed charges,28.36,52,,22.69,percent of total billed charges,52% of total billed charges,28.36,49.09,
CONTINUOUS BROCHODIL INIT 1HR,43104025,CDM,412,RC,94644,HCPCS,Outpatient,,,130.95,104.76,,111.31,85,,89.05,percent of total billed charges,85% of total billed charges,111.31,85,,89.05,percent of total billed charges,85% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,114.19,87.2,,,percent of total billed charges,87.2% of total billed charges,77.26,59,,61.81,percent of total billed charges,59% of total billed charges,114.19,87.2,,91.35,percent of total billed charges,87.2% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,106.45,81.29,,85.16,percent of total billed charges,81.29% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of totl billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,68.09,117.86,
CONTINUOUS BRONCHO AERO SUB HR,43104026,CDM,412,RC,94645,HCPCS,Outpatient,,,130.95,104.76,,111.31,85,,89.05,percent of total billed charges,85% of total billed charges,111.31,85,,89.05,percent of total billed charges,85% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,97.27,74,,77.82,percent of total billed charges,74.28% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,114.19,87.2,,,percent of total billed charges,87.2% of total billed charges,77.26,59,,61.81,percent of total billed charges,59% of total billed charges,114.19,87.2,,91.35,percent of total billed charges,87.2% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,106.45,81.29,,85.16,percent of total billed charges,81.29% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of totl billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,117.86,90,,94.29,percent of total billed charges,90% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,79.88,61,,63.9,percent of total billed charges,61% of total billed charges,68.09,52,,54.47,percent of total billed charges,52% of total billed charges,68.09,117.86,
CPAP TITRATION FOR APNEA TX,43102055,CDM,412,RC,94660,HCPCS,Outpatient,,,416.96,333.57,,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,354.42,85,,283.54,percent of total billed charges,85% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,309.72,74,,247.78,percent of total billed charges,74.28% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,363.59,87.2,,,percent of total billed charges,87.2% of total billed charges,246.01,59,,196.81,percent of total billed charges,59% of total billed charges,363.59,87.2,,290.87,percent of total billed charges,87.2% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,338.95,81.29,,271.16,percent of total billed charges,81.29% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of totl billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,375.26,90,,300.21,percent of total billed charges,90% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,254.35,61,,203.48,percent of total billed charges,61% of total billed charges,216.82,52,,173.46,percent of total billed charges,52% of total billed charges,216.82,375.26,
BIPAP VENTILATION,43102074,CDM,410,RC,94660,HCPCS,Outpatient,,,537.3,429.84,,456.71,85,,365.37,percent of total billed charges,85% of total billed charges,456.71,85,,365.37,percent of total billed charges,85% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,399.11,74,,319.29,percent of total billed charges,74.28% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,399.11,74,,319.29,percent of total billed charges,74.28% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,399.11,74,,319.29,percent of total billed charges,74.28% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,483.57,90,,386.86,percent of total billed charges,90% of total billed charges,483.57,90,,386.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,468.53,87.2,,,percent of total billed charges,87.2% of total billed charges,317.01,59,,253.61,percent of total billed charges,59% of total billed charges,468.53,87.2,,374.82,percent of total billed charges,87.2% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,436.77,81.29,,349.42,percent of total billed charges,81.29% of total billed charges,483.57,90,,386.86,percent of total billed charges,90% of totl billed charges,483.57,90,,386.86,percent of total billed charges,90% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,483.57,90,,386.86,percent of total billed charges,90% of total billed charges,483.57,90,,386.86,percent of total billed charges,90% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,327.75,61,,262.2,percent of total billed charges,61% of total billed charges,279.4,52,,223.52,percent of total billed charges,52% of total billed charges,279.4,483.57,
TEACH/INSTRUCT MDI OR AEROSOL,43102005,CDM,410,RC,94664,HCPCS,Outpatient,,,60.04,48.03,,51.03,85,,40.82,percent of total billed charges,85% of total billed charges,51.03,85,,40.82,percent of total billed charges,85% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,44.6,74,,35.68,percent of total billed charges,74.28% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,44.6,74,,35.68,percent of total billed charges,74.28% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,44.6,74,,35.68,percent of total billed charges,74.28% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,54.04,90,,43.23,percent of total billed charges,90% of total billed charges,54.04,90,,43.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,52.35,87.2,,,percent of total billed charges,87.2% of total billed charges,35.42,59,,28.34,percent of total billed charges,59% of total billed charges,52.35,87.2,,41.88,percent of total billed charges,87.2% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,48.81,81.29,,39.05,percent of total billed charges,81.29% of total billed charges,54.04,90,,43.23,percent of total billed charges,90% of totl billed charges,54.04,90,,43.23,percent of total billed charges,90% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,54.04,90,,43.23,percent of total billed charges,90% of total billed charges,54.04,90,,43.23,percent of total billed charges,90% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,36.62,61,,29.3,percent of total billed charges,61% of total billed charges,31.22,52,,24.98,percent of total billed charges,52% of total billed charges,31.22,54.04,
UNT TREATMENT (I),43102061,CDM,410,RC,94664,HCPCS,Outpatient,,,75.37,60.3,,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,64.06,85,,51.25,percent of total billed charges,85% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,55.98,74,,44.78,percent of total billed charges,74.28% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,65.72,87.2,,,percent of total billed charges,87.2% of total billed charges,44.47,59,,35.58,percent of total billed charges,59% of total billed charges,65.72,87.2,,52.58,percent of total billed charges,87.2% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,61.27,81.29,,49.02,percent of total billed charges,81.29% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of totl billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,67.83,90,,54.26,percent of total billed charges,90% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,45.98,61,,36.78,percent of total billed charges,61% of total billed charges,39.19,52,,31.35,percent of total billed charges,52% of total billed charges,39.19,67.83,
"CHEST PHYSIOTHERAPY,INITIAL",43102022,CDM,412,RC,94667,HCPCS,Outpatient,,,97.8,78.24,,83.13,85,,66.5,percent of total billed charges,85% of total billed charges,83.13,85,,66.5,percent of total billed charges,85% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,72.65,74,,58.12,percent of total billed charges,74.28% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,72.65,74,,58.12,percent of total billed charges,74.28% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,72.65,74,,58.12,percent of total billed charges,74.28% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,88.02,90,,70.42,percent of total billed charges,90% of total billed charges,88.02,90,,70.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,85.28,87.2,,,percent of total billed charges,87.2% of total billed charges,57.7,59,,46.16,percent of total billed charges,59% of total billed charges,85.28,87.2,,68.22,percent of total billed charges,87.2% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,79.5,81.29,,63.6,percent of total billed charges,81.29% of total billed charges,88.02,90,,70.42,percent of total billed charges,90% of totl billed charges,88.02,90,,70.42,percent of total billed charges,90% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,88.02,90,,70.42,percent of total billed charges,90% of total billed charges,88.02,90,,70.42,percent of total billed charges,90% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,59.66,61,,47.73,percent of total billed charges,61% of total billed charges,50.86,52,,40.69,percent of total billed charges,52% of total billed charges,50.86,88.02,
VIBRATORY PEP THERAPY - (I),43102071,CDM,412,RC,94667,HCPCS,Outpatient,,,50.32,40.26,,42.77,85,,34.22,percent of total billed charges,85% of total billed charges,42.77,85,,34.22,percent of total billed charges,85% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,37.38,74,,29.9,percent of total billed charges,74.28% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,37.38,74,,29.9,percent of total billed charges,74.28% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,37.38,74,,29.9,percent of total billed charges,74.28% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,45.29,90,,36.23,percent of total billed charges,90% of total billed charges,45.29,90,,36.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,43.88,87.2,,,percent of total billed charges,87.2% of total billed charges,29.69,59,,23.75,percent of total billed charges,59% of total billed charges,43.88,87.2,,35.1,percent of total billed charges,87.2% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,40.91,81.29,,32.73,percent of total billed charges,81.29% of total billed charges,45.29,90,,36.23,percent of total billed charges,90% of totl billed charges,45.29,90,,36.23,percent of total billed charges,90% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,45.29,90,,36.23,percent of total billed charges,90% of total billed charges,45.29,90,,36.23,percent of total billed charges,90% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,30.7,61,,24.56,percent of total billed charges,61% of total billed charges,26.17,52,,20.94,percent of total billed charges,52% of total billed charges,26.17,45.29,
"CHEST PHYSIO THERAPY,SUBSEQUEN",43102063,CDM,412,RC,94668,HCPCS,Outpatient,,,99.23,79.38,,84.35,85,,67.48,percent of total billed charges,85% of total billed charges,84.35,85,,67.48,percent of total billed charges,85% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,73.71,74,,58.97,percent of total billed charges,74.28% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,73.71,74,,58.97,percent of total billed charges,74.28% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,73.71,74,,58.97,percent of total billed charges,74.28% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,89.31,90,,71.45,percent of total billed charges,90% of total billed charges,89.31,90,,71.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,86.53,87.2,,,percent of total billed charges,87.2% of total billed charges,58.55,59,,46.84,percent of total billed charges,59% of total billed charges,86.53,87.2,,69.22,percent of total billed charges,87.2% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,80.66,81.29,,64.53,percent of total billed charges,81.29% of total billed charges,89.31,90,,71.45,percent of total billed charges,90% of totl billed charges,89.31,90,,71.45,percent of total billed charges,90% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,89.31,90,,71.45,percent of total billed charges,90% of total billed charges,89.31,90,,71.45,percent of total billed charges,90% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,60.53,61,,48.42,percent of total billed charges,61% of total billed charges,51.6,52,,41.28,percent of total billed charges,52% of total billed charges,51.6,89.31,
VIBRATORY PEP THERAPY (S),43102072,CDM,412,RC,94668,HCPCS,Outpatient,,,29.42,23.54,,25.01,85,,20.01,percent of total billed charges,85% of total billed charges,25.01,85,,20.01,percent of total billed charges,85% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,21.85,74,,17.48,percent of total billed charges,74.28% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,21.85,74,,17.48,percent of total billed charges,74.28% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,21.85,74,,17.48,percent of total billed charges,74.28% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,26.48,90,,21.18,percent of total billed charges,90% of total billed charges,26.48,90,,21.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,25.65,87.2,,,percent of total billed charges,87.2% of total billed charges,17.36,59,,13.89,percent of total billed charges,59% of total billed charges,25.65,87.2,,20.52,percent of total billed charges,87.2% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,23.92,81.29,,19.14,percent of total billed charges,81.29% of total billed charges,26.48,90,,21.18,percent of total billed charges,90% of totl billed charges,26.48,90,,21.18,percent of total billed charges,90% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,26.48,90,,21.18,percent of total billed charges,90% of total billed charges,26.48,90,,21.18,percent of total billed charges,90% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,17.95,61,,14.36,percent of total billed charges,61% of total billed charges,15.3,52,,12.24,percent of total billed charges,52% of total billed charges,15.3,26.48,
PFT: GAS VOLUME & AIR RESIST,43104059,CDM,460,RC,94726,HCPCS,Outpatient,,,287.57,230.06,,244.43,85,,195.54,percent of total billed charges,85% of total billed charges,244.43,85,,195.54,percent of total billed charges,85% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,213.61,74,,170.89,percent of total billed charges,74.28% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,213.61,74,,170.89,percent of total billed charges,74.28% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,213.61,74,,170.89,percent of total billed charges,74.28% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,258.81,90,,207.05,percent of total billed charges,90% of total billed charges,258.81,90,,207.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,250.76,87.2,,,percent of total billed charges,87.2% of total billed charges,169.67,59,,135.74,percent of total billed charges,59% of total billed charges,250.76,87.2,,200.61,percent of total billed charges,87.2% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,233.77,81.29,,187.02,percent of total billed charges,81.29% of total billed charges,258.81,90,,207.05,percent of total billed charges,90% of totl billed charges,258.81,90,,207.05,percent of total billed charges,90% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,258.81,90,,207.05,percent of total billed charges,90% of total billed charges,258.81,90,,207.05,percent of total billed charges,90% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,175.42,61,,140.34,percent of total billed charges,61% of total billed charges,149.54,52,,119.63,percent of total billed charges,52% of total billed charges,149.54,258.81,
PFT:CO DIFFUSION CAPACITY,43104033,CDM,460,RC,94729,HCPCS,Outpatient,,,197.25,157.8,,167.66,85,,134.13,percent of total billed charges,85% of total billed charges,167.66,85,,134.13,percent of total billed charges,85% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,146.52,74,,117.22,percent of total billed charges,74.28% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,172,87.2,,,percent of total billed charges,87.2% of total billed charges,116.38,59,,93.1,percent of total billed charges,59% of total billed charges,172,87.2,,137.6,percent of total billed charges,87.2% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,160.34,81.29,,128.27,percent of total billed charges,81.29% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of totl billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,177.53,90,,142.02,percent of total billed charges,90% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,120.32,61,,96.26,percent of total billed charges,61% of total billed charges,102.57,52,,82.06,percent of total billed charges,52% of total billed charges,102.57,177.53,
PULSE OXIMETRY,36009114,CDM,460,RC,94760,HCPCS,Outpatient,,,33.84,27.07,,28.76,85,,23.01,percent of total billed charges,85% of total billed charges,28.76,85,,23.01,percent of total billed charges,85% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,25.14,74,,20.11,percent of total billed charges,74.28% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,25.14,74,,20.11,percent of total billed charges,74.28% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,25.14,74,,20.11,percent of total billed charges,74.28% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,30.46,90,,24.37,percent of total billed charges,90% of total billed charges,30.46,90,,24.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,29.51,87.2,,,percent of total billed charges,87.2% of total billed charges,19.97,59,,15.98,percent of total billed charges,59% of total billed charges,29.51,87.2,,23.61,percent of total billed charges,87.2% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,27.51,81.29,,22.01,percent of total billed charges,81.29% of total billed charges,30.46,90,,24.37,percent of total billed charges,90% of totl billed charges,30.46,90,,24.37,percent of total billed charges,90% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,30.46,90,,24.37,percent of total billed charges,90% of total billed charges,30.46,90,,24.37,percent of total billed charges,90% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,20.64,61,,16.51,percent of total billed charges,61% of total billed charges,17.6,52,,14.08,percent of total billed charges,52% of total billed charges,17.6,30.46,
PULSE OX SINGLE,43104011,CDM,460,RC,94760,HCPCS,Outpatient,,,33.71,26.97,,28.65,85,,22.92,percent of total billed charges,85% of total billed charges,28.65,85,,22.92,percent of total billed charges,85% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,25.04,74,,20.03,percent of total billed charges,74.28% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,25.04,74,,20.03,percent of total billed charges,74.28% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,25.04,74,,20.03,percent of total billed charges,74.28% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,30.34,90,,24.27,percent of total billed charges,90% of total billed charges,30.34,90,,24.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,29.4,87.2,,,percent of total billed charges,87.2% of total billed charges,19.89,59,,15.91,percent of total billed charges,59% of total billed charges,29.4,87.2,,23.52,percent of total billed charges,87.2% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,27.4,81.29,,21.92,percent of total billed charges,81.29% of total billed charges,30.34,90,,24.27,percent of total billed charges,90% of totl billed charges,30.34,90,,24.27,percent of total billed charges,90% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,30.34,90,,24.27,percent of total billed charges,90% of total billed charges,30.34,90,,24.27,percent of total billed charges,90% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,20.56,61,,16.45,percent of total billed charges,61% of total billed charges,17.53,52,,14.02,percent of total billed charges,52% of total billed charges,17.53,30.34,
PULSE OXIMETRY,43600287,CDM,521,RC,94760,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
PULSE OXIMETRY,43701287,CDM,521,RC,94760,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
PULSE OX-MULT DETERMINATIONS,43102066,CDM,460,RC,94761,HCPCS,Outpatient,,,85.09,68.07,,72.33,85,,57.86,percent of total billed charges,85% of total billed charges,72.33,85,,57.86,percent of total billed charges,85% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,63.2,74,,50.56,percent of total billed charges,74.28% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,63.2,74,,50.56,percent of total billed charges,74.28% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,63.2,74,,50.56,percent of total billed charges,74.28% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,76.58,90,,61.26,percent of total billed charges,90% of total billed charges,76.58,90,,61.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,74.2,87.2,,,percent of total billed charges,87.2% of total billed charges,50.2,59,,40.16,percent of total billed charges,59% of total billed charges,74.2,87.2,,59.36,percent of total billed charges,87.2% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,69.17,81.29,,55.34,percent of total billed charges,81.29% of total billed charges,76.58,90,,61.26,percent of total billed charges,90% of totl billed charges,76.58,90,,61.26,percent of total billed charges,90% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,76.58,90,,61.26,percent of total billed charges,90% of total billed charges,76.58,90,,61.26,percent of total billed charges,90% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,51.9,61,,41.52,percent of total billed charges,61% of total billed charges,44.25,52,,35.4,percent of total billed charges,52% of total billed charges,44.25,76.58,
PULSE OX OVERNIGHT,43102030,CDM,460,RC,94762,HCPCS,Outpatient,,,297.15,237.72,,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,252.58,85,,202.06,percent of total billed charges,85% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,220.72,74,,176.58,percent of total billed charges,74.28% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,259.11,87.2,,,percent of total billed charges,87.2% of total billed charges,175.32,59,,140.26,percent of total billed charges,59% of total billed charges,259.11,87.2,,207.29,percent of total billed charges,87.2% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,241.55,81.29,,193.24,percent of total billed charges,81.29% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of totl billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,267.44,90,,213.95,percent of total billed charges,90% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,181.26,61,,145.01,percent of total billed charges,61% of total billed charges,154.52,52,,123.62,percent of total billed charges,52% of total billed charges,154.52,267.44,
CAPNOMETER-ENDTIDAL CARBON DIO,43102053,CDM,469,RC,94770,HCPCS,Outpatient,,,317.3,253.84,,269.71,85,,215.77,percent of total billed charges,85% of total billed charges,269.71,85,,215.77,percent of total billed charges,85% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,235.69,74,,188.55,percent of total billed charges,74.28% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,235.69,74,,188.55,percent of total billed charges,74.28% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,235.69,74,,188.55,percent of total billed charges,74.28% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,285.57,90,,228.46,percent of total billed charges,90% of total billed charges,285.57,90,,228.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165,52,,132,percent of total billed charges,52% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,276.69,87.2,,,percent of total billed charges,87.2% of total billed charges,187.21,59,,149.77,percent of total billed charges,59% of total billed charges,276.69,87.2,,221.35,percent of total billed charges,87.2% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,257.93,81.29,,206.34,percent of total billed charges,81.29% of total billed charges,285.57,90,,228.46,percent of total billed charges,90% of totl billed charges,285.57,90,,228.46,percent of total billed charges,90% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,285.57,90,,228.46,percent of total billed charges,90% of total billed charges,285.57,90,,228.46,percent of total billed charges,90% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,193.55,61,,154.84,percent of total billed charges,61% of total billed charges,165,52,,132,percent of total billed charges,52% of total billed charges,165,285.57,
OXYGEN AEROSOL TENT SETUP,43102014,CDM,412,RC,94799,HCPCS,Outpatient,,,192.36,153.89,,163.51,85,,130.81,percent of total billed charges,85% of total billed charges,163.51,85,,130.81,percent of total billed charges,85% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,142.89,74,,114.31,percent of total billed charges,74.28% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,142.89,74,,114.31,percent of total billed charges,74.28% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,142.89,74,,114.31,percent of total billed charges,74.28% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,173.12,90,,138.5,percent of total billed charges,90% of total billed charges,173.12,90,,138.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,167.74,87.2,,,percent of total billed charges,87.2% of total billed charges,113.49,59,,90.79,percent of total billed charges,59% of total billed charges,167.74,87.2,,134.19,percent of total billed charges,87.2% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,156.37,81.29,,125.1,percent of total billed charges,81.29% of total billed charges,173.12,90,,138.5,percent of total billed charges,90% of totl billed charges,173.12,90,,138.5,percent of total billed charges,90% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,173.12,90,,138.5,percent of total billed charges,90% of total billed charges,173.12,90,,138.5,percent of total billed charges,90% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,117.34,61,,93.87,percent of total billed charges,61% of total billed charges,100.03,52,,80.02,percent of total billed charges,52% of total billed charges,100.03,173.12,
HUMIDIFER SET UP,43102021,CDM,412,RC,94799,HCPCS,Outpatient,,,187.29,149.83,,159.2,85,,127.36,percent of total billed charges,85% of total billed charges,159.2,85,,127.36,percent of total billed charges,85% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,139.12,74,,111.3,percent of total billed charges,74.28% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,139.12,74,,111.3,percent of total billed charges,74.28% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,139.12,74,,111.3,percent of total billed charges,74.28% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,168.56,90,,134.85,percent of total billed charges,90% of total billed charges,168.56,90,,134.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,163.32,87.2,,,percent of total billed charges,87.2% of total billed charges,110.5,59,,88.4,percent of total billed charges,59% of total billed charges,163.32,87.2,,130.66,percent of total billed charges,87.2% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,152.25,81.29,,121.8,percent of total billed charges,81.29% of total billed charges,168.56,90,,134.85,percent of total billed charges,90% of totl billed charges,168.56,90,,134.85,percent of total billed charges,90% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,168.56,90,,134.85,percent of total billed charges,90% of total billed charges,168.56,90,,134.85,percent of total billed charges,90% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,114.25,61,,91.4,percent of total billed charges,61% of total billed charges,97.39,52,,77.91,percent of total billed charges,52% of total billed charges,97.39,168.56,
ALLERGY INJECTION - SINGLE,36000008,CDM,510,RC,95115,HCPCS,Outpatient,,,29.19,23.35,,24.81,85,,19.85,percent of total billed charges,85% of total billed charges,24.81,85,,19.85,percent of total billed charges,85% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,25.45,87.2,,,percent of total billed charges,87.2% of total billed charges,17.22,59,,13.78,percent of total billed charges,59% of total billed charges,25.45,87.2,,20.36,percent of total billed charges,87.2% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,23.73,81.29,,18.98,percent of total billed charges,81.29% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of totl billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,15.18,26.27,
ALLERGY INJECTION - SINGLE,43400156,CDM,510,RC,95115,HCPCS,Outpatient,,,29.19,23.35,,24.81,85,,19.85,percent of total billed charges,85% of total billed charges,24.81,85,,19.85,percent of total billed charges,85% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,21.68,74,,17.34,percent of total billed charges,74.28% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,25.45,87.2,,,percent of total billed charges,87.2% of total billed charges,17.22,59,,13.78,percent of total billed charges,59% of total billed charges,25.45,87.2,,20.36,percent of total billed charges,87.2% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,23.73,81.29,,18.98,percent of total billed charges,81.29% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of totl billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,26.27,90,,21.02,percent of total billed charges,90% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,17.81,61,,14.25,percent of total billed charges,61% of total billed charges,15.18,52,,12.14,percent of total billed charges,52% of total billed charges,15.18,26.27,
ALLERGY SHOT,43600153,CDM,521,RC,95115,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,24.54,
ALLERGY SHOT,43600153,CDM,521,RC,95115,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,24.54,
ALLERGY SHOT,43701272,CDM,521,RC,95115,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,24.54,
ALLERGY INJECTION - MULTIPLE,36000009,CDM,510,RC,95117,HCPCS,Outpatient,,,39.18,31.34,,33.3,85,,26.64,percent of total billed charges,85% of total billed charges,33.3,85,,26.64,percent of total billed charges,85% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,34.16,87.2,,,percent of total billed charges,87.2% of total billed charges,23.12,59,,18.5,percent of total billed charges,59% of total billed charges,34.16,87.2,,27.33,percent of total billed charges,87.2% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,31.85,81.29,,25.48,percent of total billed charges,81.29% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of totl billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,20.37,35.26,
ALLERGY INJECTION - MULTIPLE,43400157,CDM,510,RC,95117,HCPCS,Outpatient,,,39.18,31.34,,33.3,85,,26.64,percent of total billed charges,85% of total billed charges,33.3,85,,26.64,percent of total billed charges,85% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,29.1,74,,23.28,percent of total billed charges,74.28% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,34.16,87.2,,,percent of total billed charges,87.2% of total billed charges,23.12,59,,18.5,percent of total billed charges,59% of total billed charges,34.16,87.2,,27.33,percent of total billed charges,87.2% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,31.85,81.29,,25.48,percent of total billed charges,81.29% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of totl billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,35.26,90,,28.21,percent of total billed charges,90% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,23.9,61,,19.12,percent of total billed charges,61% of total billed charges,20.37,52,,16.3,percent of total billed charges,52% of total billed charges,20.37,35.26,
ALLERGY SHOT >1,43600154,CDM,521,RC,95117,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
ALLERGY SHOT>1,43701273,CDM,521,RC,95117,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
NPSG < 6 YR OLD,43152070,CDM,920,RC,95782,HCPCS,Outpatient,,,2605.28,2084.22,,2214.49,85,,1771.59,percent of total billed charges,85% of total billed charges,2214.49,85,,1771.59,percent of total billed charges,85% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2271.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1537.12,59,,1229.7,percent of total billed charges,59% of total billed charges,2271.8,87.2,,1817.44,percent of total billed charges,87.2% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2117.83,81.29,,1694.26,percent of total billed charges,81.29% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of totl billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1354.75,2344.75,
NPSG/CPAP < 6 YR OLD,43152071,CDM,920,RC,95783,HCPCS,Outpatient,,,3022.08,2417.66,,2568.77,85,,2055.02,percent of total billed charges,85% of total billed charges,2568.77,85,,2055.02,percent of total billed charges,85% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2635.25,87.2,,,percent of total billed charges,87.2% of total billed charges,1783.03,59,,1426.42,percent of total billed charges,59% of total billed charges,2635.25,87.2,,2108.2,percent of total billed charges,87.2% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2456.65,81.29,,1965.32,percent of total billed charges,81.29% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of totl billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,1571.48,2719.87,
ACTIGRAPHY (72 HRS - 14 DAYS),43152072,CDM,920,RC,95803,HCPCS,Outpatient,,,306.9,245.52,,260.87,85,,208.7,percent of total billed charges,85% of total billed charges,260.87,85,,208.7,percent of total billed charges,85% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,227.97,74,,182.38,percent of total billed charges,74.28% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,227.97,74,,182.38,percent of total billed charges,74.28% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,227.97,74,,182.38,percent of total billed charges,74.28% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,276.21,90,,220.97,percent of total billed charges,90% of total billed charges,276.21,90,,220.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,267.62,87.2,,,percent of total billed charges,87.2% of total billed charges,181.07,59,,144.86,percent of total billed charges,59% of total billed charges,267.62,87.2,,214.1,percent of total billed charges,87.2% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,249.48,81.29,,199.58,percent of total billed charges,81.29% of total billed charges,276.21,90,,220.97,percent of total billed charges,90% of totl billed charges,276.21,90,,220.97,percent of total billed charges,90% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,276.21,90,,220.97,percent of total billed charges,90% of total billed charges,276.21,90,,220.97,percent of total billed charges,90% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,187.21,61,,149.77,percent of total billed charges,61% of total billed charges,159.59,52,,127.67,percent of total billed charges,52% of total billed charges,159.59,276.21,
MULTIPLE SLEEP LATENCY TESTING,43102056,CDM,920,RC,95805,HCPCS,Outpatient,,,1287.32,1029.86,,1094.22,85,,875.38,percent of total billed charges,85% of total billed charges,1094.22,85,,875.38,percent of total billed charges,85% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,956.22,74,,764.98,percent of total billed charges,74.28% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,956.22,74,,764.98,percent of total billed charges,74.28% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,956.22,74,,764.98,percent of total billed charges,74.28% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,1158.59,90,,926.87,percent of total billed charges,90% of total billed charges,1158.59,90,,926.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,1122.54,87.2,,,percent of total billed charges,87.2% of total billed charges,759.52,59,,607.62,percent of total billed charges,59% of total billed charges,1122.54,87.2,,898.03,percent of total billed charges,87.2% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,1046.46,81.29,,837.17,percent of total billed charges,81.29% of total billed charges,1158.59,90,,926.87,percent of total billed charges,90% of totl billed charges,1158.59,90,,926.87,percent of total billed charges,90% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,1158.59,90,,926.87,percent of total billed charges,90% of total billed charges,1158.59,90,,926.87,percent of total billed charges,90% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,785.27,61,,628.22,percent of total billed charges,61% of total billed charges,669.41,52,,535.53,percent of total billed charges,52% of total billed charges,669.41,1158.59,
SLEEP STUDY UNATTENDED (HSAT),43152073,CDM,920,RC,95806,HCPCS,Outpatient,,,365.91,292.73,,311.02,85,,248.82,percent of total billed charges,85% of total billed charges,311.02,85,,248.82,percent of total billed charges,85% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,271.8,74,,217.44,percent of total billed charges,74.28% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,271.8,74,,217.44,percent of total billed charges,74.28% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,271.8,74,,217.44,percent of total billed charges,74.28% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,329.32,90,,263.46,percent of total billed charges,90% of total billed charges,329.32,90,,263.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,319.07,87.2,,,percent of total billed charges,87.2% of total billed charges,215.89,59,,172.71,percent of total billed charges,59% of total billed charges,319.07,87.2,,255.26,percent of total billed charges,87.2% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,297.45,81.29,,237.96,percent of total billed charges,81.29% of total billed charges,329.32,90,,263.46,percent of total billed charges,90% of totl billed charges,329.32,90,,263.46,percent of total billed charges,90% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,329.32,90,,263.46,percent of total billed charges,90% of total billed charges,329.32,90,,263.46,percent of total billed charges,90% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,223.21,61,,178.57,percent of total billed charges,61% of total billed charges,190.27,52,,152.22,percent of total billed charges,52% of total billed charges,190.27,329.32,
NOCTURNAL POLYSOMNOGRAPHY,43102054,CDM,920,RC,95810,HCPCS,Outpatient,,,2605.28,2084.22,,2214.49,85,,1771.59,percent of total billed charges,85% of total billed charges,2214.49,85,,1771.59,percent of total billed charges,85% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1935.2,74,,1548.16,percent of total billed charges,74.28% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2271.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1537.12,59,,1229.7,percent of total billed charges,59% of total billed charges,2271.8,87.2,,1817.44,percent of total billed charges,87.2% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,2117.83,81.29,,1694.26,percent of total billed charges,81.29% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of totl billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,2344.75,90,,1875.8,percent of total billed charges,90% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1589.22,61,,1271.38,percent of total billed charges,61% of total billed charges,1354.75,52,,1083.8,percent of total billed charges,52% of total billed charges,1354.75,2344.75,
POLYSMNOGRAPHY 4/MORE WITH CPA,43102068,CDM,920,RC,95811,HCPCS,Outpatient,,,3022.08,2417.66,,2568.77,85,,2055.02,percent of total billed charges,85% of total billed charges,2568.77,85,,2055.02,percent of total billed charges,85% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,2244.8,74,,1795.84,percent of total billed charges,74.28% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2635.25,87.2,,,percent of total billed charges,87.2% of total billed charges,1783.03,59,,1426.42,percent of total billed charges,59% of total billed charges,2635.25,87.2,,2108.2,percent of total billed charges,87.2% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,2456.65,81.29,,1965.32,percent of total billed charges,81.29% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of totl billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,2719.87,90,,2175.9,percent of total billed charges,90% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1843.47,61,,1474.78,percent of total billed charges,61% of total billed charges,1571.48,52,,1257.18,percent of total billed charges,52% of total billed charges,1571.48,2719.87,
NEURO ANALYSIS/PROG 1ST HR,35009546,CDM,920,RC,95972,HCPCS,Outpatient,,,291.69,233.35,,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,247.94,85,,198.35,percent of total billed charges,85% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,216.67,74,,173.34,percent of total billed charges,74.28% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,254.35,87.2,,,percent of total billed charges,87.2% of total billed charges,172.1,59,,137.68,percent of total billed charges,59% of total billed charges,254.35,87.2,,203.48,percent of total billed charges,87.2% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,237.11,81.29,,189.69,percent of total billed charges,81.29% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of totl billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,262.52,90,,210.02,percent of total billed charges,90% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,177.93,61,,142.34,percent of total billed charges,61% of total billed charges,151.68,52,,121.34,percent of total billed charges,52% of total billed charges,151.68,262.52,
NEURO ANALYSIS/PROG ADD 30 MIN,35009547,CDM,920,RC,95973,HCPCS,Outpatient,,,175.04,140.03,,148.78,85,,119.02,percent of total billed charges,85% of total billed charges,148.78,85,,119.02,percent of total billed charges,85% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,130.02,74,,104.02,percent of total billed charges,74.28% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,130.02,74,,104.02,percent of total billed charges,74.28% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,130.02,74,,104.02,percent of total billed charges,74.28% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,157.54,90,,126.03,percent of total billed charges,90% of total billed charges,157.54,90,,126.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,152.63,87.2,,,percent of total billed charges,87.2% of total billed charges,103.27,59,,82.62,percent of total billed charges,59% of total billed charges,152.63,87.2,,122.1,percent of total billed charges,87.2% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,142.29,81.29,,113.83,percent of total billed charges,81.29% of total billed charges,157.54,90,,126.03,percent of total billed charges,90% of totl billed charges,157.54,90,,126.03,percent of total billed charges,90% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,157.54,90,,126.03,percent of total billed charges,90% of total billed charges,157.54,90,,126.03,percent of total billed charges,90% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,106.77,61,,85.42,percent of total billed charges,61% of total billed charges,91.02,52,,72.82,percent of total billed charges,52% of total billed charges,91.02,157.54,
ASSESSMENT OF APHASIA 60 MIN,48309004,CDM,441,RC,96105,HCPCS,Outpatient,,,314.62,251.7,,267.43,85,,213.94,percent of total billed charges,85% of total billed charges,267.43,85,,213.94,percent of total billed charges,85% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,233.7,74,,186.96,percent of total billed charges,74.28% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,233.7,74,,186.96,percent of total billed charges,74.28% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,233.7,74,,186.96,percent of total billed charges,74.28% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,283.16,90,,226.53,percent of total billed charges,90% of total billed charges,283.16,90,,226.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,274.35,87.2,,,percent of total billed charges,87.2% of total billed charges,185.63,59,,148.5,percent of total billed charges,59% of total billed charges,274.35,87.2,,219.48,percent of total billed charges,87.2% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,255.75,81.29,,204.6,percent of total billed charges,81.29% of total billed charges,283.16,90,,226.53,percent of total billed charges,90% of totl billed charges,283.16,90,,226.53,percent of total billed charges,90% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,283.16,90,,226.53,percent of total billed charges,90% of total billed charges,283.16,90,,226.53,percent of total billed charges,90% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,191.92,61,,153.54,percent of total billed charges,61% of total billed charges,163.6,52,,130.88,percent of total billed charges,52% of total billed charges,163.6,283.16,
Developmental Screening,43601429,CDM,521,RC,96110,HCPCS,Outpatient,,,18.55,14.84,,15.77,85,,12.62,percent of total billed charges,85% of total billed charges,15.77,85,,12.62,percent of total billed charges,85% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,16.18,87.2,,,percent of total billed charges,87.2% of total billed charges,10.94,59,,8.75,percent of total billed charges,59% of total billed charges,16.18,87.2,,12.94,percent of total billed charges,87.2% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,15.08,81.29,,12.06,percent of total billed charges,81.29% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of totl billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,9.65,16.7,
Developmental Screening,43701429,CDM,521,RC,96110,HCPCS,Outpatient,,,18.55,14.84,,15.77,85,,12.62,percent of total billed charges,85% of total billed charges,15.77,85,,12.62,percent of total billed charges,85% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,13.78,74,,11.02,percent of total billed charges,74.28% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,16.18,87.2,,,percent of total billed charges,87.2% of total billed charges,10.94,59,,8.75,percent of total billed charges,59% of total billed charges,16.18,87.2,,12.94,percent of total billed charges,87.2% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,15.08,81.29,,12.06,percent of total billed charges,81.29% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of totl billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,16.7,90,,13.36,percent of total billed charges,90% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,11.32,61,,9.06,percent of total billed charges,61% of total billed charges,9.65,52,,7.72,percent of total billed charges,52% of total billed charges,9.65,16.7,
COGNITIVE TEST/HOUR,48300169,CDM,441,RC,96125,HCPCS,Outpatient,,,218.48,174.78,,185.71,85,,148.57,percent of total billed charges,85% of total billed charges,185.71,85,,148.57,percent of total billed charges,85% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,162.29,74,,129.83,percent of total billed charges,74.28% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,162.29,74,,129.83,percent of total billed charges,74.28% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,162.29,74,,129.83,percent of total billed charges,74.28% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,196.63,90,,157.3,percent of total billed charges,90% of total billed charges,196.63,90,,157.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,190.51,87.2,,,percent of total billed charges,87.2% of total billed charges,128.9,59,,103.12,percent of total billed charges,59% of total billed charges,190.51,87.2,,152.41,percent of total billed charges,87.2% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,177.6,81.29,,142.08,percent of total billed charges,81.29% of total billed charges,196.63,90,,157.3,percent of total billed charges,90% of totl billed charges,196.63,90,,157.3,percent of total billed charges,90% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,196.63,90,,157.3,percent of total billed charges,90% of total billed charges,196.63,90,,157.3,percent of total billed charges,90% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,133.27,61,,106.62,percent of total billed charges,61% of total billed charges,113.61,52,,90.89,percent of total billed charges,52% of total billed charges,113.61,196.63,
Health Risk Assessment,43601430,CDM,521,RC,96160,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
Health Risk Assessment,43701430,CDM,521,RC,96160,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
IV HYDRATION INIT 31-60 OP/MS,32000100,CDM,260,RC,96360,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV HYDRATION INIT 31-60 MI LOP,32009047,CDM,260,RC,96360,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV HYDRATIO INIT 31-60 MINS OP,36000013,CDM,260,RC,96360,HCPCS,Outpatient,,,260.01,208.01,,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,226.73,87.2,,,percent of total billed charges,87.2% of total billed charges,153.41,59,,122.73,percent of total billed charges,59% of total billed charges,226.73,87.2,,181.38,percent of total billed charges,87.2% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,211.36,81.29,,169.09,percent of total billed charges,81.29% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of totl billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,234.01,
IV HYDRATION INIT 31-60 MIN ER,36009147,CDM,450,RC,96360,HCPCS,Outpatient,,,260.01,208.01,,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,226.73,87.2,,,percent of total billed charges,87.2% of total billed charges,153.41,59,,122.73,percent of total billed charges,59% of total billed charges,226.73,87.2,,181.38,percent of total billed charges,87.2% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,211.36,81.29,,169.09,percent of total billed charges,81.29% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of totl billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,234.01,
IV HYDRATION INIT 31-60 HOP,43301088,CDM,260,RC,96360,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV HYDRATION INIT 31-60 HOP,43401088,CDM,260,RC,96360,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV HYDRATION EA ADDIT HR OP/MS,32000101,CDM,260,RC,96361,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV HYDRATION EA ADD MAX 8 LOP,32009048,CDM,260,RC,96361,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV HYDRATION EA ADDIT HR OP,36000014,CDM,260,RC,96361,HCPCS,Outpatient,,,148.76,119.01,,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,129.72,87.2,,,percent of total billed charges,87.2% of total billed charges,87.77,59,,70.22,percent of total billed charges,59% of total billed charges,129.72,87.2,,103.78,percent of total billed charges,87.2% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,120.93,81.29,,96.74,percent of total billed charges,81.29% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of totl billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,133.88,
IV HYDRATION EA ADDIT HR ER,36009187,CDM,450,RC,96361,HCPCS,Outpatient,,,148.76,119.01,,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,129.72,87.2,,,percent of total billed charges,87.2% of total billed charges,87.77,59,,70.22,percent of total billed charges,59% of total billed charges,129.72,87.2,,103.78,percent of total billed charges,87.2% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,120.93,81.29,,96.74,percent of total billed charges,81.29% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of totl billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,133.88,
IV HYDRATION EA ADDIT HR HOP,43301100,CDM,260,RC,96361,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV HYDRATION EA ADDIT HR HOP,43401100,CDM,260,RC,96361,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV MEDICATION INIT 1 HR OP/MS,32000013,CDM,260,RC,96365,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
ALBUMIN TRANSFUSION 1ST HR,32003022,CDM,269,RC,96365,HCPCS,Outpatient,,,78.87,63.1,,67.04,85,,53.63,percent of total billed charges,85% of total billed charges,67.04,85,,53.63,percent of total billed charges,85% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,68.77,87.2,,,percent of total billed charges,87.2% of total billed charges,46.53,59,,37.22,percent of total billed charges,59% of total billed charges,68.77,87.2,,55.02,percent of total billed charges,87.2% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,64.11,81.29,,51.29,percent of total billed charges,81.29% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of totl billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,41.01,70.98,
IV MEDICATION INIT 1 HR LOP,32009049,CDM,260,RC,96365,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV MEDICATION INIT 1 HR ER,36009183,CDM,450,RC,96365,HCPCS,Outpatient,,,260.01,208.01,,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,226.73,87.2,,,percent of total billed charges,87.2% of total billed charges,153.41,59,,122.73,percent of total billed charges,59% of total billed charges,226.73,87.2,,181.38,percent of total billed charges,87.2% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,211.36,81.29,,169.09,percent of total billed charges,81.29% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of totl billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,234.01,
IV MEDICATION INIT 1 HR OP/ER,36009188,CDM,260,RC,96365,HCPCS,Outpatient,,,260.01,208.01,,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,221.01,85,,176.81,percent of total billed charges,85% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,193.14,74,,154.51,percent of total billed charges,74.28% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,226.73,87.2,,,percent of total billed charges,87.2% of total billed charges,153.41,59,,122.73,percent of total billed charges,59% of total billed charges,226.73,87.2,,181.38,percent of total billed charges,87.2% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,211.36,81.29,,169.09,percent of total billed charges,81.29% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of totl billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,234.01,90,,187.21,percent of total billed charges,90% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,158.61,61,,126.89,percent of total billed charges,61% of total billed charges,135.21,52,,108.17,percent of total billed charges,52% of total billed charges,135.21,234.01,
IV MEDICATION INIT 1 HR HOP,43301066,CDM,260,RC,96365,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV MEDICATION INIT 1 HR HOP,43401066,CDM,260,RC,96365,HCPCS,Outpatient,,,259.9,207.92,,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,220.92,85,,176.74,percent of total billed charges,85% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,193.05,74,,154.44,percent of total billed charges,74.28% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,226.63,87.2,,,percent of total billed charges,87.2% of total billed charges,153.34,59,,122.67,percent of total billed charges,59% of total billed charges,226.63,87.2,,181.3,percent of total billed charges,87.2% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,211.27,81.29,,169.02,percent of total billed charges,81.29% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of totl billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,233.91,90,,187.13,percent of total billed charges,90% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,158.54,61,,126.83,percent of total billed charges,61% of total billed charges,135.15,52,,108.12,percent of total billed charges,52% of total billed charges,135.15,233.91,
IV MEDICATION EA ADD HR OP/MS,32000014,CDM,260,RC,96366,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
ALBUMIN TRANSFUSION 2ND HOUR,32003023,CDM,269,RC,96366,HCPCS,Outpatient,,,78.87,63.1,,67.04,85,,53.63,percent of total billed charges,85% of total billed charges,67.04,85,,53.63,percent of total billed charges,85% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,58.58,74,,46.86,percent of total billed charges,74.28% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,68.77,87.2,,,percent of total billed charges,87.2% of total billed charges,46.53,59,,37.22,percent of total billed charges,59% of total billed charges,68.77,87.2,,55.02,percent of total billed charges,87.2% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,64.11,81.29,,51.29,percent of total billed charges,81.29% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of totl billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,70.98,90,,56.78,percent of total billed charges,90% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,48.11,61,,38.49,percent of total billed charges,61% of total billed charges,41.01,52,,32.81,percent of total billed charges,52% of total billed charges,41.01,70.98,
IV MEDICATION EA ADD HR LOP,32009050,CDM,260,RC,96366,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV MEDICATION EA ADD HR ER,36009184,CDM,450,RC,96366,HCPCS,Outpatient,,,148.76,119.01,,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,129.72,87.2,,,percent of total billed charges,87.2% of total billed charges,87.77,59,,70.22,percent of total billed charges,59% of total billed charges,129.72,87.2,,103.78,percent of total billed charges,87.2% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,120.93,81.29,,96.74,percent of total billed charges,81.29% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of totl billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,133.88,
IV MEDICATION EA ADD HR OP/ER,36009189,CDM,260,RC,96366,HCPCS,Outpatient,,,148.76,119.01,,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,126.45,85,,101.16,percent of total billed charges,85% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,110.5,74,,88.4,percent of total billed charges,74.28% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,129.72,87.2,,,percent of total billed charges,87.2% of total billed charges,87.77,59,,70.22,percent of total billed charges,59% of total billed charges,129.72,87.2,,103.78,percent of total billed charges,87.2% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,120.93,81.29,,96.74,percent of total billed charges,81.29% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of totl billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,133.88,90,,107.1,percent of total billed charges,90% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,90.74,61,,72.59,percent of total billed charges,61% of total billed charges,77.36,52,,61.89,percent of total billed charges,52% of total billed charges,77.36,133.88,
IV MEDICATION EA ADD HR HOP,43301064,CDM,260,RC,96366,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV MEDICATION EA ADD HR HOP,43401064,CDM,260,RC,96366,HCPCS,Outpatient,,,148.74,118.99,,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,126.43,85,,101.14,percent of total billed charges,85% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,110.48,74,,88.38,percent of total billed charges,74.28% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,129.7,87.2,,,percent of total billed charges,87.2% of total billed charges,87.76,59,,70.21,percent of total billed charges,59% of total billed charges,129.7,87.2,,103.76,percent of total billed charges,87.2% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,120.91,81.29,,96.73,percent of total billed charges,81.29% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of totl billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,133.87,90,,107.1,percent of total billed charges,90% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,90.73,61,,72.58,percent of total billed charges,61% of total billed charges,77.34,52,,61.87,percent of total billed charges,52% of total billed charges,77.34,133.87,
IV MEDICATION SEQUEN 1HR OP/MS,32009051,CDM,260,RC,96367,HCPCS,Outpatient,,,127.23,101.78,,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,110.94,87.2,,,percent of total billed charges,87.2% of total billed charges,75.07,59,,60.06,percent of total billed charges,59% of total billed charges,110.94,87.2,,88.75,percent of total billed charges,87.2% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,103.43,81.29,,82.74,percent of total billed charges,81.29% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of totl billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,114.51,
IV MEDICATION SEQUEN 1HR ER,36009190,CDM,450,RC,96367,HCPCS,Outpatient,,,127.24,101.79,,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,114.52,90,,91.62,percent of total billed charges,90% of total billed charges,114.52,90,,91.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,110.95,87.2,,,percent of total billed charges,87.2% of total billed charges,75.07,59,,60.06,percent of total billed charges,59% of total billed charges,110.95,87.2,,88.76,percent of total billed charges,87.2% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,103.43,81.29,,82.74,percent of total billed charges,81.29% of total billed charges,114.52,90,,91.62,percent of total billed charges,90% of totl billed charges,114.52,90,,91.62,percent of total billed charges,90% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,114.52,90,,91.62,percent of total billed charges,90% of total billed charges,114.52,90,,91.62,percent of total billed charges,90% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,77.62,61,,62.1,percent of total billed charges,61% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,114.52,
IV MEDICATION SEQUEN 1 HR HOP,43301094,CDM,260,RC,96367,HCPCS,Outpatient,,,127.23,101.78,,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,110.94,87.2,,,percent of total billed charges,87.2% of total billed charges,75.07,59,,60.06,percent of total billed charges,59% of total billed charges,110.94,87.2,,88.75,percent of total billed charges,87.2% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,103.43,81.29,,82.74,percent of total billed charges,81.29% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of totl billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,114.51,
IV MEDICATION SEQUEN 1HR HOP,43401094,CDM,260,RC,96367,HCPCS,Outpatient,,,127.23,101.78,,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,108.15,85,,86.52,percent of total billed charges,85% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,94.51,74,,75.61,percent of total billed charges,74.28% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,110.94,87.2,,,percent of total billed charges,87.2% of total billed charges,75.07,59,,60.06,percent of total billed charges,59% of total billed charges,110.94,87.2,,88.75,percent of total billed charges,87.2% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,103.43,81.29,,82.74,percent of total billed charges,81.29% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of totl billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,114.51,90,,91.61,percent of total billed charges,90% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,77.61,61,,62.09,percent of total billed charges,61% of total billed charges,66.16,52,,52.93,percent of total billed charges,52% of total billed charges,66.16,114.51,
IV MEDICATION CONCURRENT OP/MS,32009052,CDM,260,RC,96368,HCPCS,Outpatient,,,58.59,46.87,,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,51.09,87.2,,,percent of total billed charges,87.2% of total billed charges,34.57,59,,27.66,percent of total billed charges,59% of total billed charges,51.09,87.2,,40.87,percent of total billed charges,87.2% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,47.63,81.29,,38.1,percent of total billed charges,81.29% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of totl billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52.73,
IV MEDICATION CONCURRENT ER,36009191,CDM,450,RC,96368,HCPCS,Outpatient,,,58.69,46.95,,49.89,85,,39.91,percent of total billed charges,85% of total billed charges,49.89,85,,39.91,percent of total billed charges,85% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,43.59,74,,34.87,percent of total billed charges,74.28% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,43.59,74,,34.87,percent of total billed charges,74.28% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,43.59,74,,34.87,percent of total billed charges,74.28% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,52.82,90,,42.26,percent of total billed charges,90% of total billed charges,52.82,90,,42.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,51.18,87.2,,,percent of total billed charges,87.2% of total billed charges,34.63,59,,27.7,percent of total billed charges,59% of total billed charges,51.18,87.2,,40.94,percent of total billed charges,87.2% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,47.71,81.29,,38.17,percent of total billed charges,81.29% of total billed charges,52.82,90,,42.26,percent of total billed charges,90% of totl billed charges,52.82,90,,42.26,percent of total billed charges,90% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,52.82,90,,42.26,percent of total billed charges,90% of total billed charges,52.82,90,,42.26,percent of total billed charges,90% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,35.8,61,,28.64,percent of total billed charges,61% of total billed charges,30.52,52,,24.42,percent of total billed charges,52% of total billed charges,30.52,52.82,
IV MEDICATION CONCURRENT HOP,43301095,CDM,260,RC,96368,HCPCS,Outpatient,,,58.59,46.87,,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,51.09,87.2,,,percent of total billed charges,87.2% of total billed charges,34.57,59,,27.66,percent of total billed charges,59% of total billed charges,51.09,87.2,,40.87,percent of total billed charges,87.2% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,47.63,81.29,,38.1,percent of total billed charges,81.29% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of totl billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52.73,
IV MEDICATION CONCURRENT HOP,43401095,CDM,260,RC,96368,HCPCS,Outpatient,,,58.59,46.87,,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,49.8,85,,39.84,percent of total billed charges,85% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,43.52,74,,34.82,percent of total billed charges,74.28% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,51.09,87.2,,,percent of total billed charges,87.2% of total billed charges,34.57,59,,27.66,percent of total billed charges,59% of total billed charges,51.09,87.2,,40.87,percent of total billed charges,87.2% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,47.63,81.29,,38.1,percent of total billed charges,81.29% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of totl billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,52.73,90,,42.18,percent of total billed charges,90% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,35.74,61,,28.59,percent of total billed charges,61% of total billed charges,30.47,52,,24.38,percent of total billed charges,52% of total billed charges,30.47,52.73,
IM/SQ INJECTION MS,32004016,CDM,260,RC,96372,HCPCS,Outpatient,,,51.39,41.11,,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,44.81,87.2,,,percent of total billed charges,87.2% of total billed charges,30.32,59,,24.26,percent of total billed charges,59% of total billed charges,44.81,87.2,,35.85,percent of total billed charges,87.2% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,41.77,81.29,,33.42,percent of total billed charges,81.29% of total billed charges,46.25,90,,37,percent of total billed charges,90% of totl billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,46.25,
IM/SQ INJECTION LOP,32009044,CDM,260,RC,96372,HCPCS,Outpatient,,,51.39,41.11,,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,44.81,87.2,,,percent of total billed charges,87.2% of total billed charges,30.32,59,,24.26,percent of total billed charges,59% of total billed charges,44.81,87.2,,35.85,percent of total billed charges,87.2% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,41.77,81.29,,33.42,percent of total billed charges,81.29% of total billed charges,46.25,90,,37,percent of total billed charges,90% of totl billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,46.25,
IM/SQ INJECTION LOP,32009044,CDM,260,RC,96372,HCPCS,Outpatient,,,51.39,41.11,,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,44.81,87.2,,,percent of total billed charges,87.2% of total billed charges,30.32,59,,24.26,percent of total billed charges,59% of total billed charges,44.81,87.2,,35.85,percent of total billed charges,87.2% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,41.77,81.29,,33.42,percent of total billed charges,81.29% of total billed charges,46.25,90,,37,percent of total billed charges,90% of totl billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,46.25,
IM/SQ INJECTION OP,36000002,CDM,260,RC,96372,HCPCS,Outpatient,,,51.43,41.14,,43.72,85,,34.98,percent of total billed charges,85% of total billed charges,43.72,85,,34.98,percent of total billed charges,85% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,44.85,87.2,,,percent of total billed charges,87.2% of total billed charges,30.34,59,,24.27,percent of total billed charges,59% of total billed charges,44.85,87.2,,35.88,percent of total billed charges,87.2% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,41.81,81.29,,33.45,percent of total billed charges,81.29% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of totl billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,26.74,46.29,
IM/SQ INJECTION ER,36009164,CDM,450,RC,96372,HCPCS,Outpatient,,,51.43,41.14,,43.72,85,,34.98,percent of total billed charges,85% of total billed charges,43.72,85,,34.98,percent of total billed charges,85% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,38.2,74,,30.56,percent of total billed charges,74.28% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,44.85,87.2,,,percent of total billed charges,87.2% of total billed charges,30.34,59,,24.27,percent of total billed charges,59% of total billed charges,44.85,87.2,,35.88,percent of total billed charges,87.2% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,41.81,81.29,,33.45,percent of total billed charges,81.29% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of totl billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,46.29,90,,37.03,percent of total billed charges,90% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,31.37,61,,25.1,percent of total billed charges,61% of total billed charges,26.74,52,,21.39,percent of total billed charges,52% of total billed charges,26.74,46.29,
IM/SQ INJECTION HOP,43301065,CDM,260,RC,96372,HCPCS,Outpatient,,,51.39,41.11,,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,44.81,87.2,,,percent of total billed charges,87.2% of total billed charges,30.32,59,,24.26,percent of total billed charges,59% of total billed charges,44.81,87.2,,35.85,percent of total billed charges,87.2% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,41.77,81.29,,33.42,percent of total billed charges,81.29% of total billed charges,46.25,90,,37,percent of total billed charges,90% of totl billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,46.25,
IM/SQ INJECTION HOP,43401065,CDM,260,RC,96372,HCPCS,Outpatient,,,51.39,41.11,,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,43.68,85,,34.94,percent of total billed charges,85% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,38.17,74,,30.54,percent of total billed charges,74.28% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,44.81,87.2,,,percent of total billed charges,87.2% of total billed charges,30.32,59,,24.26,percent of total billed charges,59% of total billed charges,44.81,87.2,,35.85,percent of total billed charges,87.2% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,41.77,81.29,,33.42,percent of total billed charges,81.29% of total billed charges,46.25,90,,37,percent of total billed charges,90% of totl billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,46.25,90,,37,percent of total billed charges,90% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,31.35,61,,25.08,percent of total billed charges,61% of total billed charges,26.72,52,,21.38,percent of total billed charges,52% of total billed charges,26.72,46.25,
IM/SQ INJECTION OP,43600305,CDM,521,RC,96372,HCPCS,Outpatient,,,43.63,34.9,,37.09,85,,29.67,percent of total billed charges,85% of total billed charges,37.09,85,,29.67,percent of total billed charges,85% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,32.41,74,,25.93,percent of total billed charges,74.28% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,32.41,74,,25.93,percent of total billed charges,74.28% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,32.41,74,,25.93,percent of total billed charges,74.28% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,39.27,90,,31.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,38.05,87.2,,,percent of total billed charges,87.2% of total billed charges,25.74,59,,20.59,percent of total billed charges,59% of total billed charges,38.05,87.2,,30.44,percent of total billed charges,87.2% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,35.47,81.29,,28.38,percent of total billed charges,81.29% of total billed charges,39.27,90,,31.42,percent of total billed charges,90% of totl billed charges,39.27,90,,31.42,percent of total billed charges,90% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,39.27,90,,31.42,percent of total billed charges,90% of total billed charges,39.27,90,,31.42,percent of total billed charges,90% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,26.61,61,,21.29,percent of total billed charges,61% of total billed charges,22.69,52,,18.15,percent of total billed charges,52% of total billed charges,22.69,39.27,
IM/SQ INJECTION OP,43701296,CDM,521,RC,96372,HCPCS,Outpatient,,,40,32,,34,85,,27.2,percent of total billed charges,85% of total billed charges,34,85,,27.2,percent of total billed charges,85% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,29.71,74,,23.77,percent of total billed charges,74.28% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,29.71,74,,23.77,percent of total billed charges,74.28% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,29.71,74,,23.77,percent of total billed charges,74.28% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,36,90,,28.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,34.88,87.2,,,percent of total billed charges,87.2% of total billed charges,23.6,59,,18.88,percent of total billed charges,59% of total billed charges,34.88,87.2,,27.9,percent of total billed charges,87.2% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,32.52,81.29,,26.02,percent of total billed charges,81.29% of total billed charges,36,90,,28.8,percent of total billed charges,90% of totl billed charges,36,90,,28.8,percent of total billed charges,90% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,36,90,,28.8,percent of total billed charges,90% of total billed charges,36,90,,28.8,percent of total billed charges,90% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,24.4,61,,19.52,percent of total billed charges,61% of total billed charges,20.8,52,,16.64,percent of total billed charges,52% of total billed charges,20.8,36,
IV PUSH SINGLE /INITIAL MS,32004011,CDM,260,RC,96374,HCPCS,Outpatient,,,292.01,233.61,,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,254.63,87.2,,,percent of total billed charges,87.2% of total billed charges,172.29,59,,137.83,percent of total billed charges,59% of total billed charges,254.63,87.2,,203.7,percent of total billed charges,87.2% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,237.37,81.29,,189.9,percent of total billed charges,81.29% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of totl billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,262.81,
IV PUSH SINGLE/INITIAL LOP,32009042,CDM,260,RC,96374,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH SINGLE/INITIAL LOP,32009042,CDM,260,RC,96374,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH SINGLE/INITIAL OP/ER,36000012,CDM,260,RC,96374,HCPCS,Outpatient,,,292.09,233.67,,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,254.7,87.2,,,percent of total billed charges,87.2% of total billed charges,172.33,59,,137.86,percent of total billed charges,59% of total billed charges,254.7,87.2,,203.76,percent of total billed charges,87.2% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,237.44,81.29,,189.95,percent of total billed charges,81.29% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of totl billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,262.88,
IV PUSH SINGLE/INITIAL OP/ER,36000012,CDM,260,RC,96374,HCPCS,Outpatient,,,292.09,233.67,,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,248.28,85,,198.62,percent of total billed charges,85% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,216.96,74,,173.57,percent of total billed charges,74.28% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,254.7,87.2,,,percent of total billed charges,87.2% of total billed charges,172.33,59,,137.86,percent of total billed charges,59% of total billed charges,254.7,87.2,,203.76,percent of total billed charges,87.2% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,237.44,81.29,,189.95,percent of total billed charges,81.29% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of totl billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,262.88,90,,210.3,percent of total billed charges,90% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,178.17,61,,142.54,percent of total billed charges,61% of total billed charges,151.89,52,,121.51,percent of total billed charges,52% of total billed charges,151.89,262.88,
IV PUSH SINGLE/INITIAL ER,36009163,CDM,450,RC,96374,HCPCS,Outpatient,,,110.08,88.06,,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,95.99,87.2,,,percent of total billed charges,87.2% of total billed charges,64.95,59,,51.96,percent of total billed charges,59% of total billed charges,95.99,87.2,,76.79,percent of total billed charges,87.2% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,89.48,81.29,,71.58,percent of total billed charges,81.29% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of totl billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,99.07,
IV PUSH SINGLE/INITIAL,43300150,CDM,260,RC,96374,HCPCS,Outpatient,,,292.01,233.61,,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,254.63,87.2,,,percent of total billed charges,87.2% of total billed charges,172.29,59,,137.83,percent of total billed charges,59% of total billed charges,254.63,87.2,,203.7,percent of total billed charges,87.2% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,237.37,81.29,,189.9,percent of total billed charges,81.29% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of totl billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,262.81,
IV PUSH SINGLE /INITIAL,43400150,CDM,260,RC,96374,HCPCS,Outpatient,,,292.01,233.61,,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,248.21,85,,198.57,percent of total billed charges,85% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,216.91,74,,173.53,percent of total billed charges,74.28% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,254.63,87.2,,,percent of total billed charges,87.2% of total billed charges,172.29,59,,137.83,percent of total billed charges,59% of total billed charges,254.63,87.2,,203.7,percent of total billed charges,87.2% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,237.37,81.29,,189.9,percent of total billed charges,81.29% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of totl billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,262.81,90,,210.25,percent of total billed charges,90% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,178.13,61,,142.5,percent of total billed charges,61% of total billed charges,151.85,52,,121.48,percent of total billed charges,52% of total billed charges,151.85,262.81,
IV PUSH EACH ADDIT MS,32004012,CDM,260,RC,96375,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH EACH ADDIT LOP,32009043,CDM,260,RC,96375,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH EACH ADDIT ER,36009185,CDM,450,RC,96375,HCPCS,Outpatient,,,110.08,88.06,,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,95.99,87.2,,,percent of total billed charges,87.2% of total billed charges,64.95,59,,51.96,percent of total billed charges,59% of total billed charges,95.99,87.2,,76.79,percent of total billed charges,87.2% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,89.48,81.29,,71.58,percent of total billed charges,81.29% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of totl billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,99.07,
IV PUSH EACH ADDIT OP/ER,36009186,CDM,260,RC,96375,HCPCS,Outpatient,,,110.08,88.06,,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,93.57,85,,74.86,percent of total billed charges,85% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,81.77,74,,65.42,percent of total billed charges,74.28% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,95.99,87.2,,,percent of total billed charges,87.2% of total billed charges,64.95,59,,51.96,percent of total billed charges,59% of total billed charges,95.99,87.2,,76.79,percent of total billed charges,87.2% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,89.48,81.29,,71.58,percent of total billed charges,81.29% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of totl billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,99.07,90,,79.26,percent of total billed charges,90% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,67.15,61,,53.72,percent of total billed charges,61% of total billed charges,57.24,52,,45.79,percent of total billed charges,52% of total billed charges,57.24,99.07,
IV PUSH EACH ADDIT,43300151,CDM,260,RC,96375,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH EACH ADDIT,43400151,CDM,260,RC,96375,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH ADD SME > 30 MS,32004015,CDM,260,RC,96376,HCPCS,Outpatient,,,114.62,91.7,,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,99.95,87.2,,,percent of total billed charges,87.2% of total billed charges,67.63,59,,54.1,percent of total billed charges,59% of total billed charges,99.95,87.2,,79.96,percent of total billed charges,87.2% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,93.17,81.29,,74.54,percent of total billed charges,81.29% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of totl billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,103.16,
IV PUSH ADD SME SEQ >30 LOP,32009046,CDM,260,RC,96376,HCPCS,Outpatient,,,110.01,88.01,,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,93.51,85,,74.81,percent of total billed charges,85% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,81.72,74,,65.38,percent of total billed charges,74.28% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,95.93,87.2,,,percent of total billed charges,87.2% of total billed charges,64.91,59,,51.93,percent of total billed charges,59% of total billed charges,95.93,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,89.43,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of totl billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,99.01,90,,79.21,percent of total billed charges,90% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,67.11,61,,53.69,percent of total billed charges,61% of total billed charges,57.21,52,,45.77,percent of total billed charges,52% of total billed charges,57.21,99.01,
IV PUSH ADD SME SEQ >30 ER,36009047,CDM,450,RC,96376,HCPCS,Outpatient,,,114.74,91.79,,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,100.05,87.2,,,percent of total billed charges,87.2% of total billed charges,67.7,59,,54.16,percent of total billed charges,59% of total billed charges,100.05,87.2,,80.04,percent of total billed charges,87.2% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,93.27,81.29,,74.62,percent of total billed charges,81.29% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of totl billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,103.27,
IV PUSH ADD SME >30 OP/ER,36009193,CDM,260,RC,96376,HCPCS,Outpatient,,,114.74,91.79,,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,97.53,85,,78.02,percent of total billed charges,85% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,85.23,74,,68.18,percent of total billed charges,74.28% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,100.05,87.2,,,percent of total billed charges,87.2% of total billed charges,67.7,59,,54.16,percent of total billed charges,59% of total billed charges,100.05,87.2,,80.04,percent of total billed charges,87.2% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,93.27,81.29,,74.62,percent of total billed charges,81.29% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of totl billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,103.27,90,,82.62,percent of total billed charges,90% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,69.99,61,,55.99,percent of total billed charges,61% of total billed charges,59.66,52,,47.73,percent of total billed charges,52% of total billed charges,59.66,103.27,
IV PUSH ADD SME >30,43300152,CDM,260,RC,96376,HCPCS,Outpatient,,,114.62,91.7,,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,99.95,87.2,,,percent of total billed charges,87.2% of total billed charges,67.63,59,,54.1,percent of total billed charges,59% of total billed charges,99.95,87.2,,79.96,percent of total billed charges,87.2% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,93.17,81.29,,74.54,percent of total billed charges,81.29% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of totl billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,103.16,
IV PUSH ADD SME > 30,43400152,CDM,260,RC,96376,HCPCS,Outpatient,,,114.62,91.7,,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,97.43,85,,77.94,percent of total billed charges,85% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,85.14,74,,68.11,percent of total billed charges,74.28% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,99.95,87.2,,,percent of total billed charges,87.2% of total billed charges,67.63,59,,54.1,percent of total billed charges,59% of total billed charges,99.95,87.2,,79.96,percent of total billed charges,87.2% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,93.17,81.29,,74.54,percent of total billed charges,81.29% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of totl billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,103.16,90,,82.53,percent of total billed charges,90% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,69.92,61,,55.94,percent of total billed charges,61% of total billed charges,59.6,52,,47.68,percent of total billed charges,52% of total billed charges,59.6,103.16,
REFILL/MAINT OF PORTABLE PUMP,35032293,CDM,360,RC,96521,HCPCS,Outpatient,,,239,191.2,,203.15,85,,162.52,percent of total billed charges,85% of total billed charges,203.15,85,,162.52,percent of total billed charges,85% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,177.53,74,,142.02,percent of total billed charges,74.28% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,177.53,74,,142.02,percent of total billed charges,74.28% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,177.53,74,,142.02,percent of total billed charges,74.28% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,215.1,90,,172.08,percent of total billed charges,90% of total billed charges,215.1,90,,172.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,208.41,87.2,,,percent of total billed charges,87.2% of total billed charges,141.01,59,,112.81,percent of total billed charges,59% of total billed charges,208.41,87.2,,166.73,percent of total billed charges,87.2% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,194.28,81.29,,155.42,percent of total billed charges,81.29% of total billed charges,215.1,90,,172.08,percent of total billed charges,90% of totl billed charges,215.1,90,,172.08,percent of total billed charges,90% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,215.1,90,,172.08,percent of total billed charges,90% of total billed charges,215.1,90,,172.08,percent of total billed charges,90% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,145.79,61,,116.63,percent of total billed charges,61% of total billed charges,124.28,52,,99.42,percent of total billed charges,52% of total billed charges,124.28,215.1,
REFILL/MAINT OF IMPLATED PUMP,35032294,CDM,360,RC,96522,HCPCS,Outpatient,,,220.62,176.5,,187.53,85,,150.02,percent of total billed charges,85% of total billed charges,187.53,85,,150.02,percent of total billed charges,85% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,198.56,90,,158.85,percent of total billed charges,90% of total billed charges,198.56,90,,158.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,192.38,87.2,,,percent of total billed charges,87.2% of total billed charges,130.17,59,,104.14,percent of total billed charges,59% of total billed charges,192.38,87.2,,153.9,percent of total billed charges,87.2% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,179.34,81.29,,143.47,percent of total billed charges,81.29% of total billed charges,198.56,90,,158.85,percent of total billed charges,90% of totl billed charges,198.56,90,,158.85,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,198.56,90,,158.85,percent of total billed charges,90% of total billed charges,198.56,90,,158.85,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,114.72,52,,91.78,percent of total billed charges,52% of total billed charges,114.72,198.56,
PORT/PICC LINE FLUSH,32009056,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
PORT/PICC LINE FLUSH,35009569,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
PORT/PICC LINE FLUSH,36001009,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
PORT/PICC LINE FLUSH,43301082,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
PORT/PICC LINE FLUSH,43402163,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
PORT/PICC LINE FLUSH,44500126,CDM,761,RC,96523,HCPCS,Outpatient,,,64.53,51.62,,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,54.85,85,,43.88,percent of total billed charges,85% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,47.93,74,,38.34,percent of total billed charges,74.28% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,56.27,87.2,,,percent of total billed charges,87.2% of total billed charges,38.07,59,,30.46,percent of total billed charges,59% of total billed charges,56.27,87.2,,45.02,percent of total billed charges,87.2% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,52.46,81.29,,41.97,percent of total billed charges,81.29% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of totl billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,58.08,90,,46.46,percent of total billed charges,90% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,39.36,61,,31.49,percent of total billed charges,61% of total billed charges,33.56,52,,26.85,percent of total billed charges,52% of total billed charges,33.56,58.08,
HEAT/ICE PACK,73820111,CDM,510,RC,97010,HCPCS,Outpatient,,,20.1,16.08,,17.09,85,,13.67,percent of total billed charges,85% of total billed charges,17.09,85,,13.67,percent of total billed charges,85% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,14.93,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,14.93,74,,11.94,percent of total billed charges,74.28% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,14.93,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.09,90,,14.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,17.53,87.2,,,percent of total billed charges,87.2% of total billed charges,11.86,59,,9.49,percent of total billed charges,59% of total billed charges,17.53,87.2,,14.02,percent of total billed charges,87.2% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,16.34,81.29,,13.07,percent of total billed charges,81.29% of total billed charges,18.09,90,,14.47,percent of total billed charges,90% of totl billed charges,18.09,90,,14.47,percent of total billed charges,90% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,18.09,90,,14.47,percent of total billed charges,90% of total billed charges,18.09,90,,14.47,percent of total billed charges,90% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,12.26,61,,9.81,percent of total billed charges,61% of total billed charges,10.45,52,,8.36,percent of total billed charges,52% of total billed charges,10.45,18.09,
TRACTION-MECHANICAL,48105130,CDM,421,RC,97012,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
MECHANICAL TRACTION,73820106,CDM,510,RC,97012,HCPCS,Outpatient,,,45.51,36.41,,38.68,85,,30.94,percent of total billed charges,85% of total billed charges,38.68,85,,30.94,percent of total billed charges,85% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,39.68,87.2,,,percent of total billed charges,87.2% of total billed charges,26.85,59,,21.48,percent of total billed charges,59% of total billed charges,39.68,87.2,,31.74,percent of total billed charges,87.2% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,37,81.29,,29.6,percent of total billed charges,81.29% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of totl billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,23.67,40.96,
ELECTRIC MUSCULAR STIM-UNATTEN,48105170,CDM,421,RC,97014,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
EMS-UNATTENDED,48207008,CDM,431,RC,97014,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
EMS UNATTENDED,73820100,CDM,510,RC,97014,HCPCS,Outpatient,,,39.15,31.32,,33.28,85,,26.62,percent of total billed charges,85% of total billed charges,33.28,85,,26.62,percent of total billed charges,85% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,29.08,74,,23.26,percent of total billed charges,74.28% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,29.08,74,,23.26,percent of total billed charges,74.28% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,29.08,74,,23.26,percent of total billed charges,74.28% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,35.24,90,,28.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,34.14,87.2,,,percent of total billed charges,87.2% of total billed charges,23.1,59,,18.48,percent of total billed charges,59% of total billed charges,34.14,87.2,,27.31,percent of total billed charges,87.2% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,31.83,81.29,,25.46,percent of total billed charges,81.29% of total billed charges,35.24,90,,28.19,percent of total billed charges,90% of totl billed charges,35.24,90,,28.19,percent of total billed charges,90% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,35.24,90,,28.19,percent of total billed charges,90% of total billed charges,35.24,90,,28.19,percent of total billed charges,90% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,23.88,61,,19.1,percent of total billed charges,61% of total billed charges,20.36,52,,16.29,percent of total billed charges,52% of total billed charges,20.36,35.24,
PARAFFIN BATH,48105070,CDM,421,RC,97018,HCPCS,Outpatient,,,52.48,41.98,,44.61,85,,35.69,percent of total billed charges,85% of total billed charges,44.61,85,,35.69,percent of total billed charges,85% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,45.76,87.2,,,percent of total billed charges,87.2% of total billed charges,30.96,59,,24.77,percent of total billed charges,59% of total billed charges,45.76,87.2,,36.61,percent of total billed charges,87.2% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,42.66,81.29,,34.13,percent of total billed charges,81.29% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of totl billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,27.29,47.23,
PARAFFIN BATH,48207023,CDM,431,RC,97018,HCPCS,Outpatient,,,52.48,41.98,,44.61,85,,35.69,percent of total billed charges,85% of total billed charges,44.61,85,,35.69,percent of total billed charges,85% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,38.98,74,,31.18,percent of total billed charges,74.28% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,45.76,87.2,,,percent of total billed charges,87.2% of total billed charges,30.96,59,,24.77,percent of total billed charges,59% of total billed charges,45.76,87.2,,36.61,percent of total billed charges,87.2% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,42.66,81.29,,34.13,percent of total billed charges,81.29% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of totl billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,47.23,90,,37.78,percent of total billed charges,90% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,32.01,61,,25.61,percent of total billed charges,61% of total billed charges,27.29,52,,21.83,percent of total billed charges,52% of total billed charges,27.29,47.23,
WHIRLPOOL LARGE,48105110,CDM,421,RC,97022,HCPCS,Outpatient,,,150.88,120.7,,128.25,85,,102.6,percent of total billed charges,85% of total billed charges,128.25,85,,102.6,percent of total billed charges,85% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,131.57,87.2,,,percent of total billed charges,87.2% of total billed charges,89.02,59,,71.22,percent of total billed charges,59% of total billed charges,131.57,87.2,,105.26,percent of total billed charges,87.2% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,122.65,81.29,,98.12,percent of total billed charges,81.29% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of totl billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,78.46,135.79,
WHIRLPOOL SMALL,48105263,CDM,421,RC,97022,HCPCS,Outpatient,,,98.28,78.62,,83.54,85,,66.83,percent of total billed charges,85% of total billed charges,83.54,85,,66.83,percent of total billed charges,85% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,85.7,87.2,,,percent of total billed charges,87.2% of total billed charges,57.99,59,,46.39,percent of total billed charges,59% of total billed charges,85.7,87.2,,68.56,percent of total billed charges,87.2% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,79.89,81.29,,63.91,percent of total billed charges,81.29% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of totl billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,51.11,88.45,
FLUIDOTHERAPY,48105270,CDM,421,RC,97022,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
FLUIDOTHERAPY,48207011,CDM,431,RC,97022,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
WHIRLPOOL LARGE,48207034,CDM,431,RC,97022,HCPCS,Outpatient,,,150.88,120.7,,128.25,85,,102.6,percent of total billed charges,85% of total billed charges,128.25,85,,102.6,percent of total billed charges,85% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,112.07,74,,89.66,percent of total billed charges,74.28% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,131.57,87.2,,,percent of total billed charges,87.2% of total billed charges,89.02,59,,71.22,percent of total billed charges,59% of total billed charges,131.57,87.2,,105.26,percent of total billed charges,87.2% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,122.65,81.29,,98.12,percent of total billed charges,81.29% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of totl billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,135.79,90,,108.63,percent of total billed charges,90% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,92.04,61,,73.63,percent of total billed charges,61% of total billed charges,78.46,52,,62.77,percent of total billed charges,52% of total billed charges,78.46,135.79,
WHIRLPOOL SMALL,48207035,CDM,431,RC,97022,HCPCS,Outpatient,,,98.28,78.62,,83.54,85,,66.83,percent of total billed charges,85% of total billed charges,83.54,85,,66.83,percent of total billed charges,85% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,73,74,,58.4,percent of total billed charges,74.28% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,85.7,87.2,,,percent of total billed charges,87.2% of total billed charges,57.99,59,,46.39,percent of total billed charges,59% of total billed charges,85.7,87.2,,68.56,percent of total billed charges,87.2% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,79.89,81.29,,63.91,percent of total billed charges,81.29% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of totl billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,88.45,90,,70.76,percent of total billed charges,90% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,59.95,61,,47.96,percent of total billed charges,61% of total billed charges,51.11,52,,40.89,percent of total billed charges,52% of total billed charges,51.11,88.45,
EMS - MANUAL 15 - PT,48105171,CDM,421,RC,97032,HCPCS,Outpatient,,,121.01,96.81,,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,105.52,87.2,,,percent of total billed charges,87.2% of total billed charges,71.4,59,,57.12,percent of total billed charges,59% of total billed charges,105.52,87.2,,84.42,percent of total billed charges,87.2% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,98.37,81.29,,78.7,percent of total billed charges,81.29% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of totl billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,108.91,
TENS-APPLICATION - 15 MIN,48105260,CDM,421,RC,97032,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
TENS-READJUST - 15 MIN,48105261,CDM,421,RC,97032,HCPCS,Outpatient,,,51.15,40.92,,43.48,85,,34.78,percent of total billed charges,85% of total billed charges,43.48,85,,34.78,percent of total billed charges,85% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,44.6,87.2,,,percent of total billed charges,87.2% of total billed charges,30.18,59,,24.14,percent of total billed charges,59% of total billed charges,44.6,87.2,,35.68,percent of total billed charges,87.2% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,41.58,81.29,,33.26,percent of total billed charges,81.29% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of totl billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,26.6,46.04,
EMS-MANUAL - 15 MIN,48207007,CDM,431,RC,97032,HCPCS,Outpatient,,,121.01,96.81,,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,105.52,87.2,,,percent of total billed charges,87.2% of total billed charges,71.4,59,,57.12,percent of total billed charges,59% of total billed charges,105.52,87.2,,84.42,percent of total billed charges,87.2% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,98.37,81.29,,78.7,percent of total billed charges,81.29% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of totl billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,108.91,
TENS APPLICATION - 15 MIN,48207029,CDM,431,RC,97032,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
TENS RE-ADJUST 15 MIN,48207030,CDM,431,RC,97032,HCPCS,Outpatient,,,51.15,40.92,,43.48,85,,34.78,percent of total billed charges,85% of total billed charges,43.48,85,,34.78,percent of total billed charges,85% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,37.99,74,,30.39,percent of total billed charges,74.28% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,44.6,87.2,,,percent of total billed charges,87.2% of total billed charges,30.18,59,,24.14,percent of total billed charges,59% of total billed charges,44.6,87.2,,35.68,percent of total billed charges,87.2% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,41.58,81.29,,33.26,percent of total billed charges,81.29% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of totl billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,46.04,90,,36.83,percent of total billed charges,90% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,31.2,61,,24.96,percent of total billed charges,61% of total billed charges,26.6,52,,21.28,percent of total billed charges,52% of total billed charges,26.6,46.04,
PT E-STIM MANUAL,73820114,CDM,510,RC,97032,HCPCS,Outpatient,,,116.36,93.09,,98.91,85,,79.13,percent of total billed charges,85% of total billed charges,98.91,85,,79.13,percent of total billed charges,85% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,86.43,74,,69.14,percent of total billed charges,74.28% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,86.43,74,,69.14,percent of total billed charges,74.28% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,86.43,74,,69.14,percent of total billed charges,74.28% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,104.72,90,,83.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,101.47,87.2,,,percent of total billed charges,87.2% of total billed charges,68.65,59,,54.92,percent of total billed charges,59% of total billed charges,101.47,87.2,,81.18,percent of total billed charges,87.2% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,94.59,81.29,,75.67,percent of total billed charges,81.29% of total billed charges,104.72,90,,83.78,percent of total billed charges,90% of totl billed charges,104.72,90,,83.78,percent of total billed charges,90% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,104.72,90,,83.78,percent of total billed charges,90% of total billed charges,104.72,90,,83.78,percent of total billed charges,90% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,70.98,61,,56.78,percent of total billed charges,61% of total billed charges,60.51,52,,48.41,percent of total billed charges,52% of total billed charges,60.51,104.72,
IONTOPHORESIS - 15 MIN,48105272,CDM,421,RC,97033,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
IONTOPHORESIS - 15 MIN,48207016,CDM,431,RC,97033,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
PT IONTOPHORESIS,73820113,CDM,510,RC,97033,HCPCS,Outpatient,,,99.11,79.29,,84.24,85,,67.39,percent of total billed charges,85% of total billed charges,84.24,85,,67.39,percent of total billed charges,85% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,73.62,74,,58.9,percent of total billed charges,74.28% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,73.62,74,,58.9,percent of total billed charges,74.28% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,73.62,74,,58.9,percent of total billed charges,74.28% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,89.2,90,,71.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,86.42,87.2,,,percent of total billed charges,87.2% of total billed charges,58.47,59,,46.78,percent of total billed charges,59% of total billed charges,86.42,87.2,,69.14,percent of total billed charges,87.2% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,80.57,81.29,,64.46,percent of total billed charges,81.29% of total billed charges,89.2,90,,71.36,percent of total billed charges,90% of totl billed charges,89.2,90,,71.36,percent of total billed charges,90% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,89.2,90,,71.36,percent of total billed charges,90% of total billed charges,89.2,90,,71.36,percent of total billed charges,90% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,60.46,61,,48.37,percent of total billed charges,61% of total billed charges,51.54,52,,41.23,percent of total billed charges,52% of total billed charges,51.54,89.2,
CONTRAST BATH - 15 MIN,48105265,CDM,421,RC,97034,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
CONTRAST BATH - 15 MIN,48207002,CDM,431,RC,97034,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
ULTRASOUND - 15 MIN,48105100,CDM,421,RC,97035,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
PHONOPHORESIS - 15 MIN,48105201,CDM,421,RC,97035,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
PHONOPORESIS - 15 MIN,48207024,CDM,431,RC,97035,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
ULTRASOUND - 15 MIN,48207032,CDM,431,RC,97035,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
ULTRASOUND EA 15 MIN,73820110,CDM,510,RC,97035,HCPCS,Outpatient,,,45.51,36.41,,38.68,85,,30.94,percent of total billed charges,85% of total billed charges,38.68,85,,30.94,percent of total billed charges,85% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,33.8,74,,27.04,percent of total billed charges,74.28% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,39.68,87.2,,,percent of total billed charges,87.2% of total billed charges,26.85,59,,21.48,percent of total billed charges,59% of total billed charges,39.68,87.2,,31.74,percent of total billed charges,87.2% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,37,81.29,,29.6,percent of total billed charges,81.29% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of totl billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,40.96,90,,32.77,percent of total billed charges,90% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,27.76,61,,22.21,percent of total billed charges,61% of total billed charges,23.67,52,,18.94,percent of total billed charges,52% of total billed charges,23.67,40.96,
THERAPEUTIC EXERCISE-15 MIN,48105140,CDM,421,RC,97110,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
THERAPEUTIC EXERCISE-15 MIN,48207031,CDM,431,RC,97110,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
THERAPEUTIC EXCERCISE -15 MIN,48309009,CDM,441,RC,97110,HCPCS,Outpatient,,,96.02,76.82,,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,83.73,87.2,,,percent of total billed charges,87.2% of total billed charges,56.65,59,,45.32,percent of total billed charges,59% of total billed charges,83.73,87.2,,66.98,percent of total billed charges,87.2% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,78.05,81.29,,62.44,percent of total billed charges,81.29% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of totl billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,86.42,
THERAPEUTIC EXERCISE EA 15 MIN,73820109,CDM,510,RC,97110,HCPCS,Outpatient,,,93.12,74.5,,79.15,85,,63.32,percent of total billed charges,85% of total billed charges,79.15,85,,63.32,percent of total billed charges,85% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,81.2,87.2,,,percent of total billed charges,87.2% of total billed charges,54.94,59,,43.95,percent of total billed charges,59% of total billed charges,81.2,87.2,,64.96,percent of total billed charges,87.2% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,75.7,81.29,,60.56,percent of total billed charges,81.29% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of totl billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,48.42,83.81,
NEUROMUSCULAR RE EDUCATION - 1,48105275,CDM,421,RC,97112,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
NEUROMUSCULAR RE-EDUC 15 MIN,48207022,CDM,431,RC,97112,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
NEURO RE-EDUCATION,73820107,CDM,510,RC,97112,HCPCS,Outpatient,,,106.86,85.49,,90.83,85,,72.66,percent of total billed charges,85% of total billed charges,90.83,85,,72.66,percent of total billed charges,85% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,79.38,74,,63.5,percent of total billed charges,74.28% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,79.38,74,,63.5,percent of total billed charges,74.28% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,79.38,74,,63.5,percent of total billed charges,74.28% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,96.17,90,,76.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,93.18,87.2,,,percent of total billed charges,87.2% of total billed charges,63.05,59,,50.44,percent of total billed charges,59% of total billed charges,93.18,87.2,,74.54,percent of total billed charges,87.2% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,86.87,81.29,,69.5,percent of total billed charges,81.29% of total billed charges,96.17,90,,76.94,percent of total billed charges,90% of totl billed charges,96.17,90,,76.94,percent of total billed charges,90% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,96.17,90,,76.94,percent of total billed charges,90% of total billed charges,96.17,90,,76.94,percent of total billed charges,90% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,65.18,61,,52.14,percent of total billed charges,61% of total billed charges,55.57,52,,44.46,percent of total billed charges,52% of total billed charges,55.57,96.17,
AQUA THERAPY 15MIN-THERAPEX PT,48405031,CDM,421,RC,97113,HCPCS,Outpatient,,,119.92,95.94,,101.93,85,,81.54,percent of total billed charges,85% of total billed charges,101.93,85,,81.54,percent of total billed charges,85% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,104.57,87.2,,,percent of total billed charges,87.2% of total billed charges,70.75,59,,56.6,percent of total billed charges,59% of total billed charges,104.57,87.2,,83.66,percent of total billed charges,87.2% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,97.48,81.29,,77.98,percent of total billed charges,81.29% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of totl billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,62.36,107.93,
AQUA THERAPY 15MIN-THERAPEX OT,48407070,CDM,431,RC,97113,HCPCS,Outpatient,,,119.92,95.94,,101.93,85,,81.54,percent of total billed charges,85% of total billed charges,101.93,85,,81.54,percent of total billed charges,85% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,89.08,74,,71.26,percent of total billed charges,74.28% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,104.57,87.2,,,percent of total billed charges,87.2% of total billed charges,70.75,59,,56.6,percent of total billed charges,59% of total billed charges,104.57,87.2,,83.66,percent of total billed charges,87.2% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,97.48,81.29,,77.98,percent of total billed charges,81.29% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of totl billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,107.93,90,,86.34,percent of total billed charges,90% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,73.15,61,,58.52,percent of total billed charges,61% of total billed charges,62.36,52,,49.89,percent of total billed charges,52% of total billed charges,62.36,107.93,
CRUTCH\WALKER INSTRUCTION - 15,48105090,CDM,421,RC,97116,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
GAIT TRAINING - 15 MINUTES,48105160,CDM,421,RC,97116,HCPCS,Outpatient,,,64.34,51.47,,54.69,85,,43.75,percent of total billed charges,85% of total billed charges,54.69,85,,43.75,percent of total billed charges,85% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,56.1,87.2,,,percent of total billed charges,87.2% of total billed charges,37.96,59,,30.37,percent of total billed charges,59% of total billed charges,56.1,87.2,,44.88,percent of total billed charges,87.2% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,52.3,81.29,,41.84,percent of total billed charges,81.29% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of totl billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,33.46,57.91,
CRUTCH\WALKER INSTRUCTION - 15,48207003,CDM,431,RC,97116,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
GAIT TRAINING - 15 MIN,48207013,CDM,431,RC,97116,HCPCS,Outpatient,,,64.34,51.47,,54.69,85,,43.75,percent of total billed charges,85% of total billed charges,54.69,85,,43.75,percent of total billed charges,85% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,47.79,74,,38.23,percent of total billed charges,74.28% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,56.1,87.2,,,percent of total billed charges,87.2% of total billed charges,37.96,59,,30.37,percent of total billed charges,59% of total billed charges,56.1,87.2,,44.88,percent of total billed charges,87.2% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,52.3,81.29,,41.84,percent of total billed charges,81.29% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of totl billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,57.91,90,,46.33,percent of total billed charges,90% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,39.25,61,,31.4,percent of total billed charges,61% of total billed charges,33.46,52,,26.77,percent of total billed charges,52% of total billed charges,33.46,57.91,
GAIT TRAINING,73820104,CDM,510,RC,97116,HCPCS,Outpatient,,,93.12,74.5,,79.15,85,,63.32,percent of total billed charges,85% of total billed charges,79.15,85,,63.32,percent of total billed charges,85% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,69.17,74,,55.34,percent of total billed charges,74.28% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,81.2,87.2,,,percent of total billed charges,87.2% of total billed charges,54.94,59,,43.95,percent of total billed charges,59% of total billed charges,81.2,87.2,,64.96,percent of total billed charges,87.2% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,75.7,81.29,,60.56,percent of total billed charges,81.29% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of totl billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,83.81,90,,67.05,percent of total billed charges,90% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,56.8,61,,45.44,percent of total billed charges,61% of total billed charges,48.42,52,,38.74,percent of total billed charges,52% of total billed charges,48.42,83.81,
MASSAGE -15 MIN,48105120,CDM,421,RC,97124,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
MASSAGE-15 MIN,48207021,CDM,431,RC,97124,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
COGNITIVE RETRAINING 1ST 15MIN,48200128,CDM,431,RC,97129,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
COGNITIVE RETRAINING 1ST 15MIN,48300171,CDM,441,RC,97129,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
COGNITIVE RETRAIN EACH ADD 15M,48200129,CDM,431,RC,97130,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
COGNITIVE RETRAIN EACH ADD 15M,48300172,CDM,441,RC,97130,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
MANUAL THERAPY TECHNIQUES 15 M,48105297,CDM,421,RC,97140,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
MANUAL THERAPY TECHNIQUES 15 M,48207060,CDM,431,RC,97140,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
MANUAL THERAPY EA 15 MIN,73820105,CDM,510,RC,97140,HCPCS,Outpatient,,,85.71,68.57,,72.85,85,,58.28,percent of total billed charges,85% of total billed charges,72.85,85,,58.28,percent of total billed charges,85% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,63.67,74,,50.94,percent of total billed charges,74.28% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,63.67,74,,50.94,percent of total billed charges,74.28% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,63.67,74,,50.94,percent of total billed charges,74.28% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,77.14,90,,61.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,74.74,87.2,,,percent of total billed charges,87.2% of total billed charges,50.57,59,,40.46,percent of total billed charges,59% of total billed charges,74.74,87.2,,59.79,percent of total billed charges,87.2% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,69.67,81.29,,55.74,percent of total billed charges,81.29% of total billed charges,77.14,90,,61.71,percent of total billed charges,90% of totl billed charges,77.14,90,,61.71,percent of total billed charges,90% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,77.14,90,,61.71,percent of total billed charges,90% of total billed charges,77.14,90,,61.71,percent of total billed charges,90% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,52.28,61,,41.82,percent of total billed charges,61% of total billed charges,44.57,52,,35.66,percent of total billed charges,52% of total billed charges,44.57,77.14,
PT EVALUATION LOW,48105316,CDM,424,RC,97161,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
PT EVAL - LOW COMPLEXITY,73820101,CDM,510,RC,97161,HCPCS,Outpatient,,,264.87,211.9,,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,230.97,87.2,,,percent of total billed charges,87.2% of total billed charges,156.27,59,,125.02,percent of total billed charges,59% of total billed charges,230.97,87.2,,184.78,percent of total billed charges,87.2% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,215.31,81.29,,172.25,percent of total billed charges,81.29% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of totl billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,238.38,
PT EVALUATION MOD,48105317,CDM,424,RC,97162,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
PT EVAL - MOD COMPLEXITY,73820102,CDM,510,RC,97162,HCPCS,Outpatient,,,264.87,211.9,,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,230.97,87.2,,,percent of total billed charges,87.2% of total billed charges,156.27,59,,125.02,percent of total billed charges,59% of total billed charges,230.97,87.2,,184.78,percent of total billed charges,87.2% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,215.31,81.29,,172.25,percent of total billed charges,81.29% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of totl billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,238.38,
PT EVALUATION HIGH,48105318,CDM,424,RC,97163,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
PT EVAL - HIGH COMPLEXITY,73820103,CDM,510,RC,97163,HCPCS,Outpatient,,,264.87,211.9,,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,225.14,85,,180.11,percent of total billed charges,85% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,196.75,74,,157.4,percent of total billed charges,74.28% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,230.97,87.2,,,percent of total billed charges,87.2% of total billed charges,156.27,59,,125.02,percent of total billed charges,59% of total billed charges,230.97,87.2,,184.78,percent of total billed charges,87.2% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,215.31,81.29,,172.25,percent of total billed charges,81.29% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of totl billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,238.38,90,,190.7,percent of total billed charges,90% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,161.57,61,,129.26,percent of total billed charges,61% of total billed charges,137.73,52,,110.18,percent of total billed charges,52% of total billed charges,137.73,238.38,
PT RE-EVALUATION,48105319,CDM,424,RC,97164,HCPCS,Outpatient,,,80.22,64.18,,68.19,85,,54.55,percent of total billed charges,85% of total billed charges,68.19,85,,54.55,percent of total billed charges,85% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,69.95,87.2,,,percent of total billed charges,87.2% of total billed charges,47.33,59,,37.86,percent of total billed charges,59% of total billed charges,69.95,87.2,,55.96,percent of total billed charges,87.2% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,65.21,81.29,,52.17,percent of total billed charges,81.29% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of totl billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,41.71,72.2,
PT RE-EVAL,73820112,CDM,510,RC,97164,HCPCS,Outpatient,,,72.82,58.26,,61.9,85,,49.52,percent of total billed charges,85% of total billed charges,61.9,85,,49.52,percent of total billed charges,85% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,54.09,74,,43.27,percent of total billed charges,74.28% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,54.09,74,,43.27,percent of total billed charges,74.28% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,54.09,74,,43.27,percent of total billed charges,74.28% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,65.54,90,,52.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,63.5,87.2,,,percent of total billed charges,87.2% of total billed charges,42.96,59,,34.37,percent of total billed charges,59% of total billed charges,63.5,87.2,,50.8,percent of total billed charges,87.2% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,59.2,81.29,,47.36,percent of total billed charges,81.29% of total billed charges,65.54,90,,52.43,percent of total billed charges,90% of totl billed charges,65.54,90,,52.43,percent of total billed charges,90% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,65.54,90,,52.43,percent of total billed charges,90% of total billed charges,65.54,90,,52.43,percent of total billed charges,90% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,44.42,61,,35.54,percent of total billed charges,61% of total billed charges,37.87,52,,30.3,percent of total billed charges,52% of total billed charges,37.87,65.54,
OT EVALUATION LOW,48207070,CDM,434,RC,97165,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
OT EVALUATION MOD,48207071,CDM,434,RC,97166,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
OT EVALUATION HIGH,48207072,CDM,434,RC,97167,HCPCS,Outpatient,,,222.27,177.82,,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,188.93,85,,151.14,percent of total billed charges,85% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,165.1,74,,132.08,percent of total billed charges,74.28% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,193.82,87.2,,,percent of total billed charges,87.2% of total billed charges,131.14,59,,104.91,percent of total billed charges,59% of total billed charges,193.82,87.2,,155.06,percent of total billed charges,87.2% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,180.68,81.29,,144.54,percent of total billed charges,81.29% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of totl billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,200.04,90,,160.03,percent of total billed charges,90% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,135.58,61,,108.46,percent of total billed charges,61% of total billed charges,115.58,52,,92.46,percent of total billed charges,52% of total billed charges,115.58,200.04,
OT RE-EVALUATION,48207073,CDM,434,RC,97168,HCPCS,Outpatient,,,80.22,64.18,,68.19,85,,54.55,percent of total billed charges,85% of total billed charges,68.19,85,,54.55,percent of total billed charges,85% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,59.59,74,,47.67,percent of total billed charges,74.28% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,69.95,87.2,,,percent of total billed charges,87.2% of total billed charges,47.33,59,,37.86,percent of total billed charges,59% of total billed charges,69.95,87.2,,55.96,percent of total billed charges,87.2% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,65.21,81.29,,52.17,percent of total billed charges,81.29% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of totl billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,72.2,90,,57.76,percent of total billed charges,90% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,48.93,61,,39.14,percent of total billed charges,61% of total billed charges,41.71,52,,33.37,percent of total billed charges,52% of total billed charges,41.71,72.2,
THERAPEUTIC ACTIVITY-15 MIN,48105287,CDM,421,RC,97530,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
THERAPEUTIC ACTIVITY-15 MIN,48207046,CDM,431,RC,97530,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
THERAPEUTICE ACTIVITY -15 MIN,48309010,CDM,441,RC,97530,HCPCS,Outpatient,,,96.02,76.82,,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,83.73,87.2,,,percent of total billed charges,87.2% of total billed charges,56.65,59,,45.32,percent of total billed charges,59% of total billed charges,83.73,87.2,,66.98,percent of total billed charges,87.2% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,78.05,81.29,,62.44,percent of total billed charges,81.29% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of totl billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,86.42,
THERAPEUTIC ACTIVITY EA 15 MIN,73820108,CDM,510,RC,97530,HCPCS,Outpatient,,,117.45,93.96,,99.83,85,,79.86,percent of total billed charges,85% of total billed charges,99.83,85,,79.86,percent of total billed charges,85% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,87.24,74,,69.79,percent of total billed charges,74.28% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,87.24,74,,69.79,percent of total billed charges,74.28% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,87.24,74,,69.79,percent of total billed charges,74.28% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,105.71,90,,84.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,102.42,87.2,,,percent of total billed charges,87.2% of total billed charges,69.3,59,,55.44,percent of total billed charges,59% of total billed charges,102.42,87.2,,81.94,percent of total billed charges,87.2% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,95.48,81.29,,76.38,percent of total billed charges,81.29% of total billed charges,105.71,90,,84.57,percent of total billed charges,90% of totl billed charges,105.71,90,,84.57,percent of total billed charges,90% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,105.71,90,,84.57,percent of total billed charges,90% of total billed charges,105.71,90,,84.57,percent of total billed charges,90% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,71.64,61,,57.31,percent of total billed charges,61% of total billed charges,61.07,52,,48.86,percent of total billed charges,52% of total billed charges,61.07,105.71,
ADL TRAINING-15 MIN,48105267,CDM,421,RC,97535,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
ADL TRAINING-15 MIN,48207001,CDM,431,RC,97535,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
ADL TRAINING -15 MIN,48309008,CDM,441,RC,97535,HCPCS,Outpatient,,,96.02,76.82,,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,81.62,85,,65.3,percent of total billed charges,85% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,71.32,74,,57.06,percent of total billed charges,74.28% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,83.73,87.2,,,percent of total billed charges,87.2% of total billed charges,56.65,59,,45.32,percent of total billed charges,59% of total billed charges,83.73,87.2,,66.98,percent of total billed charges,87.2% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,78.05,81.29,,62.44,percent of total billed charges,81.29% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of totl billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,86.42,90,,69.14,percent of total billed charges,90% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,58.57,61,,46.86,percent of total billed charges,61% of total billed charges,49.93,52,,39.94,percent of total billed charges,52% of total billed charges,49.93,86.42,
WORK SITE EVALUATION-1 HOUR-PT,48105278,CDM,421,RC,97537,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
WORK SITE EVALUATION-1 HOUR-OT,48207038,CDM,431,RC,97537,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
COMM WORK REINTEGRATION 15 MI,48207059,CDM,943,RC,97537,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
COMM. WORK REINTEGRATION 15 M,48309006,CDM,441,RC,97537,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
WORK HARDENING-2 HOURS,48105277,CDM,421,RC,97545,HCPCS,Outpatient,,,138.66,110.93,,117.86,85,,94.29,percent of total billed charges,85% of total billed charges,117.86,85,,94.29,percent of total billed charges,85% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,120.91,87.2,,,percent of total billed charges,87.2% of total billed charges,81.81,59,,65.45,percent of total billed charges,59% of total billed charges,120.91,87.2,,96.73,percent of total billed charges,87.2% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,112.72,81.29,,90.18,percent of total billed charges,81.29% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of totl billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,72.1,124.79,
WORK HARDENING-2 HOURS,48207037,CDM,431,RC,97545,HCPCS,Outpatient,,,138.66,110.93,,117.86,85,,94.29,percent of total billed charges,85% of total billed charges,117.86,85,,94.29,percent of total billed charges,85% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,103,74,,82.4,percent of total billed charges,74.28% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,120.91,87.2,,,percent of total billed charges,87.2% of total billed charges,81.81,59,,65.45,percent of total billed charges,59% of total billed charges,120.91,87.2,,96.73,percent of total billed charges,87.2% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,112.72,81.29,,90.18,percent of total billed charges,81.29% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of totl billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,124.79,90,,99.83,percent of total billed charges,90% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,84.58,61,,67.66,percent of total billed charges,61% of total billed charges,72.1,52,,57.68,percent of total billed charges,52% of total billed charges,72.1,124.79,
WORK HARDENING EA ADDL HOUR,48105280,CDM,421,RC,97546,HCPCS,Outpatient,,,68.2,54.56,,57.97,85,,46.38,percent of total billed charges,85% of total billed charges,57.97,85,,46.38,percent of total billed charges,85% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,59.47,87.2,,,percent of total billed charges,87.2% of total billed charges,40.24,59,,32.19,percent of total billed charges,59% of total billed charges,59.47,87.2,,47.58,percent of total billed charges,87.2% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,55.44,81.29,,44.35,percent of total billed charges,81.29% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of totl billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,35.46,61.38,
WORK HARDENING EA ADDL HOUR,48207039,CDM,431,RC,97546,HCPCS,Outpatient,,,68.2,54.56,,57.97,85,,46.38,percent of total billed charges,85% of total billed charges,57.97,85,,46.38,percent of total billed charges,85% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,50.66,74,,40.53,percent of total billed charges,74.28% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,59.47,87.2,,,percent of total billed charges,87.2% of total billed charges,40.24,59,,32.19,percent of total billed charges,59% of total billed charges,59.47,87.2,,47.58,percent of total billed charges,87.2% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,55.44,81.29,,44.35,percent of total billed charges,81.29% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of totl billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,61.38,90,,49.1,percent of total billed charges,90% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,41.6,61,,33.28,percent of total billed charges,61% of total billed charges,35.46,52,,28.37,percent of total billed charges,52% of total billed charges,35.46,61.38,
"DEBRID,SELECTIVE <=20 SQ CMS",36000015,CDM,510,RC,97597,HCPCS,Outpatient,,,116.06,92.85,,98.65,85,,78.92,percent of total billed charges,85% of total billed charges,98.65,85,,78.92,percent of total billed charges,85% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,86.21,74,,68.97,percent of total billed charges,74.28% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,86.21,74,,68.97,percent of total billed charges,74.28% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,86.21,74,,68.97,percent of total billed charges,74.28% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,104.45,90,,83.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,101.2,87.2,,,percent of total billed charges,87.2% of total billed charges,68.48,59,,54.78,percent of total billed charges,59% of total billed charges,101.2,87.2,,80.96,percent of total billed charges,87.2% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,94.35,81.29,,75.48,percent of total billed charges,81.29% of total billed charges,104.45,90,,83.56,percent of total billed charges,90% of totl billed charges,104.45,90,,83.56,percent of total billed charges,90% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,104.45,90,,83.56,percent of total billed charges,90% of total billed charges,104.45,90,,83.56,percent of total billed charges,90% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,70.8,61,,56.64,percent of total billed charges,61% of total billed charges,60.35,52,,48.28,percent of total billed charges,52% of total billed charges,60.35,104.45,
Wound Debridement (1st 20Sq cm,43601431,CDM,521,RC,97597,HCPCS,Outpatient,,,174.53,139.62,,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,152.19,87.2,,,percent of total billed charges,87.2% of total billed charges,102.97,59,,82.38,percent of total billed charges,59% of total billed charges,152.19,87.2,,121.75,percent of total billed charges,87.2% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,141.88,81.29,,113.5,percent of total billed charges,81.29% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of totl billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,157.08,
Wound Debridement (1st 20Sq cm,43701431,CDM,521,RC,97597,HCPCS,Outpatient,,,174.53,139.62,,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,148.35,85,,118.68,percent of total billed charges,85% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,129.64,74,,103.71,percent of total billed charges,74.28% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,152.19,87.2,,,percent of total billed charges,87.2% of total billed charges,102.97,59,,82.38,percent of total billed charges,59% of total billed charges,152.19,87.2,,121.75,percent of total billed charges,87.2% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,141.88,81.29,,113.5,percent of total billed charges,81.29% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of totl billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,157.08,90,,125.66,percent of total billed charges,90% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,106.46,61,,85.17,percent of total billed charges,61% of total billed charges,90.76,52,,72.61,percent of total billed charges,52% of total billed charges,90.76,157.08,
RMVL DEVITAL TIS 20 CM/<,44500001,CDM,761,RC,97597,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
RMVL DEVITAL TIS 20 CM/<,44510001,CDM,983,RC,97597,HCPCS,Outpatient,,,74.36,59.49,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SELECTIVE DEBRID<or= 20 SQ CMS,48105051,CDM,421,RC,97597,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
SELECTIVE DEBRID<OR= 20SQ CMS,48207004,CDM,431,RC,97597,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
Wound Debridement Ea Add 20sqc,43601432,CDM,521,RC,97598,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
Wound Debridement Ea Add 20sqc,43701432,CDM,521,RC,97598,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
RMVL DEVITAL TIS ADDL 20 CM/<,44500002,CDM,761,RC,97598,HCPCS,Outpatient,,,103.19,82.55,,87.71,85,,70.17,percent of total billed charges,85% of total billed charges,87.71,85,,70.17,percent of total billed charges,85% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,76.65,74,,61.32,percent of total billed charges,74.28% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,76.65,74,,61.32,percent of total billed charges,74.28% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,76.65,74,,61.32,percent of total billed charges,74.28% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,92.87,90,,74.3,percent of total billed charges,90% of total billed charges,92.87,90,,74.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,89.98,87.2,,,percent of total billed charges,87.2% of total billed charges,60.88,59,,48.7,percent of total billed charges,59% of total billed charges,89.98,87.2,,71.98,percent of total billed charges,87.2% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,83.88,81.29,,67.1,percent of total billed charges,81.29% of total billed charges,92.87,90,,74.3,percent of total billed charges,90% of totl billed charges,92.87,90,,74.3,percent of total billed charges,90% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,92.87,90,,74.3,percent of total billed charges,90% of total billed charges,92.87,90,,74.3,percent of total billed charges,90% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,62.95,61,,50.36,percent of total billed charges,61% of total billed charges,53.66,52,,42.93,percent of total billed charges,52% of total billed charges,53.66,92.87,
RMVL DEVITAL TIS ADDL 20 CM/>,44510002,CDM,983,RC,97598,HCPCS,Outpatient,,,51.92,41.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
WOUND(S) CARE NON-SELECTIVE,44500003,CDM,761,RC,97602,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
NON SELECTIVE DEBRIDEMENT,48105303,CDM,421,RC,97602,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
NON SELECTIVE DEBRIDEMENT,48207065,CDM,431,RC,97602,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
NEG PRESS WND TX </=50 CM DME,44500004,CDM,761,RC,97605,HCPCS,Outpatient,,,247.2,197.76,,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,210.12,85,,168.1,percent of total billed charges,85% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,183.62,74,,146.9,percent of total billed charges,74.28% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,215.56,87.2,,,percent of total billed charges,87.2% of total billed charges,145.85,59,,116.68,percent of total billed charges,59% of total billed charges,215.56,87.2,,172.45,percent of total billed charges,87.2% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,200.95,81.29,,160.76,percent of total billed charges,81.29% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of totl billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,222.48,90,,177.98,percent of total billed charges,90% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,150.79,61,,120.63,percent of total billed charges,61% of total billed charges,128.54,52,,102.83,percent of total billed charges,52% of total billed charges,128.54,222.48,
NEG PRESS WND TX </=50 CM DME,44510004,CDM,983,RC,97605,HCPCS,Outpatient,,,51.22,40.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEG PRESS WND TX >50 CM DME,44500005,CDM,761,RC,97606,HCPCS,Outpatient,,,475.79,380.63,,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,404.42,85,,323.54,percent of total billed charges,85% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,353.42,74,,282.74,percent of total billed charges,74.28% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,414.89,87.2,,,percent of total billed charges,87.2% of total billed charges,280.72,59,,224.58,percent of total billed charges,59% of total billed charges,414.89,87.2,,331.91,percent of total billed charges,87.2% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,386.77,81.29,,309.42,percent of total billed charges,81.29% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of totl billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,428.21,90,,342.57,percent of total billed charges,90% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,290.23,61,,232.18,percent of total billed charges,61% of total billed charges,247.41,52,,197.93,percent of total billed charges,52% of total billed charges,247.41,428.21,
NEG PRESS WND TX >50 CM DME,44510005,CDM,983,RC,97606,HCPCS,Outpatient,,,56.13,44.9,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PREVENA SYSTEM KIT 13CM,35032339,CDM,278,RC,97607,HCPCS,Outpatient,,,1134.79,907.83,,964.57,85,,771.66,percent of total billed charges,85% of total billed charges,964.57,85,,771.66,percent of total billed charges,85% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,842.92,74,,674.34,percent of total billed charges,74.28% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,842.92,74,,674.34,percent of total billed charges,74.28% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,842.92,74,,674.34,percent of total billed charges,74.28% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,1021.31,90,,817.05,percent of total billed charges,90% of total billed charges,1021.31,90,,817.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,989.54,87.2,,,percent of total billed charges,87.2% of total billed charges,669.53,59,,535.62,percent of total billed charges,59% of total billed charges,989.54,87.2,,791.63,percent of total billed charges,87.2% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,922.47,81.29,,737.98,percent of total billed charges,81.29% of total billed charges,1021.31,90,,817.05,percent of total billed charges,90% of totl billed charges,1021.31,90,,817.05,percent of total billed charges,90% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,1021.31,90,,817.05,percent of total billed charges,90% of total billed charges,1021.31,90,,817.05,percent of total billed charges,90% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,692.22,61,,553.78,percent of total billed charges,61% of total billed charges,590.09,52,,472.07,percent of total billed charges,52% of total billed charges,590.09,1021.31,
NEG PRESS WND TX</=50 SQ CM ND,44500006,CDM,761,RC,97607,HCPCS,Outpatient,,,804.67,643.74,,683.97,85,,547.18,percent of total billed charges,85% of total billed charges,683.97,85,,547.18,percent of total billed charges,85% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,597.71,74,,478.17,percent of total billed charges,74.28% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,597.71,74,,478.17,percent of total billed charges,74.28% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,597.71,74,,478.17,percent of total billed charges,74.28% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,724.2,90,,579.36,percent of total billed charges,90% of total billed charges,724.2,90,,579.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,701.67,87.2,,,percent of total billed charges,87.2% of total billed charges,474.76,59,,379.81,percent of total billed charges,59% of total billed charges,701.67,87.2,,561.34,percent of total billed charges,87.2% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,654.12,81.29,,523.3,percent of total billed charges,81.29% of total billed charges,724.2,90,,579.36,percent of total billed charges,90% of totl billed charges,724.2,90,,579.36,percent of total billed charges,90% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,724.2,90,,579.36,percent of total billed charges,90% of total billed charges,724.2,90,,579.36,percent of total billed charges,90% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,490.85,61,,392.68,percent of total billed charges,61% of total billed charges,418.43,52,,334.74,percent of total billed charges,52% of total billed charges,418.43,724.2,
NEG PRESS WND TX</=50 SQ CM ND,44510006,CDM,983,RC,97607,HCPCS,Outpatient,,,46.3,37.04,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEG PRESS WND TX>50 CM NONDME,44500007,CDM,761,RC,97608,HCPCS,Outpatient,,,794.15,635.32,,675.03,85,,540.02,percent of total billed charges,85% of total billed charges,675.03,85,,540.02,percent of total billed charges,85% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,589.89,74,,471.91,percent of total billed charges,74.28% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,589.89,74,,471.91,percent of total billed charges,74.28% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,589.89,74,,471.91,percent of total billed charges,74.28% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,714.74,90,,571.79,percent of total billed charges,90% of total billed charges,714.74,90,,571.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,692.5,87.2,,,percent of total billed charges,87.2% of total billed charges,468.55,59,,374.84,percent of total billed charges,59% of total billed charges,692.5,87.2,,554,percent of total billed charges,87.2% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,645.56,81.29,,516.45,percent of total billed charges,81.29% of total billed charges,714.74,90,,571.79,percent of total billed charges,90% of totl billed charges,714.74,90,,571.79,percent of total billed charges,90% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,714.74,90,,571.79,percent of total billed charges,90% of total billed charges,714.74,90,,571.79,percent of total billed charges,90% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,484.43,61,,387.54,percent of total billed charges,61% of total billed charges,412.96,52,,330.37,percent of total billed charges,52% of total billed charges,412.96,714.74,
NEG PRESS WND TX>50 CM NONDME,44510007,CDM,983,RC,97608,HCPCS,Outpatient,,,51.92,41.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EXTREMITY TESTING - 15 MIN,48105269,CDM,421,RC,97750,HCPCS,Outpatient,,,109.51,87.61,,93.08,85,,74.46,percent of total billed charges,85% of total billed charges,93.08,85,,74.46,percent of total billed charges,85% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,95.49,87.2,,,percent of total billed charges,87.2% of total billed charges,64.61,59,,51.69,percent of total billed charges,59% of total billed charges,95.49,87.2,,76.39,percent of total billed charges,87.2% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,89.02,81.29,,71.22,percent of total billed charges,81.29% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of totl billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,56.95,98.56,
FUNCTIONAL CAPACITY EVAL-15 MI,48105271,CDM,421,RC,97750,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
EXTREMITY TESTING-15 MIN,48207010,CDM,431,RC,97750,HCPCS,Outpatient,,,109.51,87.61,,93.08,85,,74.46,percent of total billed charges,85% of total billed charges,93.08,85,,74.46,percent of total billed charges,85% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,81.34,74,,65.07,percent of total billed charges,74.28% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,95.49,87.2,,,percent of total billed charges,87.2% of total billed charges,64.61,59,,51.69,percent of total billed charges,59% of total billed charges,95.49,87.2,,76.39,percent of total billed charges,87.2% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,89.02,81.29,,71.22,percent of total billed charges,81.29% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of totl billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,98.56,90,,78.85,percent of total billed charges,90% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,66.8,61,,53.44,percent of total billed charges,61% of total billed charges,56.95,52,,45.56,percent of total billed charges,52% of total billed charges,56.95,98.56,
FUNCTIONAL CAPACITY EVAL-15 MI,48207012,CDM,431,RC,97750,HCPCS,Outpatient,,,102.07,81.66,,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,86.76,85,,69.41,percent of total billed charges,85% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,75.82,74,,60.66,percent of total billed charges,74.28% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,89.01,87.2,,,percent of total billed charges,87.2% of total billed charges,60.22,59,,48.18,percent of total billed charges,59% of total billed charges,89.01,87.2,,71.21,percent of total billed charges,87.2% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,82.97,81.29,,66.38,percent of total billed charges,81.29% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of totl billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,91.86,90,,73.49,percent of total billed charges,90% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,62.26,61,,49.81,percent of total billed charges,61% of total billed charges,53.08,52,,42.46,percent of total billed charges,52% of total billed charges,53.08,91.86,
ORTHOTIC FITTING & TRAINING 15,48105298,CDM,421,RC,97760,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
SPLINT FABRICATION-15 MIN,48207027,CDM,431,RC,97760,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
ORTHOTIC FITTING & TRAINING 15,48207061,CDM,431,RC,97760,HCPCS,Outpatient,,,103.07,82.46,,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,87.61,85,,70.09,percent of total billed charges,85% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,76.56,74,,61.25,percent of total billed charges,74.28% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,89.88,87.2,,,percent of total billed charges,87.2% of total billed charges,60.81,59,,48.65,percent of total billed charges,59% of total billed charges,89.88,87.2,,71.9,percent of total billed charges,87.2% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,83.79,81.29,,67.03,percent of total billed charges,81.29% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of totl billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,92.76,90,,74.21,percent of total billed charges,90% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,62.87,61,,50.3,percent of total billed charges,61% of total billed charges,53.6,52,,42.88,percent of total billed charges,52% of total billed charges,53.6,92.76,
MNT INITIAL INDIV PER 15 MIN,58450130,CDM,942,RC,97802,HCPCS,Outpatient,,,43.22,34.58,,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,37.69,87.2,,,percent of total billed charges,87.2% of total billed charges,25.5,59,,20.4,percent of total billed charges,59% of total billed charges,37.69,87.2,,30.15,percent of total billed charges,87.2% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,35.13,81.29,,28.1,percent of total billed charges,81.29% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of totl billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,38.9,
MNT TELEHEALTH INT INDV PER 15,58450136,CDM,942,RC,97802,HCPCS,Outpatient,,,43.22,34.58,,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,37.69,87.2,,,percent of total billed charges,87.2% of total billed charges,25.5,59,,20.4,percent of total billed charges,59% of total billed charges,37.69,87.2,,30.15,percent of total billed charges,87.2% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,35.13,81.29,,28.1,percent of total billed charges,81.29% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of totl billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,38.9,
MNT REASSESS PER 15 MIN,58450131,CDM,942,RC,97803,HCPCS,Outpatient,,,43.22,34.58,,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,37.69,87.2,,,percent of total billed charges,87.2% of total billed charges,25.5,59,,20.4,percent of total billed charges,59% of total billed charges,37.69,87.2,,30.15,percent of total billed charges,87.2% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,35.13,81.29,,28.1,percent of total billed charges,81.29% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of totl billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,38.9,
MNT TELEHEALTH REASSESS PER 15,58450137,CDM,942,RC,97803,HCPCS,Outpatient,,,43.22,34.58,,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,37.69,87.2,,,percent of total billed charges,87.2% of total billed charges,25.5,59,,20.4,percent of total billed charges,59% of total billed charges,37.69,87.2,,30.15,percent of total billed charges,87.2% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,35.13,81.29,,28.1,percent of total billed charges,81.29% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of totl billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,38.9,
OMT 1-2 BODY REGIONS,36013018,CDM,981,RC,98925,HCPCS,Outpatient,,,56.88,45.5,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NONPHYSICIAN TELE 5-10 MIN,43601648,CDM,521,RC,98966,HCPCS,Outpatient,,,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
NONPHYSICIAN TELE 5-10 W/MOD,43601649,CDM,521,RC,98966,HCPCS,Outpatient,,,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
NONPHYSICIAN TELE 5-10 MIN,43701648,CDM,521,RC,98966,HCPCS,Outpatient,,,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
NONPHYSICIAN 5-10 W/MOD,43701649,CDM,521,RC,98966,HCPCS,Outpatient,,,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
NONPHYSICIAN TELE 11-20 MIN,43601650,CDM,521,RC,98967,HCPCS,Outpatient,,,37.9,30.32,,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,33.05,87.2,,,percent of total billed charges,87.2% of total billed charges,22.36,59,,17.89,percent of total billed charges,59% of total billed charges,33.05,87.2,,26.44,percent of total billed charges,87.2% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,30.81,81.29,,24.65,percent of total billed charges,81.29% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of totl billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,34.11,
NONPHYSICIAN TELE 11-20 W/MOD,43601651,CDM,521,RC,98967,HCPCS,Outpatient,,,37.9,30.32,,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,33.05,87.2,,,percent of total billed charges,87.2% of total billed charges,22.36,59,,17.89,percent of total billed charges,59% of total billed charges,33.05,87.2,,26.44,percent of total billed charges,87.2% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,30.81,81.29,,24.65,percent of total billed charges,81.29% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of totl billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,34.11,
NONPHYSICIAN TELE 11-20 MIN,43701650,CDM,521,RC,98967,HCPCS,Outpatient,,,37.9,30.32,,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,33.05,87.2,,,percent of total billed charges,87.2% of total billed charges,22.36,59,,17.89,percent of total billed charges,59% of total billed charges,33.05,87.2,,26.44,percent of total billed charges,87.2% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,30.81,81.29,,24.65,percent of total billed charges,81.29% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of totl billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,34.11,
NONPHYSICIAN TELE 11-20 W/MOD,43701651,CDM,521,RC,98967,HCPCS,Outpatient,,,37.9,30.32,,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,32.22,85,,25.78,percent of total billed charges,85% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,28.15,74,,22.52,percent of total billed charges,74.28% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,33.05,87.2,,,percent of total billed charges,87.2% of total billed charges,22.36,59,,17.89,percent of total billed charges,59% of total billed charges,33.05,87.2,,26.44,percent of total billed charges,87.2% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,30.81,81.29,,24.65,percent of total billed charges,81.29% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of totl billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,34.11,90,,27.29,percent of total billed charges,90% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,23.12,61,,18.5,percent of total billed charges,61% of total billed charges,19.71,52,,15.77,percent of total billed charges,52% of total billed charges,19.71,34.11,
NONPHYSICIAN TELE 21+ MIN,43601652,CDM,521,RC,98968,HCPCS,Outpatient,,,57.66,46.13,,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,50.28,87.2,,,percent of total billed charges,87.2% of total billed charges,34.02,59,,27.22,percent of total billed charges,59% of total billed charges,50.28,87.2,,40.22,percent of total billed charges,87.2% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,46.87,81.29,,37.5,percent of total billed charges,81.29% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of totl billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,51.89,
NONPHYSICIAN TELE 21+ W/MOD,43601653,CDM,521,RC,98968,HCPCS,Outpatient,,,57.66,46.13,,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,50.28,87.2,,,percent of total billed charges,87.2% of total billed charges,34.02,59,,27.22,percent of total billed charges,59% of total billed charges,50.28,87.2,,40.22,percent of total billed charges,87.2% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,46.87,81.29,,37.5,percent of total billed charges,81.29% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of totl billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,51.89,
NONPHYSICIAN TELE 21+ MIN,43701652,CDM,521,RC,98968,HCPCS,Outpatient,,,57.66,46.13,,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,50.28,87.2,,,percent of total billed charges,87.2% of total billed charges,34.02,59,,27.22,percent of total billed charges,59% of total billed charges,50.28,87.2,,40.22,percent of total billed charges,87.2% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,46.87,81.29,,37.5,percent of total billed charges,81.29% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of totl billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,51.89,
NONPHYSICIAN TELE 21+ W/MOD,43701653,CDM,521,RC,98968,HCPCS,Outpatient,,,57.66,46.13,,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,49.01,85,,39.21,percent of total billed charges,85% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,42.83,74,,34.26,percent of total billed charges,74.28% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,50.28,87.2,,,percent of total billed charges,87.2% of total billed charges,34.02,59,,27.22,percent of total billed charges,59% of total billed charges,50.28,87.2,,40.22,percent of total billed charges,87.2% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,46.87,81.29,,37.5,percent of total billed charges,81.29% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of totl billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,51.89,90,,41.51,percent of total billed charges,90% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,35.17,61,,28.14,percent of total billed charges,61% of total billed charges,29.98,52,,23.98,percent of total billed charges,52% of total billed charges,29.98,51.89,
PATH REVIEW BLOOD SMEAR/REPORT,41000029,CDM,310,RC,99001,HCPCS,Outpatient,,,41.25,33,,35.06,85,,28.05,percent of total billed charges,85% of total billed charges,35.06,85,,28.05,percent of total billed charges,85% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,30.64,74,,24.51,percent of total billed charges,74.28% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,30.64,74,,24.51,percent of total billed charges,74.28% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,30.64,74,,24.51,percent of total billed charges,74.28% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,37.13,90,,29.7,percent of total billed charges,90% of total billed charges,37.13,90,,29.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,35.97,87.2,,,percent of total billed charges,87.2% of total billed charges,24.34,59,,19.47,percent of total billed charges,59% of total billed charges,35.97,87.2,,28.78,percent of total billed charges,87.2% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,33.53,81.29,,26.82,percent of total billed charges,81.29% of total billed charges,37.13,90,,29.7,percent of total billed charges,90% of totl billed charges,37.13,90,,29.7,percent of total billed charges,90% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,37.13,90,,29.7,percent of total billed charges,90% of total billed charges,37.13,90,,29.7,percent of total billed charges,90% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,25.16,61,,20.13,percent of total billed charges,61% of total billed charges,21.45,52,,17.16,percent of total billed charges,52% of total billed charges,21.45,37.13,
DRUG SCREEN URINE COLLECT SMC,43601146,CDM,301,RC,99001,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
DRUG SCREEN URINE COLLECT RFP,43701146,CDM,301,RC,99001,HCPCS,Outpatient,,,32.72,26.18,,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,27.81,85,,22.25,percent of total billed charges,85% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,24.3,74,,19.44,percent of total billed charges,74.28% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,28.53,87.2,,,percent of total billed charges,87.2% of total billed charges,19.3,59,,15.44,percent of total billed charges,59% of total billed charges,28.53,87.2,,22.82,percent of total billed charges,87.2% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,26.6,81.29,,21.28,percent of total billed charges,81.29% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of totl billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,29.45,90,,23.56,percent of total billed charges,90% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,19.96,61,,15.97,percent of total billed charges,61% of total billed charges,17.01,52,,13.61,percent of total billed charges,52% of total billed charges,17.01,29.45,
MOD SED SAME PHYS/QHP <5 YRS,36010403,CDM,981,RC,99151,HCPCS,Outpatient,,,98.16,78.53,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MOD SED SAME PHYS/QHP 5 />YRS,36010404,CDM,981,RC,99152,HCPCS,Outpatient,,,64.93,51.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MOD SED SAME PHYS/QHP EA,36010405,CDM,981,RC,99153,HCPCS,Outpatient,,,13.71,10.97,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MOD SED OTH PHYS/QHP <5 YRS,45001245,CDM,964,RC,99155,HCPCS,Outpatient,,,123.75,99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MOD SED OTH PHYS/QHP 5 />YRS,45001246,CDM,964,RC,99156,HCPCS,Outpatient,,,101.57,81.26,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
MOD SED OTHER PHYS/QHP EA,45001247,CDM,964,RC,99157,HCPCS,Outpatient,,,77,61.6,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
IPECAC ADMINISTRATION,36010125,CDM,981,RC,99175,HCPCS,Outpatient,,,87.01,69.61,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
THERAPEUTIC PHLEBOTOMY,32000011,CDM,940,RC,99195,HCPCS,Outpatient,,,64.13,51.3,,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,55.92,87.2,,,percent of total billed charges,87.2% of total billed charges,37.84,59,,30.27,percent of total billed charges,59% of total billed charges,55.92,87.2,,44.74,percent of total billed charges,87.2% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,52.13,81.29,,41.7,percent of total billed charges,81.29% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of totl billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,57.72,
THERAPEUTIC PHLEBOTOMY,36000011,CDM,260,RC,99195,HCPCS,Outpatient,,,64.19,51.35,,54.56,85,,43.65,percent of total billed charges,85% of total billed charges,54.56,85,,43.65,percent of total billed charges,85% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,47.68,74,,38.14,percent of total billed charges,74.28% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,47.68,74,,38.14,percent of total billed charges,74.28% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,47.68,74,,38.14,percent of total billed charges,74.28% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,57.77,90,,46.22,percent of total billed charges,90% of total billed charges,57.77,90,,46.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,55.97,87.2,,,percent of total billed charges,87.2% of total billed charges,37.87,59,,30.3,percent of total billed charges,59% of total billed charges,55.97,87.2,,44.78,percent of total billed charges,87.2% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,52.18,81.29,,41.74,percent of total billed charges,81.29% of total billed charges,57.77,90,,46.22,percent of total billed charges,90% of totl billed charges,57.77,90,,46.22,percent of total billed charges,90% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,57.77,90,,46.22,percent of total billed charges,90% of total billed charges,57.77,90,,46.22,percent of total billed charges,90% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,39.16,61,,31.33,percent of total billed charges,61% of total billed charges,33.38,52,,26.7,percent of total billed charges,52% of total billed charges,33.38,57.77,
PHLEBOTOMY THERAPUTIC,36010126,CDM,981,RC,99195,HCPCS,Outpatient,,,136.25,109,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
THERAPEUTIC PHLEBOTOMY,43300158,CDM,940,RC,99195,HCPCS,Outpatient,,,64.13,51.3,,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,55.92,87.2,,,percent of total billed charges,87.2% of total billed charges,37.84,59,,30.27,percent of total billed charges,59% of total billed charges,55.92,87.2,,44.74,percent of total billed charges,87.2% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,52.13,81.29,,41.7,percent of total billed charges,81.29% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of totl billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,57.72,
THERAPUTIC PHLEBOTOMY,43400158,CDM,940,RC,99195,HCPCS,Outpatient,,,64.13,51.3,,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,54.51,85,,43.61,percent of total billed charges,85% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,47.64,74,,38.11,percent of total billed charges,74.28% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,55.92,87.2,,,percent of total billed charges,87.2% of total billed charges,37.84,59,,30.27,percent of total billed charges,59% of total billed charges,55.92,87.2,,44.74,percent of total billed charges,87.2% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,52.13,81.29,,41.7,percent of total billed charges,81.29% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of totl billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,57.72,90,,46.18,percent of total billed charges,90% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,39.12,61,,31.3,percent of total billed charges,61% of total billed charges,33.35,52,,26.68,percent of total billed charges,52% of total billed charges,33.35,57.72,
NEW PT PROBLEM FOCUSED,43600128,CDM,521,RC,99201,HCPCS,Outpatient,,,60,48,,51,85,,40.8,percent of total billed charges,85% of total billed charges,51,85,,40.8,percent of total billed charges,85% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,54,90,,43.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,52.32,87.2,,,percent of total billed charges,87.2% of total billed charges,35.4,59,,28.32,percent of total billed charges,59% of total billed charges,52.32,87.2,,41.86,percent of total billed charges,87.2% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,54,90,,43.2,percent of total billed charges,90% of totl billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,54,
NEW PT PROBLEM FOCUSED,43701160,CDM,521,RC,99201,HCPCS,Outpatient,,,60,48,,51,85,,40.8,percent of total billed charges,85% of total billed charges,51,85,,40.8,percent of total billed charges,85% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,54,90,,43.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,52.32,87.2,,,percent of total billed charges,87.2% of total billed charges,35.4,59,,28.32,percent of total billed charges,59% of total billed charges,52.32,87.2,,41.86,percent of total billed charges,87.2% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,54,90,,43.2,percent of total billed charges,90% of totl billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,54,
NEW PT EXPANDED PROBLM FOCUSED,43600129,CDM,521,RC,99202,HCPCS,Outpatient,,,100,80,,85,85,,68,percent of total billed charges,85% of total billed charges,85,85,,68,percent of total billed charges,85% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,90,90,,72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,87.2,87.2,,,percent of total billed charges,87.2% of total billed charges,59,59,,47.2,percent of total billed charges,59% of total billed charges,87.2,87.2,,69.76,percent of total billed charges,87.2% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,81.29,81.29,,65.03,percent of total billed charges,81.29% of total billed charges,90,90,,72,percent of total billed charges,90% of totl billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,90,
NEW PT EXPANDED PROBLM FOCUSED,43701161,CDM,521,RC,99202,HCPCS,Outpatient,,,100,80,,85,85,,68,percent of total billed charges,85% of total billed charges,85,85,,68,percent of total billed charges,85% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,90,90,,72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,87.2,87.2,,,percent of total billed charges,87.2% of total billed charges,59,59,,47.2,percent of total billed charges,59% of total billed charges,87.2,87.2,,69.76,percent of total billed charges,87.2% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,81.29,81.29,,65.03,percent of total billed charges,81.29% of total billed charges,90,90,,72,percent of total billed charges,90% of totl billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,90,
OFFICE/OUTPATIENT VISIT NEW L2,44500083,CDM,761,RC,99202,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L2,44510083,CDM,983,RC,99202,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PT DETAILED,43600130,CDM,521,RC,99203,HCPCS,Outpatient,,,154.9,123.92,,131.67,85,,105.34,percent of total billed charges,85% of total billed charges,131.67,85,,105.34,percent of total billed charges,85% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,135.07,87.2,,,percent of total billed charges,87.2% of total billed charges,91.39,59,,73.11,percent of total billed charges,59% of total billed charges,135.07,87.2,,108.06,percent of total billed charges,87.2% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,125.92,81.29,,100.74,percent of total billed charges,81.29% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of totl billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,80.55,139.41,
FIREFIGHTER PHYS DETAILED,43701151,CDM,521,RC,99203,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
NEW PT DETAILED,43701162,CDM,521,RC,99203,HCPCS,Outpatient,,,154.9,123.92,,131.67,85,,105.34,percent of total billed charges,85% of total billed charges,131.67,85,,105.34,percent of total billed charges,85% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,115.06,74,,92.05,percent of total billed charges,74.28% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,135.07,87.2,,,percent of total billed charges,87.2% of total billed charges,91.39,59,,73.11,percent of total billed charges,59% of total billed charges,135.07,87.2,,108.06,percent of total billed charges,87.2% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,125.92,81.29,,100.74,percent of total billed charges,81.29% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of totl billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,139.41,90,,111.53,percent of total billed charges,90% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,94.49,61,,75.59,percent of total billed charges,61% of total billed charges,80.55,52,,64.44,percent of total billed charges,52% of total billed charges,80.55,139.41,
OFFICE/OUTPATIENT VISIT NEW L3,44500084,CDM,761,RC,99203,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L3,44510084,CDM,983,RC,99203,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PATIENT LEVEL 3,73800103,CDM,510,RC,99203,HCPCS,Outpatient,,,140.82,112.66,,119.7,85,,95.76,percent of total billed charges,85% of total billed charges,119.7,85,,95.76,percent of total billed charges,85% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,104.6,74,,83.68,percent of total billed charges,74.28% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,104.6,74,,83.68,percent of total billed charges,74.28% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,104.6,74,,83.68,percent of total billed charges,74.28% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,126.74,90,,101.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,122.8,87.2,,,percent of total billed charges,87.2% of total billed charges,83.08,59,,66.46,percent of total billed charges,59% of total billed charges,122.8,87.2,,98.24,percent of total billed charges,87.2% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,114.47,81.29,,91.58,percent of total billed charges,81.29% of total billed charges,126.74,90,,101.39,percent of total billed charges,90% of totl billed charges,126.74,90,,101.39,percent of total billed charges,90% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,126.74,90,,101.39,percent of total billed charges,90% of total billed charges,126.74,90,,101.39,percent of total billed charges,90% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,85.9,61,,68.72,percent of total billed charges,61% of total billed charges,73.23,52,,58.58,percent of total billed charges,52% of total billed charges,73.23,126.74,
NEW PT COMPREHENSIVE,43600131,CDM,521,RC,99204,HCPCS,Outpatient,,,200,160,,170,85,,136,percent of total billed charges,85% of total billed charges,170,85,,136,percent of total billed charges,85% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,180,90,,144,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,174.4,87.2,,,percent of total billed charges,87.2% of total billed charges,118,59,,94.4,percent of total billed charges,59% of total billed charges,174.4,87.2,,139.52,percent of total billed charges,87.2% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,162.58,81.29,,130.06,percent of total billed charges,81.29% of total billed charges,180,90,,144,percent of total billed charges,90% of totl billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,180,
Physical- Firefighter Comprehe,43601371,CDM,521,RC,99204,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
NEW PT COMPREHENSIVE,43701163,CDM,521,RC,99204,HCPCS,Outpatient,,,200,160,,170,85,,136,percent of total billed charges,85% of total billed charges,170,85,,136,percent of total billed charges,85% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,180,90,,144,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,174.4,87.2,,,percent of total billed charges,87.2% of total billed charges,118,59,,94.4,percent of total billed charges,59% of total billed charges,174.4,87.2,,139.52,percent of total billed charges,87.2% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,162.58,81.29,,130.06,percent of total billed charges,81.29% of total billed charges,180,90,,144,percent of total billed charges,90% of totl billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,180,
OFFICE/OUTPATIENT VISIT NEW L4,44500085,CDM,761,RC,99204,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L4,44510085,CDM,983,RC,99204,HCPCS,Outpatient,,,238.14,190.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PATIENT LEVEL 4,73800104,CDM,510,RC,99204,HCPCS,Outpatient,,,215.2,172.16,,182.92,85,,146.34,percent of total billed charges,85% of total billed charges,182.92,85,,146.34,percent of total billed charges,85% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,159.85,74,,127.88,percent of total billed charges,74.28% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,159.85,74,,127.88,percent of total billed charges,74.28% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,159.85,74,,127.88,percent of total billed charges,74.28% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,193.68,90,,154.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,187.65,87.2,,,percent of total billed charges,87.2% of total billed charges,126.97,59,,101.58,percent of total billed charges,59% of total billed charges,187.65,87.2,,150.12,percent of total billed charges,87.2% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,174.94,81.29,,139.95,percent of total billed charges,81.29% of total billed charges,193.68,90,,154.94,percent of total billed charges,90% of totl billed charges,193.68,90,,154.94,percent of total billed charges,90% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,193.68,90,,154.94,percent of total billed charges,90% of total billed charges,193.68,90,,154.94,percent of total billed charges,90% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,131.27,61,,105.02,percent of total billed charges,61% of total billed charges,111.9,52,,89.52,percent of total billed charges,52% of total billed charges,111.9,193.68,
NEW PT COMPREH / HIGH COMPLEX,43600132,CDM,521,RC,99205,HCPCS,Outpatient,,,299.1,239.28,,254.24,85,,203.39,percent of total billed charges,85% of total billed charges,254.24,85,,203.39,percent of total billed charges,85% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,260.82,87.2,,,percent of total billed charges,87.2% of total billed charges,176.47,59,,141.18,percent of total billed charges,59% of total billed charges,260.82,87.2,,208.66,percent of total billed charges,87.2% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,243.14,81.29,,194.51,percent of total billed charges,81.29% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of totl billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,155.53,269.19,
NEW PT COMPREH / HIGH COMPLEX,43701164,CDM,521,RC,99205,HCPCS,Outpatient,,,299.1,239.28,,254.24,85,,203.39,percent of total billed charges,85% of total billed charges,254.24,85,,203.39,percent of total billed charges,85% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,222.17,74,,177.74,percent of total billed charges,74.28% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,260.82,87.2,,,percent of total billed charges,87.2% of total billed charges,176.47,59,,141.18,percent of total billed charges,59% of total billed charges,260.82,87.2,,208.66,percent of total billed charges,87.2% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,243.14,81.29,,194.51,percent of total billed charges,81.29% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of totl billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,269.19,90,,215.35,percent of total billed charges,90% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,182.45,61,,145.96,percent of total billed charges,61% of total billed charges,155.53,52,,124.42,percent of total billed charges,52% of total billed charges,155.53,269.19,
OFFICE/OUTPATIENT VISIT NEW L5,44500086,CDM,761,RC,99205,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L5,44510086,CDM,983,RC,99205,HCPCS,Outpatient,,,300.89,240.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PATIENT LEVEL 5,73800105,CDM,510,RC,99205,HCPCS,Outpatient,,,271.9,217.52,,231.12,85,,184.9,percent of total billed charges,85% of total billed charges,231.12,85,,184.9,percent of total billed charges,85% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,201.97,74,,161.58,percent of total billed charges,74.28% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,201.97,74,,161.58,percent of total billed charges,74.28% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,201.97,74,,161.58,percent of total billed charges,74.28% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,244.71,90,,195.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,237.1,87.2,,,percent of total billed charges,87.2% of total billed charges,160.42,59,,128.34,percent of total billed charges,59% of total billed charges,237.1,87.2,,189.68,percent of total billed charges,87.2% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,221.03,81.29,,176.82,percent of total billed charges,81.29% of total billed charges,244.71,90,,195.77,percent of total billed charges,90% of totl billed charges,244.71,90,,195.77,percent of total billed charges,90% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,244.71,90,,195.77,percent of total billed charges,90% of total billed charges,244.71,90,,195.77,percent of total billed charges,90% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,165.86,61,,132.69,percent of total billed charges,61% of total billed charges,141.39,52,,113.11,percent of total billed charges,52% of total billed charges,141.39,244.71,
LEVEL 1 EVALUATION MANAGEMENT,32000200,CDM,510,RC,99211,HCPCS,Outpatient,,,100.41,80.33,,85.35,85,,68.28,percent of total billed charges,85% of total billed charges,85.35,85,,68.28,percent of total billed charges,85% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,74.58,74,,59.66,percent of total billed charges,74.28% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,74.58,74,,59.66,percent of total billed charges,74.28% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,74.58,74,,59.66,percent of total billed charges,74.28% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,90.37,90,,72.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,87.56,87.2,,,percent of total billed charges,87.2% of total billed charges,59.24,59,,47.39,percent of total billed charges,59% of total billed charges,87.56,87.2,,70.05,percent of total billed charges,87.2% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,81.62,81.29,,65.3,percent of total billed charges,81.29% of total billed charges,90.37,90,,72.3,percent of total billed charges,90% of totl billed charges,90.37,90,,72.3,percent of total billed charges,90% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,90.37,90,,72.3,percent of total billed charges,90% of total billed charges,90.37,90,,72.3,percent of total billed charges,90% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,61.25,61,,49,percent of total billed charges,61% of total billed charges,52.21,52,,41.77,percent of total billed charges,52% of total billed charges,52.21,90.37,
EST PATIENT MINIMUM,32009068,CDM,510,RC,99211,HCPCS,Outpatient,,,46.06,36.85,,39.15,85,,31.32,percent of total billed charges,85% of total billed charges,39.15,85,,31.32,percent of total billed charges,85% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,34.21,74,,27.37,percent of total billed charges,74.28% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,34.21,74,,27.37,percent of total billed charges,74.28% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,34.21,74,,27.37,percent of total billed charges,74.28% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.45,90,,33.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,40.16,87.2,,,percent of total billed charges,87.2% of total billed charges,27.18,59,,21.74,percent of total billed charges,59% of total billed charges,40.16,87.2,,32.13,percent of total billed charges,87.2% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,37.44,81.29,,29.95,percent of total billed charges,81.29% of total billed charges,41.45,90,,33.16,percent of total billed charges,90% of totl billed charges,41.45,90,,33.16,percent of total billed charges,90% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,41.45,90,,33.16,percent of total billed charges,90% of total billed charges,41.45,90,,33.16,percent of total billed charges,90% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,28.1,61,,22.48,percent of total billed charges,61% of total billed charges,23.95,52,,19.16,percent of total billed charges,52% of total billed charges,23.95,41.45,
LEVEL 1 EVALUATION MANAGEMENT,43401092,CDM,761,RC,99211,HCPCS,Outpatient,,,81.88,65.5,,69.6,85,,55.68,percent of total billed charges,85% of total billed charges,69.6,85,,55.68,percent of total billed charges,85% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,60.82,74,,48.66,percent of total billed charges,74.28% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,71.4,87.2,,,percent of total billed charges,87.2% of total billed charges,48.31,59,,38.65,percent of total billed charges,59% of total billed charges,71.4,87.2,,57.12,percent of total billed charges,87.2% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,66.56,81.29,,53.25,percent of total billed charges,81.29% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of totl billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,73.69,90,,58.95,percent of total billed charges,90% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,49.95,61,,39.96,percent of total billed charges,61% of total billed charges,42.58,52,,34.06,percent of total billed charges,52% of total billed charges,42.58,73.69,
EST PT MINIMUM,43600140,CDM,521,RC,99211,HCPCS,Outpatient,,,35,28,,29.75,85,,23.8,percent of total billed charges,85% of total billed charges,29.75,85,,23.8,percent of total billed charges,85% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,30.52,87.2,,,percent of total billed charges,87.2% of total billed charges,20.65,59,,16.52,percent of total billed charges,59% of total billed charges,30.52,87.2,,24.42,percent of total billed charges,87.2% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,28.45,81.29,,22.76,percent of total billed charges,81.29% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of totl billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,18.2,31.5,
EST PT MINIMUM,43701171,CDM,521,RC,99211,HCPCS,Outpatient,,,35,28,,29.75,85,,23.8,percent of total billed charges,85% of total billed charges,29.75,85,,23.8,percent of total billed charges,85% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,26,74,,20.8,percent of total billed charges,74.28% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,30.52,87.2,,,percent of total billed charges,87.2% of total billed charges,20.65,59,,16.52,percent of total billed charges,59% of total billed charges,30.52,87.2,,24.42,percent of total billed charges,87.2% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,28.45,81.29,,22.76,percent of total billed charges,81.29% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of totl billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,31.5,90,,25.2,percent of total billed charges,90% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,21.35,61,,17.08,percent of total billed charges,61% of total billed charges,18.2,52,,14.56,percent of total billed charges,52% of total billed charges,18.2,31.5,
OFFICE/OUTPATIENT VISIT EST L1,44500087,CDM,761,RC,99211,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L1,44510087,CDM,983,RC,99211,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PT PROBLEM FOCUSED,43600141,CDM,521,RC,99212,HCPCS,Outpatient,,,72.09,57.67,,61.28,85,,49.02,percent of total billed charges,85% of total billed charges,61.28,85,,49.02,percent of total billed charges,85% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,62.86,87.2,,,percent of total billed charges,87.2% of total billed charges,42.53,59,,34.02,percent of total billed charges,59% of total billed charges,62.86,87.2,,50.29,percent of total billed charges,87.2% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,58.6,81.29,,46.88,percent of total billed charges,81.29% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of totl billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,37.49,64.88,
EST PT PROBLEM FOCUSED,43701172,CDM,521,RC,99212,HCPCS,Outpatient,,,72.09,57.67,,61.28,85,,49.02,percent of total billed charges,85% of total billed charges,61.28,85,,49.02,percent of total billed charges,85% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,53.55,74,,42.84,percent of total billed charges,74.28% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,62.86,87.2,,,percent of total billed charges,87.2% of total billed charges,42.53,59,,34.02,percent of total billed charges,59% of total billed charges,62.86,87.2,,50.29,percent of total billed charges,87.2% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,58.6,81.29,,46.88,percent of total billed charges,81.29% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of totl billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,64.88,90,,51.9,percent of total billed charges,90% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,43.97,61,,35.18,percent of total billed charges,61% of total billed charges,37.49,52,,29.99,percent of total billed charges,52% of total billed charges,37.49,64.88,
OFFICE/OUTPATIENT VISIT EST L2,44500088,CDM,761,RC,99212,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L2,44510088,CDM,983,RC,99212,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PT EXPANDED PROBL FOCUS,43600142,CDM,521,RC,99213,HCPCS,Outpatient,,,90,72,,76.5,85,,61.2,percent of total billed charges,85% of total billed charges,76.5,85,,61.2,percent of total billed charges,85% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,81,90,,64.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,78.48,87.2,,,percent of total billed charges,87.2% of total billed charges,53.1,59,,42.48,percent of total billed charges,59% of total billed charges,78.48,87.2,,62.78,percent of total billed charges,87.2% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,73.16,81.29,,58.53,percent of total billed charges,81.29% of total billed charges,81,90,,64.8,percent of total billed charges,90% of totl billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,46.8,81,
EST PT EXPANDED PROBL FOCUS,43701173,CDM,521,RC,99213,HCPCS,Outpatient,,,90,72,,76.5,85,,61.2,percent of total billed charges,85% of total billed charges,76.5,85,,61.2,percent of total billed charges,85% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,66.85,74,,53.48,percent of total billed charges,74.28% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,81,90,,64.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,78.48,87.2,,,percent of total billed charges,87.2% of total billed charges,53.1,59,,42.48,percent of total billed charges,59% of total billed charges,78.48,87.2,,62.78,percent of total billed charges,87.2% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,73.16,81.29,,58.53,percent of total billed charges,81.29% of total billed charges,81,90,,64.8,percent of total billed charges,90% of totl billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,81,90,,64.8,percent of total billed charges,90% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,54.9,61,,43.92,percent of total billed charges,61% of total billed charges,46.8,52,,37.44,percent of total billed charges,52% of total billed charges,46.8,81,
OFFICE/OUTPATIENT VISIT EST L3,44500089,CDM,761,RC,99213,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L3,44510089,CDM,983,RC,99213,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PATIENT LEVEL 3,73800100,CDM,510,RC,99213,HCPCS,Outpatient,,,102.98,82.38,,87.53,85,,70.02,percent of total billed charges,85% of total billed charges,87.53,85,,70.02,percent of total billed charges,85% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,76.49,74,,61.19,percent of total billed charges,74.28% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,76.49,74,,61.19,percent of total billed charges,74.28% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,76.49,74,,61.19,percent of total billed charges,74.28% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,92.68,90,,74.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,89.8,87.2,,,percent of total billed charges,87.2% of total billed charges,60.76,59,,48.61,percent of total billed charges,59% of total billed charges,89.8,87.2,,71.84,percent of total billed charges,87.2% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,83.71,81.29,,66.97,percent of total billed charges,81.29% of total billed charges,92.68,90,,74.14,percent of total billed charges,90% of totl billed charges,92.68,90,,74.14,percent of total billed charges,90% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,92.68,90,,74.14,percent of total billed charges,90% of total billed charges,92.68,90,,74.14,percent of total billed charges,90% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,62.82,61,,50.26,percent of total billed charges,61% of total billed charges,53.55,52,,42.84,percent of total billed charges,52% of total billed charges,53.55,92.68,
EST PT DETAILED,43600143,CDM,521,RC,99214,HCPCS,Outpatient,,,164.27,131.42,,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,143.24,87.2,,,percent of total billed charges,87.2% of total billed charges,96.92,59,,77.54,percent of total billed charges,59% of total billed charges,143.24,87.2,,114.59,percent of total billed charges,87.2% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,133.54,81.29,,106.83,percent of total billed charges,81.29% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of totl billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,85.42,147.84,
EST PT DETAILED,43701174,CDM,521,RC,99214,HCPCS,Outpatient,,,164.27,131.42,,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,139.63,85,,111.7,percent of total billed charges,85% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,122.02,74,,97.62,percent of total billed charges,74.28% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,143.24,87.2,,,percent of total billed charges,87.2% of total billed charges,96.92,59,,77.54,percent of total billed charges,59% of total billed charges,143.24,87.2,,114.59,percent of total billed charges,87.2% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,133.54,81.29,,106.83,percent of total billed charges,81.29% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of totl billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,147.84,90,,118.27,percent of total billed charges,90% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,100.2,61,,80.16,percent of total billed charges,61% of total billed charges,85.42,52,,68.34,percent of total billed charges,52% of total billed charges,85.42,147.84,
OFFICE/OUTPATIENT VISIT EST L4,44500090,CDM,761,RC,99214,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L4,44510090,CDM,983,RC,99214,HCPCS,Outpatient,,,165.26,132.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PATIENT LEVEL 4,73800101,CDM,510,RC,99214,HCPCS,Outpatient,,,149.34,119.47,,126.94,85,,101.55,percent of total billed charges,85% of total billed charges,126.94,85,,101.55,percent of total billed charges,85% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,110.93,74,,88.74,percent of total billed charges,74.28% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,110.93,74,,88.74,percent of total billed charges,74.28% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,110.93,74,,88.74,percent of total billed charges,74.28% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,134.41,90,,107.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,130.22,87.2,,,percent of total billed charges,87.2% of total billed charges,88.11,59,,70.49,percent of total billed charges,59% of total billed charges,130.22,87.2,,104.18,percent of total billed charges,87.2% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,121.4,81.29,,97.12,percent of total billed charges,81.29% of total billed charges,134.41,90,,107.53,percent of total billed charges,90% of totl billed charges,134.41,90,,107.53,percent of total billed charges,90% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,134.41,90,,107.53,percent of total billed charges,90% of total billed charges,134.41,90,,107.53,percent of total billed charges,90% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,91.1,61,,72.88,percent of total billed charges,61% of total billed charges,77.66,52,,62.13,percent of total billed charges,52% of total billed charges,77.66,134.41,
EST PT COMPREH / HIGH COMPLEX,43600144,CDM,521,RC,99215,HCPCS,Outpatient,,,195,156,,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,170.04,87.2,,,percent of total billed charges,87.2% of total billed charges,115.05,59,,92.04,percent of total billed charges,59% of total billed charges,170.04,87.2,,136.03,percent of total billed charges,87.2% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,158.52,81.29,,126.82,percent of total billed charges,81.29% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of totl billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,175.5,
EST PT COMPREH / HIGH COMPLEX,43701175,CDM,521,RC,99215,HCPCS,Outpatient,,,195,156,,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,170.04,87.2,,,percent of total billed charges,87.2% of total billed charges,115.05,59,,92.04,percent of total billed charges,59% of total billed charges,170.04,87.2,,136.03,percent of total billed charges,87.2% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,158.52,81.29,,126.82,percent of total billed charges,81.29% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of totl billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,175.5,
OFFICE/OUTPATIENT VISIT EST L5,44500091,CDM,761,RC,99215,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L5,44510091,CDM,983,RC,99215,HCPCS,Outpatient,,,211.36,169.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EST PATIENT LEVEL 5,73800102,CDM,510,RC,99215,HCPCS,Outpatient,,,200.4,160.32,,170.34,85,,136.27,percent of total billed charges,85% of total billed charges,170.34,85,,136.27,percent of total billed charges,85% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,148.86,74,,119.09,percent of total billed charges,74.28% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,148.86,74,,119.09,percent of total billed charges,74.28% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,148.86,74,,119.09,percent of total billed charges,74.28% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,180.36,90,,144.29,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,174.75,87.2,,,percent of total billed charges,87.2% of total billed charges,118.24,59,,94.59,percent of total billed charges,59% of total billed charges,174.75,87.2,,139.8,percent of total billed charges,87.2% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,162.91,81.29,,130.33,percent of total billed charges,81.29% of total billed charges,180.36,90,,144.29,percent of total billed charges,90% of totl billed charges,180.36,90,,144.29,percent of total billed charges,90% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,180.36,90,,144.29,percent of total billed charges,90% of total billed charges,180.36,90,,144.29,percent of total billed charges,90% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,122.24,61,,97.79,percent of total billed charges,61% of total billed charges,104.21,52,,83.37,percent of total billed charges,52% of total billed charges,104.21,180.36,
OBSERVATION CARE DISCHARGE,43710017,CDM,987,RC,99217,HCPCS,Outpatient,,,151.24,120.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSERVATION LOW LEVEL PER HOUR,32009034,CDM,762,RC,99218,HCPCS,Outpatient,,,35.74,28.59,,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,31.17,87.2,,,percent of total billed charges,87.2% of total billed charges,21.09,59,,16.87,percent of total billed charges,59% of total billed charges,31.17,87.2,,24.94,percent of total billed charges,87.2% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,29.05,81.29,,23.24,percent of total billed charges,81.29% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of totl billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,32.17,
OBSERVATION CARE INIT LEVEL 1,43710014,CDM,987,RC,99218,HCPCS,Outpatient,,,144.67,115.74,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSERVATION CARE INIT LEVEL 2,43710015,CDM,987,RC,99219,HCPCS,Outpatient,,,236.75,189.4,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSERVATION HI LEVEL PER HOUR,32009057,CDM,762,RC,99220,HCPCS,Outpatient,,,35.74,28.59,,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,31.17,87.2,,,percent of total billed charges,87.2% of total billed charges,21.09,59,,16.87,percent of total billed charges,59% of total billed charges,31.17,87.2,,24.94,percent of total billed charges,87.2% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,29.05,81.29,,23.24,percent of total billed charges,81.29% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of totl billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,32.17,
OBSERVATION CARE INIT LEVEL 3,43710016,CDM,987,RC,99220,HCPCS,Outpatient,,,322.2,257.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 1,43710006,CDM,987,RC,99221,HCPCS,Outpatient,,,164.39,131.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 1,43710006,CDM,987,RC,99221,HCPCS,Outpatient,,,164.39,131.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IP/OBS WND CARE LVL 1,44510092,CDM,983,RC,99221,HCPCS,Outpatient,,,164.39,131.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 2,43710007,CDM,987,RC,99222,HCPCS,Outpatient,,,243.31,194.65,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 2,43710007,CDM,987,RC,99222,HCPCS,Outpatient,,,243.31,194.65,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IP/OBS WND CARE LVL 2,44510093,CDM,983,RC,99222,HCPCS,Outpatient,,,243.31,194.65,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 3,43710008,CDM,987,RC,99223,HCPCS,Outpatient,,,335.36,268.29,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL HOSPITAL CARE LEVEL 3,43710008,CDM,987,RC,99223,HCPCS,Outpatient,,,335.36,268.29,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL IP/OBS WND CARE LVL 3,44510094,CDM,983,RC,99223,HCPCS,Outpatient,,,335.36,268.29,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBS SUBSEQUENT CARE LEVEL 1,43701321,CDM,987,RC,99224,HCPCS,Outpatient,,,54.93,43.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBS SUBSEQUENT CARE LEVEL 2,43701322,CDM,987,RC,99225,HCPCS,Outpatient,,,97.12,77.7,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBS SUBSEQUENT CARE LEVEL 3,43701323,CDM,987,RC,99226,HCPCS,Outpatient,,,145.37,116.3,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID RESPONSE TEAM LEVEL 3,32009059,CDM,981,RC,99231,HCPCS,Outpatient,,,76.37,61.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT HOSPITAL CARE LVL 1,43710009,CDM,987,RC,99231,HCPCS,Outpatient,,,72.33,57.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT HOSPITAL CARE LVL 1,43710009,CDM,987,RC,99231,HCPCS,Outpatient,,,72.33,57.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBS IP/OBS WND CARE LVL 1,44510095,CDM,983,RC,99231,HCPCS,Outpatient,,,72.33,57.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID RESPONSE TEAM LEVEL 4,32009060,CDM,981,RC,99232,HCPCS,Outpatient,,,137.63,110.1,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT HOSPITAL CARE LVL 2,43710010,CDM,987,RC,99232,HCPCS,Outpatient,,,124.95,99.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBS IP/OBS WND CARE LVL 2,44510096,CDM,983,RC,99232,HCPCS,Outpatient,,,124.95,99.96,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID RESPONSE TEAM LEVEL 5,32009061,CDM,981,RC,99233,HCPCS,Outpatient,,,197.43,157.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ER PHYSICIAN VISIT INTERN,36011057,CDM,981,RC,99233,HCPCS,Outpatient,,,176.92,141.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUENT HOSPITAL CARE LVL 3,43710011,CDM,987,RC,99233,HCPCS,Outpatient,,,170.97,136.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBS IP/OBS WND CARE LVL 3,44510097,CDM,983,RC,99233,HCPCS,Outpatient,,,170.97,136.78,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSV/IP ADM/DC SAME LEVEL 1,43710018,CDM,987,RC,99234,HCPCS,Outpatient,,,276.18,220.94,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSV/IP ADM/DC SAME LEVEL 2,43710019,CDM,987,RC,99235,HCPCS,Outpatient,,,368.24,294.59,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OBSV/IP ADM/DC SAME LEVEL 3,43710020,CDM,987,RC,99236,HCPCS,Outpatient,,,453.73,362.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOSP DISCH DAY MGMT 30 MN OR<,43710012,CDM,987,RC,99238,HCPCS,Outpatient,,,151.24,120.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOSP DISCH DAY MGMT 30 MN OR >,43710013,CDM,987,RC,99239,HCPCS,Outpatient,,,217.02,173.62,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 1,43710001,CDM,988,RC,99251,HCPCS,Outpatient,,,85.49,68.39,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 1,43710001,CDM,988,RC,99251,HCPCS,Outpatient,,,85.49,68.39,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 2,43710002,CDM,988,RC,99252,HCPCS,Outpatient,,,151.24,120.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 2,43710002,CDM,988,RC,99252,HCPCS,Outpatient,,,151.24,120.99,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 3,43710003,CDM,988,RC,99253,HCPCS,Outpatient,,,210.43,168.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 3,43710003,CDM,988,RC,99253,HCPCS,Outpatient,,,210.43,168.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 4,43710004,CDM,988,RC,99254,HCPCS,Outpatient,,,302.48,241.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 4,43710004,CDM,988,RC,99254,HCPCS,Outpatient,,,302.48,241.98,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 5,43710005,CDM,988,RC,99255,HCPCS,Outpatient,,,407.7,326.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INPATIENT CONSULTATION LEVEL 5,43710005,CDM,988,RC,99255,HCPCS,Outpatient,,,407.7,326.16,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 1,36000041,CDM,450,RC,99281,HCPCS,Outpatient,,,94.95,75.96,,80.71,85,,64.57,percent of total billed charges,85% of total billed charges,80.71,85,,64.57,percent of total billed charges,85% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,70.53,74,,56.42,percent of total billed charges,74.28% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,70.53,74,,56.42,percent of total billed charges,74.28% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,70.53,74,,56.42,percent of total billed charges,74.28% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,85.46,90,,68.37,percent of total billed charges,90% of total billed charges,85.46,90,,68.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,82.8,87.2,,,percent of total billed charges,87.2% of total billed charges,56.02,59,,44.82,percent of total billed charges,59% of total billed charges,82.8,87.2,,66.24,percent of total billed charges,87.2% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,77.18,81.29,,61.74,percent of total billed charges,81.29% of total billed charges,85.46,90,,68.37,percent of total billed charges,90% of totl billed charges,85.46,90,,68.37,percent of total billed charges,90% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,85.46,90,,68.37,percent of total billed charges,90% of total billed charges,85.46,90,,68.37,percent of total billed charges,90% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,57.92,61,,46.34,percent of total billed charges,61% of total billed charges,49.37,52,,39.5,percent of total billed charges,52% of total billed charges,49.37,85.46,
LEVEL 0 TRIAGE ONLY,36009168,CDM,450,RC,99281,HCPCS,Outpatient,,,18.31,14.65,,15.56,85,,12.45,percent of total billed charges,85% of total billed charges,15.56,85,,12.45,percent of total billed charges,85% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,13.6,74,,10.88,percent of total billed charges,74.28% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,13.6,74,,10.88,percent of total billed charges,74.28% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,13.6,74,,10.88,percent of total billed charges,74.28% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,16.48,90,,13.18,percent of total billed charges,90% of total billed charges,16.48,90,,13.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,15.97,87.2,,,percent of total billed charges,87.2% of total billed charges,10.8,59,,8.64,percent of total billed charges,59% of total billed charges,15.97,87.2,,12.78,percent of total billed charges,87.2% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,14.88,81.29,,11.9,percent of total billed charges,81.29% of total billed charges,16.48,90,,13.18,percent of total billed charges,90% of totl billed charges,16.48,90,,13.18,percent of total billed charges,90% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,16.48,90,,13.18,percent of total billed charges,90% of total billed charges,16.48,90,,13.18,percent of total billed charges,90% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,11.17,61,,8.94,percent of total billed charges,61% of total billed charges,9.52,52,,7.62,percent of total billed charges,52% of total billed charges,9.52,16.48,
LIMITED SERVICE EMERGENCY R,36010105,CDM,981,RC,99281,HCPCS,Outpatient,,,50.27,40.22,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ER PHYSICIAN BRIEF SERVICE,36010112,CDM,981,RC,99281,HCPCS,Outpatient,,,63.03,50.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 2,36009002,CDM,450,RC,99282,HCPCS,Outpatient,,,137.84,110.27,,117.16,85,,93.73,percent of total billed charges,85% of total billed charges,117.16,85,,93.73,percent of total billed charges,85% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,102.39,74,,81.91,percent of total billed charges,74.28% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,102.39,74,,81.91,percent of total billed charges,74.28% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,102.39,74,,81.91,percent of total billed charges,74.28% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,124.06,90,,99.25,percent of total billed charges,90% of total billed charges,124.06,90,,99.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,81.33,59,,65.06,percent of total billed charges,59% of total billed charges,120.2,87.2,,96.16,percent of total billed charges,87.2% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,112.05,81.29,,89.64,percent of total billed charges,81.29% of total billed charges,124.06,90,,99.25,percent of total billed charges,90% of totl billed charges,124.06,90,,99.25,percent of total billed charges,90% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,124.06,90,,99.25,percent of total billed charges,90% of total billed charges,124.06,90,,99.25,percent of total billed charges,90% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,84.08,61,,67.26,percent of total billed charges,61% of total billed charges,71.68,52,,57.34,percent of total billed charges,52% of total billed charges,71.68,124.06,
ER PHYSICIAN LIMITED SERVICE,36010113,CDM,981,RC,99282,HCPCS,Outpatient,,,124.79,99.83,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 3,36009003,CDM,450,RC,99283,HCPCS,Outpatient,,,337.74,270.19,,287.08,85,,229.66,percent of total billed charges,85% of total billed charges,287.08,85,,229.66,percent of total billed charges,85% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,250.87,74,,200.7,percent of total billed charges,74.28% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,250.87,74,,200.7,percent of total billed charges,74.28% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,250.87,74,,200.7,percent of total billed charges,74.28% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,303.97,90,,243.18,percent of total billed charges,90% of total billed charges,303.97,90,,243.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,294.51,87.2,,,percent of total billed charges,87.2% of total billed charges,199.27,59,,159.42,percent of total billed charges,59% of total billed charges,294.51,87.2,,235.61,percent of total billed charges,87.2% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,274.55,81.29,,219.64,percent of total billed charges,81.29% of total billed charges,303.97,90,,243.18,percent of total billed charges,90% of totl billed charges,303.97,90,,243.18,percent of total billed charges,90% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,303.97,90,,243.18,percent of total billed charges,90% of total billed charges,303.97,90,,243.18,percent of total billed charges,90% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,206.02,61,,164.82,percent of total billed charges,61% of total billed charges,175.62,52,,140.5,percent of total billed charges,52% of total billed charges,175.62,303.97,
ER PHYSICIAN INTERMEDIATE SERV,36010114,CDM,981,RC,99283,HCPCS,Outpatient,,,176.92,141.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 4,36009004,CDM,450,RC,99284,HCPCS,Outpatient,,,547.47,437.98,,465.35,85,,372.28,percent of total billed charges,85% of total billed charges,465.35,85,,372.28,percent of total billed charges,85% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,406.66,74,,325.33,percent of total billed charges,74.28% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,406.66,74,,325.33,percent of total billed charges,74.28% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,406.66,74,,325.33,percent of total billed charges,74.28% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,492.72,90,,394.18,percent of total billed charges,90% of total billed charges,492.72,90,,394.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,477.39,87.2,,,percent of total billed charges,87.2% of total billed charges,323.01,59,,258.41,percent of total billed charges,59% of total billed charges,477.39,87.2,,381.91,percent of total billed charges,87.2% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,445.04,81.29,,356.03,percent of total billed charges,81.29% of total billed charges,492.72,90,,394.18,percent of total billed charges,90% of totl billed charges,492.72,90,,394.18,percent of total billed charges,90% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,492.72,90,,394.18,percent of total billed charges,90% of total billed charges,492.72,90,,394.18,percent of total billed charges,90% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,333.96,61,,267.17,percent of total billed charges,61% of total billed charges,284.68,52,,227.74,percent of total billed charges,52% of total billed charges,284.68,492.72,
ER PHYSICIAN EXTENDED SERVICE,36010115,CDM,981,RC,99284,HCPCS,Outpatient,,,269.89,215.91,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 5,36009005,CDM,450,RC,99285,HCPCS,Outpatient,,,821.29,657.03,,698.1,85,,558.48,percent of total billed charges,85% of total billed charges,698.1,85,,558.48,percent of total billed charges,85% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,610.05,74,,488.04,percent of total billed charges,74.28% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,716.16,87.2,,,percent of total billed charges,87.2% of total billed charges,484.56,59,,387.65,percent of total billed charges,59% of total billed charges,716.16,87.2,,572.93,percent of total billed charges,87.2% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,667.63,81.29,,534.1,percent of total billed charges,81.29% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of totl billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,739.16,90,,591.33,percent of total billed charges,90% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,500.99,61,,400.79,percent of total billed charges,61% of total billed charges,427.07,52,,341.66,percent of total billed charges,52% of total billed charges,427.07,739.16,
ER PHYSICIAN COMPREHENSIVE,36010116,CDM,981,RC,99285,HCPCS,Outpatient,,,411.51,329.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID RESPONSE TEAM 30-74 MIN,32009062,CDM,981,RC,99291,HCPCS,Outpatient,,,513.56,410.85,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
EMERGENCY ROOM LEVEL 6,36009120,CDM,450,RC,99291,HCPCS,Outpatient,,,1094.93,875.94,,930.69,85,,744.55,percent of total billed charges,85% of total billed charges,930.69,85,,744.55,percent of total billed charges,85% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,813.31,74,,650.65,percent of total billed charges,74.28% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,813.31,74,,650.65,percent of total billed charges,74.28% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,813.31,74,,650.65,percent of total billed charges,74.28% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,985.44,90,,788.35,percent of total billed charges,90% of total billed charges,985.44,90,,788.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,954.78,87.2,,,percent of total billed charges,87.2% of total billed charges,646.01,59,,516.81,percent of total billed charges,59% of total billed charges,954.78,87.2,,763.82,percent of total billed charges,87.2% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,890.07,81.29,,712.06,percent of total billed charges,81.29% of total billed charges,985.44,90,,788.35,percent of total billed charges,90% of totl billed charges,985.44,90,,788.35,percent of total billed charges,90% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,985.44,90,,788.35,percent of total billed charges,90% of total billed charges,985.44,90,,788.35,percent of total billed charges,90% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,667.91,61,,534.33,percent of total billed charges,61% of total billed charges,569.36,52,,455.49,percent of total billed charges,52% of total billed charges,569.36,985.44,
ER PHYSICIAN CRITICAL CARE,36010196,CDM,981,RC,99291,HCPCS,Outpatient,,,799.19,639.35,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
RAPID RESPONSE TEAM EA ADDL 30,32009063,CDM,981,RC,99292,HCPCS,Outpatient,,,256.35,205.08,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ER PHY CRITICAL CARE ADDL 30 M,36010197,CDM,981,RC,99292,HCPCS,Outpatient,,,324.2,259.36,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL SWING CARE LEVEL1,43710023,CDM,987,RC,99304,HCPCS,Outpatient,,,202.64,162.11,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL SWING CARE LEVEL 2,43710024,CDM,987,RC,99305,HCPCS,Outpatient,,,289.06,231.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
INITIAL SWING CARE LEVEL3,43710025,CDM,987,RC,99306,HCPCS,Outpatient,,,368.39,294.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUESNT SWING CARE LEVEL1,43710026,CDM,987,RC,99307,HCPCS,Outpatient,,,98.18,78.54,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUESNT SWING CARE LEVEL2,43710027,CDM,987,RC,99308,HCPCS,Outpatient,,,151.6,121.28,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUESNT SWING CARE LEVEL3,43710028,CDM,987,RC,99309,HCPCS,Outpatient,,,201.07,160.86,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SUBSEQUESNT SWING CARE LEVEL4,43710029,CDM,987,RC,99310,HCPCS,Outpatient,,,299.27,239.42,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING DISCH DAY MGMY 30 MN OR<,43710030,CDM,987,RC,99315,HCPCS,Outpatient,,,161,128.8,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SWING DISCH DAY MGMY 30 MN OR>,43710031,CDM,987,RC,99316,HCPCS,Outpatient,,,232.5,186,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ASSISTED LIVING VISIT,43601149,CDM,525,RC,99334,HCPCS,Outpatient,,,109.08,87.26,,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,92.72,85,,74.18,percent of total billed charges,85% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,81.02,74,,64.82,percent of total billed charges,74.28% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,95.12,87.2,,,percent of total billed charges,87.2% of total billed charges,64.36,59,,51.49,percent of total billed charges,59% of total billed charges,95.12,87.2,,76.1,percent of total billed charges,87.2% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,88.67,81.29,,70.94,percent of total billed charges,81.29% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of totl billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,98.17,90,,78.54,percent of total billed charges,90% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,66.54,61,,53.23,percent of total billed charges,61% of total billed charges,56.72,52,,45.38,percent of total billed charges,52% of total billed charges,56.72,98.17,
ASSISTED LIVING,43701153,CDM,525,RC,99334,HCPCS,Outpatient,,,100,80,,85,85,,68,percent of total billed charges,85% of total billed charges,85,85,,68,percent of total billed charges,85% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,74.28,74,,59.42,percent of total billed charges,74.28% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,90,90,,72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,87.2,87.2,,,percent of total billed charges,87.2% of total billed charges,59,59,,47.2,percent of total billed charges,59% of total billed charges,87.2,87.2,,69.76,percent of total billed charges,87.2% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,81.29,81.29,,65.03,percent of total billed charges,81.29% of total billed charges,90,90,,72,percent of total billed charges,90% of totl billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,90,90,,72,percent of total billed charges,90% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,61,61,,48.8,percent of total billed charges,61% of total billed charges,52,52,,41.6,percent of total billed charges,52% of total billed charges,52,90,
HOME VISIT,43600309,CDM,522,RC,99342,HCPCS,Outpatient,,,147.26,117.81,,125.17,85,,100.14,percent of total billed charges,85% of total billed charges,125.17,85,,100.14,percent of total billed charges,85% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,128.41,87.2,,,percent of total billed charges,87.2% of total billed charges,86.88,59,,69.5,percent of total billed charges,59% of total billed charges,128.41,87.2,,102.73,percent of total billed charges,87.2% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,119.71,81.29,,95.77,percent of total billed charges,81.29% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of totl billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,76.58,132.53,
HOME VISIT,43700309,CDM,521,RC,99342,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
Home Visit Est Pt,43601433,CDM,522,RC,99347,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
Home Visit Est Pt,43701433,CDM,522,RC,99347,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
HOME VISIT EXPAN PROBLEM FOCUS,43600159,CDM,522,RC,99348,HCPCS,Outpatient,,,147.26,117.81,,125.17,85,,100.14,percent of total billed charges,85% of total billed charges,125.17,85,,100.14,percent of total billed charges,85% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,109.38,74,,87.5,percent of total billed charges,74.28% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,128.41,87.2,,,percent of total billed charges,87.2% of total billed charges,86.88,59,,69.5,percent of total billed charges,59% of total billed charges,128.41,87.2,,102.73,percent of total billed charges,87.2% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,119.71,81.29,,95.77,percent of total billed charges,81.29% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of totl billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,132.53,90,,106.02,percent of total billed charges,90% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,89.83,61,,71.86,percent of total billed charges,61% of total billed charges,76.58,52,,61.26,percent of total billed charges,52% of total billed charges,76.58,132.53,
HOME VISIT EXPAN PROBLEM FOCUS,43701285,CDM,521,RC,99348,HCPCS,Outpatient,,,120,96,,102,85,,81.6,percent of total billed charges,85% of total billed charges,102,85,,81.6,percent of total billed charges,85% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,108,90,,86.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,104.64,87.2,,,percent of total billed charges,87.2% of total billed charges,70.8,59,,56.64,percent of total billed charges,59% of total billed charges,104.64,87.2,,83.71,percent of total billed charges,87.2% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,97.55,81.29,,78.04,percent of total billed charges,81.29% of total billed charges,108,90,,86.4,percent of total billed charges,90% of totl billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,108,
HOME VISIT DETAILED,43600160,CDM,522,RC,99349,HCPCS,Outpatient,,,212.71,170.17,,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,180.8,85,,144.64,percent of total billed charges,85% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,158,74,,126.4,percent of total billed charges,74.28% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,185.48,87.2,,,percent of total billed charges,87.2% of total billed charges,125.5,59,,100.4,percent of total billed charges,59% of total billed charges,185.48,87.2,,148.38,percent of total billed charges,87.2% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,172.91,81.29,,138.33,percent of total billed charges,81.29% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of totl billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,191.44,90,,153.15,percent of total billed charges,90% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,129.75,61,,103.8,percent of total billed charges,61% of total billed charges,110.61,52,,88.49,percent of total billed charges,52% of total billed charges,110.61,191.44,
HOME VISIT DETAILED,43701286,CDM,521,RC,99349,HCPCS,Outpatient,,,195,156,,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,170.04,87.2,,,percent of total billed charges,87.2% of total billed charges,115.05,59,,92.04,percent of total billed charges,59% of total billed charges,170.04,87.2,,136.03,percent of total billed charges,87.2% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,158.52,81.29,,126.82,percent of total billed charges,81.29% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of totl billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,175.5,
FACE TO FACE OP VISIT 31-74 MN,43601353,CDM,521,RC,99354,HCPCS,Outpatient,,,175.6,140.48,,149.26,85,,119.41,percent of total billed charges,85% of total billed charges,149.26,85,,119.41,percent of total billed charges,85% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,153.12,87.2,,,percent of total billed charges,87.2% of total billed charges,103.6,59,,82.88,percent of total billed charges,59% of total billed charges,153.12,87.2,,122.5,percent of total billed charges,87.2% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,142.75,81.29,,114.2,percent of total billed charges,81.29% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of totl billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,91.31,158.04,
FACE TO FACE OP VISIT 31-74 MI,43701358,CDM,521,RC,99354,HCPCS,Outpatient,,,175.6,140.48,,149.26,85,,119.41,percent of total billed charges,85% of total billed charges,149.26,85,,119.41,percent of total billed charges,85% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,130.44,74,,104.35,percent of total billed charges,74.28% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,153.12,87.2,,,percent of total billed charges,87.2% of total billed charges,103.6,59,,82.88,percent of total billed charges,59% of total billed charges,153.12,87.2,,122.5,percent of total billed charges,87.2% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,142.75,81.29,,114.2,percent of total billed charges,81.29% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of totl billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,158.04,90,,126.43,percent of total billed charges,90% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,107.12,61,,85.7,percent of total billed charges,61% of total billed charges,91.31,52,,73.05,percent of total billed charges,52% of total billed charges,91.31,158.04,
FACE TO FACE EA ADD'L 30 MINS,43601354,CDM,521,RC,99355,HCPCS,Outpatient,,,171.8,137.44,,146.03,85,,116.82,percent of total billed charges,85% of total billed charges,146.03,85,,116.82,percent of total billed charges,85% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,149.81,87.2,,,percent of total billed charges,87.2% of total billed charges,101.36,59,,81.09,percent of total billed charges,59% of total billed charges,149.81,87.2,,119.85,percent of total billed charges,87.2% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,139.66,81.29,,111.73,percent of total billed charges,81.29% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of totl billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,89.34,154.62,
FACE TO FACE EA ADD'L 30 MINS,43701359,CDM,521,RC,99355,HCPCS,Outpatient,,,171.8,137.44,,146.03,85,,116.82,percent of total billed charges,85% of total billed charges,146.03,85,,116.82,percent of total billed charges,85% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,127.61,74,,102.09,percent of total billed charges,74.28% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,149.81,87.2,,,percent of total billed charges,87.2% of total billed charges,101.36,59,,81.09,percent of total billed charges,59% of total billed charges,149.81,87.2,,119.85,percent of total billed charges,87.2% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,139.66,81.29,,111.73,percent of total billed charges,81.29% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of totl billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,154.62,90,,123.7,percent of total billed charges,90% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,104.8,61,,83.84,percent of total billed charges,61% of total billed charges,89.34,52,,71.47,percent of total billed charges,52% of total billed charges,89.34,154.62,
PROLONGED SVC INPT/OBV 1HR,43710021,CDM,987,RC,99356,HCPCS,Outpatient,,,189.01,151.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
PROLONGED SVC INPT/OBV EA 30MN,43710022,CDM,987,RC,99357,HCPCS,Outpatient,,,189.01,151.21,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
NEW PT WELL EXM INFANT NB-12MO,43600133,CDM,521,RC,99381,HCPCS,Outpatient,,,155,124,,131.75,85,,105.4,percent of total billed charges,85% of total billed charges,131.75,85,,105.4,percent of total billed charges,85% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,135.16,87.2,,,percent of total billed charges,87.2% of total billed charges,91.45,59,,73.16,percent of total billed charges,59% of total billed charges,135.16,87.2,,108.13,percent of total billed charges,87.2% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,126,81.29,,100.8,percent of total billed charges,81.29% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of totl billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,80.6,139.5,
NEW PT WELL EXM INFANT NB-12MO,43701165,CDM,521,RC,99381,HCPCS,Outpatient,,,155,124,,131.75,85,,105.4,percent of total billed charges,85% of total billed charges,131.75,85,,105.4,percent of total billed charges,85% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,115.13,74,,92.1,percent of total billed charges,74.28% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,135.16,87.2,,,percent of total billed charges,87.2% of total billed charges,91.45,59,,73.16,percent of total billed charges,59% of total billed charges,135.16,87.2,,108.13,percent of total billed charges,87.2% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,126,81.29,,100.8,percent of total billed charges,81.29% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of totl billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,139.5,90,,111.6,percent of total billed charges,90% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,94.55,61,,75.64,percent of total billed charges,61% of total billed charges,80.6,52,,64.48,percent of total billed charges,52% of total billed charges,80.6,139.5,
NEW PT WELL EXAM 1-4 YEARS,43600134,CDM,521,RC,99382,HCPCS,Outpatient,,,235.01,188.01,,199.76,85,,159.81,percent of total billed charges,85% of total billed charges,199.76,85,,159.81,percent of total billed charges,85% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,204.93,87.2,,,percent of total billed charges,87.2% of total billed charges,138.66,59,,110.93,percent of total billed charges,59% of total billed charges,204.93,87.2,,163.94,percent of total billed charges,87.2% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,191.04,81.29,,152.83,percent of total billed charges,81.29% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of totl billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,122.21,211.51,
NEW PT WELL EXAM 1-4 YEARS,43701166,CDM,521,RC,99382,HCPCS,Outpatient,,,235.01,188.01,,199.76,85,,159.81,percent of total billed charges,85% of total billed charges,199.76,85,,159.81,percent of total billed charges,85% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,174.57,74,,139.66,percent of total billed charges,74.28% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,204.93,87.2,,,percent of total billed charges,87.2% of total billed charges,138.66,59,,110.93,percent of total billed charges,59% of total billed charges,204.93,87.2,,163.94,percent of total billed charges,87.2% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,191.04,81.29,,152.83,percent of total billed charges,81.29% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of totl billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,211.51,90,,169.21,percent of total billed charges,90% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,143.36,61,,114.69,percent of total billed charges,61% of total billed charges,122.21,52,,97.77,percent of total billed charges,52% of total billed charges,122.21,211.51,
NEW PT WELL EXAM 5-11 YEARS,43600135,CDM,521,RC,99383,HCPCS,Outpatient,,,185,148,,157.25,85,,125.8,percent of total billed charges,85% of total billed charges,157.25,85,,125.8,percent of total billed charges,85% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,161.32,87.2,,,percent of total billed charges,87.2% of total billed charges,109.15,59,,87.32,percent of total billed charges,59% of total billed charges,161.32,87.2,,129.06,percent of total billed charges,87.2% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,150.39,81.29,,120.31,percent of total billed charges,81.29% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of totl billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,96.2,166.5,
NEW PT WELL EXAM 5-11 YEARS,43701167,CDM,521,RC,99383,HCPCS,Outpatient,,,185,148,,157.25,85,,125.8,percent of total billed charges,85% of total billed charges,157.25,85,,125.8,percent of total billed charges,85% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,137.42,74,,109.94,percent of total billed charges,74.28% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,161.32,87.2,,,percent of total billed charges,87.2% of total billed charges,109.15,59,,87.32,percent of total billed charges,59% of total billed charges,161.32,87.2,,129.06,percent of total billed charges,87.2% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,150.39,81.29,,120.31,percent of total billed charges,81.29% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of totl billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,166.5,90,,133.2,percent of total billed charges,90% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,112.85,61,,90.28,percent of total billed charges,61% of total billed charges,96.2,52,,76.96,percent of total billed charges,52% of total billed charges,96.2,166.5,
NEW PT WELL EXAM 12-17 YEARS,43600137,CDM,521,RC,99384,HCPCS,Outpatient,,,201.43,161.14,,171.22,85,,136.98,percent of total billed charges,85% of total billed charges,171.22,85,,136.98,percent of total billed charges,85% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,175.65,87.2,,,percent of total billed charges,87.2% of total billed charges,118.84,59,,95.07,percent of total billed charges,59% of total billed charges,175.65,87.2,,140.52,percent of total billed charges,87.2% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,163.74,81.29,,130.99,percent of total billed charges,81.29% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of totl billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,104.74,181.29,
NEW PT WELL EXAM 12-17 YEARS,43701168,CDM,521,RC,99384,HCPCS,Outpatient,,,201.43,161.14,,171.22,85,,136.98,percent of total billed charges,85% of total billed charges,171.22,85,,136.98,percent of total billed charges,85% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,149.62,74,,119.7,percent of total billed charges,74.28% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,175.65,87.2,,,percent of total billed charges,87.2% of total billed charges,118.84,59,,95.07,percent of total billed charges,59% of total billed charges,175.65,87.2,,140.52,percent of total billed charges,87.2% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,163.74,81.29,,130.99,percent of total billed charges,81.29% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of totl billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,181.29,90,,145.03,percent of total billed charges,90% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,122.87,61,,98.3,percent of total billed charges,61% of total billed charges,104.74,52,,83.79,percent of total billed charges,52% of total billed charges,104.74,181.29,
NEW PT WELL EXAM 18-39 YEARS,43600138,CDM,521,RC,99385,HCPCS,Outpatient,,,200,160,,170,85,,136,percent of total billed charges,85% of total billed charges,170,85,,136,percent of total billed charges,85% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,180,90,,144,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,174.4,87.2,,,percent of total billed charges,87.2% of total billed charges,118,59,,94.4,percent of total billed charges,59% of total billed charges,174.4,87.2,,139.52,percent of total billed charges,87.2% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,162.58,81.29,,130.06,percent of total billed charges,81.29% of total billed charges,180,90,,144,percent of total billed charges,90% of totl billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,180,
NEW PT WELL EXAM 18-39 YEARS,43701169,CDM,521,RC,99385,HCPCS,Outpatient,,,200,160,,170,85,,136,percent of total billed charges,85% of total billed charges,170,85,,136,percent of total billed charges,85% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,148.56,74,,118.85,percent of total billed charges,74.28% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,180,90,,144,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,174.4,87.2,,,percent of total billed charges,87.2% of total billed charges,118,59,,94.4,percent of total billed charges,59% of total billed charges,174.4,87.2,,139.52,percent of total billed charges,87.2% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,162.58,81.29,,130.06,percent of total billed charges,81.29% of total billed charges,180,90,,144,percent of total billed charges,90% of totl billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,180,90,,144,percent of total billed charges,90% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,122,61,,97.6,percent of total billed charges,61% of total billed charges,104,52,,83.2,percent of total billed charges,52% of total billed charges,104,180,
NEW PT WELL EXAM 40-64 YEARS,43600139,CDM,521,RC,99386,HCPCS,Outpatient,,,225.46,180.37,,191.64,85,,153.31,percent of total billed charges,85% of total billed charges,191.64,85,,153.31,percent of total billed charges,85% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,196.6,87.2,,,percent of total billed charges,87.2% of total billed charges,133.02,59,,106.42,percent of total billed charges,59% of total billed charges,196.6,87.2,,157.28,percent of total billed charges,87.2% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,183.28,81.29,,146.62,percent of total billed charges,81.29% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of totl billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,117.24,202.91,
NEW PT WELL EXAM 40-64 YEARS,43701170,CDM,521,RC,99386,HCPCS,Outpatient,,,225.46,180.37,,191.64,85,,153.31,percent of total billed charges,85% of total billed charges,191.64,85,,153.31,percent of total billed charges,85% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,167.47,74,,133.98,percent of total billed charges,74.28% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,196.6,87.2,,,percent of total billed charges,87.2% of total billed charges,133.02,59,,106.42,percent of total billed charges,59% of total billed charges,196.6,87.2,,157.28,percent of total billed charges,87.2% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,183.28,81.29,,146.62,percent of total billed charges,81.29% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of totl billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,202.91,90,,162.33,percent of total billed charges,90% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,137.53,61,,110.02,percent of total billed charges,61% of total billed charges,117.24,52,,93.79,percent of total billed charges,52% of total billed charges,117.24,202.91,
"NEW PT, WELL EXAM 65+",43601668,CDM,521,RC,99387,HCPCS,Outpatient,,,245.39,196.31,,208.58,85,,166.86,percent of total billed charges,85% of total billed charges,208.58,85,,166.86,percent of total billed charges,85% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,213.98,87.2,,,percent of total billed charges,87.2% of total billed charges,144.78,59,,115.82,percent of total billed charges,59% of total billed charges,213.98,87.2,,171.18,percent of total billed charges,87.2% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,199.48,81.29,,159.58,percent of total billed charges,81.29% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of totl billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,127.6,220.85,
"NEW PT, WELL EXAM 65+",43701668,CDM,521,RC,99387,HCPCS,Outpatient,,,245.39,196.31,,208.58,85,,166.86,percent of total billed charges,85% of total billed charges,208.58,85,,166.86,percent of total billed charges,85% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,182.28,74,,145.82,percent of total billed charges,74.28% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,213.98,87.2,,,percent of total billed charges,87.2% of total billed charges,144.78,59,,115.82,percent of total billed charges,59% of total billed charges,213.98,87.2,,171.18,percent of total billed charges,87.2% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,199.48,81.29,,159.58,percent of total billed charges,81.29% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of totl billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,220.85,90,,176.68,percent of total billed charges,90% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,149.69,61,,119.75,percent of total billed charges,61% of total billed charges,127.6,52,,102.08,percent of total billed charges,52% of total billed charges,127.6,220.85,
EST PT WELL EXAM NB-12MO,43600145,CDM,521,RC,99391,HCPCS,Outpatient,,,202.24,161.79,,171.9,85,,137.52,percent of total billed charges,85% of total billed charges,171.9,85,,137.52,percent of total billed charges,85% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,176.35,87.2,,,percent of total billed charges,87.2% of total billed charges,119.32,59,,95.46,percent of total billed charges,59% of total billed charges,176.35,87.2,,141.08,percent of total billed charges,87.2% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,164.4,81.29,,131.52,percent of total billed charges,81.29% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of totl billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,105.16,182.02,
EST PT WELL EXAM NB-12MO,43701176,CDM,521,RC,99391,HCPCS,Outpatient,,,202.24,161.79,,171.9,85,,137.52,percent of total billed charges,85% of total billed charges,171.9,85,,137.52,percent of total billed charges,85% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,150.22,74,,120.18,percent of total billed charges,74.28% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,176.35,87.2,,,percent of total billed charges,87.2% of total billed charges,119.32,59,,95.46,percent of total billed charges,59% of total billed charges,176.35,87.2,,141.08,percent of total billed charges,87.2% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,164.4,81.29,,131.52,percent of total billed charges,81.29% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of totl billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,182.02,90,,145.62,percent of total billed charges,90% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,123.37,61,,98.7,percent of total billed charges,61% of total billed charges,105.16,52,,84.13,percent of total billed charges,52% of total billed charges,105.16,182.02,
EST PT WELL EXAM 1-4 YEARS,43600146,CDM,521,RC,99392,HCPCS,Outpatient,,,140,112,,119,85,,95.2,percent of total billed charges,85% of total billed charges,119,85,,95.2,percent of total billed charges,85% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,126,90,,100.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,122.08,87.2,,,percent of total billed charges,87.2% of total billed charges,82.6,59,,66.08,percent of total billed charges,59% of total billed charges,122.08,87.2,,97.66,percent of total billed charges,87.2% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,113.81,81.29,,91.05,percent of total billed charges,81.29% of total billed charges,126,90,,100.8,percent of total billed charges,90% of totl billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,72.8,126,
EST PT WELL EXAM 1-4 YEARS,43701177,CDM,521,RC,99392,HCPCS,Outpatient,,,140,112,,119,85,,95.2,percent of total billed charges,85% of total billed charges,119,85,,95.2,percent of total billed charges,85% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,103.99,74,,83.19,percent of total billed charges,74.28% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,126,90,,100.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,122.08,87.2,,,percent of total billed charges,87.2% of total billed charges,82.6,59,,66.08,percent of total billed charges,59% of total billed charges,122.08,87.2,,97.66,percent of total billed charges,87.2% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,113.81,81.29,,91.05,percent of total billed charges,81.29% of total billed charges,126,90,,100.8,percent of total billed charges,90% of totl billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,126,90,,100.8,percent of total billed charges,90% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,85.4,61,,68.32,percent of total billed charges,61% of total billed charges,72.8,52,,58.24,percent of total billed charges,52% of total billed charges,72.8,126,
EST PT WELL EXAM 5-11 YEARS,43600147,CDM,521,RC,99393,HCPCS,Outpatient,,,157.98,126.38,,134.28,85,,107.42,percent of total billed charges,85% of total billed charges,134.28,85,,107.42,percent of total billed charges,85% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,137.76,87.2,,,percent of total billed charges,87.2% of total billed charges,93.21,59,,74.57,percent of total billed charges,59% of total billed charges,137.76,87.2,,110.21,percent of total billed charges,87.2% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,128.42,81.29,,102.74,percent of total billed charges,81.29% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of totl billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,82.15,142.18,
EST PT WELL EXAM 5-11 YEARS,43701178,CDM,521,RC,99393,HCPCS,Outpatient,,,157.98,126.38,,134.28,85,,107.42,percent of total billed charges,85% of total billed charges,134.28,85,,107.42,percent of total billed charges,85% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,117.35,74,,93.88,percent of total billed charges,74.28% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,137.76,87.2,,,percent of total billed charges,87.2% of total billed charges,93.21,59,,74.57,percent of total billed charges,59% of total billed charges,137.76,87.2,,110.21,percent of total billed charges,87.2% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,128.42,81.29,,102.74,percent of total billed charges,81.29% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of totl billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,142.18,90,,113.74,percent of total billed charges,90% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,96.37,61,,77.1,percent of total billed charges,61% of total billed charges,82.15,52,,65.72,percent of total billed charges,52% of total billed charges,82.15,142.18,
EST PT WELL EXAM 12-17 YEARS,43600148,CDM,521,RC,99394,HCPCS,Outpatient,,,175,140,,148.75,85,,119,percent of total billed charges,85% of total billed charges,148.75,85,,119,percent of total billed charges,85% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.5,90,,126,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91,52,,72.8,percent of total billed charges,52% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,152.6,87.2,,,percent of total billed charges,87.2% of total billed charges,103.25,59,,82.6,percent of total billed charges,59% of total billed charges,152.6,87.2,,122.08,percent of total billed charges,87.2% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,142.26,81.29,,113.81,percent of total billed charges,81.29% of total billed charges,157.5,90,,126,percent of total billed charges,90% of totl billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,91,157.5,
EST PT WELL EXAM 12-17 YEARS,43701179,CDM,521,RC,99394,HCPCS,Outpatient,,,175,140,,148.75,85,,119,percent of total billed charges,85% of total billed charges,148.75,85,,119,percent of total billed charges,85% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,129.99,74,,103.99,percent of total billed charges,74.28% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,157.5,90,,126,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91,52,,72.8,percent of total billed charges,52% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,152.6,87.2,,,percent of total billed charges,87.2% of total billed charges,103.25,59,,82.6,percent of total billed charges,59% of total billed charges,152.6,87.2,,122.08,percent of total billed charges,87.2% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,142.26,81.29,,113.81,percent of total billed charges,81.29% of total billed charges,157.5,90,,126,percent of total billed charges,90% of totl billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,157.5,90,,126,percent of total billed charges,90% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,106.75,61,,85.4,percent of total billed charges,61% of total billed charges,91,52,,72.8,percent of total billed charges,52% of total billed charges,91,157.5,
EST PT WELL EXAM 18-39 YEARS,43600149,CDM,521,RC,99395,HCPCS,Outpatient,,,176.38,141.1,,149.92,85,,119.94,percent of total billed charges,85% of total billed charges,149.92,85,,119.94,percent of total billed charges,85% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,153.8,87.2,,,percent of total billed charges,87.2% of total billed charges,104.06,59,,83.25,percent of total billed charges,59% of total billed charges,153.8,87.2,,123.04,percent of total billed charges,87.2% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,143.38,81.29,,114.7,percent of total billed charges,81.29% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of totl billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,91.72,158.74,
EST PT WELL EXAM 18-39 YEARS,43701180,CDM,521,RC,99395,HCPCS,Outpatient,,,176.38,141.1,,149.92,85,,119.94,percent of total billed charges,85% of total billed charges,149.92,85,,119.94,percent of total billed charges,85% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,131.02,74,,104.82,percent of total billed charges,74.28% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,153.8,87.2,,,percent of total billed charges,87.2% of total billed charges,104.06,59,,83.25,percent of total billed charges,59% of total billed charges,153.8,87.2,,123.04,percent of total billed charges,87.2% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,143.38,81.29,,114.7,percent of total billed charges,81.29% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of totl billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,158.74,90,,126.99,percent of total billed charges,90% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,107.59,61,,86.07,percent of total billed charges,61% of total billed charges,91.72,52,,73.38,percent of total billed charges,52% of total billed charges,91.72,158.74,
EST PT WELL EXAM 40-64 YEARS,43600150,CDM,521,RC,99396,HCPCS,Outpatient,,,207.25,165.8,,176.16,85,,140.93,percent of total billed charges,85% of total billed charges,176.16,85,,140.93,percent of total billed charges,85% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,153.95,74,,123.16,percent of total billed charges,74.28% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,153.95,74,,123.16,percent of total billed charges,74.28% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,153.95,74,,123.16,percent of total billed charges,74.28% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,186.53,90,,149.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,180.72,87.2,,,percent of total billed charges,87.2% of total billed charges,122.28,59,,97.82,percent of total billed charges,59% of total billed charges,180.72,87.2,,144.58,percent of total billed charges,87.2% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,168.47,81.29,,134.78,percent of total billed charges,81.29% of total billed charges,186.53,90,,149.22,percent of total billed charges,90% of totl billed charges,186.53,90,,149.22,percent of total billed charges,90% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,186.53,90,,149.22,percent of total billed charges,90% of total billed charges,186.53,90,,149.22,percent of total billed charges,90% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,126.42,61,,101.14,percent of total billed charges,61% of total billed charges,107.77,52,,86.22,percent of total billed charges,52% of total billed charges,107.77,186.53,
EST PT WELL EXAM 40-64 YEARS,43701181,CDM,521,RC,99396,HCPCS,Outpatient,,,190,152,,161.5,85,,129.2,percent of total billed charges,85% of total billed charges,161.5,85,,129.2,percent of total billed charges,85% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,141.13,74,,112.9,percent of total billed charges,74.28% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,171,90,,136.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,165.68,87.2,,,percent of total billed charges,87.2% of total billed charges,112.1,59,,89.68,percent of total billed charges,59% of total billed charges,165.68,87.2,,132.54,percent of total billed charges,87.2% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,154.45,81.29,,123.56,percent of total billed charges,81.29% of total billed charges,171,90,,136.8,percent of total billed charges,90% of totl billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,171,90,,136.8,percent of total billed charges,90% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,115.9,61,,92.72,percent of total billed charges,61% of total billed charges,98.8,52,,79.04,percent of total billed charges,52% of total billed charges,98.8,171,
Est Pt Well Exam 65+ Years,43601434,CDM,521,RC,99397,HCPCS,Outpatient,,,201.93,161.54,,171.64,85,,137.31,percent of total billed charges,85% of total billed charges,171.64,85,,137.31,percent of total billed charges,85% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105,52,,84,percent of total billed charges,52% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,176.08,87.2,,,percent of total billed charges,87.2% of total billed charges,119.14,59,,95.31,percent of total billed charges,59% of total billed charges,176.08,87.2,,140.86,percent of total billed charges,87.2% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,164.15,81.29,,131.32,percent of total billed charges,81.29% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of totl billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,105,181.74,
Est Pt Well Exam 65+ Years,43701434,CDM,521,RC,99397,HCPCS,Outpatient,,,201.93,161.54,,171.64,85,,137.31,percent of total billed charges,85% of total billed charges,171.64,85,,137.31,percent of total billed charges,85% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,149.99,74,,119.99,percent of total billed charges,74.28% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105,52,,84,percent of total billed charges,52% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,176.08,87.2,,,percent of total billed charges,87.2% of total billed charges,119.14,59,,95.31,percent of total billed charges,59% of total billed charges,176.08,87.2,,140.86,percent of total billed charges,87.2% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,164.15,81.29,,131.32,percent of total billed charges,81.29% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of totl billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,181.74,90,,145.39,percent of total billed charges,90% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,123.18,61,,98.54,percent of total billed charges,61% of total billed charges,105,52,,84,percent of total billed charges,52% of total billed charges,105,181.74,
PREVENTATIVE MED COUNSEL 15 MN,43601172,CDM,521,RC,99401,HCPCS,Outpatient,,,45.81,36.65,,38.94,85,,31.15,percent of total billed charges,85% of total billed charges,38.94,85,,31.15,percent of total billed charges,85% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,34.03,74,,27.22,percent of total billed charges,74.28% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,34.03,74,,27.22,percent of total billed charges,74.28% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,34.03,74,,27.22,percent of total billed charges,74.28% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,41.23,90,,32.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,39.95,87.2,,,percent of total billed charges,87.2% of total billed charges,27.03,59,,21.62,percent of total billed charges,59% of total billed charges,39.95,87.2,,31.96,percent of total billed charges,87.2% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,37.24,81.29,,29.79,percent of total billed charges,81.29% of total billed charges,41.23,90,,32.98,percent of total billed charges,90% of totl billed charges,41.23,90,,32.98,percent of total billed charges,90% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,41.23,90,,32.98,percent of total billed charges,90% of total billed charges,41.23,90,,32.98,percent of total billed charges,90% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,27.94,61,,22.35,percent of total billed charges,61% of total billed charges,23.82,52,,19.06,percent of total billed charges,52% of total billed charges,23.82,41.23,
PREVENTATIVE MED COUNSEL 15 MN,43701337,CDM,521,RC,99401,HCPCS,Outpatient,,,42,33.6,,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,36.62,87.2,,,percent of total billed charges,87.2% of total billed charges,24.78,59,,19.82,percent of total billed charges,59% of total billed charges,36.62,87.2,,29.3,percent of total billed charges,87.2% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,34.14,81.29,,27.31,percent of total billed charges,81.29% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of totl billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,37.8,
PREVENTATIVE MED COUNSEL 30 MN,43601173,CDM,521,RC,99402,HCPCS,Outpatient,,,92.72,74.18,,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,78.81,85,,63.05,percent of total billed charges,85% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,68.87,74,,55.1,percent of total billed charges,74.28% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,80.85,87.2,,,percent of total billed charges,87.2% of total billed charges,54.7,59,,43.76,percent of total billed charges,59% of total billed charges,80.85,87.2,,64.68,percent of total billed charges,87.2% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,75.37,81.29,,60.3,percent of total billed charges,81.29% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of totl billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,83.45,90,,66.76,percent of total billed charges,90% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,56.56,61,,45.25,percent of total billed charges,61% of total billed charges,48.21,52,,38.57,percent of total billed charges,52% of total billed charges,48.21,83.45,
PREVENTATIVE MED COUNSEL 30 MN,43701338,CDM,521,RC,99402,HCPCS,Outpatient,,,85,68,,72.25,85,,57.8,percent of total billed charges,85% of total billed charges,72.25,85,,57.8,percent of total billed charges,85% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,74.12,87.2,,,percent of total billed charges,87.2% of total billed charges,50.15,59,,40.12,percent of total billed charges,59% of total billed charges,74.12,87.2,,59.3,percent of total billed charges,87.2% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,69.1,81.29,,55.28,percent of total billed charges,81.29% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of totl billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,44.2,76.5,
SMOKE/TOBACCO COUNSELING 3-10,32009065,CDM,942,RC,99406,HCPCS,Outpatient,,,28.28,22.62,,24.04,85,,19.23,percent of total billed charges,85% of total billed charges,24.04,85,,19.23,percent of total billed charges,85% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,21.01,74,,16.81,percent of total billed charges,74.28% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,21.01,74,,16.81,percent of total billed charges,74.28% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,21.01,74,,16.81,percent of total billed charges,74.28% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,25.45,90,,20.36,percent of total billed charges,90% of total billed charges,25.45,90,,20.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,24.66,87.2,,,percent of total billed charges,87.2% of total billed charges,16.69,59,,13.35,percent of total billed charges,59% of total billed charges,24.66,87.2,,19.73,percent of total billed charges,87.2% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,22.99,81.29,,18.39,percent of total billed charges,81.29% of total billed charges,25.45,90,,20.36,percent of total billed charges,90% of totl billed charges,25.45,90,,20.36,percent of total billed charges,90% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,25.45,90,,20.36,percent of total billed charges,90% of total billed charges,25.45,90,,20.36,percent of total billed charges,90% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,17.25,61,,13.8,percent of total billed charges,61% of total billed charges,14.71,52,,11.77,percent of total billed charges,52% of total billed charges,14.71,25.45,
SMOKING CESSATION 3-10 MINUTES,36013016,CDM,981,RC,99406,HCPCS,Outpatient,,,27.65,22.12,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BEHAV CHNG SMOKING 3-10 MIN,44500079,CDM,761,RC,99406,HCPCS,Outpatient,,,36.18,28.94,,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,31.55,87.2,,,percent of total billed charges,87.2% of total billed charges,21.35,59,,17.08,percent of total billed charges,59% of total billed charges,31.55,87.2,,25.24,percent of total billed charges,87.2% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,29.41,81.29,,23.53,percent of total billed charges,81.29% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of totl billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,32.56,
BEHAV CHNG SMOKING 3-10 MIN,44510079,CDM,983,RC,99406,HCPCS,Outpatient,,,18,14.4,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SMOKING CESSATION 3-10MINS,73800117,CDM,510,RC,99406,HCPCS,Outpatient,,,20.44,16.35,,17.37,85,,13.9,percent of total billed charges,85% of total billed charges,17.37,85,,13.9,percent of total billed charges,85% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,15.18,74,,12.14,percent of total billed charges,74.28% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,15.18,74,,12.14,percent of total billed charges,74.28% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,15.18,74,,12.14,percent of total billed charges,74.28% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.4,90,,14.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,17.82,87.2,,,percent of total billed charges,87.2% of total billed charges,12.06,59,,9.65,percent of total billed charges,59% of total billed charges,17.82,87.2,,14.26,percent of total billed charges,87.2% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,16.62,81.29,,13.3,percent of total billed charges,81.29% of total billed charges,18.4,90,,14.72,percent of total billed charges,90% of totl billed charges,18.4,90,,14.72,percent of total billed charges,90% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,18.4,90,,14.72,percent of total billed charges,90% of total billed charges,18.4,90,,14.72,percent of total billed charges,90% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,12.47,61,,9.98,percent of total billed charges,61% of total billed charges,10.63,52,,8.5,percent of total billed charges,52% of total billed charges,10.63,18.4,
SMOKE/TOBACCO COUNSELING >10,32009066,CDM,942,RC,99407,HCPCS,Outpatient,,,58.29,46.63,,49.55,85,,39.64,percent of total billed charges,85% of total billed charges,49.55,85,,39.64,percent of total billed charges,85% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,43.3,74,,34.64,percent of total billed charges,74.28% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,43.3,74,,34.64,percent of total billed charges,74.28% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,43.3,74,,34.64,percent of total billed charges,74.28% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,52.46,90,,41.97,percent of total billed charges,90% of total billed charges,52.46,90,,41.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,50.83,87.2,,,percent of total billed charges,87.2% of total billed charges,34.39,59,,27.51,percent of total billed charges,59% of total billed charges,50.83,87.2,,40.66,percent of total billed charges,87.2% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,47.38,81.29,,37.9,percent of total billed charges,81.29% of total billed charges,52.46,90,,41.97,percent of total billed charges,90% of totl billed charges,52.46,90,,41.97,percent of total billed charges,90% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,52.46,90,,41.97,percent of total billed charges,90% of total billed charges,52.46,90,,41.97,percent of total billed charges,90% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,35.56,61,,28.45,percent of total billed charges,61% of total billed charges,30.31,52,,24.25,percent of total billed charges,52% of total billed charges,30.31,52.46,
SMOKING CESSATION > 10 MINUTES,36013017,CDM,981,RC,99407,HCPCS,Outpatient,,,55.31,44.25,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
BH INTENSIVE 10+MIN,43701369,CDM,900,RC,99407,HCPCS,Outpatient,,,55.09,44.07,,46.83,85,,37.46,percent of total billed charges,85% of total billed charges,46.83,85,,37.46,percent of total billed charges,85% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,40.92,74,,32.74,percent of total billed charges,74.28% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,40.92,74,,32.74,percent of total billed charges,74.28% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,40.92,74,,32.74,percent of total billed charges,74.28% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,49.58,90,,39.66,percent of total billed charges,90% of total billed charges,49.58,90,,39.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,48.04,87.2,,,percent of total billed charges,87.2% of total billed charges,32.5,59,,26,percent of total billed charges,59% of total billed charges,48.04,87.2,,38.43,percent of total billed charges,87.2% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,44.78,81.29,,35.82,percent of total billed charges,81.29% of total billed charges,49.58,90,,39.66,percent of total billed charges,90% of totl billed charges,49.58,90,,39.66,percent of total billed charges,90% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,49.58,90,,39.66,percent of total billed charges,90% of total billed charges,49.58,90,,39.66,percent of total billed charges,90% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,33.6,61,,26.88,percent of total billed charges,61% of total billed charges,28.65,52,,22.92,percent of total billed charges,52% of total billed charges,28.65,49.58,
BEHAV CHNG SMOKING > 10 MIN,44500080,CDM,761,RC,99407,HCPCS,Outpatient,,,36.18,28.94,,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,30.75,85,,24.6,percent of total billed charges,85% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,26.87,74,,21.5,percent of total billed charges,74.28% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,31.55,87.2,,,percent of total billed charges,87.2% of total billed charges,21.35,59,,17.08,percent of total billed charges,59% of total billed charges,31.55,87.2,,25.24,percent of total billed charges,87.2% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,29.41,81.29,,23.53,percent of total billed charges,81.29% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of totl billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,32.56,90,,26.05,percent of total billed charges,90% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,22.07,61,,17.66,percent of total billed charges,61% of total billed charges,18.81,52,,15.05,percent of total billed charges,52% of total billed charges,18.81,32.56,
BEHAV CHNG SMOKING > 10 MIN,44510080,CDM,983,RC,99407,HCPCS,Outpatient,,,38.06,30.45,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SMOKING CESSATION 11+MINS,73800118,CDM,510,RC,99407,HCPCS,Outpatient,,,35.11,28.09,,29.84,85,,23.87,percent of total billed charges,85% of total billed charges,29.84,85,,23.87,percent of total billed charges,85% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,26.08,74,,20.86,percent of total billed charges,74.28% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,26.08,74,,20.86,percent of total billed charges,74.28% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,26.08,74,,20.86,percent of total billed charges,74.28% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,31.6,90,,25.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,30.62,87.2,,,percent of total billed charges,87.2% of total billed charges,20.71,59,,16.57,percent of total billed charges,59% of total billed charges,30.62,87.2,,24.5,percent of total billed charges,87.2% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,28.54,81.29,,22.83,percent of total billed charges,81.29% of total billed charges,31.6,90,,25.28,percent of total billed charges,90% of totl billed charges,31.6,90,,25.28,percent of total billed charges,90% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,31.6,90,,25.28,percent of total billed charges,90% of total billed charges,31.6,90,,25.28,percent of total billed charges,90% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,21.42,61,,17.14,percent of total billed charges,61% of total billed charges,18.26,52,,14.61,percent of total billed charges,52% of total billed charges,18.26,31.6,
BH INTENSIVE-30+MIN,43701370,CDM,900,RC,99409,HCPCS,Outpatient,,,137.71,110.17,,117.05,85,,93.64,percent of total billed charges,85% of total billed charges,117.05,85,,93.64,percent of total billed charges,85% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,102.29,74,,81.83,percent of total billed charges,74.28% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,102.29,74,,81.83,percent of total billed charges,74.28% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,102.29,74,,81.83,percent of total billed charges,74.28% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,123.94,90,,99.15,percent of total billed charges,90% of total billed charges,123.94,90,,99.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,120.08,87.2,,,percent of total billed charges,87.2% of total billed charges,81.25,59,,65,percent of total billed charges,59% of total billed charges,120.08,87.2,,96.06,percent of total billed charges,87.2% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,111.94,81.29,,89.55,percent of total billed charges,81.29% of total billed charges,123.94,90,,99.15,percent of total billed charges,90% of totl billed charges,123.94,90,,99.15,percent of total billed charges,90% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,123.94,90,,99.15,percent of total billed charges,90% of total billed charges,123.94,90,,99.15,percent of total billed charges,90% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,84,61,,67.2,percent of total billed charges,61% of total billed charges,71.61,52,,57.29,percent of total billed charges,52% of total billed charges,71.61,123.94,
PROLONGED OP E&M SERVICES,35010124,CDM,975,RC,99417,HCPCS,Outpatient,,,24,19.2,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HEALTH RISK ASSMENT SMC,43601174,CDM,521,RC,99420,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
HEALTH RISK ASSMENT RFP,43701353,CDM,521,RC,99420,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
TELE AUDIO 5-10 MIN,43601734,CDM,521,RC,99441,HCPCS,Outpatient,,,24.25,19.4,,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,21.15,87.2,,,percent of total billed charges,87.2% of total billed charges,14.31,59,,11.45,percent of total billed charges,59% of total billed charges,21.15,87.2,,16.92,percent of total billed charges,87.2% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,19.71,81.29,,15.77,percent of total billed charges,81.29% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of totl billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,21.83,
TELE AUDIO 5-10 MIN,43701734,CDM,521,RC,99441,HCPCS,Outpatient,,,24.25,19.4,,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,21.15,87.2,,,percent of total billed charges,87.2% of total billed charges,14.31,59,,11.45,percent of total billed charges,59% of total billed charges,21.15,87.2,,16.92,percent of total billed charges,87.2% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,19.71,81.29,,15.77,percent of total billed charges,81.29% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of totl billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,21.83,
TELE AUDIO 5-10 MIN,73800136,CDM,510,RC,99441,HCPCS,Outpatient,,,24.25,19.4,,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,20.61,85,,16.49,percent of total billed charges,85% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,18.01,74,,14.41,percent of total billed charges,74.28% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,21.15,87.2,,,percent of total billed charges,87.2% of total billed charges,14.31,59,,11.45,percent of total billed charges,59% of total billed charges,21.15,87.2,,16.92,percent of total billed charges,87.2% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,19.71,81.29,,15.77,percent of total billed charges,81.29% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of totl billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,21.83,90,,17.46,percent of total billed charges,90% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,14.79,61,,11.83,percent of total billed charges,61% of total billed charges,12.61,52,,10.09,percent of total billed charges,52% of total billed charges,12.61,21.83,
TELE AUDIO 11-20 MIN,43601735,CDM,521,RC,99442,HCPCS,Outpatient,,,48.53,38.82,,41.25,85,,33,percent of total billed charges,85% of total billed charges,41.25,85,,33,percent of total billed charges,85% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,42.32,87.2,,,percent of total billed charges,87.2% of total billed charges,28.63,59,,22.9,percent of total billed charges,59% of total billed charges,42.32,87.2,,33.86,percent of total billed charges,87.2% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,39.45,81.29,,31.56,percent of total billed charges,81.29% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of totl billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,43.68,
TELE AUDIO 11-20 MIN,43701735,CDM,521,RC,99442,HCPCS,Outpatient,,,48.53,38.82,,41.25,85,,33,percent of total billed charges,85% of total billed charges,41.25,85,,33,percent of total billed charges,85% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,42.32,87.2,,,percent of total billed charges,87.2% of total billed charges,28.63,59,,22.9,percent of total billed charges,59% of total billed charges,42.32,87.2,,33.86,percent of total billed charges,87.2% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,39.45,81.29,,31.56,percent of total billed charges,81.29% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of totl billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,43.68,
TELE AUDIO 11-20 MIN,73800137,CDM,510,RC,99442,HCPCS,Outpatient,,,48.53,38.82,,41.25,85,,33,percent of total billed charges,85% of total billed charges,41.25,85,,33,percent of total billed charges,85% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,42.32,87.2,,,percent of total billed charges,87.2% of total billed charges,28.63,59,,22.9,percent of total billed charges,59% of total billed charges,42.32,87.2,,33.86,percent of total billed charges,87.2% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,39.45,81.29,,31.56,percent of total billed charges,81.29% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of totl billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,43.68,
TELE AUDIO 21-30 MIN,43601736,CDM,521,RC,99443,HCPCS,Outpatient,,,48.53,38.82,,41.25,85,,33,percent of total billed charges,85% of total billed charges,41.25,85,,33,percent of total billed charges,85% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,42.32,87.2,,,percent of total billed charges,87.2% of total billed charges,28.63,59,,22.9,percent of total billed charges,59% of total billed charges,42.32,87.2,,33.86,percent of total billed charges,87.2% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,39.45,81.29,,31.56,percent of total billed charges,81.29% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of totl billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,43.68,
TELE AUDIO 21-30 MIN,43701736,CDM,521,RC,99443,HCPCS,Outpatient,,,48.53,38.82,,41.25,85,,33,percent of total billed charges,85% of total billed charges,41.25,85,,33,percent of total billed charges,85% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,36.05,74,,28.84,percent of total billed charges,74.28% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,42.32,87.2,,,percent of total billed charges,87.2% of total billed charges,28.63,59,,22.9,percent of total billed charges,59% of total billed charges,42.32,87.2,,33.86,percent of total billed charges,87.2% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,39.45,81.29,,31.56,percent of total billed charges,81.29% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of totl billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,43.68,90,,34.94,percent of total billed charges,90% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,29.6,61,,23.68,percent of total billed charges,61% of total billed charges,25.24,52,,20.19,percent of total billed charges,52% of total billed charges,25.24,43.68,
TELE AUDIO 21-30 MIN,73800138,CDM,510,RC,99443,HCPCS,Outpatient,,,72.13,57.7,,61.31,85,,49.05,percent of total billed charges,85% of total billed charges,61.31,85,,49.05,percent of total billed charges,85% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,53.58,74,,42.86,percent of total billed charges,74.28% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,53.58,74,,42.86,percent of total billed charges,74.28% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,53.58,74,,42.86,percent of total billed charges,74.28% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,64.92,90,,51.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,62.9,87.2,,,percent of total billed charges,87.2% of total billed charges,42.56,59,,34.05,percent of total billed charges,59% of total billed charges,62.9,87.2,,50.32,percent of total billed charges,87.2% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,58.63,81.29,,46.9,percent of total billed charges,81.29% of total billed charges,64.92,90,,51.94,percent of total billed charges,90% of totl billed charges,64.92,90,,51.94,percent of total billed charges,90% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,64.92,90,,51.94,percent of total billed charges,90% of total billed charges,64.92,90,,51.94,percent of total billed charges,90% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,44,61,,35.2,percent of total billed charges,61% of total billed charges,37.51,52,,30.01,percent of total billed charges,52% of total billed charges,37.51,64.92,
CMPLX CCM 60 MIN,43601674,CDM,521,RC,99487,HCPCS,Outpatient,,,110.45,88.36,,93.88,85,,75.1,percent of total billed charges,85% of total billed charges,93.88,85,,75.1,percent of total billed charges,85% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,96.31,87.2,,,percent of total billed charges,87.2% of total billed charges,65.17,59,,52.14,percent of total billed charges,59% of total billed charges,96.31,87.2,,77.05,percent of total billed charges,87.2% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,89.78,81.29,,71.82,percent of total billed charges,81.29% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of totl billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,57.43,99.41,
CMPLX CCM 60 MIN,43701674,CDM,521,RC,99487,HCPCS,Outpatient,,,110.45,88.36,,93.88,85,,75.1,percent of total billed charges,85% of total billed charges,93.88,85,,75.1,percent of total billed charges,85% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,82.04,74,,65.63,percent of total billed charges,74.28% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,96.31,87.2,,,percent of total billed charges,87.2% of total billed charges,65.17,59,,52.14,percent of total billed charges,59% of total billed charges,96.31,87.2,,77.05,percent of total billed charges,87.2% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,89.78,81.29,,71.82,percent of total billed charges,81.29% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of totl billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,99.41,90,,79.53,percent of total billed charges,90% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,67.37,61,,53.9,percent of total billed charges,61% of total billed charges,57.43,52,,45.94,percent of total billed charges,52% of total billed charges,57.43,99.41,
CMPLX CCM ADD 30 MIN,43601675,CDM,521,RC,99489,HCPCS,Outpatient,,,55.46,44.37,,47.14,85,,37.71,percent of total billed charges,85% of total billed charges,47.14,85,,37.71,percent of total billed charges,85% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,48.36,87.2,,,percent of total billed charges,87.2% of total billed charges,32.72,59,,26.18,percent of total billed charges,59% of total billed charges,48.36,87.2,,38.69,percent of total billed charges,87.2% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,45.08,81.29,,36.06,percent of total billed charges,81.29% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of totl billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,28.84,49.91,
CMPLX CCM ADD 30 MIN,43701675,CDM,521,RC,99489,HCPCS,Outpatient,,,55.46,44.37,,47.14,85,,37.71,percent of total billed charges,85% of total billed charges,47.14,85,,37.71,percent of total billed charges,85% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,41.2,74,,32.96,percent of total billed charges,74.28% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,48.36,87.2,,,percent of total billed charges,87.2% of total billed charges,32.72,59,,26.18,percent of total billed charges,59% of total billed charges,48.36,87.2,,38.69,percent of total billed charges,87.2% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,45.08,81.29,,36.06,percent of total billed charges,81.29% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of totl billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,49.91,90,,39.93,percent of total billed charges,90% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,33.83,61,,27.06,percent of total billed charges,61% of total billed charges,28.84,52,,23.07,percent of total billed charges,52% of total billed charges,28.84,49.91,
Transitional Care-Moderate Com,43601436,CDM,521,RC,99495,HCPCS,Outpatient,,,295,236,,250.75,85,,200.6,percent of total billed charges,85% of total billed charges,250.75,85,,200.6,percent of total billed charges,85% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,257.24,87.2,,,percent of total billed charges,87.2% of total billed charges,174.05,59,,139.24,percent of total billed charges,59% of total billed charges,257.24,87.2,,205.79,percent of total billed charges,87.2% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,239.81,81.29,,191.85,percent of total billed charges,81.29% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of totl billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,153.4,265.5,
Transitional Care-Moderate Com,43701436,CDM,521,RC,99495,HCPCS,Outpatient,,,295,236,,250.75,85,,200.6,percent of total billed charges,85% of total billed charges,250.75,85,,200.6,percent of total billed charges,85% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,219.13,74,,175.3,percent of total billed charges,74.28% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,257.24,87.2,,,percent of total billed charges,87.2% of total billed charges,174.05,59,,139.24,percent of total billed charges,59% of total billed charges,257.24,87.2,,205.79,percent of total billed charges,87.2% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,239.81,81.29,,191.85,percent of total billed charges,81.29% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of totl billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,265.5,90,,212.4,percent of total billed charges,90% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,179.95,61,,143.96,percent of total billed charges,61% of total billed charges,153.4,52,,122.72,percent of total billed charges,52% of total billed charges,153.4,265.5,
Transitional Care-High Complex,43601437,CDM,521,RC,99496,HCPCS,Outpatient,,,410,328,,348.5,85,,278.8,percent of total billed charges,85% of total billed charges,348.5,85,,278.8,percent of total billed charges,85% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,369,90,,295.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,357.52,87.2,,,percent of total billed charges,87.2% of total billed charges,241.9,59,,193.52,percent of total billed charges,59% of total billed charges,357.52,87.2,,286.02,percent of total billed charges,87.2% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,333.29,81.29,,266.63,percent of total billed charges,81.29% of total billed charges,369,90,,295.2,percent of total billed charges,90% of totl billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,213.2,369,
Transitional Care-High Complex,43701437,CDM,521,RC,99496,HCPCS,Outpatient,,,410,328,,348.5,85,,278.8,percent of total billed charges,85% of total billed charges,348.5,85,,278.8,percent of total billed charges,85% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,304.55,74,,243.64,percent of total billed charges,74.28% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,369,90,,295.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,357.52,87.2,,,percent of total billed charges,87.2% of total billed charges,241.9,59,,193.52,percent of total billed charges,59% of total billed charges,357.52,87.2,,286.02,percent of total billed charges,87.2% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,333.29,81.29,,266.63,percent of total billed charges,81.29% of total billed charges,369,90,,295.2,percent of total billed charges,90% of totl billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,369,90,,295.2,percent of total billed charges,90% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,250.1,61,,200.08,percent of total billed charges,61% of total billed charges,213.2,52,,170.56,percent of total billed charges,52% of total billed charges,213.2,369,
"Advanced Care Planning,0-30Min",43601438,CDM,521,RC,99497,HCPCS,Outpatient,,,110,88,,93.5,85,,74.8,percent of total billed charges,85% of total billed charges,93.5,85,,74.8,percent of total billed charges,85% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,99,90,,79.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,95.92,87.2,,,percent of total billed charges,87.2% of total billed charges,64.9,59,,51.92,percent of total billed charges,59% of total billed charges,95.92,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,89.42,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99,90,,79.2,percent of total billed charges,90% of totl billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,57.2,99,
"Advanced Care Planning,0-30Min",43701438,CDM,521,RC,99497,HCPCS,Outpatient,,,110,88,,93.5,85,,74.8,percent of total billed charges,85% of total billed charges,93.5,85,,74.8,percent of total billed charges,85% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,81.71,74,,65.37,percent of total billed charges,74.28% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,99,90,,79.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,95.92,87.2,,,percent of total billed charges,87.2% of total billed charges,64.9,59,,51.92,percent of total billed charges,59% of total billed charges,95.92,87.2,,76.74,percent of total billed charges,87.2% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,89.42,81.29,,71.54,percent of total billed charges,81.29% of total billed charges,99,90,,79.2,percent of total billed charges,90% of totl billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,99,90,,79.2,percent of total billed charges,90% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,67.1,61,,53.68,percent of total billed charges,61% of total billed charges,57.2,52,,45.76,percent of total billed charges,52% of total billed charges,57.2,99,
"Advanced Care Plan,Ea add30Min",43601439,CDM,521,RC,99498,HCPCS,Outpatient,,,95,76,,80.75,85,,64.6,percent of total billed charges,85% of total billed charges,80.75,85,,64.6,percent of total billed charges,85% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,82.84,87.2,,,percent of total billed charges,87.2% of total billed charges,56.05,59,,44.84,percent of total billed charges,59% of total billed charges,82.84,87.2,,66.27,percent of total billed charges,87.2% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,77.23,81.29,,61.78,percent of total billed charges,81.29% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of totl billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,49.4,85.5,
"Advanced Care Plan,Ea add30Min",43701439,CDM,521,RC,99498,HCPCS,Outpatient,,,95,76,,80.75,85,,64.6,percent of total billed charges,85% of total billed charges,80.75,85,,64.6,percent of total billed charges,85% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,70.57,74,,56.46,percent of total billed charges,74.28% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,82.84,87.2,,,percent of total billed charges,87.2% of total billed charges,56.05,59,,44.84,percent of total billed charges,59% of total billed charges,82.84,87.2,,66.27,percent of total billed charges,87.2% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,77.23,81.29,,61.78,percent of total billed charges,81.29% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of totl billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,85.5,90,,68.4,percent of total billed charges,90% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,57.95,61,,46.36,percent of total billed charges,61% of total billed charges,49.4,52,,39.52,percent of total billed charges,52% of total billed charges,49.4,85.5,
DOT PHYSICAL EXAMINATION,43600151,CDM,521,RC,99499,HCPCS,Outpatient,,,108,86.4,,91.8,85,,73.44,percent of total billed charges,85% of total billed charges,91.8,85,,73.44,percent of total billed charges,85% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,80.22,74,,64.18,percent of total billed charges,74.28% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,80.22,74,,64.18,percent of total billed charges,74.28% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,80.22,74,,64.18,percent of total billed charges,74.28% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,97.2,90,,77.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,94.18,87.2,,,percent of total billed charges,87.2% of total billed charges,63.72,59,,50.98,percent of total billed charges,59% of total billed charges,94.18,87.2,,75.34,percent of total billed charges,87.2% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,87.79,81.29,,70.23,percent of total billed charges,81.29% of total billed charges,97.2,90,,77.76,percent of total billed charges,90% of totl billed charges,97.2,90,,77.76,percent of total billed charges,90% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,97.2,90,,77.76,percent of total billed charges,90% of total billed charges,97.2,90,,77.76,percent of total billed charges,90% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,65.88,61,,52.7,percent of total billed charges,61% of total billed charges,56.16,52,,44.93,percent of total billed charges,52% of total billed charges,56.16,97.2,
MTM INITIAL ASSESSMNT 15 MIN,43701374,CDM,521,RC,99605,HCPCS,Outpatient,,,60,48,,51,85,,40.8,percent of total billed charges,85% of total billed charges,51,85,,40.8,percent of total billed charges,85% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,44.57,74,,35.66,percent of total billed charges,74.28% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,54,90,,43.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,52.32,87.2,,,percent of total billed charges,87.2% of total billed charges,35.4,59,,28.32,percent of total billed charges,59% of total billed charges,52.32,87.2,,41.86,percent of total billed charges,87.2% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,48.77,81.29,,39.02,percent of total billed charges,81.29% of total billed charges,54,90,,43.2,percent of total billed charges,90% of totl billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,54,90,,43.2,percent of total billed charges,90% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,36.6,61,,29.28,percent of total billed charges,61% of total billed charges,31.2,52,,24.96,percent of total billed charges,52% of total billed charges,31.2,54,
MTM SUBSEQNT ASSESSMNT 15 MIN,43701375,CDM,521,RC,99606,HCPCS,Outpatient,,,30,24,,25.5,85,,20.4,percent of total billed charges,85% of total billed charges,25.5,85,,20.4,percent of total billed charges,85% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,22.28,74,,17.82,percent of total billed charges,74.28% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,22.28,74,,17.82,percent of total billed charges,74.28% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,22.28,74,,17.82,percent of total billed charges,74.28% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,27,90,,21.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,26.16,87.2,,,percent of total billed charges,87.2% of total billed charges,17.7,59,,14.16,percent of total billed charges,59% of total billed charges,26.16,87.2,,20.93,percent of total billed charges,87.2% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,24.39,81.29,,19.51,percent of total billed charges,81.29% of total billed charges,27,90,,21.6,percent of total billed charges,90% of totl billed charges,27,90,,21.6,percent of total billed charges,90% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,27,90,,21.6,percent of total billed charges,90% of total billed charges,27,90,,21.6,percent of total billed charges,90% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,18.3,61,,14.64,percent of total billed charges,61% of total billed charges,15.6,52,,12.48,percent of total billed charges,52% of total billed charges,15.6,27,
MTM ADD-ON ADDL 15 MIN,43701376,CDM,521,RC,99607,HCPCS,Outpatient,,,15,12,,12.75,85,,10.2,percent of total billed charges,85% of total billed charges,12.75,85,,10.2,percent of total billed charges,85% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,11.14,74,,8.91,percent of total billed charges,74.28% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,11.14,74,,8.91,percent of total billed charges,74.28% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,11.14,74,,8.91,percent of total billed charges,74.28% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,13.5,90,,10.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,13.08,87.2,,,percent of total billed charges,87.2% of total billed charges,8.85,59,,7.08,percent of total billed charges,59% of total billed charges,13.08,87.2,,10.46,percent of total billed charges,87.2% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,12.19,81.29,,9.75,percent of total billed charges,81.29% of total billed charges,13.5,90,,10.8,percent of total billed charges,90% of totl billed charges,13.5,90,,10.8,percent of total billed charges,90% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,13.5,90,,10.8,percent of total billed charges,90% of total billed charges,13.5,90,,10.8,percent of total billed charges,90% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,9.15,61,,7.32,percent of total billed charges,61% of total billed charges,7.8,52,,6.24,percent of total billed charges,52% of total billed charges,7.8,13.5,
COMP ASSIST SURG W/IMAGE GUIDA,35009550,CDM,360,RC,0054T,HCPCS,Outpatient,,,233.3,186.64,,198.31,85,,158.65,percent of total billed charges,85% of total billed charges,198.31,85,,158.65,percent of total billed charges,85% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,173.3,74,,138.64,percent of total billed charges,74.28% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,173.3,74,,138.64,percent of total billed charges,74.28% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,173.3,74,,138.64,percent of total billed charges,74.28% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,209.97,90,,167.98,percent of total billed charges,90% of total billed charges,209.97,90,,167.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,203.44,87.2,,,percent of total billed charges,87.2% of total billed charges,137.65,59,,110.12,percent of total billed charges,59% of total billed charges,203.44,87.2,,162.75,percent of total billed charges,87.2% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,189.65,81.29,,151.72,percent of total billed charges,81.29% of total billed charges,209.97,90,,167.98,percent of total billed charges,90% of totl billed charges,209.97,90,,167.98,percent of total billed charges,90% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,209.97,90,,167.98,percent of total billed charges,90% of total billed charges,209.97,90,,167.98,percent of total billed charges,90% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,142.31,61,,113.85,percent of total billed charges,61% of total billed charges,121.32,52,,97.06,percent of total billed charges,52% of total billed charges,121.32,209.97,
DISCHARGE MED RECON,43601678,CDM,521,RC,1111F,HCPCS,Outpatient,,,42,33.6,,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,36.62,87.2,,,percent of total billed charges,87.2% of total billed charges,24.78,59,,19.82,percent of total billed charges,59% of total billed charges,36.62,87.2,,29.3,percent of total billed charges,87.2% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,34.14,81.29,,27.31,percent of total billed charges,81.29% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of totl billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,37.8,
DISCHARGE MED RECON,43701678,CDM,521,RC,1111F,HCPCS,Outpatient,,,42,33.6,,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,35.7,85,,28.56,percent of total billed charges,85% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,31.2,74,,24.96,percent of total billed charges,74.28% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,36.62,87.2,,,percent of total billed charges,87.2% of total billed charges,24.78,59,,19.82,percent of total billed charges,59% of total billed charges,36.62,87.2,,29.3,percent of total billed charges,87.2% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,34.14,81.29,,27.31,percent of total billed charges,81.29% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of totl billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,37.8,90,,30.24,percent of total billed charges,90% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,25.62,61,,20.5,percent of total billed charges,61% of total billed charges,21.84,52,,17.47,percent of total billed charges,52% of total billed charges,21.84,37.8,
NEEDLE ANCHOR 1849D,35030468,CDM,272,RC,A4215,HCPCS,Outpatient,,,6,4.8,,5.1,85,,4.08,percent of total billed charges,85% of total billed charges,5.1,85,,4.08,percent of total billed charges,85% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,4.46,74,,3.57,percent of total billed charges,74.28% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,4.46,74,,3.57,percent of total billed charges,74.28% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,4.46,74,,3.57,percent of total billed charges,74.28% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,5.4,90,,4.32,percent of total billed charges,90% of total billed charges,5.4,90,,4.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,5.23,87.2,,,percent of total billed charges,87.2% of total billed charges,3.54,59,,2.83,percent of total billed charges,59% of total billed charges,5.23,87.2,,4.18,percent of total billed charges,87.2% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,4.88,81.29,,3.9,percent of total billed charges,81.29% of total billed charges,5.4,90,,4.32,percent of total billed charges,90% of totl billed charges,5.4,90,,4.32,percent of total billed charges,90% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,5.4,90,,4.32,percent of total billed charges,90% of total billed charges,5.4,90,,4.32,percent of total billed charges,90% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,3.66,61,,2.93,percent of total billed charges,61% of total billed charges,3.12,52,,2.5,percent of total billed charges,52% of total billed charges,3.12,5.4,
"NEEDLE EPIDURAL 14ga x 6"" 1116",35031070,CDM,272,RC,A4215,HCPCS,Outpatient,,,210,168,,178.5,85,,142.8,percent of total billed charges,85% of total billed charges,178.5,85,,142.8,percent of total billed charges,85% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,183.12,87.2,,,percent of total billed charges,87.2% of total billed charges,123.9,59,,99.12,percent of total billed charges,59% of total billed charges,183.12,87.2,,146.5,percent of total billed charges,87.2% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,170.71,81.29,,136.57,percent of total billed charges,81.29% of total billed charges,189,90,,151.2,percent of total billed charges,90% of totl billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,109.2,189,
REFILL KIT 11825,35031374,CDM,271,RC,A4220,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
SLING -PHP,36039190,CDM,290,RC,A4565,HCPCS,Outpatient,,,22.56,18.05,,19.18,85,,15.34,percent of total billed charges,85% of total billed charges,19.18,85,,15.34,percent of total billed charges,85% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,16.76,74,,13.41,percent of total billed charges,74.28% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,16.76,74,,13.41,percent of total billed charges,74.28% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,16.76,74,,13.41,percent of total billed charges,74.28% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,20.3,90,,16.24,percent of total billed charges,90% of total billed charges,20.3,90,,16.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,19.67,87.2,,,percent of total billed charges,87.2% of total billed charges,13.31,59,,10.65,percent of total billed charges,59% of total billed charges,19.67,87.2,,15.74,percent of total billed charges,87.2% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,18.34,81.29,,14.67,percent of total billed charges,81.29% of total billed charges,20.3,90,,16.24,percent of total billed charges,90% of totl billed charges,20.3,90,,16.24,percent of total billed charges,90% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,20.3,90,,16.24,percent of total billed charges,90% of total billed charges,20.3,90,,16.24,percent of total billed charges,90% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,13.76,61,,11.01,percent of total billed charges,61% of total billed charges,11.73,52,,9.38,percent of total billed charges,52% of total billed charges,11.73,20.3,
FINGER SPLINT-PHP,36039197,CDM,290,RC,A4570,HCPCS,Outpatient,,,39.47,31.58,,33.55,85,,26.84,percent of total billed charges,85% of total billed charges,33.55,85,,26.84,percent of total billed charges,85% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,29.32,74,,23.46,percent of total billed charges,74.28% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,29.32,74,,23.46,percent of total billed charges,74.28% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,29.32,74,,23.46,percent of total billed charges,74.28% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,35.52,90,,28.42,percent of total billed charges,90% of total billed charges,35.52,90,,28.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,34.42,87.2,,,percent of total billed charges,87.2% of total billed charges,23.29,59,,18.63,percent of total billed charges,59% of total billed charges,34.42,87.2,,27.54,percent of total billed charges,87.2% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,32.09,81.29,,25.67,percent of total billed charges,81.29% of total billed charges,35.52,90,,28.42,percent of total billed charges,90% of totl billed charges,35.52,90,,28.42,percent of total billed charges,90% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,35.52,90,,28.42,percent of total billed charges,90% of total billed charges,35.52,90,,28.42,percent of total billed charges,90% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,24.08,61,,19.26,percent of total billed charges,61% of total billed charges,20.52,52,,16.42,percent of total billed charges,52% of total billed charges,20.52,35.52,
BIOPSY SITE MARKER,42005005,CDM,278,RC,A4648,HCPCS,Outpatient,,,302.27,241.82,,256.93,85,,205.54,percent of total billed charges,85% of total billed charges,256.93,85,,205.54,percent of total billed charges,85% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,224.53,74,,179.62,percent of total billed charges,74.28% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,224.53,74,,179.62,percent of total billed charges,74.28% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,224.53,74,,179.62,percent of total billed charges,74.28% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,272.04,90,,217.63,percent of total billed charges,90% of total billed charges,272.04,90,,217.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,263.58,87.2,,,percent of total billed charges,87.2% of total billed charges,178.34,59,,142.67,percent of total billed charges,59% of total billed charges,263.58,87.2,,210.86,percent of total billed charges,87.2% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,245.72,81.29,,196.58,percent of total billed charges,81.29% of total billed charges,272.04,90,,217.63,percent of total billed charges,90% of totl billed charges,272.04,90,,217.63,percent of total billed charges,90% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,272.04,90,,217.63,percent of total billed charges,90% of total billed charges,272.04,90,,217.63,percent of total billed charges,90% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,184.38,61,,147.5,percent of total billed charges,61% of total billed charges,157.18,52,,125.74,percent of total billed charges,52% of total billed charges,157.18,272.04,
TC99M SESTAMIBI 40 mCi,42100004,CDM,343,RC,A9500,HCPCS,Outpatient,,,189.42,151.54,,161.01,85,,128.81,percent of total billed charges,85% of total billed charges,161.01,85,,128.81,percent of total billed charges,85% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,140.7,74,,112.56,percent of total billed charges,74.28% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,140.7,74,,112.56,percent of total billed charges,74.28% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,140.7,74,,112.56,percent of total billed charges,74.28% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,170.48,90,,136.38,percent of total billed charges,90% of total billed charges,170.48,90,,136.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,165.17,87.2,,,percent of total billed charges,87.2% of total billed charges,111.76,59,,89.41,percent of total billed charges,59% of total billed charges,165.17,87.2,,132.14,percent of total billed charges,87.2% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,153.98,81.29,,123.18,percent of total billed charges,81.29% of total billed charges,170.48,90,,136.38,percent of total billed charges,90% of totl billed charges,170.48,90,,136.38,percent of total billed charges,90% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,170.48,90,,136.38,percent of total billed charges,90% of total billed charges,170.48,90,,136.38,percent of total billed charges,90% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,115.55,61,,92.44,percent of total billed charges,61% of total billed charges,98.5,52,,78.8,percent of total billed charges,52% of total billed charges,98.5,170.48,
CARDIOLITE EA DOSE UP TO 40MCI,42109028,CDM,343,RC,A9500,HCPCS,Outpatient,,,233.13,186.5,,198.16,85,,158.53,percent of total billed charges,85% of total billed charges,198.16,85,,158.53,percent of total billed charges,85% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,173.17,74,,138.54,percent of total billed charges,74.28% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,173.17,74,,138.54,percent of total billed charges,74.28% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,173.17,74,,138.54,percent of total billed charges,74.28% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,209.82,90,,167.86,percent of total billed charges,90% of total billed charges,209.82,90,,167.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,203.29,87.2,,,percent of total billed charges,87.2% of total billed charges,137.55,59,,110.04,percent of total billed charges,59% of total billed charges,203.29,87.2,,162.63,percent of total billed charges,87.2% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,189.51,81.29,,151.61,percent of total billed charges,81.29% of total billed charges,209.82,90,,167.86,percent of total billed charges,90% of totl billed charges,209.82,90,,167.86,percent of total billed charges,90% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,209.82,90,,167.86,percent of total billed charges,90% of total billed charges,209.82,90,,167.86,percent of total billed charges,90% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,142.21,61,,113.77,percent of total billed charges,61% of total billed charges,121.23,52,,96.98,percent of total billed charges,52% of total billed charges,121.23,209.82,
TECHNETIUM MEDRONATE TO 30 MCI,42109030,CDM,343,RC,A9503,HCPCS,Outpatient,,,54.49,43.59,,46.32,85,,37.06,percent of total billed charges,85% of total billed charges,46.32,85,,37.06,percent of total billed charges,85% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,40.48,74,,32.38,percent of total billed charges,74.28% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,40.48,74,,32.38,percent of total billed charges,74.28% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,40.48,74,,32.38,percent of total billed charges,74.28% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,49.04,90,,39.23,percent of total billed charges,90% of total billed charges,49.04,90,,39.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,47.52,87.2,,,percent of total billed charges,87.2% of total billed charges,32.15,59,,25.72,percent of total billed charges,59% of total billed charges,47.52,87.2,,38.02,percent of total billed charges,87.2% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,44.29,81.29,,35.43,percent of total billed charges,81.29% of total billed charges,49.04,90,,39.23,percent of total billed charges,90% of totl billed charges,49.04,90,,39.23,percent of total billed charges,90% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,49.04,90,,39.23,percent of total billed charges,90% of total billed charges,49.04,90,,39.23,percent of total billed charges,90% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,33.24,61,,26.59,percent of total billed charges,61% of total billed charges,28.33,52,,22.66,percent of total billed charges,52% of total billed charges,28.33,49.04,
THALLIUM PER 4 MCI,42109036,CDM,343,RC,A9505,HCPCS,Outpatient,,,208.35,166.68,,177.1,85,,141.68,percent of total billed charges,85% of total billed charges,177.1,85,,141.68,percent of total billed charges,85% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,154.76,74,,123.81,percent of total billed charges,74.28% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,154.76,74,,123.81,percent of total billed charges,74.28% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,154.76,74,,123.81,percent of total billed charges,74.28% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,187.52,90,,150.02,percent of total billed charges,90% of total billed charges,187.52,90,,150.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,181.68,87.2,,,percent of total billed charges,87.2% of total billed charges,122.93,59,,98.34,percent of total billed charges,59% of total billed charges,181.68,87.2,,145.34,percent of total billed charges,87.2% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,169.37,81.29,,135.5,percent of total billed charges,81.29% of total billed charges,187.52,90,,150.02,percent of total billed charges,90% of totl billed charges,187.52,90,,150.02,percent of total billed charges,90% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,187.52,90,,150.02,percent of total billed charges,90% of total billed charges,187.52,90,,150.02,percent of total billed charges,90% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,127.09,61,,101.67,percent of total billed charges,61% of total billed charges,108.34,52,,86.67,percent of total billed charges,52% of total billed charges,108.34,187.52,
TECHNETIUM PERTECHNETATE/1 MCI,42109037,CDM,343,RC,A9512,HCPCS,Outpatient,,,202.98,162.38,,172.53,85,,138.02,percent of total billed charges,85% of total billed charges,172.53,85,,138.02,percent of total billed charges,85% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,177,87.2,,,percent of total billed charges,87.2% of total billed charges,119.76,59,,95.81,percent of total billed charges,59% of total billed charges,177,87.2,,141.6,percent of total billed charges,87.2% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,165,81.29,,132,percent of total billed charges,81.29% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of totl billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,105.55,182.68,
TECHNETIUM MEBROFENIN TO 15MCI,42109031,CDM,343,RC,A9537,HCPCS,Outpatient,,,115.5,92.4,,98.18,85,,78.54,percent of total billed charges,85% of total billed charges,98.18,85,,78.54,percent of total billed charges,85% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,85.79,74,,68.63,percent of total billed charges,74.28% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,85.79,74,,68.63,percent of total billed charges,74.28% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,85.79,74,,68.63,percent of total billed charges,74.28% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,103.95,90,,83.16,percent of total billed charges,90% of total billed charges,103.95,90,,83.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,100.72,87.2,,,percent of total billed charges,87.2% of total billed charges,68.15,59,,54.52,percent of total billed charges,59% of total billed charges,100.72,87.2,,80.58,percent of total billed charges,87.2% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,93.89,81.29,,75.11,percent of total billed charges,81.29% of total billed charges,103.95,90,,83.16,percent of total billed charges,90% of totl billed charges,103.95,90,,83.16,percent of total billed charges,90% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,103.95,90,,83.16,percent of total billed charges,90% of total billed charges,103.95,90,,83.16,percent of total billed charges,90% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,70.46,61,,56.37,percent of total billed charges,61% of total billed charges,60.06,52,,48.05,percent of total billed charges,52% of total billed charges,60.06,103.95,
TECHNETIUM PYP UP TO 25MCI,42109048,CDM,343,RC,A9538,HCPCS,Outpatient,,,127.12,101.7,,108.05,85,,86.44,percent of total billed charges,85% of total billed charges,108.05,85,,86.44,percent of total billed charges,85% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,94.42,74,,75.54,percent of total billed charges,74.28% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,94.42,74,,75.54,percent of total billed charges,74.28% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,94.42,74,,75.54,percent of total billed charges,74.28% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,114.41,90,,91.53,percent of total billed charges,90% of total billed charges,114.41,90,,91.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,110.85,87.2,,,percent of total billed charges,87.2% of total billed charges,75,59,,60,percent of total billed charges,59% of total billed charges,110.85,87.2,,88.68,percent of total billed charges,87.2% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,103.34,81.29,,82.67,percent of total billed charges,81.29% of total billed charges,114.41,90,,91.53,percent of total billed charges,90% of totl billed charges,114.41,90,,91.53,percent of total billed charges,90% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,114.41,90,,91.53,percent of total billed charges,90% of total billed charges,114.41,90,,91.53,percent of total billed charges,90% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,77.54,61,,62.03,percent of total billed charges,61% of total billed charges,66.1,52,,52.88,percent of total billed charges,52% of total billed charges,66.1,114.41,
TECHNETIUM SULFUR CLD TO 20MCI,42109032,CDM,343,RC,A9541,HCPCS,Outpatient,,,130.73,104.58,,111.12,85,,88.9,percent of total billed charges,85% of total billed charges,111.12,85,,88.9,percent of total billed charges,85% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,97.11,74,,77.69,percent of total billed charges,74.28% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,97.11,74,,77.69,percent of total billed charges,74.28% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,97.11,74,,77.69,percent of total billed charges,74.28% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,117.66,90,,94.13,percent of total billed charges,90% of total billed charges,117.66,90,,94.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,114,87.2,,,percent of total billed charges,87.2% of total billed charges,77.13,59,,61.7,percent of total billed charges,59% of total billed charges,114,87.2,,91.2,percent of total billed charges,87.2% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,106.27,81.29,,85.02,percent of total billed charges,81.29% of total billed charges,117.66,90,,94.13,percent of total billed charges,90% of totl billed charges,117.66,90,,94.13,percent of total billed charges,90% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,117.66,90,,94.13,percent of total billed charges,90% of total billed charges,117.66,90,,94.13,percent of total billed charges,90% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,79.75,61,,63.8,percent of total billed charges,61% of total billed charges,67.98,52,,54.38,percent of total billed charges,52% of total billed charges,67.98,117.66,
TECHNETIUM RBC UP TO 30 MCI,42109033,CDM,343,RC,A9560,HCPCS,Outpatient,,,202.98,162.38,,172.53,85,,138.02,percent of total billed charges,85% of total billed charges,172.53,85,,138.02,percent of total billed charges,85% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,150.77,74,,120.62,percent of total billed charges,74.28% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,177,87.2,,,percent of total billed charges,87.2% of total billed charges,119.76,59,,95.81,percent of total billed charges,59% of total billed charges,177,87.2,,141.6,percent of total billed charges,87.2% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,165,81.29,,132,percent of total billed charges,81.29% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of totl billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,182.68,90,,146.14,percent of total billed charges,90% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,123.82,61,,99.06,percent of total billed charges,61% of total billed charges,105.55,52,,84.44,percent of total billed charges,52% of total billed charges,105.55,182.68,
TECHNETIUM MAG3,42109039,CDM,343,RC,A9562,HCPCS,Outpatient,,,474.97,379.98,,403.72,85,,322.98,percent of total billed charges,85% of total billed charges,403.72,85,,322.98,percent of total billed charges,85% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,352.81,74,,282.25,percent of total billed charges,74.28% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,352.81,74,,282.25,percent of total billed charges,74.28% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,352.81,74,,282.25,percent of total billed charges,74.28% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,427.47,90,,341.98,percent of total billed charges,90% of total billed charges,427.47,90,,341.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,414.17,87.2,,,percent of total billed charges,87.2% of total billed charges,280.23,59,,224.18,percent of total billed charges,59% of total billed charges,414.17,87.2,,331.34,percent of total billed charges,87.2% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,386.1,81.29,,308.88,percent of total billed charges,81.29% of total billed charges,427.47,90,,341.98,percent of total billed charges,90% of totl billed charges,427.47,90,,341.98,percent of total billed charges,90% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,427.47,90,,341.98,percent of total billed charges,90% of total billed charges,427.47,90,,341.98,percent of total billed charges,90% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,289.73,61,,231.78,percent of total billed charges,61% of total billed charges,246.98,52,,197.58,percent of total billed charges,52% of total billed charges,246.98,427.47,
GADOLINIUM PER 1 ML,42000586,CDM,636,RC,A9585,HCPCS,Outpatient,,,118.33,94.66,,100.58,85,,80.46,percent of total billed charges,85% of total billed charges,100.58,85,,80.46,percent of total billed charges,85% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,87.9,74,,70.32,percent of total billed charges,74.28% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,87.9,74,,70.32,percent of total billed charges,74.28% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,87.9,74,,70.32,percent of total billed charges,74.28% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,106.5,90,,85.2,percent of total billed charges,90% of total billed charges,106.5,90,,85.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,103.18,87.2,,,percent of total billed charges,87.2% of total billed charges,69.81,59,,55.85,percent of total billed charges,59% of total billed charges,103.18,87.2,,82.54,percent of total billed charges,87.2% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,96.19,81.29,,76.95,percent of total billed charges,81.29% of total billed charges,106.5,90,,85.2,percent of total billed charges,90% of totl billed charges,106.5,90,,85.2,percent of total billed charges,90% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,106.5,90,,85.2,percent of total billed charges,90% of total billed charges,106.5,90,,85.2,percent of total billed charges,90% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,72.18,61,,57.74,percent of total billed charges,61% of total billed charges,61.53,52,,49.22,percent of total billed charges,52% of total billed charges,61.53,106.5,
OSTEOMED PLATE 3332001,35030053,CDM,278,RC,C1713,HCPCS,Outpatient,,,732.29,585.83,,622.45,85,,497.96,percent of total billed charges,85% of total billed charges,622.45,85,,497.96,percent of total billed charges,85% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,543.95,74,,435.16,percent of total billed charges,74.28% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,543.95,74,,435.16,percent of total billed charges,74.28% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,543.95,74,,435.16,percent of total billed charges,74.28% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,659.06,90,,527.25,percent of total billed charges,90% of total billed charges,659.06,90,,527.25,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,638.56,87.2,,,percent of total billed charges,87.2% of total billed charges,432.05,59,,345.64,percent of total billed charges,59% of total billed charges,638.56,87.2,,510.85,percent of total billed charges,87.2% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,595.28,81.29,,476.22,percent of total billed charges,81.29% of total billed charges,659.06,90,,527.25,percent of total billed charges,90% of totl billed charges,659.06,90,,527.25,percent of total billed charges,90% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,659.06,90,,527.25,percent of total billed charges,90% of total billed charges,659.06,90,,527.25,percent of total billed charges,90% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,446.7,61,,357.36,percent of total billed charges,61% of total billed charges,380.79,52,,304.63,percent of total billed charges,52% of total billed charges,380.79,659.06,
OSTEOMED SCREW 3302009/11/12,35030054,CDM,278,RC,C1713,HCPCS,Outpatient,,,346.71,277.37,,294.7,85,,235.76,percent of total billed charges,85% of total billed charges,294.7,85,,235.76,percent of total billed charges,85% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,257.54,74,,206.03,percent of total billed charges,74.28% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,257.54,74,,206.03,percent of total billed charges,74.28% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,257.54,74,,206.03,percent of total billed charges,74.28% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,312.04,90,,249.63,percent of total billed charges,90% of total billed charges,312.04,90,,249.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,302.33,87.2,,,percent of total billed charges,87.2% of total billed charges,204.56,59,,163.65,percent of total billed charges,59% of total billed charges,302.33,87.2,,241.86,percent of total billed charges,87.2% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,281.84,81.29,,225.47,percent of total billed charges,81.29% of total billed charges,312.04,90,,249.63,percent of total billed charges,90% of totl billed charges,312.04,90,,249.63,percent of total billed charges,90% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,312.04,90,,249.63,percent of total billed charges,90% of total billed charges,312.04,90,,249.63,percent of total billed charges,90% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,211.49,61,,169.19,percent of total billed charges,61% of total billed charges,180.29,52,,144.23,percent of total billed charges,52% of total billed charges,180.29,312.04,
SUTURE ANCHOR AK-2324 BCM,35030055,CDM,278,RC,C1713,HCPCS,Outpatient,,,945.56,756.45,,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,824.53,87.2,,,percent of total billed charges,87.2% of total billed charges,557.88,59,,446.3,percent of total billed charges,59% of total billed charges,824.53,87.2,,659.62,percent of total billed charges,87.2% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,768.65,81.29,,614.92,percent of total billed charges,81.29% of total billed charges,851,90,,680.8,percent of total billed charges,90% of totl billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,851,
ARTHRX ANCH 5.5x19.1mm-2323BCC,35030063,CDM,278,RC,C1713,HCPCS,Outpatient,,,898.29,718.63,,763.55,85,,610.84,percent of total billed charges,85% of total billed charges,763.55,85,,610.84,percent of total billed charges,85% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,667.25,74,,533.8,percent of total billed charges,74.28% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,667.25,74,,533.8,percent of total billed charges,74.28% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,667.25,74,,533.8,percent of total billed charges,74.28% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,808.46,90,,646.77,percent of total billed charges,90% of total billed charges,808.46,90,,646.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,783.31,87.2,,,percent of total billed charges,87.2% of total billed charges,529.99,59,,423.99,percent of total billed charges,59% of total billed charges,783.31,87.2,,626.65,percent of total billed charges,87.2% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,730.22,81.29,,584.18,percent of total billed charges,81.29% of total billed charges,808.46,90,,646.77,percent of total billed charges,90% of totl billed charges,808.46,90,,646.77,percent of total billed charges,90% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,808.46,90,,646.77,percent of total billed charges,90% of total billed charges,808.46,90,,646.77,percent of total billed charges,90% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,547.96,61,,438.37,percent of total billed charges,61% of total billed charges,467.11,52,,373.69,percent of total billed charges,52% of total billed charges,467.11,808.46,
PLATE CENTRAL 3rd AR 2655 CL,35030072,CDM,278,RC,C1713,HCPCS,Outpatient,,,1858.03,1486.42,,1579.33,85,,1263.46,percent of total billed charges,85% of total billed charges,1579.33,85,,1263.46,percent of total billed charges,85% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,1380.14,74,,1104.11,percent of total billed charges,74.28% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,1380.14,74,,1104.11,percent of total billed charges,74.28% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,1380.14,74,,1104.11,percent of total billed charges,74.28% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of total billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,1620.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1096.24,59,,876.99,percent of total billed charges,59% of total billed charges,1620.2,87.2,,1296.16,percent of total billed charges,87.2% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,1510.39,81.29,,1208.31,percent of total billed charges,81.29% of total billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of totl billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of total billed charges,1672.23,90,,1337.78,percent of total billed charges,90% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,1133.4,61,,906.72,percent of total billed charges,61% of total billed charges,966.18,52,,772.94,percent of total billed charges,52% of total billed charges,966.18,1672.23,
CEMENT SIMPLEX SPEEDSET,35030091,CDM,278,RC,C1713,HCPCS,Outpatient,,,210,168,,178.5,85,,142.8,percent of total billed charges,85% of total billed charges,178.5,85,,142.8,percent of total billed charges,85% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,155.99,74,,124.79,percent of total billed charges,74.28% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,183.12,87.2,,,percent of total billed charges,87.2% of total billed charges,123.9,59,,99.12,percent of total billed charges,59% of total billed charges,183.12,87.2,,146.5,percent of total billed charges,87.2% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,170.71,81.29,,136.57,percent of total billed charges,81.29% of total billed charges,189,90,,151.2,percent of total billed charges,90% of totl billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,189,90,,151.2,percent of total billed charges,90% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,128.1,61,,102.48,percent of total billed charges,61% of total billed charges,109.2,52,,87.36,percent of total billed charges,52% of total billed charges,109.2,189,
ANCHOR BIO.SWIVELOCK 4.75mm AR,35030262,CDM,278,RC,C1713,HCPCS,Outpatient,,,922.5,738,,784.13,85,,627.3,percent of total billed charges,85% of total billed charges,784.13,85,,627.3,percent of total billed charges,85% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,685.23,74,,548.18,percent of total billed charges,74.28% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,685.23,74,,548.18,percent of total billed charges,74.28% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,685.23,74,,548.18,percent of total billed charges,74.28% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,830.25,90,,664.2,percent of total billed charges,90% of total billed charges,830.25,90,,664.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,804.42,87.2,,,percent of total billed charges,87.2% of total billed charges,544.28,59,,435.42,percent of total billed charges,59% of total billed charges,804.42,87.2,,643.54,percent of total billed charges,87.2% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,749.9,81.29,,599.92,percent of total billed charges,81.29% of total billed charges,830.25,90,,664.2,percent of total billed charges,90% of totl billed charges,830.25,90,,664.2,percent of total billed charges,90% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,830.25,90,,664.2,percent of total billed charges,90% of total billed charges,830.25,90,,664.2,percent of total billed charges,90% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,562.73,61,,450.18,percent of total billed charges,61% of total billed charges,479.7,52,,383.76,percent of total billed charges,52% of total billed charges,479.7,830.25,
ANCHOR BIO-SWIVELOCK TEN 7.0,35030444,CDM,278,RC,C1713,HCPCS,Outpatient,,,978.75,783,,831.94,85,,665.55,percent of total billed charges,85% of total billed charges,831.94,85,,665.55,percent of total billed charges,85% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,727.02,74,,581.62,percent of total billed charges,74.28% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,727.02,74,,581.62,percent of total billed charges,74.28% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,727.02,74,,581.62,percent of total billed charges,74.28% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,880.88,90,,704.7,percent of total billed charges,90% of total billed charges,880.88,90,,704.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,853.47,87.2,,,percent of total billed charges,87.2% of total billed charges,577.46,59,,461.97,percent of total billed charges,59% of total billed charges,853.47,87.2,,682.78,percent of total billed charges,87.2% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,795.63,81.29,,636.5,percent of total billed charges,81.29% of total billed charges,880.88,90,,704.7,percent of total billed charges,90% of totl billed charges,880.88,90,,704.7,percent of total billed charges,90% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,880.88,90,,704.7,percent of total billed charges,90% of total billed charges,880.88,90,,704.7,percent of total billed charges,90% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,597.04,61,,477.63,percent of total billed charges,61% of total billed charges,508.95,52,,407.16,percent of total billed charges,52% of total billed charges,508.95,880.88,
IMPL DELIVERY SYSDISTAL BICEPS,35030604,CDM,278,RC,C1713,HCPCS,Outpatient,,,1915,1532,,1627.75,85,,1302.2,percent of total billed charges,85% of total billed charges,1627.75,85,,1302.2,percent of total billed charges,85% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,1422.46,74,,1137.97,percent of total billed charges,74.28% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,1422.46,74,,1137.97,percent of total billed charges,74.28% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,1422.46,74,,1137.97,percent of total billed charges,74.28% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of total billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,1669.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1129.85,59,,903.88,percent of total billed charges,59% of total billed charges,1669.88,87.2,,1335.9,percent of total billed charges,87.2% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,1556.7,81.29,,1245.36,percent of total billed charges,81.29% of total billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of totl billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of total billed charges,1723.5,90,,1378.8,percent of total billed charges,90% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,1168.15,61,,934.52,percent of total billed charges,61% of total billed charges,995.8,52,,796.64,percent of total billed charges,52% of total billed charges,995.8,1723.5,
5.5X52mm CANN SC SS 16mm THD,35030619,CDM,278,RC,C1713,HCPCS,Outpatient,,,1091.25,873,,927.56,85,,742.05,percent of total billed charges,85% of total billed charges,927.56,85,,742.05,percent of total billed charges,85% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,810.58,74,,648.46,percent of total billed charges,74.28% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,810.58,74,,648.46,percent of total billed charges,74.28% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,810.58,74,,648.46,percent of total billed charges,74.28% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,982.13,90,,785.7,percent of total billed charges,90% of total billed charges,982.13,90,,785.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,951.57,87.2,,,percent of total billed charges,87.2% of total billed charges,643.84,59,,515.07,percent of total billed charges,59% of total billed charges,951.57,87.2,,761.26,percent of total billed charges,87.2% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,887.08,81.29,,709.66,percent of total billed charges,81.29% of total billed charges,982.13,90,,785.7,percent of total billed charges,90% of totl billed charges,982.13,90,,785.7,percent of total billed charges,90% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,982.13,90,,785.7,percent of total billed charges,90% of total billed charges,982.13,90,,785.7,percent of total billed charges,90% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,665.66,61,,532.53,percent of total billed charges,61% of total billed charges,567.45,52,,453.96,percent of total billed charges,52% of total billed charges,567.45,982.13,
6.5 mmX55mm CAN SCR 22mm PT SS,35030621,CDM,278,RC,C1713,HCPCS,Outpatient,,,875.25,700.2,,743.96,85,,595.17,percent of total billed charges,85% of total billed charges,743.96,85,,595.17,percent of total billed charges,85% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,650.14,74,,520.11,percent of total billed charges,74.28% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,650.14,74,,520.11,percent of total billed charges,74.28% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,650.14,74,,520.11,percent of total billed charges,74.28% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,787.73,90,,630.18,percent of total billed charges,90% of total billed charges,787.73,90,,630.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,763.22,87.2,,,percent of total billed charges,87.2% of total billed charges,516.4,59,,413.12,percent of total billed charges,59% of total billed charges,763.22,87.2,,610.58,percent of total billed charges,87.2% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,711.49,81.29,,569.19,percent of total billed charges,81.29% of total billed charges,787.73,90,,630.18,percent of total billed charges,90% of totl billed charges,787.73,90,,630.18,percent of total billed charges,90% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,787.73,90,,630.18,percent of total billed charges,90% of total billed charges,787.73,90,,630.18,percent of total billed charges,90% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,533.9,61,,427.12,percent of total billed charges,61% of total billed charges,455.13,52,,364.1,percent of total billed charges,52% of total billed charges,455.13,787.73,
SCREW SOFTSILK 1.5,35030629,CDM,278,RC,C1713,HCPCS,Outpatient,,,567,453.6,,481.95,85,,385.56,percent of total billed charges,85% of total billed charges,481.95,85,,385.56,percent of total billed charges,85% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,421.17,74,,336.94,percent of total billed charges,74.28% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,421.17,74,,336.94,percent of total billed charges,74.28% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,421.17,74,,336.94,percent of total billed charges,74.28% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,510.3,90,,408.24,percent of total billed charges,90% of total billed charges,510.3,90,,408.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,494.42,87.2,,,percent of total billed charges,87.2% of total billed charges,334.53,59,,267.62,percent of total billed charges,59% of total billed charges,494.42,87.2,,395.54,percent of total billed charges,87.2% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,460.91,81.29,,368.73,percent of total billed charges,81.29% of total billed charges,510.3,90,,408.24,percent of total billed charges,90% of totl billed charges,510.3,90,,408.24,percent of total billed charges,90% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,510.3,90,,408.24,percent of total billed charges,90% of total billed charges,510.3,90,,408.24,percent of total billed charges,90% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,345.87,61,,276.7,percent of total billed charges,61% of total billed charges,294.84,52,,235.87,percent of total billed charges,52% of total billed charges,294.84,510.3,
CANN SCREW 56mm 4.0,35030640,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
HEALICOIL RG SA 5.5mm,35030651,CDM,278,RC,C1713,HCPCS,Outpatient,,,1168.02,934.42,,992.82,85,,794.26,percent of total billed charges,85% of total billed charges,992.82,85,,794.26,percent of total billed charges,85% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,1018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,689.13,59,,551.3,percent of total billed charges,59% of total billed charges,1018.51,87.2,,814.81,percent of total billed charges,87.2% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,949.48,81.29,,759.58,percent of total billed charges,81.29% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of totl billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,607.37,1051.22,
MULTIFIX S-ULTRA 5.5mm ANCHOR,35030652,CDM,278,RC,C1713,HCPCS,Outpatient,,,1244.88,995.9,,1058.15,85,,846.52,percent of total billed charges,85% of total billed charges,1058.15,85,,846.52,percent of total billed charges,85% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,924.7,74,,739.76,percent of total billed charges,74.28% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,924.7,74,,739.76,percent of total billed charges,74.28% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,924.7,74,,739.76,percent of total billed charges,74.28% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,1120.39,90,,896.31,percent of total billed charges,90% of total billed charges,1120.39,90,,896.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,1085.54,87.2,,,percent of total billed charges,87.2% of total billed charges,734.48,59,,587.58,percent of total billed charges,59% of total billed charges,1085.54,87.2,,868.43,percent of total billed charges,87.2% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,1011.96,81.29,,809.57,percent of total billed charges,81.29% of total billed charges,1120.39,90,,896.31,percent of total billed charges,90% of totl billed charges,1120.39,90,,896.31,percent of total billed charges,90% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,1120.39,90,,896.31,percent of total billed charges,90% of total billed charges,1120.39,90,,896.31,percent of total billed charges,90% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,759.38,61,,607.5,percent of total billed charges,61% of total billed charges,647.34,52,,517.87,percent of total billed charges,52% of total billed charges,647.34,1120.39,
1.8mm Q-FIX ALL SUTURE ANCHOR,35030653,CDM,278,RC,C1713,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
5.5 x 44mm CANN SCREW 32 THD,35030674,CDM,278,RC,C1713,HCPCS,Outpatient,,,1154.25,923.4,,981.11,85,,784.89,percent of total billed charges,85% of total billed charges,981.11,85,,784.89,percent of total billed charges,85% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,857.38,74,,685.9,percent of total billed charges,74.28% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,857.38,74,,685.9,percent of total billed charges,74.28% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,857.38,74,,685.9,percent of total billed charges,74.28% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,1038.83,90,,831.06,percent of total billed charges,90% of total billed charges,1038.83,90,,831.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,1006.51,87.2,,,percent of total billed charges,87.2% of total billed charges,681.01,59,,544.81,percent of total billed charges,59% of total billed charges,1006.51,87.2,,805.21,percent of total billed charges,87.2% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,938.29,81.29,,750.63,percent of total billed charges,81.29% of total billed charges,1038.83,90,,831.06,percent of total billed charges,90% of totl billed charges,1038.83,90,,831.06,percent of total billed charges,90% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,1038.83,90,,831.06,percent of total billed charges,90% of total billed charges,1038.83,90,,831.06,percent of total billed charges,90% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,704.09,61,,563.27,percent of total billed charges,61% of total billed charges,600.21,52,,480.17,percent of total billed charges,52% of total billed charges,600.21,1038.83,
6.5 x 45mm CANN SCREW 22 PT,35030675,CDM,278,RC,C1713,HCPCS,Outpatient,,,933.75,747,,793.69,85,,634.95,percent of total billed charges,85% of total billed charges,793.69,85,,634.95,percent of total billed charges,85% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,814.23,87.2,,,percent of total billed charges,87.2% of total billed charges,550.91,59,,440.73,percent of total billed charges,59% of total billed charges,814.23,87.2,,651.38,percent of total billed charges,87.2% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,759.05,81.29,,607.24,percent of total billed charges,81.29% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of totl billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,485.55,840.38,
HEALICOIL 4.75,35030681,CDM,278,RC,C1713,HCPCS,Outpatient,,,1168.02,934.42,,992.82,85,,794.26,percent of total billed charges,85% of total billed charges,992.82,85,,794.26,percent of total billed charges,85% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,867.61,74,,694.09,percent of total billed charges,74.28% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,1018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,689.13,59,,551.3,percent of total billed charges,59% of total billed charges,1018.51,87.2,,814.81,percent of total billed charges,87.2% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,949.48,81.29,,759.58,percent of total billed charges,81.29% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of totl billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,1051.22,90,,840.98,percent of total billed charges,90% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,712.49,61,,569.99,percent of total billed charges,61% of total billed charges,607.37,52,,485.9,percent of total billed charges,52% of total billed charges,607.37,1051.22,
3.5MMX14MM LOCK HEX SCR,35030698,CDM,278,RC,C1713,HCPCS,Outpatient,,,513,410.4,,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,447.34,87.2,,,percent of total billed charges,87.2% of total billed charges,302.67,59,,242.14,percent of total billed charges,59% of total billed charges,447.34,87.2,,357.87,percent of total billed charges,87.2% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,417.02,81.29,,333.62,percent of total billed charges,81.29% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of totl billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,461.7,
3.5MMX12MM LOCK HEX SCR,35030700,CDM,278,RC,C1713,HCPCS,Outpatient,,,513,410.4,,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,447.34,87.2,,,percent of total billed charges,87.2% of total billed charges,302.67,59,,242.14,percent of total billed charges,59% of total billed charges,447.34,87.2,,357.87,percent of total billed charges,87.2% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,417.02,81.29,,333.62,percent of total billed charges,81.29% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of totl billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,461.7,
20MM X 8 BC IF VENTED SCREW,35030751,CDM,278,RC,C1713,HCPCS,Outpatient,,,973.5,778.8,,827.48,85,,661.98,percent of total billed charges,85% of total billed charges,827.48,85,,661.98,percent of total billed charges,85% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,723.12,74,,578.5,percent of total billed charges,74.28% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,723.12,74,,578.5,percent of total billed charges,74.28% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,723.12,74,,578.5,percent of total billed charges,74.28% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,876.15,90,,700.92,percent of total billed charges,90% of total billed charges,876.15,90,,700.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,848.89,87.2,,,percent of total billed charges,87.2% of total billed charges,574.37,59,,459.5,percent of total billed charges,59% of total billed charges,848.89,87.2,,679.11,percent of total billed charges,87.2% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,791.36,81.29,,633.09,percent of total billed charges,81.29% of total billed charges,876.15,90,,700.92,percent of total billed charges,90% of totl billed charges,876.15,90,,700.92,percent of total billed charges,90% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,876.15,90,,700.92,percent of total billed charges,90% of total billed charges,876.15,90,,700.92,percent of total billed charges,90% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,593.84,61,,475.07,percent of total billed charges,61% of total billed charges,506.22,52,,404.98,percent of total billed charges,52% of total billed charges,506.22,876.15,
6.5 CANCELOUS SCREW 50MM,35030781,CDM,278,RC,C1713,HCPCS,Outpatient,,,198,158.4,,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,172.66,87.2,,,percent of total billed charges,87.2% of total billed charges,116.82,59,,93.46,percent of total billed charges,59% of total billed charges,172.66,87.2,,138.13,percent of total billed charges,87.2% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,160.95,81.29,,128.76,percent of total billed charges,81.29% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of totl billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,178.2,
PERI-LOC 3.5MM T20 LOCK SCREW,35030794,CDM,278,RC,C1713,HCPCS,Outpatient,,,417,333.6,,354.45,85,,283.56,percent of total billed charges,85% of total billed charges,354.45,85,,283.56,percent of total billed charges,85% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,309.75,74,,247.8,percent of total billed charges,74.28% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,309.75,74,,247.8,percent of total billed charges,74.28% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,309.75,74,,247.8,percent of total billed charges,74.28% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,375.3,90,,300.24,percent of total billed charges,90% of total billed charges,375.3,90,,300.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,363.62,87.2,,,percent of total billed charges,87.2% of total billed charges,246.03,59,,196.82,percent of total billed charges,59% of total billed charges,363.62,87.2,,290.9,percent of total billed charges,87.2% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,338.98,81.29,,271.18,percent of total billed charges,81.29% of total billed charges,375.3,90,,300.24,percent of total billed charges,90% of totl billed charges,375.3,90,,300.24,percent of total billed charges,90% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,375.3,90,,300.24,percent of total billed charges,90% of total billed charges,375.3,90,,300.24,percent of total billed charges,90% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,254.37,61,,203.5,percent of total billed charges,61% of total billed charges,216.84,52,,173.47,percent of total billed charges,52% of total billed charges,216.84,375.3,
EVOS2.7/3.5SUPDISTCLV PL5HR89M,35030852,CDM,278,RC,C1713,HCPCS,Outpatient,,,1673.1,1338.48,,1422.14,85,,1137.71,percent of total billed charges,85% of total billed charges,1422.14,85,,1137.71,percent of total billed charges,85% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,1242.78,74,,994.22,percent of total billed charges,74.28% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,1242.78,74,,994.22,percent of total billed charges,74.28% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,1242.78,74,,994.22,percent of total billed charges,74.28% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of total billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,1458.94,87.2,,,percent of total billed charges,87.2% of total billed charges,987.13,59,,789.7,percent of total billed charges,59% of total billed charges,1458.94,87.2,,1167.15,percent of total billed charges,87.2% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,1360.06,81.29,,1088.05,percent of total billed charges,81.29% of total billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of totl billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of total billed charges,1505.79,90,,1204.63,percent of total billed charges,90% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,1020.59,61,,816.47,percent of total billed charges,61% of total billed charges,870.01,52,,696.01,percent of total billed charges,52% of total billed charges,870.01,1505.79,
SUT ANCHOR MINI CORKSCREW FT,35030853,CDM,278,RC,C1713,HCPCS,Outpatient,,,641.25,513,,545.06,85,,436.05,percent of total billed charges,85% of total billed charges,545.06,85,,436.05,percent of total billed charges,85% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,476.32,74,,381.06,percent of total billed charges,74.28% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,476.32,74,,381.06,percent of total billed charges,74.28% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,476.32,74,,381.06,percent of total billed charges,74.28% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,577.13,90,,461.7,percent of total billed charges,90% of total billed charges,577.13,90,,461.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,559.17,87.2,,,percent of total billed charges,87.2% of total billed charges,378.34,59,,302.67,percent of total billed charges,59% of total billed charges,559.17,87.2,,447.34,percent of total billed charges,87.2% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,521.27,81.29,,417.02,percent of total billed charges,81.29% of total billed charges,577.13,90,,461.7,percent of total billed charges,90% of totl billed charges,577.13,90,,461.7,percent of total billed charges,90% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,577.13,90,,461.7,percent of total billed charges,90% of total billed charges,577.13,90,,461.7,percent of total billed charges,90% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,391.16,61,,312.93,percent of total billed charges,61% of total billed charges,333.45,52,,266.76,percent of total billed charges,52% of total billed charges,333.45,577.13,
EVOS L-D FIBULA PL 5H 81MM,35030862,CDM,278,RC,C1713,HCPCS,Outpatient,,,1620.45,1296.36,,1377.38,85,,1101.9,percent of total billed charges,85% of total billed charges,1377.38,85,,1101.9,percent of total billed charges,85% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,1203.67,74,,962.94,percent of total billed charges,74.28% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,1203.67,74,,962.94,percent of total billed charges,74.28% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,1203.67,74,,962.94,percent of total billed charges,74.28% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of total billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,1413.03,87.2,,,percent of total billed charges,87.2% of total billed charges,956.07,59,,764.86,percent of total billed charges,59% of total billed charges,1413.03,87.2,,1130.42,percent of total billed charges,87.2% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,1317.26,81.29,,1053.81,percent of total billed charges,81.29% of total billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of totl billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of total billed charges,1458.41,90,,1166.73,percent of total billed charges,90% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,988.47,61,,790.78,percent of total billed charges,61% of total billed charges,842.63,52,,674.1,percent of total billed charges,52% of total billed charges,842.63,1458.41,
3.0MM CANUALTED SCREW 40MM,35030868,CDM,278,RC,C1713,HCPCS,Outpatient,,,664.95,531.96,,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,579.84,87.2,,,percent of total billed charges,87.2% of total billed charges,392.32,59,,313.86,percent of total billed charges,59% of total billed charges,579.84,87.2,,463.87,percent of total billed charges,87.2% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,540.54,81.29,,432.43,percent of total billed charges,81.29% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of totl billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,598.46,
3.0MM CANUALTED SCREW 30MM,35030869,CDM,278,RC,C1713,HCPCS,Outpatient,,,664.95,531.96,,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,579.84,87.2,,,percent of total billed charges,87.2% of total billed charges,392.32,59,,313.86,percent of total billed charges,59% of total billed charges,579.84,87.2,,463.87,percent of total billed charges,87.2% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,540.54,81.29,,432.43,percent of total billed charges,81.29% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of totl billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,598.46,
RALLY MV CEMENT 40 GMS,35030882,CDM,278,RC,C1713,HCPCS,Outpatient,,,180,144,,153,85,,122.4,percent of total billed charges,85% of total billed charges,153,85,,122.4,percent of total billed charges,85% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,156.96,87.2,,,percent of total billed charges,87.2% of total billed charges,106.2,59,,84.96,percent of total billed charges,59% of total billed charges,156.96,87.2,,125.57,percent of total billed charges,87.2% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,146.32,81.29,,117.06,percent of total billed charges,81.29% of total billed charges,162,90,,129.6,percent of total billed charges,90% of totl billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,162,
2.7X20MMDBL-LEADNL SCREWT8,35030888,CDM,278,RC,C1713,HCPCS,Outpatient,,,495,396,,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,431.64,87.2,,,percent of total billed charges,87.2% of total billed charges,292.05,59,,233.64,percent of total billed charges,59% of total billed charges,431.64,87.2,,345.31,percent of total billed charges,87.2% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,402.39,81.29,,321.91,percent of total billed charges,81.29% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of totl billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,445.5,
2.7X10MMDBL-LEAD LOC SCREWT8,35030890,CDM,278,RC,C1713,HCPCS,Outpatient,,,810,648,,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,706.32,87.2,,,percent of total billed charges,87.2% of total billed charges,477.9,59,,382.32,percent of total billed charges,59% of total billed charges,706.32,87.2,,565.06,percent of total billed charges,87.2% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,658.45,81.29,,526.76,percent of total billed charges,81.29% of total billed charges,729,90,,583.2,percent of total billed charges,90% of totl billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,729,
2.7X12MMBL-LEAD LOC SCREWT8,35030891,CDM,278,RC,C1713,HCPCS,Outpatient,,,810,648,,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,706.32,87.2,,,percent of total billed charges,87.2% of total billed charges,477.9,59,,382.32,percent of total billed charges,59% of total billed charges,706.32,87.2,,565.06,percent of total billed charges,87.2% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,658.45,81.29,,526.76,percent of total billed charges,81.29% of total billed charges,729,90,,583.2,percent of total billed charges,90% of totl billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,729,
"L-P SCRW,SS 4X16MM CANCLUS",35030895,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
"IMPL DELIVERY SYS BICEP,BC",35030910,CDM,278,RC,C1713,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
2.4MMX14MM CANULATED SCREW,35030917,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
3.0MM X 38MM CAN HEADLESS,35030929,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
L-P SCRWSS 4X18 MM AR-8840-18,35030944,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
2.4X16MM CAN HEADLESS SCREW,35030946,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
"DX FIBERTAKSUT ANCH,ST&NDLS",35030950,CDM,278,RC,C1713,HCPCS,Outpatient,,,2092.5,1674,,1778.63,85,,1422.9,percent of total billed charges,85% of total billed charges,1778.63,85,,1422.9,percent of total billed charges,85% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1554.31,74,,1243.45,percent of total billed charges,74.28% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1554.31,74,,1243.45,percent of total billed charges,74.28% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1554.31,74,,1243.45,percent of total billed charges,74.28% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of total billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1824.66,87.2,,,percent of total billed charges,87.2% of total billed charges,1234.58,59,,987.66,percent of total billed charges,59% of total billed charges,1824.66,87.2,,1459.73,percent of total billed charges,87.2% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1700.99,81.29,,1360.79,percent of total billed charges,81.29% of total billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of totl billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of total billed charges,1883.25,90,,1506.6,percent of total billed charges,90% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1276.43,61,,1021.14,percent of total billed charges,61% of total billed charges,1088.1,52,,870.48,percent of total billed charges,52% of total billed charges,1088.1,1883.25,
CANN SCRW 44MM4.0 121844,35030953,CDM,278,RC,C1713,HCPCS,Outpatient,,,498.71,398.97,,423.9,85,,339.12,percent of total billed charges,85% of total billed charges,423.9,85,,339.12,percent of total billed charges,85% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,370.44,74,,296.35,percent of total billed charges,74.28% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,370.44,74,,296.35,percent of total billed charges,74.28% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,370.44,74,,296.35,percent of total billed charges,74.28% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,448.84,90,,359.07,percent of total billed charges,90% of total billed charges,448.84,90,,359.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,434.88,87.2,,,percent of total billed charges,87.2% of total billed charges,294.24,59,,235.39,percent of total billed charges,59% of total billed charges,434.88,87.2,,347.9,percent of total billed charges,87.2% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,405.4,81.29,,324.32,percent of total billed charges,81.29% of total billed charges,448.84,90,,359.07,percent of total billed charges,90% of totl billed charges,448.84,90,,359.07,percent of total billed charges,90% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,448.84,90,,359.07,percent of total billed charges,90% of total billed charges,448.84,90,,359.07,percent of total billed charges,90% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,304.21,61,,243.37,percent of total billed charges,61% of total billed charges,259.33,52,,207.46,percent of total billed charges,52% of total billed charges,259.33,448.84,
EVOS 2.7X14 CTX SCR T8S-T,35030954,CDM,278,RC,C1713,HCPCS,Outpatient,,,98.19,78.55,,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,85.62,87.2,,,percent of total billed charges,87.2% of total billed charges,57.93,59,,46.34,percent of total billed charges,59% of total billed charges,85.62,87.2,,68.5,percent of total billed charges,87.2% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,79.82,81.29,,63.86,percent of total billed charges,81.29% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of totl billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,88.37,
EVOS 2.7X16 CTX SCR T8S-T,35030955,CDM,278,RC,C1713,HCPCS,Outpatient,,,98.19,78.55,,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,85.62,87.2,,,percent of total billed charges,87.2% of total billed charges,57.93,59,,46.34,percent of total billed charges,59% of total billed charges,85.62,87.2,,68.5,percent of total billed charges,87.2% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,79.82,81.29,,63.86,percent of total billed charges,81.29% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of totl billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,88.37,
EVOS 4X14 OST SCR T8FT,35030956,CDM,278,RC,C1713,HCPCS,Outpatient,,,223.9,179.12,,190.32,85,,152.26,percent of total billed charges,85% of total billed charges,190.32,85,,152.26,percent of total billed charges,85% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,166.31,74,,133.05,percent of total billed charges,74.28% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,166.31,74,,133.05,percent of total billed charges,74.28% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,166.31,74,,133.05,percent of total billed charges,74.28% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,201.51,90,,161.21,percent of total billed charges,90% of total billed charges,201.51,90,,161.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,195.24,87.2,,,percent of total billed charges,87.2% of total billed charges,132.1,59,,105.68,percent of total billed charges,59% of total billed charges,195.24,87.2,,156.19,percent of total billed charges,87.2% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,182.01,81.29,,145.61,percent of total billed charges,81.29% of total billed charges,201.51,90,,161.21,percent of total billed charges,90% of totl billed charges,201.51,90,,161.21,percent of total billed charges,90% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,201.51,90,,161.21,percent of total billed charges,90% of total billed charges,201.51,90,,161.21,percent of total billed charges,90% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,136.58,61,,109.26,percent of total billed charges,61% of total billed charges,116.43,52,,93.14,percent of total billed charges,52% of total billed charges,116.43,201.51,
PVLP 3.5MML-D FIBLKPL 5HR83MM,35030962,CDM,278,RC,C1713,HCPCS,Outpatient,,,1625.63,1300.5,,1381.79,85,,1105.43,percent of total billed charges,85% of total billed charges,1381.79,85,,1105.43,percent of total billed charges,85% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,1207.52,74,,966.02,percent of total billed charges,74.28% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,1207.52,74,,966.02,percent of total billed charges,74.28% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,1207.52,74,,966.02,percent of total billed charges,74.28% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of total billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,1417.55,87.2,,,percent of total billed charges,87.2% of total billed charges,959.12,59,,767.3,percent of total billed charges,59% of total billed charges,1417.55,87.2,,1134.04,percent of total billed charges,87.2% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,1321.47,81.29,,1057.18,percent of total billed charges,81.29% of total billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of totl billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of total billed charges,1463.07,90,,1170.46,percent of total billed charges,90% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,991.63,61,,793.3,percent of total billed charges,61% of total billed charges,845.33,52,,676.26,percent of total billed charges,52% of total billed charges,845.33,1463.07,
"SUT ANC,BIO-COMPLCK,2.9X12.5",35030980,CDM,278,RC,C1713,HCPCS,Outpatient,,,1320,1056,,1122,85,,897.6,percent of total billed charges,85% of total billed charges,1122,85,,897.6,percent of total billed charges,85% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1151.04,87.2,,,percent of total billed charges,87.2% of total billed charges,778.8,59,,623.04,percent of total billed charges,59% of total billed charges,1151.04,87.2,,920.83,percent of total billed charges,87.2% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1073.03,81.29,,858.42,percent of total billed charges,81.29% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of totl billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,686.4,1188,
2.4MM Dist/Comp Pin 320-2803,35030999,CDM,278,RC,C1713,HCPCS,Outpatient,,,270,216,,229.5,85,,183.6,percent of total billed charges,85% of total billed charges,229.5,85,,183.6,percent of total billed charges,85% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,200.56,74,,160.45,percent of total billed charges,74.28% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,200.56,74,,160.45,percent of total billed charges,74.28% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,200.56,74,,160.45,percent of total billed charges,74.28% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,243,90,,194.4,percent of total billed charges,90% of total billed charges,243,90,,194.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,235.44,87.2,,,percent of total billed charges,87.2% of total billed charges,159.3,59,,127.44,percent of total billed charges,59% of total billed charges,235.44,87.2,,188.35,percent of total billed charges,87.2% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,219.48,81.29,,175.58,percent of total billed charges,81.29% of total billed charges,243,90,,194.4,percent of total billed charges,90% of totl billed charges,243,90,,194.4,percent of total billed charges,90% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,243,90,,194.4,percent of total billed charges,90% of total billed charges,243,90,,194.4,percent of total billed charges,90% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,164.7,61,,131.76,percent of total billed charges,61% of total billed charges,140.4,52,,112.32,percent of total billed charges,52% of total billed charges,140.4,243,
Stimulan Rapid Cure 620-020,35031003,CDM,278,RC,C1713,HCPCS,Outpatient,,,5842.5,4674,,4966.13,85,,3972.9,percent of total billed charges,85% of total billed charges,4966.13,85,,3972.9,percent of total billed charges,85% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,4339.81,74,,3471.85,percent of total billed charges,74.28% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,4339.81,74,,3471.85,percent of total billed charges,74.28% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,4339.81,74,,3471.85,percent of total billed charges,74.28% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of total billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,5094.66,87.2,,,percent of total billed charges,87.2% of total billed charges,3447.08,59,,2757.66,percent of total billed charges,59% of total billed charges,5094.66,87.2,,4075.73,percent of total billed charges,87.2% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,4749.37,81.29,,3799.5,percent of total billed charges,81.29% of total billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of totl billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of total billed charges,5258.25,90,,4206.6,percent of total billed charges,90% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,3563.93,61,,2851.14,percent of total billed charges,61% of total billed charges,3038.1,52,,2430.48,percent of total billed charges,52% of total billed charges,3038.1,5258.25,
SBI SCREWS 14MM 16MM 18MM,35031073,CDM,278,RC,C1713,HCPCS,Outpatient,,,220.63,176.5,,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,192.39,87.2,,,percent of total billed charges,87.2% of total billed charges,130.17,59,,104.14,percent of total billed charges,59% of total billed charges,192.39,87.2,,153.91,percent of total billed charges,87.2% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,179.35,81.29,,143.48,percent of total billed charges,81.29% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of totl billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,198.57,
2.4MMX20MM CANHEADLESSSCW,35031128,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
6HOLE ULNA SHORT PLATE,35031181,CDM,278,RC,C1713,HCPCS,Outpatient,,,2259,1807.2,,1920.15,85,,1536.12,percent of total billed charges,85% of total billed charges,1920.15,85,,1536.12,percent of total billed charges,85% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1677.99,74,,1342.39,percent of total billed charges,74.28% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1677.99,74,,1342.39,percent of total billed charges,74.28% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,1677.99,74,,1342.39,percent of total billed charges,74.28% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of total billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1969.85,87.2,,,percent of total billed charges,87.2% of total billed charges,1332.81,59,,1066.25,percent of total billed charges,59% of total billed charges,1969.85,87.2,,1575.88,percent of total billed charges,87.2% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1836.34,81.29,,1469.07,percent of total billed charges,81.29% of total billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of totl billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of total billed charges,2033.1,90,,1626.48,percent of total billed charges,90% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,1377.99,61,,1102.39,percent of total billed charges,61% of total billed charges,1174.68,52,,939.74,percent of total billed charges,52% of total billed charges,1174.68,2033.1,
ULNAR SHORT RED PEG 80-0422,35031183,CDM,278,RC,C1713,HCPCS,Outpatient,,,582,465.6,,494.7,85,,395.76,percent of total billed charges,85% of total billed charges,494.7,85,,395.76,percent of total billed charges,85% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,432.31,74,,345.85,percent of total billed charges,74.28% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,432.31,74,,345.85,percent of total billed charges,74.28% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,432.31,74,,345.85,percent of total billed charges,74.28% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,523.8,90,,419.04,percent of total billed charges,90% of total billed charges,523.8,90,,419.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,507.5,87.2,,,percent of total billed charges,87.2% of total billed charges,343.38,59,,274.7,percent of total billed charges,59% of total billed charges,507.5,87.2,,406,percent of total billed charges,87.2% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,473.11,81.29,,378.49,percent of total billed charges,81.29% of total billed charges,523.8,90,,419.04,percent of total billed charges,90% of totl billed charges,523.8,90,,419.04,percent of total billed charges,90% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,523.8,90,,419.04,percent of total billed charges,90% of total billed charges,523.8,90,,419.04,percent of total billed charges,90% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,355.02,61,,284.02,percent of total billed charges,61% of total billed charges,302.64,52,,242.11,percent of total billed charges,52% of total billed charges,302.64,523.8,
PLATE TACK PL-PTACK,35031184,CDM,278,RC,C1713,HCPCS,Outpatient,,,222,177.6,,188.7,85,,150.96,percent of total billed charges,85% of total billed charges,188.7,85,,150.96,percent of total billed charges,85% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,193.58,87.2,,,percent of total billed charges,87.2% of total billed charges,130.98,59,,104.78,percent of total billed charges,59% of total billed charges,193.58,87.2,,154.86,percent of total billed charges,87.2% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,180.46,81.29,,144.37,percent of total billed charges,81.29% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of totl billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,115.44,199.8,
3.5MMX12MMNON-LOCK HEX SCR,35031185,CDM,278,RC,C1713,HCPCS,Outpatient,,,480,384,,408,85,,326.4,percent of total billed charges,85% of total billed charges,408,85,,326.4,percent of total billed charges,85% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,356.54,74,,285.23,percent of total billed charges,74.28% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,356.54,74,,285.23,percent of total billed charges,74.28% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,356.54,74,,285.23,percent of total billed charges,74.28% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,432,90,,345.6,percent of total billed charges,90% of total billed charges,432,90,,345.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,418.56,87.2,,,percent of total billed charges,87.2% of total billed charges,283.2,59,,226.56,percent of total billed charges,59% of total billed charges,418.56,87.2,,334.85,percent of total billed charges,87.2% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,390.19,81.29,,312.15,percent of total billed charges,81.29% of total billed charges,432,90,,345.6,percent of total billed charges,90% of totl billed charges,432,90,,345.6,percent of total billed charges,90% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,432,90,,345.6,percent of total billed charges,90% of total billed charges,432,90,,345.6,percent of total billed charges,90% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,292.8,61,,234.24,percent of total billed charges,61% of total billed charges,249.6,52,,199.68,percent of total billed charges,52% of total billed charges,249.6,432,
3.5MMX14MM NON-LOCK HEX SCR,35031186,CDM,278,RC,C1713,HCPCS,Outpatient,,,306,244.8,,260.1,85,,208.08,percent of total billed charges,85% of total billed charges,260.1,85,,208.08,percent of total billed charges,85% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,227.3,74,,181.84,percent of total billed charges,74.28% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,227.3,74,,181.84,percent of total billed charges,74.28% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,227.3,74,,181.84,percent of total billed charges,74.28% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,275.4,90,,220.32,percent of total billed charges,90% of total billed charges,275.4,90,,220.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,266.83,87.2,,,percent of total billed charges,87.2% of total billed charges,180.54,59,,144.43,percent of total billed charges,59% of total billed charges,266.83,87.2,,213.46,percent of total billed charges,87.2% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,248.75,81.29,,199,percent of total billed charges,81.29% of total billed charges,275.4,90,,220.32,percent of total billed charges,90% of totl billed charges,275.4,90,,220.32,percent of total billed charges,90% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,275.4,90,,220.32,percent of total billed charges,90% of total billed charges,275.4,90,,220.32,percent of total billed charges,90% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,186.66,61,,149.33,percent of total billed charges,61% of total billed charges,159.12,52,,127.3,percent of total billed charges,52% of total billed charges,159.12,275.4,
EVOS3.5MM 1/3 TUB PL 2H22MM,35031207,CDM,278,RC,C1713,HCPCS,Outpatient,,,251.15,200.92,,213.48,85,,170.78,percent of total billed charges,85% of total billed charges,213.48,85,,170.78,percent of total billed charges,85% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,186.55,74,,149.24,percent of total billed charges,74.28% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,186.55,74,,149.24,percent of total billed charges,74.28% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,186.55,74,,149.24,percent of total billed charges,74.28% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,226.04,90,,180.83,percent of total billed charges,90% of total billed charges,226.04,90,,180.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,219,87.2,,,percent of total billed charges,87.2% of total billed charges,148.18,59,,118.54,percent of total billed charges,59% of total billed charges,219,87.2,,175.2,percent of total billed charges,87.2% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,204.16,81.29,,163.33,percent of total billed charges,81.29% of total billed charges,226.04,90,,180.83,percent of total billed charges,90% of totl billed charges,226.04,90,,180.83,percent of total billed charges,90% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,226.04,90,,180.83,percent of total billed charges,90% of total billed charges,226.04,90,,180.83,percent of total billed charges,90% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,153.2,61,,122.56,percent of total billed charges,61% of total billed charges,130.6,52,,104.48,percent of total billed charges,52% of total billed charges,130.6,226.04,
5.5X40MM CANN HEADLESS SCR,35031209,CDM,278,RC,C1713,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
5.5X38MMCANN HEADLESS SCR,35031210,CDM,278,RC,C1713,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
EVOS2.7/3.5LD FIB PL7HL103MM,35031212,CDM,278,RC,C1713,HCPCS,Outpatient,,,1743.3,1394.64,,1481.81,85,,1185.45,percent of total billed charges,85% of total billed charges,1481.81,85,,1185.45,percent of total billed charges,85% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,1294.92,74,,1035.94,percent of total billed charges,74.28% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,1294.92,74,,1035.94,percent of total billed charges,74.28% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,1294.92,74,,1035.94,percent of total billed charges,74.28% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of total billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,1520.16,87.2,,,percent of total billed charges,87.2% of total billed charges,1028.55,59,,822.84,percent of total billed charges,59% of total billed charges,1520.16,87.2,,1216.13,percent of total billed charges,87.2% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,1417.13,81.29,,1133.7,percent of total billed charges,81.29% of total billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of totl billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of total billed charges,1568.97,90,,1255.18,percent of total billed charges,90% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,1063.41,61,,850.73,percent of total billed charges,61% of total billed charges,906.52,52,,725.22,percent of total billed charges,52% of total billed charges,906.52,1568.97,
4.5MMCANN FULL THR SCREW36MM,35031215,CDM,278,RC,C1713,HCPCS,Outpatient,,,929.25,743.4,,789.86,85,,631.89,percent of total billed charges,85% of total billed charges,789.86,85,,631.89,percent of total billed charges,85% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,810.31,87.2,,,percent of total billed charges,87.2% of total billed charges,548.26,59,,438.61,percent of total billed charges,59% of total billed charges,810.31,87.2,,648.25,percent of total billed charges,87.2% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,755.39,81.29,,604.31,percent of total billed charges,81.29% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of totl billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,483.21,836.33,
4.5MMCANN FULL THR SCREW40MM,35031216,CDM,278,RC,C1713,HCPCS,Outpatient,,,929.25,743.4,,789.86,85,,631.89,percent of total billed charges,85% of total billed charges,789.86,85,,631.89,percent of total billed charges,85% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,690.25,74,,552.2,percent of total billed charges,74.28% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,810.31,87.2,,,percent of total billed charges,87.2% of total billed charges,548.26,59,,438.61,percent of total billed charges,59% of total billed charges,810.31,87.2,,648.25,percent of total billed charges,87.2% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,755.39,81.29,,604.31,percent of total billed charges,81.29% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of totl billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,836.33,90,,669.06,percent of total billed charges,90% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,566.84,61,,453.47,percent of total billed charges,61% of total billed charges,483.21,52,,386.57,percent of total billed charges,52% of total billed charges,483.21,836.33,
2.4MM X 14MM CANN HEADLESS SCR,35031219,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
2.0MM X 26MM CANN HEADLESS SCR,35031220,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
2.0MM X 28MM CANN HEADLESS SCR,35031221,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
"IMPLANT SYS, CPR MINI SCORP",35031224,CDM,278,RC,C1713,HCPCS,Outpatient,,,1642.5,1314,,1396.13,85,,1116.9,percent of total billed charges,85% of total billed charges,1396.13,85,,1116.9,percent of total billed charges,85% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,1220.05,74,,976.04,percent of total billed charges,74.28% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,1220.05,74,,976.04,percent of total billed charges,74.28% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,1220.05,74,,976.04,percent of total billed charges,74.28% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of total billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,1432.26,87.2,,,percent of total billed charges,87.2% of total billed charges,969.08,59,,775.26,percent of total billed charges,59% of total billed charges,1432.26,87.2,,1145.81,percent of total billed charges,87.2% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,1335.19,81.29,,1068.15,percent of total billed charges,81.29% of total billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of totl billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of total billed charges,1478.25,90,,1182.6,percent of total billed charges,90% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,1001.93,61,,801.54,percent of total billed charges,61% of total billed charges,854.1,52,,683.28,percent of total billed charges,52% of total billed charges,854.1,1478.25,
3.0MMX28MMCANN HEADLESS SCR,35031225,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
4.0MMX36MMCANN HEADLESS SCR,35031226,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
2.0X16MM CANN LAG SCREW,35031232,CDM,278,RC,C1713,HCPCS,Outpatient,,,615,492,,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,536.28,87.2,,,percent of total billed charges,87.2% of total billed charges,362.85,59,,290.28,percent of total billed charges,59% of total billed charges,536.28,87.2,,429.02,percent of total billed charges,87.2% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,499.93,81.29,,399.94,percent of total billed charges,81.29% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of totl billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,553.5,
5.5X60MMCANHEADLESSCOMPSR,35031233,CDM,278,RC,C1713,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
4.5MMCANN SCRPARTTHREAD36MM,35031234,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
4.5MMCANN SCRPARTTHREAD40MM,35031235,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
WASHER 10MM 219.91,35031236,CDM,278,RC,C1713,HCPCS,Outpatient,,,162,129.6,,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,141.26,87.2,,,percent of total billed charges,87.2% of total billed charges,95.58,59,,76.46,percent of total billed charges,59% of total billed charges,141.26,87.2,,113.01,percent of total billed charges,87.2% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,131.69,81.29,,105.35,percent of total billed charges,81.29% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of totl billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,145.8,
STOAII 16,35031242,CDM,278,RC,C1713,HCPCS,Outpatient,,,1648.13,1318.5,,1400.91,85,,1120.73,percent of total billed charges,85% of total billed charges,1400.91,85,,1120.73,percent of total billed charges,85% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,1224.23,74,,979.38,percent of total billed charges,74.28% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,1224.23,74,,979.38,percent of total billed charges,74.28% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,1224.23,74,,979.38,percent of total billed charges,74.28% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of total billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,1437.17,87.2,,,percent of total billed charges,87.2% of total billed charges,972.4,59,,777.92,percent of total billed charges,59% of total billed charges,1437.17,87.2,,1149.74,percent of total billed charges,87.2% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,1339.76,81.29,,1071.81,percent of total billed charges,81.29% of total billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of totl billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of total billed charges,1483.32,90,,1186.66,percent of total billed charges,90% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,1005.36,61,,804.29,percent of total billed charges,61% of total billed charges,857.03,52,,685.62,percent of total billed charges,52% of total billed charges,857.03,1483.32,
"HEMI GREAT TOE IMPLANT,LG",35031243,CDM,278,RC,C1713,HCPCS,Outpatient,,,2887.5,2310,,2454.38,85,,1963.5,percent of total billed charges,85% of total billed charges,2454.38,85,,1963.5,percent of total billed charges,85% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,2144.84,74,,1715.87,percent of total billed charges,74.28% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,2144.84,74,,1715.87,percent of total billed charges,74.28% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,2144.84,74,,1715.87,percent of total billed charges,74.28% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,2598.75,90,,2079,percent of total billed charges,90% of total billed charges,2598.75,90,,2079,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,2517.9,87.2,,,percent of total billed charges,87.2% of total billed charges,1703.63,59,,1362.9,percent of total billed charges,59% of total billed charges,2517.9,87.2,,2014.32,percent of total billed charges,87.2% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,2347.25,81.29,,1877.8,percent of total billed charges,81.29% of total billed charges,2598.75,90,,2079,percent of total billed charges,90% of totl billed charges,2598.75,90,,2079,percent of total billed charges,90% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,2598.75,90,,2079,percent of total billed charges,90% of total billed charges,2598.75,90,,2079,percent of total billed charges,90% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,1761.38,61,,1409.1,percent of total billed charges,61% of total billed charges,1501.5,52,,1201.2,percent of total billed charges,52% of total billed charges,1501.5,2598.75,
"4.5 CANN SCR, PART THREAD20MM",35031248,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD22MM",35031249,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD24MM",35031250,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD26MM",35031251,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD28MM",35031252,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD30MM",35031253,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD34MM",35031254,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD38MM",35031255,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD42MM",35031256,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD44MM",35031257,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD46MM",35031258,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD48MM",35031259,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD50MM",35031260,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THRAD52MM",35031261,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD54MM",35031262,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD56MM",35031263,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD60MM",35031264,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD64MM",35031265,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD68MM",35031266,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
"4.5 CANN SCR, PART THREAD72MM",35031267,CDM,278,RC,C1713,HCPCS,Outpatient,,,904.5,723.6,,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,768.83,85,,615.06,percent of total billed charges,85% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,671.86,74,,537.49,percent of total billed charges,74.28% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,788.72,87.2,,,percent of total billed charges,87.2% of total billed charges,533.66,59,,426.93,percent of total billed charges,59% of total billed charges,788.72,87.2,,630.98,percent of total billed charges,87.2% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,735.27,81.29,,588.22,percent of total billed charges,81.29% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of totl billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,814.05,90,,651.24,percent of total billed charges,90% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,551.75,61,,441.4,percent of total billed charges,61% of total billed charges,470.34,52,,376.27,percent of total billed charges,52% of total billed charges,470.34,814.05,
CANN SC FULLY TH 4.0 35MM,35031307,CDM,278,RC,C1713,HCPCS,Outpatient,,,664.95,531.96,,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,579.84,87.2,,,percent of total billed charges,87.2% of total billed charges,392.32,59,,313.86,percent of total billed charges,59% of total billed charges,579.84,87.2,,463.87,percent of total billed charges,87.2% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,540.54,81.29,,432.43,percent of total billed charges,81.29% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of totl billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,598.46,
WASHER 8MM OD 4MM I.D,35031308,CDM,278,RC,C1713,HCPCS,Outpatient,,,129.54,103.63,,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,110.11,85,,88.09,percent of total billed charges,85% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,96.22,74,,76.98,percent of total billed charges,74.28% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,112.96,87.2,,,percent of total billed charges,87.2% of total billed charges,76.43,59,,61.14,percent of total billed charges,59% of total billed charges,112.96,87.2,,90.37,percent of total billed charges,87.2% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,105.3,81.29,,84.24,percent of total billed charges,81.29% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of totl billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,116.59,90,,93.27,percent of total billed charges,90% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,79.02,61,,63.22,percent of total billed charges,61% of total billed charges,67.36,52,,53.89,percent of total billed charges,52% of total billed charges,67.36,116.59,
4.0MMX28MM CANNLAGSCRW,35031311,CDM,278,RC,C1713,HCPCS,Outpatient,,,615,492,,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,536.28,87.2,,,percent of total billed charges,87.2% of total billed charges,362.85,59,,290.28,percent of total billed charges,59% of total billed charges,536.28,87.2,,429.02,percent of total billed charges,87.2% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,499.93,81.29,,399.94,percent of total billed charges,81.29% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of totl billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,553.5,
4.0MMX38MM CANNLAGSCRW,35031312,CDM,278,RC,C1713,HCPCS,Outpatient,,,615,492,,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,536.28,87.2,,,percent of total billed charges,87.2% of total billed charges,362.85,59,,290.28,percent of total billed charges,59% of total billed charges,536.28,87.2,,429.02,percent of total billed charges,87.2% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,499.93,81.29,,399.94,percent of total billed charges,81.29% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of totl billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,553.5,
2.7X18MMDBL-LEAD LCKG SCRT8,35031313,CDM,278,RC,C1713,HCPCS,Outpatient,,,843.75,675,,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,735.75,87.2,,,percent of total billed charges,87.2% of total billed charges,497.81,59,,398.25,percent of total billed charges,59% of total billed charges,735.75,87.2,,588.6,percent of total billed charges,87.2% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,685.88,81.29,,548.7,percent of total billed charges,81.29% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of totl billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,759.38,
2.7X30MMDBL-LEAD NONLCKG SCRT8,35031314,CDM,278,RC,C1713,HCPCS,Outpatient,,,510,408,,433.5,85,,346.8,percent of total billed charges,85% of total billed charges,433.5,85,,346.8,percent of total billed charges,85% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,378.83,74,,303.06,percent of total billed charges,74.28% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,378.83,74,,303.06,percent of total billed charges,74.28% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,378.83,74,,303.06,percent of total billed charges,74.28% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,459,90,,367.2,percent of total billed charges,90% of total billed charges,459,90,,367.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,444.72,87.2,,,percent of total billed charges,87.2% of total billed charges,300.9,59,,240.72,percent of total billed charges,59% of total billed charges,444.72,87.2,,355.78,percent of total billed charges,87.2% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,414.58,81.29,,331.66,percent of total billed charges,81.29% of total billed charges,459,90,,367.2,percent of total billed charges,90% of totl billed charges,459,90,,367.2,percent of total billed charges,90% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,459,90,,367.2,percent of total billed charges,90% of total billed charges,459,90,,367.2,percent of total billed charges,90% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,311.1,61,,248.88,percent of total billed charges,61% of total billed charges,265.2,52,,212.16,percent of total billed charges,52% of total billed charges,265.2,459,
2.7X16MMDBL-LEAD LCKG SCRT8,35031315,CDM,278,RC,C1713,HCPCS,Outpatient,,,843.75,675,,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,735.75,87.2,,,percent of total billed charges,87.2% of total billed charges,497.81,59,,398.25,percent of total billed charges,59% of total billed charges,735.75,87.2,,588.6,percent of total billed charges,87.2% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,685.88,81.29,,548.7,percent of total billed charges,81.29% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of totl billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,759.38,
2.7X28MMDBL-LEAD LCKG SCRT8,35031316,CDM,278,RC,C1713,HCPCS,Outpatient,,,843.75,675,,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,717.19,85,,573.75,percent of total billed charges,85% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,626.74,74,,501.39,percent of total billed charges,74.28% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,735.75,87.2,,,percent of total billed charges,87.2% of total billed charges,497.81,59,,398.25,percent of total billed charges,59% of total billed charges,735.75,87.2,,588.6,percent of total billed charges,87.2% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,685.88,81.29,,548.7,percent of total billed charges,81.29% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of totl billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,759.38,90,,607.5,percent of total billed charges,90% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,514.69,61,,411.75,percent of total billed charges,61% of total billed charges,438.75,52,,351,percent of total billed charges,52% of total billed charges,438.75,759.38,
2.7MM 4HOLE STR COMP PLATE,35031317,CDM,278,RC,C1713,HCPCS,Outpatient,,,2715,2172,,2307.75,85,,1846.2,percent of total billed charges,85% of total billed charges,2307.75,85,,1846.2,percent of total billed charges,85% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,2016.7,74,,1613.36,percent of total billed charges,74.28% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,2016.7,74,,1613.36,percent of total billed charges,74.28% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,2016.7,74,,1613.36,percent of total billed charges,74.28% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of total billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,2367.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1601.85,59,,1281.48,percent of total billed charges,59% of total billed charges,2367.48,87.2,,1893.98,percent of total billed charges,87.2% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,2207.02,81.29,,1765.62,percent of total billed charges,81.29% of total billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of totl billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of total billed charges,2443.5,90,,1954.8,percent of total billed charges,90% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,1656.15,61,,1324.92,percent of total billed charges,61% of total billed charges,1411.8,52,,1129.44,percent of total billed charges,52% of total billed charges,1411.8,2443.5,
"EQREVCMP SCREWLCKCAPKIT,4.5X34",35031345,CDM,278,RC,C1713,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
"SCREW L/P,SS 4X30MMCANNLGTHR",35031353,CDM,278,RC,C1713,HCPCS,Outpatient,,,495,396,,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,431.64,87.2,,,percent of total billed charges,87.2% of total billed charges,292.05,59,,233.64,percent of total billed charges,59% of total billed charges,431.64,87.2,,345.31,percent of total billed charges,87.2% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,402.39,81.29,,321.91,percent of total billed charges,81.29% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of totl billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,445.5,
"WASHER,7MMSTAINLESS/STEEL",35031354,CDM,278,RC,C1713,HCPCS,Outpatient,,,96.3,77.04,,81.86,85,,65.49,percent of total billed charges,85% of total billed charges,81.86,85,,65.49,percent of total billed charges,85% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,71.53,74,,57.22,percent of total billed charges,74.28% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,71.53,74,,57.22,percent of total billed charges,74.28% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,71.53,74,,57.22,percent of total billed charges,74.28% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,86.67,90,,69.34,percent of total billed charges,90% of total billed charges,86.67,90,,69.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,83.97,87.2,,,percent of total billed charges,87.2% of total billed charges,56.82,59,,45.46,percent of total billed charges,59% of total billed charges,83.97,87.2,,67.18,percent of total billed charges,87.2% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,78.28,81.29,,62.62,percent of total billed charges,81.29% of total billed charges,86.67,90,,69.34,percent of total billed charges,90% of totl billed charges,86.67,90,,69.34,percent of total billed charges,90% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,86.67,90,,69.34,percent of total billed charges,90% of total billed charges,86.67,90,,69.34,percent of total billed charges,90% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,58.74,61,,46.99,percent of total billed charges,61% of total billed charges,50.08,52,,40.06,percent of total billed charges,52% of total billed charges,50.08,86.67,
EQREVCOMPSCRLCKCAPKIT4.5X42MM,35031360,CDM,278,RC,C1713,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
EQREV COMPSCRLCKCAPKIT4.5X38MM,35031361,CDM,278,RC,C1713,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
EQ REV LOCKING SCREW,35031363,CDM,278,RC,C1713,HCPCS,Outpatient,,,375,300,,318.75,85,,255,percent of total billed charges,85% of total billed charges,318.75,85,,255,percent of total billed charges,85% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195,52,,156,percent of total billed charges,52% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,327,87.2,,,percent of total billed charges,87.2% of total billed charges,221.25,59,,177,percent of total billed charges,59% of total billed charges,327,87.2,,261.6,percent of total billed charges,87.2% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,304.84,81.29,,243.87,percent of total billed charges,81.29% of total billed charges,337.5,90,,270,percent of total billed charges,90% of totl billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,195,337.5,
"LP SCRW,SS4X4OMMCANNLNG",35031365,CDM,278,RC,C1713,HCPCS,Outpatient,,,495,396,,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,420.75,85,,336.6,percent of total billed charges,85% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,367.69,74,,294.15,percent of total billed charges,74.28% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,431.64,87.2,,,percent of total billed charges,87.2% of total billed charges,292.05,59,,233.64,percent of total billed charges,59% of total billed charges,431.64,87.2,,345.31,percent of total billed charges,87.2% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,402.39,81.29,,321.91,percent of total billed charges,81.29% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of totl billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,445.5,90,,356.4,percent of total billed charges,90% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,301.95,61,,241.56,percent of total billed charges,61% of total billed charges,257.4,52,,205.92,percent of total billed charges,52% of total billed charges,257.4,445.5,
LO-PRO SCRWSS 4X20CANCLUS,35031378,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LO-PRO SCRWSS 4X24CANCLUS,35031379,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
"LCKG SRAIGHT PLATE,SS 7H",35031380,CDM,278,RC,C1713,HCPCS,Outpatient,,,1181.25,945,,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1030.05,87.2,,,percent of total billed charges,87.2% of total billed charges,696.94,59,,557.55,percent of total billed charges,59% of total billed charges,1030.05,87.2,,824.04,percent of total billed charges,87.2% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,960.24,81.29,,768.19,percent of total billed charges,81.29% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of totl billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,1063.13,
3.0MMX22MMCANN HEADLESS SCR,35031386,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
2.4MMX24MMCANN HEADLESS SCR,35031387,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
4.5MML-D FEM LKPL10HL230MM,35031430,CDM,278,RC,C1713,HCPCS,Outpatient,,,3109.5,2487.6,,2643.08,85,,2114.46,percent of total billed charges,85% of total billed charges,2643.08,85,,2114.46,percent of total billed charges,85% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,2309.74,74,,1847.79,percent of total billed charges,74.28% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,2309.74,74,,1847.79,percent of total billed charges,74.28% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,2309.74,74,,1847.79,percent of total billed charges,74.28% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of total billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,2711.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1834.61,59,,1467.69,percent of total billed charges,59% of total billed charges,2711.48,87.2,,2169.18,percent of total billed charges,87.2% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,2527.71,81.29,,2022.17,percent of total billed charges,81.29% of total billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of totl billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of total billed charges,2798.55,90,,2238.84,percent of total billed charges,90% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,1896.8,61,,1517.44,percent of total billed charges,61% of total billed charges,1616.94,52,,1293.55,percent of total billed charges,52% of total billed charges,1616.94,2798.55,
PERI-LOC4.5T25LCK SCR24MMS-T,35031432,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR30MMS-T,35031433,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR32MMS-T,35031434,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR36MMS-T,35031435,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR38MMS-T,35031436,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR68MMS-T,35031437,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR72MMS-T,35031438,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR74MMS-T,35031439,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
PERI-LOC4.5T25LCK SCR56MMS-T,35031440,CDM,278,RC,C1713,HCPCS,Outpatient,,,588.6,470.88,,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,500.31,85,,400.25,percent of total billed charges,85% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,437.21,74,,349.77,percent of total billed charges,74.28% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,513.26,87.2,,,percent of total billed charges,87.2% of total billed charges,347.27,59,,277.82,percent of total billed charges,59% of total billed charges,513.26,87.2,,410.61,percent of total billed charges,87.2% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,478.47,81.29,,382.78,percent of total billed charges,81.29% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of totl billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,529.74,90,,423.79,percent of total billed charges,90% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,359.05,61,,287.24,percent of total billed charges,61% of total billed charges,306.07,52,,244.86,percent of total billed charges,52% of total billed charges,306.07,529.74,
MONTAGE OS-MON-1001,35031648,CDM,278,RC,C1713,HCPCS,Outpatient,,,2242.5,1794,,1906.13,85,,1524.9,percent of total billed charges,85% of total billed charges,1906.13,85,,1524.9,percent of total billed charges,85% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1665.73,74,,1332.58,percent of total billed charges,74.28% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1665.73,74,,1332.58,percent of total billed charges,74.28% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,1665.73,74,,1332.58,percent of total billed charges,74.28% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of total billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1955.46,87.2,,,percent of total billed charges,87.2% of total billed charges,1323.08,59,,1058.46,percent of total billed charges,59% of total billed charges,1955.46,87.2,,1564.37,percent of total billed charges,87.2% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1822.93,81.29,,1458.34,percent of total billed charges,81.29% of total billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of totl billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of total billed charges,2018.25,90,,1614.6,percent of total billed charges,90% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,1367.93,61,,1094.34,percent of total billed charges,61% of total billed charges,1166.1,52,,932.88,percent of total billed charges,52% of total billed charges,1166.1,2018.25,
CLAVRACPLT CENTRD LFT SS,35031650,CDM,278,RC,C1713,HCPCS,Outpatient,,,1912.5,1530,,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1667.7,87.2,,,percent of total billed charges,87.2% of total billed charges,1128.38,59,,902.7,percent of total billed charges,59% of total billed charges,1667.7,87.2,,1334.16,percent of total billed charges,87.2% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1554.67,81.29,,1243.74,percent of total billed charges,81.29% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of totl billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,1721.25,
LO-PROSCW TM SS 3.5X12CORT,35031651,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LO-PROSCW TM SS 3.5X14CORT,35031652,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LO-PROSCW TM SS 3.5X16CORT,35031653,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LO-PROSCW TM SS 3.5X18CORT,35031654,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LO-PROSCW TM SS 3.5X20CORT,35031655,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LOWPROFACREPAIRSYSTEM AR-2371,35031656,CDM,278,RC,C1713,HCPCS,Outpatient,,,2566.5,2053.2,,2181.53,85,,1745.22,percent of total billed charges,85% of total billed charges,2181.53,85,,1745.22,percent of total billed charges,85% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,1906.4,74,,1525.12,percent of total billed charges,74.28% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,1906.4,74,,1525.12,percent of total billed charges,74.28% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,1906.4,74,,1525.12,percent of total billed charges,74.28% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of total billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,2237.99,87.2,,,percent of total billed charges,87.2% of total billed charges,1514.24,59,,1211.39,percent of total billed charges,59% of total billed charges,2237.99,87.2,,1790.39,percent of total billed charges,87.2% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,2086.31,81.29,,1669.05,percent of total billed charges,81.29% of total billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of totl billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of total billed charges,2309.85,90,,1847.88,percent of total billed charges,90% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,1565.57,61,,1252.46,percent of total billed charges,61% of total billed charges,1334.58,52,,1067.66,percent of total billed charges,52% of total billed charges,1334.58,2309.85,
2.0X18MMCANNHDLSSCREW 317-2018,35031690,CDM,278,RC,C1713,HCPCS,Outpatient,,,855,684,,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,726.75,85,,581.4,percent of total billed charges,85% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,635.09,74,,508.07,percent of total billed charges,74.28% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,745.56,87.2,,,percent of total billed charges,87.2% of total billed charges,504.45,59,,403.56,percent of total billed charges,59% of total billed charges,745.56,87.2,,596.45,percent of total billed charges,87.2% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,695.03,81.29,,556.02,percent of total billed charges,81.29% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of totl billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,769.5,90,,615.6,percent of total billed charges,90% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,521.55,61,,417.24,percent of total billed charges,61% of total billed charges,444.6,52,,355.68,percent of total billed charges,52% of total billed charges,444.6,769.5,
0.035X4DBLTROCARKWIRE 316-0003,35031691,CDM,278,RC,C1713,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
SCREW CORTEX 3.5MM204.8XX,35031748,CDM,278,RC,C1713,HCPCS,Outpatient,,,216,172.8,,183.6,85,,146.88,percent of total billed charges,85% of total billed charges,183.6,85,,146.88,percent of total billed charges,85% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,160.44,74,,128.35,percent of total billed charges,74.28% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,160.44,74,,128.35,percent of total billed charges,74.28% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,160.44,74,,128.35,percent of total billed charges,74.28% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,194.4,90,,155.52,percent of total billed charges,90% of total billed charges,194.4,90,,155.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,188.35,87.2,,,percent of total billed charges,87.2% of total billed charges,127.44,59,,101.95,percent of total billed charges,59% of total billed charges,188.35,87.2,,150.68,percent of total billed charges,87.2% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,175.59,81.29,,140.47,percent of total billed charges,81.29% of total billed charges,194.4,90,,155.52,percent of total billed charges,90% of totl billed charges,194.4,90,,155.52,percent of total billed charges,90% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,194.4,90,,155.52,percent of total billed charges,90% of total billed charges,194.4,90,,155.52,percent of total billed charges,90% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,131.76,61,,105.41,percent of total billed charges,61% of total billed charges,112.32,52,,89.86,percent of total billed charges,52% of total billed charges,112.32,194.4,
SCREW CANN 4.0X14MM 206.014,35031749,CDM,278,RC,C1713,HCPCS,Outpatient,,,372,297.6,,316.2,85,,252.96,percent of total billed charges,85% of total billed charges,316.2,85,,252.96,percent of total billed charges,85% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,276.32,74,,221.06,percent of total billed charges,74.28% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,276.32,74,,221.06,percent of total billed charges,74.28% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,276.32,74,,221.06,percent of total billed charges,74.28% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,334.8,90,,267.84,percent of total billed charges,90% of total billed charges,334.8,90,,267.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,324.38,87.2,,,percent of total billed charges,87.2% of total billed charges,219.48,59,,175.58,percent of total billed charges,59% of total billed charges,324.38,87.2,,259.5,percent of total billed charges,87.2% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,302.4,81.29,,241.92,percent of total billed charges,81.29% of total billed charges,334.8,90,,267.84,percent of total billed charges,90% of totl billed charges,334.8,90,,267.84,percent of total billed charges,90% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,334.8,90,,267.84,percent of total billed charges,90% of total billed charges,334.8,90,,267.84,percent of total billed charges,90% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,226.92,61,,181.54,percent of total billed charges,61% of total billed charges,193.44,52,,154.75,percent of total billed charges,52% of total billed charges,193.44,334.8,
SCREW CANN 4.0X18MM 206.018,35031750,CDM,278,RC,C1713,HCPCS,Outpatient,,,222,177.6,,188.7,85,,150.96,percent of total billed charges,85% of total billed charges,188.7,85,,150.96,percent of total billed charges,85% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,164.9,74,,131.92,percent of total billed charges,74.28% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,193.58,87.2,,,percent of total billed charges,87.2% of total billed charges,130.98,59,,104.78,percent of total billed charges,59% of total billed charges,193.58,87.2,,154.86,percent of total billed charges,87.2% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,180.46,81.29,,144.37,percent of total billed charges,81.29% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of totl billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,199.8,90,,159.84,percent of total billed charges,90% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,135.42,61,,108.34,percent of total billed charges,61% of total billed charges,115.44,52,,92.35,percent of total billed charges,52% of total billed charges,115.44,199.8,
PLATE 1/3TUBULAR 6H 214.36,35031751,CDM,278,RC,C1713,HCPCS,Outpatient,,,767.25,613.8,,652.16,85,,521.73,percent of total billed charges,85% of total billed charges,652.16,85,,521.73,percent of total billed charges,85% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,569.91,74,,455.93,percent of total billed charges,74.28% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,569.91,74,,455.93,percent of total billed charges,74.28% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,569.91,74,,455.93,percent of total billed charges,74.28% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,690.53,90,,552.42,percent of total billed charges,90% of total billed charges,690.53,90,,552.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,669.04,87.2,,,percent of total billed charges,87.2% of total billed charges,452.68,59,,362.14,percent of total billed charges,59% of total billed charges,669.04,87.2,,535.23,percent of total billed charges,87.2% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,623.7,81.29,,498.96,percent of total billed charges,81.29% of total billed charges,690.53,90,,552.42,percent of total billed charges,90% of totl billed charges,690.53,90,,552.42,percent of total billed charges,90% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,690.53,90,,552.42,percent of total billed charges,90% of total billed charges,690.53,90,,552.42,percent of total billed charges,90% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,468.02,61,,374.42,percent of total billed charges,61% of total billed charges,398.97,52,,319.18,percent of total billed charges,52% of total billed charges,398.97,690.53,
WASHER FOR SMALL SCREWS,35031752,CDM,278,RC,C1713,HCPCS,Outpatient,,,147,117.6,,124.95,85,,99.96,percent of total billed charges,85% of total billed charges,124.95,85,,99.96,percent of total billed charges,85% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,109.19,74,,87.35,percent of total billed charges,74.28% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,109.19,74,,87.35,percent of total billed charges,74.28% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,109.19,74,,87.35,percent of total billed charges,74.28% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,132.3,90,,105.84,percent of total billed charges,90% of total billed charges,132.3,90,,105.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,128.18,87.2,,,percent of total billed charges,87.2% of total billed charges,86.73,59,,69.38,percent of total billed charges,59% of total billed charges,128.18,87.2,,102.54,percent of total billed charges,87.2% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,119.5,81.29,,95.6,percent of total billed charges,81.29% of total billed charges,132.3,90,,105.84,percent of total billed charges,90% of totl billed charges,132.3,90,,105.84,percent of total billed charges,90% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,132.3,90,,105.84,percent of total billed charges,90% of total billed charges,132.3,90,,105.84,percent of total billed charges,90% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,89.67,61,,71.74,percent of total billed charges,61% of total billed charges,76.44,52,,61.15,percent of total billed charges,52% of total billed charges,76.44,132.3,
SCREW CANN L/T 4.0 207.7XX,35031753,CDM,278,RC,C1713,HCPCS,Outpatient,,,859.5,687.6,,730.58,85,,584.46,percent of total billed charges,85% of total billed charges,730.58,85,,584.46,percent of total billed charges,85% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,749.48,87.2,,,percent of total billed charges,87.2% of total billed charges,507.11,59,,405.69,percent of total billed charges,59% of total billed charges,749.48,87.2,,599.58,percent of total billed charges,87.2% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,698.69,81.29,,558.95,percent of total billed charges,81.29% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of totl billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,446.94,773.55,
SCREW CANN 4.0MM 207.6XX,35031754,CDM,278,RC,C1713,HCPCS,Outpatient,,,859.5,687.6,,730.58,85,,584.46,percent of total billed charges,85% of total billed charges,730.58,85,,584.46,percent of total billed charges,85% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,638.44,74,,510.75,percent of total billed charges,74.28% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,749.48,87.2,,,percent of total billed charges,87.2% of total billed charges,507.11,59,,405.69,percent of total billed charges,59% of total billed charges,749.48,87.2,,599.58,percent of total billed charges,87.2% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,698.69,81.29,,558.95,percent of total billed charges,81.29% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of totl billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,773.55,90,,618.84,percent of total billed charges,90% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,524.3,61,,419.44,percent of total billed charges,61% of total billed charges,446.94,52,,357.55,percent of total billed charges,52% of total billed charges,446.94,773.55,
4.0 CANN SCREW SZ14 206.014,35031755,CDM,278,RC,C1713,HCPCS,Outpatient,,,252,201.6,,214.2,85,,171.36,percent of total billed charges,85% of total billed charges,214.2,85,,171.36,percent of total billed charges,85% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,219.74,87.2,,,percent of total billed charges,87.2% of total billed charges,148.68,59,,118.94,percent of total billed charges,59% of total billed charges,219.74,87.2,,175.79,percent of total billed charges,87.2% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,204.85,81.29,,163.88,percent of total billed charges,81.29% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of totl billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,131.04,226.8,
6 HOLE TUBULAR PLATE 241.36,35031757,CDM,278,RC,C1713,HCPCS,Outpatient,,,1374,1099.2,,1167.9,85,,934.32,percent of total billed charges,85% of total billed charges,1167.9,85,,934.32,percent of total billed charges,85% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,1020.61,74,,816.49,percent of total billed charges,74.28% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,1020.61,74,,816.49,percent of total billed charges,74.28% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,1020.61,74,,816.49,percent of total billed charges,74.28% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,1236.6,90,,989.28,percent of total billed charges,90% of total billed charges,1236.6,90,,989.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,1198.13,87.2,,,percent of total billed charges,87.2% of total billed charges,810.66,59,,648.53,percent of total billed charges,59% of total billed charges,1198.13,87.2,,958.5,percent of total billed charges,87.2% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,1116.92,81.29,,893.54,percent of total billed charges,81.29% of total billed charges,1236.6,90,,989.28,percent of total billed charges,90% of totl billed charges,1236.6,90,,989.28,percent of total billed charges,90% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,1236.6,90,,989.28,percent of total billed charges,90% of total billed charges,1236.6,90,,989.28,percent of total billed charges,90% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,838.14,61,,670.51,percent of total billed charges,61% of total billed charges,714.48,52,,571.58,percent of total billed charges,52% of total billed charges,714.48,1236.6,
"SCREW,LO-PRO4X14CANCLUS",35031778,CDM,278,RC,C1713,HCPCS,Outpatient,,,105,84,,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,89.25,85,,71.4,percent of total billed charges,85% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,77.99,74,,62.39,percent of total billed charges,74.28% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,91.56,87.2,,,percent of total billed charges,87.2% of total billed charges,61.95,59,,49.56,percent of total billed charges,59% of total billed charges,91.56,87.2,,73.25,percent of total billed charges,87.2% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,85.35,81.29,,68.28,percent of total billed charges,81.29% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of totl billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,94.5,90,,75.6,percent of total billed charges,90% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,64.05,61,,51.24,percent of total billed charges,61% of total billed charges,54.6,52,,43.68,percent of total billed charges,52% of total billed charges,54.6,94.5,
LAPIPLASTY SYSTEM2BIPLANAR,35031787,CDM,278,RC,C1713,HCPCS,Outpatient,,,8992.5,7194,,7643.63,85,,6114.9,percent of total billed charges,85% of total billed charges,7643.63,85,,6114.9,percent of total billed charges,85% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,6679.63,74,,5343.7,percent of total billed charges,74.28% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,6679.63,74,,5343.7,percent of total billed charges,74.28% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,6679.63,74,,5343.7,percent of total billed charges,74.28% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of total billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,7841.46,87.2,,,percent of total billed charges,87.2% of total billed charges,5305.58,59,,4244.46,percent of total billed charges,59% of total billed charges,7841.46,87.2,,6273.17,percent of total billed charges,87.2% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,7310,81.29,,5848,percent of total billed charges,81.29% of total billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of totl billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of total billed charges,8093.25,90,,6474.6,percent of total billed charges,90% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,5485.43,61,,4388.34,percent of total billed charges,61% of total billed charges,4676.1,52,,3740.88,percent of total billed charges,52% of total billed charges,4676.1,8093.25,
LAPIPLASTY SYSTEM3BIPLANAR,35031788,CDM,278,RC,C1713,HCPCS,Outpatient,,,10492.5,8394,,8918.63,85,,7134.9,percent of total billed charges,85% of total billed charges,8918.63,85,,7134.9,percent of total billed charges,85% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,7793.83,74,,6235.06,percent of total billed charges,74.28% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,7793.83,74,,6235.06,percent of total billed charges,74.28% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,7793.83,74,,6235.06,percent of total billed charges,74.28% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of total billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,9149.46,87.2,,,percent of total billed charges,87.2% of total billed charges,6190.58,59,,4952.46,percent of total billed charges,59% of total billed charges,9149.46,87.2,,7319.57,percent of total billed charges,87.2% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,8529.35,81.29,,6823.48,percent of total billed charges,81.29% of total billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of totl billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of total billed charges,9443.25,90,,7554.6,percent of total billed charges,90% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,6400.43,61,,5120.34,percent of total billed charges,61% of total billed charges,5456.1,52,,4364.88,percent of total billed charges,52% of total billed charges,5456.1,9443.25,
PLANTPYTHON2LEFTSIDE PLATE,35031789,CDM,278,RC,C1713,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
PLANTPYTHON2RIGHTSIDE PLATE,35031790,CDM,278,RC,C1713,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
LAPIPLASTY2.7LONGSCREWPACK,35031791,CDM,278,RC,C1713,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
LAPIPLASTY3.0LONGSCREWPACK,35031792,CDM,278,RC,C1713,HCPCS,Outpatient,,,1687.5,1350,,1434.38,85,,1147.5,percent of total billed charges,85% of total billed charges,1434.38,85,,1147.5,percent of total billed charges,85% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,877.5,52,,702,percent of total billed charges,52% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1471.5,87.2,,,percent of total billed charges,87.2% of total billed charges,995.63,59,,796.5,percent of total billed charges,59% of total billed charges,1471.5,87.2,,1177.2,percent of total billed charges,87.2% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1371.77,81.29,,1097.42,percent of total billed charges,81.29% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of totl billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,877.5,1518.75,
MI PLANTARPOWERPLATE,35031793,CDM,278,RC,C1713,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
FASTPITCH2.7HIGHPITCHLCKSCREW,35031794,CDM,278,RC,C1713,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
LAPIPLASTY3.0 INTERFRAG SCREW,35031795,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LAPIPLASTY 3.5TRANSSCREW,35031796,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LAPIPLASTY 2.5HEADLESS SCREWS,35031797,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LAPIPLASTY2.0 SNAP-OFF SCREWS,35031798,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LAPIPLASTY 4.0 INTERFRAGSCREWS,35031799,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LAPIPLASTY 4.0 HEADLESS SCREWS,35031800,CDM,278,RC,C1713,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
8X8MMTITANIUMCOMPSTAPLE,35031801,CDM,278,RC,C1713,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
10X11MMTITANIUMCOMPSTAPLE,35031802,CDM,278,RC,C1713,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
15X15MMTITANIUMCOMPSTAPLE,35031803,CDM,278,RC,C1713,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
20X20MMTITANIUMCOMPSTAPLE,35031804,CDM,278,RC,C1713,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
25X20MMTITANIUMCOMPSTAPLE,35031805,CDM,278,RC,C1713,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
2.7MM 10HOLE SUBCONDYLAR PLT,35031806,CDM,278,RC,C1713,HCPCS,Outpatient,,,3045,2436,,2588.25,85,,2070.6,percent of total billed charges,85% of total billed charges,2588.25,85,,2070.6,percent of total billed charges,85% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,2261.83,74,,1809.46,percent of total billed charges,74.28% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,2261.83,74,,1809.46,percent of total billed charges,74.28% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,2261.83,74,,1809.46,percent of total billed charges,74.28% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of total billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,2655.24,87.2,,,percent of total billed charges,87.2% of total billed charges,1796.55,59,,1437.24,percent of total billed charges,59% of total billed charges,2655.24,87.2,,2124.19,percent of total billed charges,87.2% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,2475.28,81.29,,1980.22,percent of total billed charges,81.29% of total billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of totl billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of total billed charges,2740.5,90,,2192.4,percent of total billed charges,90% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,1857.45,61,,1485.96,percent of total billed charges,61% of total billed charges,1583.4,52,,1266.72,percent of total billed charges,52% of total billed charges,1583.4,2740.5,
TENDON ANCHORS 2504-1,35031829,CDM,278,RC,C1713,HCPCS,Outpatient,,,540,432,,459,85,,367.2,percent of total billed charges,85% of total billed charges,459,85,,367.2,percent of total billed charges,85% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,401.11,74,,320.89,percent of total billed charges,74.28% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,401.11,74,,320.89,percent of total billed charges,74.28% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,401.11,74,,320.89,percent of total billed charges,74.28% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,486,90,,388.8,percent of total billed charges,90% of total billed charges,486,90,,388.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,470.88,87.2,,,percent of total billed charges,87.2% of total billed charges,318.6,59,,254.88,percent of total billed charges,59% of total billed charges,470.88,87.2,,376.7,percent of total billed charges,87.2% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,438.97,81.29,,351.18,percent of total billed charges,81.29% of total billed charges,486,90,,388.8,percent of total billed charges,90% of totl billed charges,486,90,,388.8,percent of total billed charges,90% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,486,90,,388.8,percent of total billed charges,90% of total billed charges,486,90,,388.8,percent of total billed charges,90% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,329.4,61,,263.52,percent of total billed charges,61% of total billed charges,280.8,52,,224.64,percent of total billed charges,52% of total billed charges,280.8,486,
BONE ANCHORS(3)W/ARTHRO DELIV,35031830,CDM,278,RC,C1713,HCPCS,Outpatient,,,810,648,,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,706.32,87.2,,,percent of total billed charges,87.2% of total billed charges,477.9,59,,382.32,percent of total billed charges,59% of total billed charges,706.32,87.2,,565.06,percent of total billed charges,87.2% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,658.45,81.29,,526.76,percent of total billed charges,81.29% of total billed charges,729,90,,583.2,percent of total billed charges,90% of totl billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,729,
BONE ANCHORS 3 W ARTHRO DEL,35031865,CDM,278,RC,C1713,HCPCS,Outpatient,,,810,648,,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,688.5,85,,550.8,percent of total billed charges,85% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,601.67,74,,481.34,percent of total billed charges,74.28% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,706.32,87.2,,,percent of total billed charges,87.2% of total billed charges,477.9,59,,382.32,percent of total billed charges,59% of total billed charges,706.32,87.2,,565.06,percent of total billed charges,87.2% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,658.45,81.29,,526.76,percent of total billed charges,81.29% of total billed charges,729,90,,583.2,percent of total billed charges,90% of totl billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,729,90,,583.2,percent of total billed charges,90% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,494.1,61,,395.28,percent of total billed charges,61% of total billed charges,421.2,52,,336.96,percent of total billed charges,52% of total billed charges,421.2,729,
HUMERAL NAIL 8/7MM X 16CM,35031868,CDM,278,RC,C1713,HCPCS,Outpatient,,,3410.55,2728.44,,2898.97,85,,2319.18,percent of total billed charges,85% of total billed charges,2898.97,85,,2319.18,percent of total billed charges,85% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2974,87.2,,,percent of total billed charges,87.2% of total billed charges,2012.22,59,,1609.78,percent of total billed charges,59% of total billed charges,2974,87.2,,2379.2,percent of total billed charges,87.2% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2772.44,81.29,,2217.95,percent of total billed charges,81.29% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of totl billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,1773.49,3069.5,
5X34 SELFTAP CAN SCR TI,35031869,CDM,278,RC,C1713,HCPCS,Outpatient,,,611.82,489.46,,520.05,85,,416.04,percent of total billed charges,85% of total billed charges,520.05,85,,416.04,percent of total billed charges,85% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,533.51,87.2,,,percent of total billed charges,87.2% of total billed charges,360.97,59,,288.78,percent of total billed charges,59% of total billed charges,533.51,87.2,,426.81,percent of total billed charges,87.2% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,497.35,81.29,,397.88,percent of total billed charges,81.29% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of totl billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,318.15,550.64,
HUMERAL NAIL 10/8.5MMX26CM,35031870,CDM,278,RC,C1713,HCPCS,Outpatient,,,3410.55,2728.44,,2898.97,85,,2319.18,percent of total billed charges,85% of total billed charges,2898.97,85,,2319.18,percent of total billed charges,85% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2533.36,74,,2026.69,percent of total billed charges,74.28% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2974,87.2,,,percent of total billed charges,87.2% of total billed charges,2012.22,59,,1609.78,percent of total billed charges,59% of total billed charges,2974,87.2,,2379.2,percent of total billed charges,87.2% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,2772.44,81.29,,2217.95,percent of total billed charges,81.29% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of totl billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,3069.5,90,,2455.6,percent of total billed charges,90% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,2080.44,61,,1664.35,percent of total billed charges,61% of total billed charges,1773.49,52,,1418.79,percent of total billed charges,52% of total billed charges,1773.49,3069.5,
5X40 SELF TAP CANC SCR TI,35031871,CDM,278,RC,C1713,HCPCS,Outpatient,,,611.82,489.46,,520.05,85,,416.04,percent of total billed charges,85% of total billed charges,520.05,85,,416.04,percent of total billed charges,85% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,454.46,74,,363.57,percent of total billed charges,74.28% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,533.51,87.2,,,percent of total billed charges,87.2% of total billed charges,360.97,59,,288.78,percent of total billed charges,59% of total billed charges,533.51,87.2,,426.81,percent of total billed charges,87.2% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,497.35,81.29,,397.88,percent of total billed charges,81.29% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of totl billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,550.64,90,,440.51,percent of total billed charges,90% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,373.21,61,,298.57,percent of total billed charges,61% of total billed charges,318.15,52,,254.52,percent of total billed charges,52% of total billed charges,318.15,550.64,
2.4MM X 22MM CAN HEAD SCREW,35031875,CDM,278,RC,C1713,HCPCS,Outpatient,,,1338,1070.4,,1137.3,85,,909.84,percent of total billed charges,85% of total billed charges,1137.3,85,,909.84,percent of total billed charges,85% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,993.87,74,,795.1,percent of total billed charges,74.28% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,993.87,74,,795.1,percent of total billed charges,74.28% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,993.87,74,,795.1,percent of total billed charges,74.28% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,1204.2,90,,963.36,percent of total billed charges,90% of total billed charges,1204.2,90,,963.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,1166.74,87.2,,,percent of total billed charges,87.2% of total billed charges,789.42,59,,631.54,percent of total billed charges,59% of total billed charges,1166.74,87.2,,933.39,percent of total billed charges,87.2% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,1087.66,81.29,,870.13,percent of total billed charges,81.29% of total billed charges,1204.2,90,,963.36,percent of total billed charges,90% of totl billed charges,1204.2,90,,963.36,percent of total billed charges,90% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,1204.2,90,,963.36,percent of total billed charges,90% of total billed charges,1204.2,90,,963.36,percent of total billed charges,90% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,816.18,61,,652.94,percent of total billed charges,61% of total billed charges,695.76,52,,556.61,percent of total billed charges,52% of total billed charges,695.76,1204.2,
EVOS 3.5MM LCK COMP PL 6H 70MM,35031882,CDM,278,RC,C1713,HCPCS,Outpatient,,,953.64,762.91,,810.59,85,,648.47,percent of total billed charges,85% of total billed charges,810.59,85,,648.47,percent of total billed charges,85% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,831.57,87.2,,,percent of total billed charges,87.2% of total billed charges,562.65,59,,450.12,percent of total billed charges,59% of total billed charges,831.57,87.2,,665.26,percent of total billed charges,87.2% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,775.21,81.29,,620.17,percent of total billed charges,81.29% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of totl billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,495.89,858.28,
EVOS 3.5MM LCK COMP PL 4H 47MM,35031883,CDM,278,RC,C1713,HCPCS,Outpatient,,,842.15,673.72,,715.83,85,,572.66,percent of total billed charges,85% of total billed charges,715.83,85,,572.66,percent of total billed charges,85% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,625.55,74,,500.44,percent of total billed charges,74.28% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,625.55,74,,500.44,percent of total billed charges,74.28% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,625.55,74,,500.44,percent of total billed charges,74.28% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,757.94,90,,606.35,percent of total billed charges,90% of total billed charges,757.94,90,,606.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,734.35,87.2,,,percent of total billed charges,87.2% of total billed charges,496.87,59,,397.5,percent of total billed charges,59% of total billed charges,734.35,87.2,,587.48,percent of total billed charges,87.2% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,684.58,81.29,,547.66,percent of total billed charges,81.29% of total billed charges,757.94,90,,606.35,percent of total billed charges,90% of totl billed charges,757.94,90,,606.35,percent of total billed charges,90% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,757.94,90,,606.35,percent of total billed charges,90% of total billed charges,757.94,90,,606.35,percent of total billed charges,90% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,513.71,61,,410.97,percent of total billed charges,61% of total billed charges,437.92,52,,350.34,percent of total billed charges,52% of total billed charges,437.92,757.94,
EVOS 3.5MM X 20MM CTX SCR S-T,35031884,CDM,278,RC,C1713,HCPCS,Outpatient,,,113.4,90.72,,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,98.88,87.2,,,percent of total billed charges,87.2% of total billed charges,66.91,59,,53.53,percent of total billed charges,59% of total billed charges,98.88,87.2,,79.1,percent of total billed charges,87.2% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,92.18,81.29,,73.74,percent of total billed charges,81.29% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of totl billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,102.06,
EVOS 3.5MM X 22MM CTX SCR S-T,35031885,CDM,278,RC,C1713,HCPCS,Outpatient,,,463.5,370.8,,393.98,85,,315.18,percent of total billed charges,85% of total billed charges,393.98,85,,315.18,percent of total billed charges,85% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,404.17,87.2,,,percent of total billed charges,87.2% of total billed charges,273.47,59,,218.78,percent of total billed charges,59% of total billed charges,404.17,87.2,,323.34,percent of total billed charges,87.2% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,376.78,81.29,,301.42,percent of total billed charges,81.29% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of totl billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,241.02,417.15,
EVOS 3.5MM X 24MM CTX SCR S-T,35031886,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM X 26MM CTX SCR S-T,35031887,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
1.5 SUPER CABLES,35031891,CDM,278,RC,C1713,HCPCS,Outpatient,,,1147.5,918,,975.38,85,,780.3,percent of total billed charges,85% of total billed charges,975.38,85,,780.3,percent of total billed charges,85% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,852.36,74,,681.89,percent of total billed charges,74.28% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,852.36,74,,681.89,percent of total billed charges,74.28% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,852.36,74,,681.89,percent of total billed charges,74.28% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,1032.75,90,,826.2,percent of total billed charges,90% of total billed charges,1032.75,90,,826.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,1000.62,87.2,,,percent of total billed charges,87.2% of total billed charges,677.03,59,,541.62,percent of total billed charges,59% of total billed charges,1000.62,87.2,,800.5,percent of total billed charges,87.2% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,932.8,81.29,,746.24,percent of total billed charges,81.29% of total billed charges,1032.75,90,,826.2,percent of total billed charges,90% of totl billed charges,1032.75,90,,826.2,percent of total billed charges,90% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,1032.75,90,,826.2,percent of total billed charges,90% of total billed charges,1032.75,90,,826.2,percent of total billed charges,90% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,699.98,61,,559.98,percent of total billed charges,61% of total billed charges,596.7,52,,477.36,percent of total billed charges,52% of total billed charges,596.7,1032.75,
V-D-R LK PL STD HD 3H L 62MM,35031893,CDM,278,RC,C1713,HCPCS,Outpatient,,,1701,1360.8,,1445.85,85,,1156.68,percent of total billed charges,85% of total billed charges,1445.85,85,,1156.68,percent of total billed charges,85% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,1263.5,74,,1010.8,percent of total billed charges,74.28% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,1263.5,74,,1010.8,percent of total billed charges,74.28% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,1263.5,74,,1010.8,percent of total billed charges,74.28% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of total billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,1483.27,87.2,,,percent of total billed charges,87.2% of total billed charges,1003.59,59,,802.87,percent of total billed charges,59% of total billed charges,1483.27,87.2,,1186.62,percent of total billed charges,87.2% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,1382.74,81.29,,1106.19,percent of total billed charges,81.29% of total billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of totl billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of total billed charges,1530.9,90,,1224.72,percent of total billed charges,90% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,1037.61,61,,830.09,percent of total billed charges,61% of total billed charges,884.52,52,,707.62,percent of total billed charges,52% of total billed charges,884.52,1530.9,
2.5MM S-T CRTX LCK SCW 20MM,35031896,CDM,278,RC,C1713,HCPCS,Outpatient,,,376.2,300.96,,319.77,85,,255.82,percent of total billed charges,85% of total billed charges,319.77,85,,255.82,percent of total billed charges,85% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,328.05,87.2,,,percent of total billed charges,87.2% of total billed charges,221.96,59,,177.57,percent of total billed charges,59% of total billed charges,328.05,87.2,,262.44,percent of total billed charges,87.2% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,305.81,81.29,,244.65,percent of total billed charges,81.29% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of totl billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,195.62,338.58,
2.5MM S-T CRTX LCK SCW 22MM,35031897,CDM,278,RC,C1713,HCPCS,Outpatient,,,376.2,300.96,,319.77,85,,255.82,percent of total billed charges,85% of total billed charges,319.77,85,,255.82,percent of total billed charges,85% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,279.44,74,,223.55,percent of total billed charges,74.28% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,328.05,87.2,,,percent of total billed charges,87.2% of total billed charges,221.96,59,,177.57,percent of total billed charges,59% of total billed charges,328.05,87.2,,262.44,percent of total billed charges,87.2% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,305.81,81.29,,244.65,percent of total billed charges,81.29% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of totl billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,338.58,90,,270.86,percent of total billed charges,90% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,229.48,61,,183.58,percent of total billed charges,61% of total billed charges,195.62,52,,156.5,percent of total billed charges,52% of total billed charges,195.62,338.58,
FEMORAL PLATE LG>=20CM,35031902,CDM,278,RC,C1713,HCPCS,Outpatient,,,2070,1656,,1759.5,85,,1407.6,percent of total billed charges,85% of total billed charges,1759.5,85,,1407.6,percent of total billed charges,85% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1537.6,74,,1230.08,percent of total billed charges,74.28% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1537.6,74,,1230.08,percent of total billed charges,74.28% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1537.6,74,,1230.08,percent of total billed charges,74.28% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1863,90,,1490.4,percent of total billed charges,90% of total billed charges,1863,90,,1490.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1805.04,87.2,,,percent of total billed charges,87.2% of total billed charges,1221.3,59,,977.04,percent of total billed charges,59% of total billed charges,1805.04,87.2,,1444.03,percent of total billed charges,87.2% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1682.7,81.29,,1346.16,percent of total billed charges,81.29% of total billed charges,1863,90,,1490.4,percent of total billed charges,90% of totl billed charges,1863,90,,1490.4,percent of total billed charges,90% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1863,90,,1490.4,percent of total billed charges,90% of total billed charges,1863,90,,1490.4,percent of total billed charges,90% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1262.7,61,,1010.16,percent of total billed charges,61% of total billed charges,1076.4,52,,861.12,percent of total billed charges,52% of total billed charges,1076.4,1863,
EVOS 4.7MMX44MM LCK OST SCT FT,35031903,CDM,278,RC,C1713,HCPCS,Outpatient,,,735.75,588.6,,625.39,85,,500.31,percent of total billed charges,85% of total billed charges,625.39,85,,500.31,percent of total billed charges,85% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,641.57,87.2,,,percent of total billed charges,87.2% of total billed charges,434.09,59,,347.27,percent of total billed charges,59% of total billed charges,641.57,87.2,,513.26,percent of total billed charges,87.2% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,598.09,81.29,,478.47,percent of total billed charges,81.29% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of totl billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,382.59,662.18,
EVOS 4.7MMX42MM LCK OST SCR FT,35031904,CDM,278,RC,C1713,HCPCS,Outpatient,,,735.75,588.6,,625.39,85,,500.31,percent of total billed charges,85% of total billed charges,625.39,85,,500.31,percent of total billed charges,85% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,546.52,74,,437.22,percent of total billed charges,74.28% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,641.57,87.2,,,percent of total billed charges,87.2% of total billed charges,434.09,59,,347.27,percent of total billed charges,59% of total billed charges,641.57,87.2,,513.26,percent of total billed charges,87.2% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,598.09,81.29,,478.47,percent of total billed charges,81.29% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of totl billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,662.18,90,,529.74,percent of total billed charges,90% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,448.81,61,,359.05,percent of total billed charges,61% of total billed charges,382.59,52,,306.07,percent of total billed charges,52% of total billed charges,382.59,662.18,
EVOS 3.5MM CVD PROX HUM PL 18H,35031905,CDM,278,RC,C1713,HCPCS,Outpatient,,,2875.2,2300.16,,2443.92,85,,1955.14,percent of total billed charges,85% of total billed charges,2443.92,85,,1955.14,percent of total billed charges,85% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,2135.7,74,,1708.56,percent of total billed charges,74.28% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,2135.7,74,,1708.56,percent of total billed charges,74.28% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,2135.7,74,,1708.56,percent of total billed charges,74.28% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of total billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,2507.17,87.2,,,percent of total billed charges,87.2% of total billed charges,1696.37,59,,1357.1,percent of total billed charges,59% of total billed charges,2507.17,87.2,,2005.74,percent of total billed charges,87.2% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,2337.25,81.29,,1869.8,percent of total billed charges,81.29% of total billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of totl billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of total billed charges,2587.68,90,,2070.14,percent of total billed charges,90% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,1753.87,61,,1403.1,percent of total billed charges,61% of total billed charges,1495.1,52,,1196.08,percent of total billed charges,52% of total billed charges,1495.1,2587.68,
EVOS 3.5MMX26MM CTX SCR S-T,35031906,CDM,278,RC,C1713,HCPCS,Outpatient,,,113.4,90.72,,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,98.88,87.2,,,percent of total billed charges,87.2% of total billed charges,66.91,59,,53.53,percent of total billed charges,59% of total billed charges,98.88,87.2,,79.1,percent of total billed charges,87.2% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,92.18,81.29,,73.74,percent of total billed charges,81.29% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of totl billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,102.06,
EVOS 3.5MMX28MM CTX SCR S-T,35031907,CDM,278,RC,C1713,HCPCS,Outpatient,,,89.01,71.21,,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,77.62,87.2,,,percent of total billed charges,87.2% of total billed charges,52.52,59,,42.02,percent of total billed charges,59% of total billed charges,77.62,87.2,,62.1,percent of total billed charges,87.2% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,72.36,81.29,,57.89,percent of total billed charges,81.29% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of totl billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,80.11,
EVOS 3.5MMX30MM CTX SCR S-T,35031908,CDM,278,RC,C1713,HCPCS,Outpatient,,,89.01,71.21,,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,77.62,87.2,,,percent of total billed charges,87.2% of total billed charges,52.52,59,,42.02,percent of total billed charges,59% of total billed charges,77.62,87.2,,62.1,percent of total billed charges,87.2% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,72.36,81.29,,57.89,percent of total billed charges,81.29% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of totl billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,80.11,
EVOS 3.5MMX32MM CTX SCR S-T,35031909,CDM,278,RC,C1713,HCPCS,Outpatient,,,89.01,71.21,,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,77.62,87.2,,,percent of total billed charges,87.2% of total billed charges,52.52,59,,42.02,percent of total billed charges,59% of total billed charges,77.62,87.2,,62.1,percent of total billed charges,87.2% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,72.36,81.29,,57.89,percent of total billed charges,81.29% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of totl billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,80.11,
EVOS 3.5MMX40MM CTX SCR S-T,35031910,CDM,278,RC,C1713,HCPCS,Outpatient,,,89.01,71.21,,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,75.66,85,,60.53,percent of total billed charges,85% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,66.12,74,,52.9,percent of total billed charges,74.28% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,77.62,87.2,,,percent of total billed charges,87.2% of total billed charges,52.52,59,,42.02,percent of total billed charges,59% of total billed charges,77.62,87.2,,62.1,percent of total billed charges,87.2% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,72.36,81.29,,57.89,percent of total billed charges,81.29% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of totl billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,80.11,90,,64.09,percent of total billed charges,90% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,54.3,61,,43.44,percent of total billed charges,61% of total billed charges,46.29,52,,37.03,percent of total billed charges,52% of total billed charges,46.29,80.11,
EVOS 3.5MMX28MM LCK SCR S-T,35031911,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MMX30MM LCK SCR S-T,35031912,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MMX32MM LCK SCR S-T,35031913,CDM,278,RC,C1713,HCPCS,Outpatient,,,463.5,370.8,,393.98,85,,315.18,percent of total billed charges,85% of total billed charges,393.98,85,,315.18,percent of total billed charges,85% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,344.29,74,,275.43,percent of total billed charges,74.28% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,404.17,87.2,,,percent of total billed charges,87.2% of total billed charges,273.47,59,,218.78,percent of total billed charges,59% of total billed charges,404.17,87.2,,323.34,percent of total billed charges,87.2% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,376.78,81.29,,301.42,percent of total billed charges,81.29% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of totl billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,417.15,90,,333.72,percent of total billed charges,90% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,282.74,61,,226.19,percent of total billed charges,61% of total billed charges,241.02,52,,192.82,percent of total billed charges,52% of total billed charges,241.02,417.15,
20MM X 7 BC IF VENTED SCREW,35031914,CDM,278,RC,C1713,HCPCS,Outpatient,,,663.75,531,,564.19,85,,451.35,percent of total billed charges,85% of total billed charges,564.19,85,,451.35,percent of total billed charges,85% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,578.79,87.2,,,percent of total billed charges,87.2% of total billed charges,391.61,59,,313.29,percent of total billed charges,59% of total billed charges,578.79,87.2,,463.03,percent of total billed charges,87.2% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,539.56,81.29,,431.65,percent of total billed charges,81.29% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of totl billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,345.15,597.38,
EVOS3.5MML-D FIB 81MM,35031915,CDM,278,RC,C1713,HCPCS,Outpatient,,,1601.25,1281,,1361.06,85,,1088.85,percent of total billed charges,85% of total billed charges,1361.06,85,,1088.85,percent of total billed charges,85% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,1189.41,74,,951.53,percent of total billed charges,74.28% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,1189.41,74,,951.53,percent of total billed charges,74.28% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,1189.41,74,,951.53,percent of total billed charges,74.28% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of total billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,1396.29,87.2,,,percent of total billed charges,87.2% of total billed charges,944.74,59,,755.79,percent of total billed charges,59% of total billed charges,1396.29,87.2,,1117.03,percent of total billed charges,87.2% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,1301.66,81.29,,1041.33,percent of total billed charges,81.29% of total billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of totl billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of total billed charges,1441.13,90,,1152.9,percent of total billed charges,90% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,976.76,61,,781.41,percent of total billed charges,61% of total billed charges,832.65,52,,666.12,percent of total billed charges,52% of total billed charges,832.65,1441.13,
EVOS4.7X14MM LCK SCR FT,35031916,CDM,278,RC,C1713,HCPCS,Outpatient,,,515.03,412.02,,437.78,85,,350.22,percent of total billed charges,85% of total billed charges,437.78,85,,350.22,percent of total billed charges,85% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,449.11,87.2,,,percent of total billed charges,87.2% of total billed charges,303.87,59,,243.1,percent of total billed charges,59% of total billed charges,449.11,87.2,,359.29,percent of total billed charges,87.2% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,418.67,81.29,,334.94,percent of total billed charges,81.29% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of totl billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,267.82,463.53,
EVOS4.7X16MM LCK SCR FT,35031917,CDM,278,RC,C1713,HCPCS,Outpatient,,,515.03,412.02,,437.78,85,,350.22,percent of total billed charges,85% of total billed charges,437.78,85,,350.22,percent of total billed charges,85% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,382.56,74,,306.05,percent of total billed charges,74.28% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,449.11,87.2,,,percent of total billed charges,87.2% of total billed charges,303.87,59,,243.1,percent of total billed charges,59% of total billed charges,449.11,87.2,,359.29,percent of total billed charges,87.2% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,418.67,81.29,,334.94,percent of total billed charges,81.29% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of totl billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,463.53,90,,370.82,percent of total billed charges,90% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,314.17,61,,251.34,percent of total billed charges,61% of total billed charges,267.82,52,,214.26,percent of total billed charges,52% of total billed charges,267.82,463.53,
EVOS 3.5X12MM LCK SCR S-T,35031918,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5X14MM LCK SCR S-T,35031919,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
VLP TI 1.5X10MM CTX SCR T4 S-T,35031921,CDM,278,RC,C1713,HCPCS,Outpatient,,,198.99,159.19,,169.14,85,,135.31,percent of total billed charges,85% of total billed charges,169.14,85,,135.31,percent of total billed charges,85% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,173.52,87.2,,,percent of total billed charges,87.2% of total billed charges,117.4,59,,93.92,percent of total billed charges,59% of total billed charges,173.52,87.2,,138.82,percent of total billed charges,87.2% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,161.76,81.29,,129.41,percent of total billed charges,81.29% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of totl billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,103.47,179.09,
VLP TI 1.5X8MM CTX SCR T4 S-T,35031922,CDM,278,RC,C1713,HCPCS,Outpatient,,,198.99,159.19,,169.14,85,,135.31,percent of total billed charges,85% of total billed charges,169.14,85,,135.31,percent of total billed charges,85% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,147.81,74,,118.25,percent of total billed charges,74.28% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,173.52,87.2,,,percent of total billed charges,87.2% of total billed charges,117.4,59,,93.92,percent of total billed charges,59% of total billed charges,173.52,87.2,,138.82,percent of total billed charges,87.2% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,161.76,81.29,,129.41,percent of total billed charges,81.29% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of totl billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,179.09,90,,143.27,percent of total billed charges,90% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,121.38,61,,97.1,percent of total billed charges,61% of total billed charges,103.47,52,,82.78,percent of total billed charges,52% of total billed charges,103.47,179.09,
MONTAGE 2CC 0S-MON-1604,35031923,CDM,278,RC,C1713,HCPCS,Outpatient,,,1797.75,1438.2,,1528.09,85,,1222.47,percent of total billed charges,85% of total billed charges,1528.09,85,,1222.47,percent of total billed charges,85% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,1335.37,74,,1068.3,percent of total billed charges,74.28% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,1335.37,74,,1068.3,percent of total billed charges,74.28% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,1335.37,74,,1068.3,percent of total billed charges,74.28% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of total billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,1567.64,87.2,,,percent of total billed charges,87.2% of total billed charges,1060.67,59,,848.54,percent of total billed charges,59% of total billed charges,1567.64,87.2,,1254.11,percent of total billed charges,87.2% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,1461.39,81.29,,1169.11,percent of total billed charges,81.29% of total billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of totl billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of total billed charges,1617.98,90,,1294.38,percent of total billed charges,90% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,1096.63,61,,877.3,percent of total billed charges,61% of total billed charges,934.83,52,,747.86,percent of total billed charges,52% of total billed charges,934.83,1617.98,
EVOS 2.7/3.5 L-D FIBULA PL 3H,35031929,CDM,278,RC,C1713,HCPCS,Outpatient,,,1664.25,1331.4,,1414.61,85,,1131.69,percent of total billed charges,85% of total billed charges,1414.61,85,,1131.69,percent of total billed charges,85% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,1236.2,74,,988.96,percent of total billed charges,74.28% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,1236.2,74,,988.96,percent of total billed charges,74.28% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,1236.2,74,,988.96,percent of total billed charges,74.28% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of total billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,1451.23,87.2,,,percent of total billed charges,87.2% of total billed charges,981.91,59,,785.53,percent of total billed charges,59% of total billed charges,1451.23,87.2,,1160.98,percent of total billed charges,87.2% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,1352.87,81.29,,1082.3,percent of total billed charges,81.29% of total billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of totl billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of total billed charges,1497.83,90,,1198.26,percent of total billed charges,90% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,1015.19,61,,812.15,percent of total billed charges,61% of total billed charges,865.41,52,,692.33,percent of total billed charges,52% of total billed charges,865.41,1497.83,
EVOS 2.7MMX15MM LCK SCR T8 ST,35031930,CDM,278,RC,C1713,HCPCS,Outpatient,,,497.7,398.16,,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,433.99,87.2,,,percent of total billed charges,87.2% of total billed charges,293.64,59,,234.91,percent of total billed charges,59% of total billed charges,433.99,87.2,,347.19,percent of total billed charges,87.2% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,404.58,81.29,,323.66,percent of total billed charges,81.29% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of totl billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,447.93,
EVOS 4.7MMX12MM LCK OST SCR FT,35031931,CDM,278,RC,C1713,HCPCS,Outpatient,,,686.7,549.36,,583.7,85,,466.96,percent of total billed charges,85% of total billed charges,583.7,85,,466.96,percent of total billed charges,85% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,510.08,74,,408.06,percent of total billed charges,74.28% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,510.08,74,,408.06,percent of total billed charges,74.28% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,510.08,74,,408.06,percent of total billed charges,74.28% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,618.03,90,,494.42,percent of total billed charges,90% of total billed charges,618.03,90,,494.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,598.8,87.2,,,percent of total billed charges,87.2% of total billed charges,405.15,59,,324.12,percent of total billed charges,59% of total billed charges,598.8,87.2,,479.04,percent of total billed charges,87.2% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,558.22,81.29,,446.58,percent of total billed charges,81.29% of total billed charges,618.03,90,,494.42,percent of total billed charges,90% of totl billed charges,618.03,90,,494.42,percent of total billed charges,90% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,618.03,90,,494.42,percent of total billed charges,90% of total billed charges,618.03,90,,494.42,percent of total billed charges,90% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,418.89,61,,335.11,percent of total billed charges,61% of total billed charges,357.08,52,,285.66,percent of total billed charges,52% of total billed charges,357.08,618.03,
"PLATE, 6 HOLE",35031935,CDM,278,RC,C1713,HCPCS,Outpatient,,,1957.5,1566,,1663.88,85,,1331.1,percent of total billed charges,85% of total billed charges,1663.88,85,,1331.1,percent of total billed charges,85% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1454.03,74,,1163.22,percent of total billed charges,74.28% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1454.03,74,,1163.22,percent of total billed charges,74.28% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1454.03,74,,1163.22,percent of total billed charges,74.28% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of total billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1706.94,87.2,,,percent of total billed charges,87.2% of total billed charges,1154.93,59,,923.94,percent of total billed charges,59% of total billed charges,1706.94,87.2,,1365.55,percent of total billed charges,87.2% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1591.25,81.29,,1273,percent of total billed charges,81.29% of total billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of totl billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of total billed charges,1761.75,90,,1409.4,percent of total billed charges,90% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1194.08,61,,955.26,percent of total billed charges,61% of total billed charges,1017.9,52,,814.32,percent of total billed charges,52% of total billed charges,1017.9,1761.75,
4.5MM CORTEX SCREW 54MM,35031938,CDM,278,RC,C1713,HCPCS,Outpatient,,,219,175.2,,186.15,85,,148.92,percent of total billed charges,85% of total billed charges,186.15,85,,148.92,percent of total billed charges,85% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,162.67,74,,130.14,percent of total billed charges,74.28% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,162.67,74,,130.14,percent of total billed charges,74.28% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,162.67,74,,130.14,percent of total billed charges,74.28% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,197.1,90,,157.68,percent of total billed charges,90% of total billed charges,197.1,90,,157.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,190.97,87.2,,,percent of total billed charges,87.2% of total billed charges,129.21,59,,103.37,percent of total billed charges,59% of total billed charges,190.97,87.2,,152.78,percent of total billed charges,87.2% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,178.03,81.29,,142.42,percent of total billed charges,81.29% of total billed charges,197.1,90,,157.68,percent of total billed charges,90% of totl billed charges,197.1,90,,157.68,percent of total billed charges,90% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,197.1,90,,157.68,percent of total billed charges,90% of total billed charges,197.1,90,,157.68,percent of total billed charges,90% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,133.59,61,,106.87,percent of total billed charges,61% of total billed charges,113.88,52,,91.1,percent of total billed charges,52% of total billed charges,113.88,197.1,
EVOS 3.5MM SUP MS CLAV PL 8HR,35031955,CDM,278,RC,C1713,HCPCS,Outpatient,,,1695.75,1356.6,,1441.39,85,,1153.11,percent of total billed charges,85% of total billed charges,1441.39,85,,1153.11,percent of total billed charges,85% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1478.69,87.2,,,percent of total billed charges,87.2% of total billed charges,1000.49,59,,800.39,percent of total billed charges,59% of total billed charges,1478.69,87.2,,1182.95,percent of total billed charges,87.2% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1378.48,81.29,,1102.78,percent of total billed charges,81.29% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of totl billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,881.79,1526.18,
EVOS 3.5MMX13MM LOCK SCR S-T,35031956,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MMX15MM LOCK SCR S-T,35031957,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 2.7MMX15MM CTX SCR T8 S-T,35031958,CDM,278,RC,C1713,HCPCS,Outpatient,,,157.5,126,,133.88,85,,107.1,percent of total billed charges,85% of total billed charges,133.88,85,,107.1,percent of total billed charges,85% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,116.99,74,,93.59,percent of total billed charges,74.28% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,116.99,74,,93.59,percent of total billed charges,74.28% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,116.99,74,,93.59,percent of total billed charges,74.28% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,141.75,90,,113.4,percent of total billed charges,90% of total billed charges,141.75,90,,113.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,137.34,87.2,,,percent of total billed charges,87.2% of total billed charges,92.93,59,,74.34,percent of total billed charges,59% of total billed charges,137.34,87.2,,109.87,percent of total billed charges,87.2% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,128.03,81.29,,102.42,percent of total billed charges,81.29% of total billed charges,141.75,90,,113.4,percent of total billed charges,90% of totl billed charges,141.75,90,,113.4,percent of total billed charges,90% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,141.75,90,,113.4,percent of total billed charges,90% of total billed charges,141.75,90,,113.4,percent of total billed charges,90% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,96.08,61,,76.86,percent of total billed charges,61% of total billed charges,81.9,52,,65.52,percent of total billed charges,52% of total billed charges,81.9,141.75,
EVOS 3.5MMX10MM LCK SCR S-T,35031959,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
SCREW CORTICAL 3.5X40MM,35031961,CDM,278,RC,C1713,HCPCS,Outpatient,,,333,266.4,,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,290.38,87.2,,,percent of total billed charges,87.2% of total billed charges,196.47,59,,157.18,percent of total billed charges,59% of total billed charges,290.38,87.2,,232.3,percent of total billed charges,87.2% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,270.7,81.29,,216.56,percent of total billed charges,81.29% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of totl billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,299.7,
SCREW CORTICAL 3.5X45MM,35031962,CDM,278,RC,C1713,HCPCS,Outpatient,,,333,266.4,,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,290.38,87.2,,,percent of total billed charges,87.2% of total billed charges,196.47,59,,157.18,percent of total billed charges,59% of total billed charges,290.38,87.2,,232.3,percent of total billed charges,87.2% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,270.7,81.29,,216.56,percent of total billed charges,81.29% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of totl billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,299.7,
EVOS 3.5MM X 34MM LOCK SCR ST,35031973,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM X 36MM LOCK SCR ST,35031974,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM X 38MM LOCK SCR ST,35031975,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM X 40MM LOCK SCR ST,35031976,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM CVD PROX HUM PL 6H,35031979,CDM,278,RC,C1713,HCPCS,Outpatient,,,3333.75,2667,,2833.69,85,,2266.95,percent of total billed charges,85% of total billed charges,2833.69,85,,2266.95,percent of total billed charges,85% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,2476.31,74,,1981.05,percent of total billed charges,74.28% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,2476.31,74,,1981.05,percent of total billed charges,74.28% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,2476.31,74,,1981.05,percent of total billed charges,74.28% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of total billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,2907.03,87.2,,,percent of total billed charges,87.2% of total billed charges,1966.91,59,,1573.53,percent of total billed charges,59% of total billed charges,2907.03,87.2,,2325.62,percent of total billed charges,87.2% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,2710.01,81.29,,2168.01,percent of total billed charges,81.29% of total billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of totl billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of total billed charges,3000.38,90,,2400.3,percent of total billed charges,90% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,2033.59,61,,1626.87,percent of total billed charges,61% of total billed charges,1733.55,52,,1386.84,percent of total billed charges,52% of total billed charges,1733.55,3000.38,
BIOCOMP 2.9MM PUSHLOCK SHRT,35031999,CDM,278,RC,C1713,HCPCS,Outpatient,,,1744.88,1395.9,,1483.15,85,,1186.52,percent of total billed charges,85% of total billed charges,1483.15,85,,1186.52,percent of total billed charges,85% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,1296.1,74,,1036.88,percent of total billed charges,74.28% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,1296.1,74,,1036.88,percent of total billed charges,74.28% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,1296.1,74,,1036.88,percent of total billed charges,74.28% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of total billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,1521.54,87.2,,,percent of total billed charges,87.2% of total billed charges,1029.48,59,,823.58,percent of total billed charges,59% of total billed charges,1521.54,87.2,,1217.23,percent of total billed charges,87.2% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,1418.41,81.29,,1134.73,percent of total billed charges,81.29% of total billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of totl billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of total billed charges,1570.39,90,,1256.31,percent of total billed charges,90% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,1064.38,61,,851.5,percent of total billed charges,61% of total billed charges,907.34,52,,725.87,percent of total billed charges,52% of total billed charges,907.34,1570.39,
EVOS 3.5MM SUP MED CLAV PL 8H,35032013,CDM,278,RC,C1713,HCPCS,Outpatient,,,1753.5,1402.8,,1490.48,85,,1192.38,percent of total billed charges,85% of total billed charges,1490.48,85,,1192.38,percent of total billed charges,85% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,1302.5,74,,1042,percent of total billed charges,74.28% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,1302.5,74,,1042,percent of total billed charges,74.28% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,1302.5,74,,1042,percent of total billed charges,74.28% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of total billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,1529.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1034.57,59,,827.66,percent of total billed charges,59% of total billed charges,1529.05,87.2,,1223.24,percent of total billed charges,87.2% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,1425.42,81.29,,1140.34,percent of total billed charges,81.29% of total billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of totl billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of total billed charges,1578.15,90,,1262.52,percent of total billed charges,90% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,1069.64,61,,855.71,percent of total billed charges,61% of total billed charges,911.82,52,,729.46,percent of total billed charges,52% of total billed charges,911.82,1578.15,
SCD SLEEVE LARGE,35032015,CDM,278,RC,C1713,HCPCS,Outpatient,,,22.35,17.88,,19,85,,15.2,percent of total billed charges,85% of total billed charges,19,85,,15.2,percent of total billed charges,85% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,16.6,74,,13.28,percent of total billed charges,74.28% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,16.6,74,,13.28,percent of total billed charges,74.28% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,16.6,74,,13.28,percent of total billed charges,74.28% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,20.12,90,,16.1,percent of total billed charges,90% of total billed charges,20.12,90,,16.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,19.49,87.2,,,percent of total billed charges,87.2% of total billed charges,13.19,59,,10.55,percent of total billed charges,59% of total billed charges,19.49,87.2,,15.59,percent of total billed charges,87.2% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,18.17,81.29,,14.54,percent of total billed charges,81.29% of total billed charges,20.12,90,,16.1,percent of total billed charges,90% of totl billed charges,20.12,90,,16.1,percent of total billed charges,90% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,20.12,90,,16.1,percent of total billed charges,90% of total billed charges,20.12,90,,16.1,percent of total billed charges,90% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,13.63,61,,10.9,percent of total billed charges,61% of total billed charges,11.62,52,,9.3,percent of total billed charges,52% of total billed charges,11.62,20.12,
SET SCREW SOLERA VOYAGER,35032031,CDM,278,RC,C1713,HCPCS,Outpatient,,,502.32,401.86,,426.97,85,,341.58,percent of total billed charges,85% of total billed charges,426.97,85,,341.58,percent of total billed charges,85% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,373.12,74,,298.5,percent of total billed charges,74.28% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,373.12,74,,298.5,percent of total billed charges,74.28% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,373.12,74,,298.5,percent of total billed charges,74.28% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,452.09,90,,361.67,percent of total billed charges,90% of total billed charges,452.09,90,,361.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,438.02,87.2,,,percent of total billed charges,87.2% of total billed charges,296.37,59,,237.1,percent of total billed charges,59% of total billed charges,438.02,87.2,,350.42,percent of total billed charges,87.2% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,408.34,81.29,,326.67,percent of total billed charges,81.29% of total billed charges,452.09,90,,361.67,percent of total billed charges,90% of totl billed charges,452.09,90,,361.67,percent of total billed charges,90% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,452.09,90,,361.67,percent of total billed charges,90% of total billed charges,452.09,90,,361.67,percent of total billed charges,90% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,306.42,61,,245.14,percent of total billed charges,61% of total billed charges,261.21,52,,208.97,percent of total billed charges,52% of total billed charges,261.21,452.09,
SCHANZ SCREW 4X80MM,35032034,CDM,278,RC,C1713,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
SCHANZ SCREW 4X120MM,35032035,CDM,278,RC,C1713,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
SCHANZ SCREW 4X150MM,35032036,CDM,278,RC,C1713,HCPCS,Outpatient,,,135,108,,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,114.75,85,,91.8,percent of total billed charges,85% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,100.28,74,,80.22,percent of total billed charges,74.28% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,117.72,87.2,,,percent of total billed charges,87.2% of total billed charges,79.65,59,,63.72,percent of total billed charges,59% of total billed charges,117.72,87.2,,94.18,percent of total billed charges,87.2% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,109.74,81.29,,87.79,percent of total billed charges,81.29% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of totl billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,121.5,90,,97.2,percent of total billed charges,90% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,82.35,61,,65.88,percent of total billed charges,61% of total billed charges,70.2,52,,56.16,percent of total billed charges,52% of total billed charges,70.2,121.5,
"9X20MM BC IF SCREW, VENTED",35032041,CDM,278,RC,C1713,HCPCS,Outpatient,,,663.75,531,,564.19,85,,451.35,percent of total billed charges,85% of total billed charges,564.19,85,,451.35,percent of total billed charges,85% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,493.03,74,,394.42,percent of total billed charges,74.28% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,578.79,87.2,,,percent of total billed charges,87.2% of total billed charges,391.61,59,,313.29,percent of total billed charges,59% of total billed charges,578.79,87.2,,463.03,percent of total billed charges,87.2% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,539.56,81.29,,431.65,percent of total billed charges,81.29% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of totl billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,597.38,90,,477.9,percent of total billed charges,90% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,404.89,61,,323.91,percent of total billed charges,61% of total billed charges,345.15,52,,276.12,percent of total billed charges,52% of total billed charges,345.15,597.38,
EVOS 3.5X11MM LCK SCR S-T,35032046,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5X16MM LCK SCR S-T,35032047,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
WASHER FOR 2.7MM SCREWS,35032048,CDM,278,RC,C1713,HCPCS,Outpatient,,,284.97,227.98,,242.22,85,,193.78,percent of total billed charges,85% of total billed charges,242.22,85,,193.78,percent of total billed charges,85% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,211.68,74,,169.34,percent of total billed charges,74.28% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,211.68,74,,169.34,percent of total billed charges,74.28% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,211.68,74,,169.34,percent of total billed charges,74.28% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,256.47,90,,205.18,percent of total billed charges,90% of total billed charges,256.47,90,,205.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,248.49,87.2,,,percent of total billed charges,87.2% of total billed charges,168.13,59,,134.5,percent of total billed charges,59% of total billed charges,248.49,87.2,,198.79,percent of total billed charges,87.2% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,231.65,81.29,,185.32,percent of total billed charges,81.29% of total billed charges,256.47,90,,205.18,percent of total billed charges,90% of totl billed charges,256.47,90,,205.18,percent of total billed charges,90% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,256.47,90,,205.18,percent of total billed charges,90% of total billed charges,256.47,90,,205.18,percent of total billed charges,90% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,173.83,61,,139.06,percent of total billed charges,61% of total billed charges,148.18,52,,118.54,percent of total billed charges,52% of total billed charges,148.18,256.47,
EVOS 3.5MMX42MM LCK SCR S-T,35032066,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MMX44MM LCK SCR S-T,35032067,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MMX46MM LCK SCR S-T,35032068,CDM,278,RC,C1713,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
SCREW SV ATS 6.5X45,35032076,CDM,278,RC,C1713,HCPCS,Outpatient,,,2686.13,2148.9,,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2342.31,87.2,,,percent of total billed charges,87.2% of total billed charges,1584.82,59,,1267.86,percent of total billed charges,59% of total billed charges,2342.31,87.2,,1873.85,percent of total billed charges,87.2% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2183.56,81.29,,1746.85,percent of total billed charges,81.29% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of totl billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,2417.52,
SCREW 5.5/6.0 SV ATS 5.5X45,35032106,CDM,278,RC,C1713,HCPCS,Outpatient,,,2686.13,2148.9,,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2342.31,87.2,,,percent of total billed charges,87.2% of total billed charges,1584.82,59,,1267.86,percent of total billed charges,59% of total billed charges,2342.31,87.2,,1873.85,percent of total billed charges,87.2% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2183.56,81.29,,1746.85,percent of total billed charges,81.29% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of totl billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,2417.52,
6.5MM LOW PROFILE HEX SCR 30MM,35032125,CDM,278,RC,C1713,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
KIRSCHNER WIRE 0.35 X 6IN,35032151,CDM,278,RC,C1713,HCPCS,Outpatient,,,162,129.6,,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,141.26,87.2,,,percent of total billed charges,87.2% of total billed charges,95.58,59,,76.46,percent of total billed charges,59% of total billed charges,141.26,87.2,,113.01,percent of total billed charges,87.2% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,131.69,81.29,,105.35,percent of total billed charges,81.29% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of totl billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,145.8,
2.4MM X 26MM CAN HEAD SCREW,35032152,CDM,278,RC,C1713,HCPCS,Outpatient,,,1003.5,802.8,,852.98,85,,682.38,percent of total billed charges,85% of total billed charges,852.98,85,,682.38,percent of total billed charges,85% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,745.4,74,,596.32,percent of total billed charges,74.28% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,745.4,74,,596.32,percent of total billed charges,74.28% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,745.4,74,,596.32,percent of total billed charges,74.28% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,903.15,90,,722.52,percent of total billed charges,90% of total billed charges,903.15,90,,722.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,875.05,87.2,,,percent of total billed charges,87.2% of total billed charges,592.07,59,,473.66,percent of total billed charges,59% of total billed charges,875.05,87.2,,700.04,percent of total billed charges,87.2% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,815.75,81.29,,652.6,percent of total billed charges,81.29% of total billed charges,903.15,90,,722.52,percent of total billed charges,90% of totl billed charges,903.15,90,,722.52,percent of total billed charges,90% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,903.15,90,,722.52,percent of total billed charges,90% of total billed charges,903.15,90,,722.52,percent of total billed charges,90% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,612.14,61,,489.71,percent of total billed charges,61% of total billed charges,521.82,52,,417.46,percent of total billed charges,52% of total billed charges,521.82,903.15,
REF SPHER HEAD SCREW 45MM,35032160,CDM,278,RC,C1713,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
SCREW HEADLESS 3.5X28MM,35032161,CDM,278,RC,C1713,HCPCS,Outpatient,,,1188,950.4,,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1035.94,87.2,,,percent of total billed charges,87.2% of total billed charges,700.92,59,,560.74,percent of total billed charges,59% of total billed charges,1035.94,87.2,,828.75,percent of total billed charges,87.2% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,965.73,81.29,,772.58,percent of total billed charges,81.29% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of totl billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,1069.2,
ARTH DBM GEL 5cc,35032236,CDM,278,RC,C1713,HCPCS,Outpatient,,,1891.13,1512.9,,1607.46,85,,1285.97,percent of total billed charges,85% of total billed charges,1607.46,85,,1285.97,percent of total billed charges,85% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1649.07,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.77,59,,892.62,percent of total billed charges,59% of total billed charges,1649.07,87.2,,1319.26,percent of total billed charges,87.2% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1537.3,81.29,,1229.84,percent of total billed charges,81.29% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of totl billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,983.39,1702.02,
ARTH DBM PUTTY 5cc,35032237,CDM,278,RC,C1713,HCPCS,Outpatient,,,1891.13,1512.9,,1607.46,85,,1285.97,percent of total billed charges,85% of total billed charges,1607.46,85,,1285.97,percent of total billed charges,85% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1404.73,74,,1123.78,percent of total billed charges,74.28% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1649.07,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.77,59,,892.62,percent of total billed charges,59% of total billed charges,1649.07,87.2,,1319.26,percent of total billed charges,87.2% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,1537.3,81.29,,1229.84,percent of total billed charges,81.29% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of totl billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1702.02,90,,1361.62,percent of total billed charges,90% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,1153.59,61,,922.87,percent of total billed charges,61% of total billed charges,983.39,52,,786.71,percent of total billed charges,52% of total billed charges,983.39,1702.02,
ARTH AR-8955 40 PT,35032238,CDM,278,RC,C1713,HCPCS,Outpatient,,,709.18,567.34,,602.8,85,,482.24,percent of total billed charges,85% of total billed charges,602.8,85,,482.24,percent of total billed charges,85% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,526.78,74,,421.42,percent of total billed charges,74.28% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,526.78,74,,421.42,percent of total billed charges,74.28% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,526.78,74,,421.42,percent of total billed charges,74.28% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,638.26,90,,510.61,percent of total billed charges,90% of total billed charges,638.26,90,,510.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,618.4,87.2,,,percent of total billed charges,87.2% of total billed charges,418.42,59,,334.74,percent of total billed charges,59% of total billed charges,618.4,87.2,,494.72,percent of total billed charges,87.2% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,576.49,81.29,,461.19,percent of total billed charges,81.29% of total billed charges,638.26,90,,510.61,percent of total billed charges,90% of totl billed charges,638.26,90,,510.61,percent of total billed charges,90% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,638.26,90,,510.61,percent of total billed charges,90% of total billed charges,638.26,90,,510.61,percent of total billed charges,90% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,432.6,61,,346.08,percent of total billed charges,61% of total billed charges,368.77,52,,295.02,percent of total billed charges,52% of total billed charges,368.77,638.26,
REDAPT LOCKING SCREW 30MM,35032250,CDM,278,RC,C1713,HCPCS,Outpatient,,,408.96,327.17,,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,356.61,87.2,,,percent of total billed charges,87.2% of total billed charges,241.29,59,,193.03,percent of total billed charges,59% of total billed charges,356.61,87.2,,285.29,percent of total billed charges,87.2% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,332.44,81.29,,265.95,percent of total billed charges,81.29% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of totl billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,368.06,
"2.4X16MM VAL SCREW, TI",35032255,CDM,278,RC,C1713,HCPCS,Outpatient,,,462,369.6,,392.7,85,,314.16,percent of total billed charges,85% of total billed charges,392.7,85,,314.16,percent of total billed charges,85% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,402.86,87.2,,,percent of total billed charges,87.2% of total billed charges,272.58,59,,218.06,percent of total billed charges,59% of total billed charges,402.86,87.2,,322.29,percent of total billed charges,87.2% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,375.56,81.29,,300.45,percent of total billed charges,81.29% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of totl billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,240.24,415.8,
"2.4X20MM VAL SCREW, TI",35032256,CDM,278,RC,C1713,HCPCS,Outpatient,,,462,369.6,,392.7,85,,314.16,percent of total billed charges,85% of total billed charges,392.7,85,,314.16,percent of total billed charges,85% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,343.17,74,,274.54,percent of total billed charges,74.28% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,402.86,87.2,,,percent of total billed charges,87.2% of total billed charges,272.58,59,,218.06,percent of total billed charges,59% of total billed charges,402.86,87.2,,322.29,percent of total billed charges,87.2% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,375.56,81.29,,300.45,percent of total billed charges,81.29% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of totl billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,415.8,90,,332.64,percent of total billed charges,90% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,281.82,61,,225.46,percent of total billed charges,61% of total billed charges,240.24,52,,192.19,percent of total billed charges,52% of total billed charges,240.24,415.8,
"VAL KREULOCK SCREW, TI, 2.4X20",35032257,CDM,278,RC,C1713,HCPCS,Outpatient,,,730.13,584.1,,620.61,85,,496.49,percent of total billed charges,85% of total billed charges,620.61,85,,496.49,percent of total billed charges,85% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,636.67,87.2,,,percent of total billed charges,87.2% of total billed charges,430.78,59,,344.62,percent of total billed charges,59% of total billed charges,636.67,87.2,,509.34,percent of total billed charges,87.2% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,593.52,81.29,,474.82,percent of total billed charges,81.29% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of totl billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,379.67,657.12,
VOLAR DIST RAD PLT TI STD LT3H,35032259,CDM,278,RC,C1713,HCPCS,Outpatient,,,1967.63,1574.1,,1672.49,85,,1337.99,percent of total billed charges,85% of total billed charges,1672.49,85,,1337.99,percent of total billed charges,85% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1461.56,74,,1169.25,percent of total billed charges,74.28% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1461.56,74,,1169.25,percent of total billed charges,74.28% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1461.56,74,,1169.25,percent of total billed charges,74.28% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of total billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1715.77,87.2,,,percent of total billed charges,87.2% of total billed charges,1160.9,59,,928.72,percent of total billed charges,59% of total billed charges,1715.77,87.2,,1372.62,percent of total billed charges,87.2% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1599.49,81.29,,1279.59,percent of total billed charges,81.29% of total billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of totl billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of total billed charges,1770.87,90,,1416.7,percent of total billed charges,90% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1200.25,61,,960.2,percent of total billed charges,61% of total billed charges,1023.17,52,,818.54,percent of total billed charges,52% of total billed charges,1023.17,1770.87,
"LO-PRO SCRW,TI,3.5MMX14MM",35032260,CDM,278,RC,C1713,HCPCS,Outpatient,,,198,158.4,,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,172.66,87.2,,,percent of total billed charges,87.2% of total billed charges,116.82,59,,93.46,percent of total billed charges,59% of total billed charges,172.66,87.2,,138.13,percent of total billed charges,87.2% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,160.95,81.29,,128.76,percent of total billed charges,81.29% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of totl billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,178.2,
"LO-PRO SCRW,TI,3.5MMX16MM",35032261,CDM,278,RC,C1713,HCPCS,Outpatient,,,198,158.4,,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,168.3,85,,134.64,percent of total billed charges,85% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,147.07,74,,117.66,percent of total billed charges,74.28% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,172.66,87.2,,,percent of total billed charges,87.2% of total billed charges,116.82,59,,93.46,percent of total billed charges,59% of total billed charges,172.66,87.2,,138.13,percent of total billed charges,87.2% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,160.95,81.29,,128.76,percent of total billed charges,81.29% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of totl billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,178.2,90,,142.56,percent of total billed charges,90% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,120.78,61,,96.62,percent of total billed charges,61% of total billed charges,102.96,52,,82.37,percent of total billed charges,52% of total billed charges,102.96,178.2,
"KREULOCK SCREW, TI, 3.5X16",35032262,CDM,278,RC,C1713,HCPCS,Outpatient,,,730.13,584.1,,620.61,85,,496.49,percent of total billed charges,85% of total billed charges,620.61,85,,496.49,percent of total billed charges,85% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,542.34,74,,433.87,percent of total billed charges,74.28% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,636.67,87.2,,,percent of total billed charges,87.2% of total billed charges,430.78,59,,344.62,percent of total billed charges,59% of total billed charges,636.67,87.2,,509.34,percent of total billed charges,87.2% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,593.52,81.29,,474.82,percent of total billed charges,81.29% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of totl billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,657.12,90,,525.7,percent of total billed charges,90% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,445.38,61,,356.3,percent of total billed charges,61% of total billed charges,379.67,52,,303.74,percent of total billed charges,52% of total billed charges,379.67,657.12,
NWR PROF CLAVICLE PLATE,35032264,CDM,278,RC,C1713,HCPCS,Outpatient,,,4164,3331.2,,3539.4,85,,2831.52,percent of total billed charges,85% of total billed charges,3539.4,85,,2831.52,percent of total billed charges,85% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3631.01,87.2,,,percent of total billed charges,87.2% of total billed charges,2456.76,59,,1965.41,percent of total billed charges,59% of total billed charges,3631.01,87.2,,2904.81,percent of total billed charges,87.2% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3384.92,81.29,,2707.94,percent of total billed charges,81.29% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of totl billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,2165.28,3747.6,
LOCKING HEXALOBE SCR 3.5X14MM,35032265,CDM,278,RC,C1713,HCPCS,Outpatient,,,711,568.8,,604.35,85,,483.48,percent of total billed charges,85% of total billed charges,604.35,85,,483.48,percent of total billed charges,85% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,619.99,87.2,,,percent of total billed charges,87.2% of total billed charges,419.49,59,,335.59,percent of total billed charges,59% of total billed charges,619.99,87.2,,495.99,percent of total billed charges,87.2% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,577.97,81.29,,462.38,percent of total billed charges,81.29% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of totl billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,369.72,639.9,
SCREW HDLESS HEXALOBE 3.5X24MM,35032266,CDM,278,RC,C1713,HCPCS,Outpatient,,,1188,950.4,,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1035.94,87.2,,,percent of total billed charges,87.2% of total billed charges,700.92,59,,560.74,percent of total billed charges,59% of total billed charges,1035.94,87.2,,828.75,percent of total billed charges,87.2% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,965.73,81.29,,772.58,percent of total billed charges,81.29% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of totl billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,1069.2,
SCREW 4.7 40MM ACUTRAK 2,35032267,CDM,278,RC,C1713,HCPCS,Outpatient,,,1524,1219.2,,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1328.93,87.2,,,percent of total billed charges,87.2% of total billed charges,899.16,59,,719.33,percent of total billed charges,59% of total billed charges,1328.93,87.2,,1063.14,percent of total billed charges,87.2% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1238.86,81.29,,991.09,percent of total billed charges,81.29% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of totl billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,1371.6,
SCREW 4.7 35MM ACUTRAK 2,35032268,CDM,278,RC,C1713,HCPCS,Outpatient,,,1524,1219.2,,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1328.93,87.2,,,percent of total billed charges,87.2% of total billed charges,899.16,59,,719.33,percent of total billed charges,59% of total billed charges,1328.93,87.2,,1063.14,percent of total billed charges,87.2% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1238.86,81.29,,991.09,percent of total billed charges,81.29% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of totl billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,1371.6,
"IMPL SYS, MPFL, TIGHTROPE",35032274,CDM,278,RC,C1713,HCPCS,Outpatient,,,3291.75,2633.4,,2797.99,85,,2238.39,percent of total billed charges,85% of total billed charges,2797.99,85,,2238.39,percent of total billed charges,85% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,2445.11,74,,1956.09,percent of total billed charges,74.28% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,2445.11,74,,1956.09,percent of total billed charges,74.28% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,2445.11,74,,1956.09,percent of total billed charges,74.28% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of total billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,2870.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1942.13,59,,1553.7,percent of total billed charges,59% of total billed charges,2870.41,87.2,,2296.33,percent of total billed charges,87.2% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,2675.86,81.29,,2140.69,percent of total billed charges,81.29% of total billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of totl billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of total billed charges,2962.58,90,,2370.06,percent of total billed charges,90% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,2007.97,61,,1606.38,percent of total billed charges,61% of total billed charges,1711.71,52,,1369.37,percent of total billed charges,52% of total billed charges,1711.71,2962.58,
PERI-LOC K-WIRE 2.0MM,35032286,CDM,278,RC,C1713,HCPCS,Outpatient,,,236.25,189,,200.81,85,,160.65,percent of total billed charges,85% of total billed charges,200.81,85,,160.65,percent of total billed charges,85% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,206.01,87.2,,,percent of total billed charges,87.2% of total billed charges,139.39,59,,111.51,percent of total billed charges,59% of total billed charges,206.01,87.2,,164.81,percent of total billed charges,87.2% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,192.05,81.29,,153.64,percent of total billed charges,81.29% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of totl billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,122.85,212.63,
K-WIRE 0.35 X 6IN,35032298,CDM,278,RC,C1713,HCPCS,Outpatient,,,162,129.6,,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,137.7,85,,110.16,percent of total billed charges,85% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,120.33,74,,96.26,percent of total billed charges,74.28% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,141.26,87.2,,,percent of total billed charges,87.2% of total billed charges,95.58,59,,76.46,percent of total billed charges,59% of total billed charges,141.26,87.2,,113.01,percent of total billed charges,87.2% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,131.69,81.29,,105.35,percent of total billed charges,81.29% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of totl billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,145.8,90,,116.64,percent of total billed charges,90% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,98.82,61,,79.06,percent of total billed charges,61% of total billed charges,84.24,52,,67.39,percent of total billed charges,52% of total billed charges,84.24,145.8,
SCREW CANNULATED LAG 3X20MM,35032299,CDM,278,RC,C1713,HCPCS,Outpatient,,,780.75,624.6,,663.64,85,,530.91,percent of total billed charges,85% of total billed charges,663.64,85,,530.91,percent of total billed charges,85% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,680.81,87.2,,,percent of total billed charges,87.2% of total billed charges,460.64,59,,368.51,percent of total billed charges,59% of total billed charges,680.81,87.2,,544.65,percent of total billed charges,87.2% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,634.67,81.29,,507.74,percent of total billed charges,81.29% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of totl billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,405.99,702.68,
3.0/4.0MM CANN COUNTERSINK,35032302,CDM,278,RC,C1713,HCPCS,Outpatient,,,1122.75,898.2,,954.34,85,,763.47,percent of total billed charges,85% of total billed charges,954.34,85,,763.47,percent of total billed charges,85% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,833.98,74,,667.18,percent of total billed charges,74.28% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,833.98,74,,667.18,percent of total billed charges,74.28% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,833.98,74,,667.18,percent of total billed charges,74.28% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,1010.48,90,,808.38,percent of total billed charges,90% of total billed charges,1010.48,90,,808.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,979.04,87.2,,,percent of total billed charges,87.2% of total billed charges,662.42,59,,529.94,percent of total billed charges,59% of total billed charges,979.04,87.2,,783.23,percent of total billed charges,87.2% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,912.68,81.29,,730.14,percent of total billed charges,81.29% of total billed charges,1010.48,90,,808.38,percent of total billed charges,90% of totl billed charges,1010.48,90,,808.38,percent of total billed charges,90% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,1010.48,90,,808.38,percent of total billed charges,90% of total billed charges,1010.48,90,,808.38,percent of total billed charges,90% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,684.88,61,,547.9,percent of total billed charges,61% of total billed charges,583.83,52,,467.06,percent of total billed charges,52% of total billed charges,583.83,1010.48,
SCREW CANNULATED LAG 3X22MM,35032303,CDM,278,RC,C1713,HCPCS,Outpatient,,,780.75,624.6,,663.64,85,,530.91,percent of total billed charges,85% of total billed charges,663.64,85,,530.91,percent of total billed charges,85% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,579.94,74,,463.95,percent of total billed charges,74.28% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,680.81,87.2,,,percent of total billed charges,87.2% of total billed charges,460.64,59,,368.51,percent of total billed charges,59% of total billed charges,680.81,87.2,,544.65,percent of total billed charges,87.2% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,634.67,81.29,,507.74,percent of total billed charges,81.29% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of totl billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,702.68,90,,562.14,percent of total billed charges,90% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,476.26,61,,381.01,percent of total billed charges,61% of total billed charges,405.99,52,,324.79,percent of total billed charges,52% of total billed charges,405.99,702.68,
HEADLESS SCREW 2.5X18MM DART,35032305,CDM,278,RC,C1713,HCPCS,Outpatient,,,1318.5,1054.8,,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1149.73,87.2,,,percent of total billed charges,87.2% of total billed charges,777.92,59,,622.34,percent of total billed charges,59% of total billed charges,1149.73,87.2,,919.78,percent of total billed charges,87.2% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1071.81,81.29,,857.45,percent of total billed charges,81.29% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of totl billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,1186.65,
HEADLESS SCREW 2.5X24MM DART,35032306,CDM,278,RC,C1713,HCPCS,Outpatient,,,1318.5,1054.8,,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1149.73,87.2,,,percent of total billed charges,87.2% of total billed charges,777.92,59,,622.34,percent of total billed charges,59% of total billed charges,1149.73,87.2,,919.78,percent of total billed charges,87.2% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1071.81,81.29,,857.45,percent of total billed charges,81.29% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of totl billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,1186.65,
HEADLESS SCREW 2.5X28MM DART,35032307,CDM,278,RC,C1713,HCPCS,Outpatient,,,1318.5,1054.8,,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,1120.73,85,,896.58,percent of total billed charges,85% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,979.38,74,,783.5,percent of total billed charges,74.28% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1149.73,87.2,,,percent of total billed charges,87.2% of total billed charges,777.92,59,,622.34,percent of total billed charges,59% of total billed charges,1149.73,87.2,,919.78,percent of total billed charges,87.2% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,1071.81,81.29,,857.45,percent of total billed charges,81.29% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of totl billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,1186.65,90,,949.32,percent of total billed charges,90% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,804.29,61,,643.43,percent of total billed charges,61% of total billed charges,685.62,52,,548.5,percent of total billed charges,52% of total billed charges,685.62,1186.65,
K-WIRE 0.9X150MM BLUNT/TROCAR,35032310,CDM,278,RC,C1713,HCPCS,Outpatient,,,201,160.8,,170.85,85,,136.68,percent of total billed charges,85% of total billed charges,170.85,85,,136.68,percent of total billed charges,85% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,175.27,87.2,,,percent of total billed charges,87.2% of total billed charges,118.59,59,,94.87,percent of total billed charges,59% of total billed charges,175.27,87.2,,140.22,percent of total billed charges,87.2% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,163.39,81.29,,130.71,percent of total billed charges,81.29% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of totl billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,104.52,180.9,
K-WIRE 1.1X150MM BLUNT/TROCAR,35032311,CDM,278,RC,C1713,HCPCS,Outpatient,,,201,160.8,,170.85,85,,136.68,percent of total billed charges,85% of total billed charges,170.85,85,,136.68,percent of total billed charges,85% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,149.3,74,,119.44,percent of total billed charges,74.28% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,175.27,87.2,,,percent of total billed charges,87.2% of total billed charges,118.59,59,,94.87,percent of total billed charges,59% of total billed charges,175.27,87.2,,140.22,percent of total billed charges,87.2% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,163.39,81.29,,130.71,percent of total billed charges,81.29% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of totl billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,180.9,90,,144.72,percent of total billed charges,90% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,122.61,61,,98.09,percent of total billed charges,61% of total billed charges,104.52,52,,83.62,percent of total billed charges,52% of total billed charges,104.52,180.9,
C-SINK 2.4MM CANNULATED SCREW,35032312,CDM,278,RC,C1713,HCPCS,Outpatient,,,787.5,630,,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,686.7,87.2,,,percent of total billed charges,87.2% of total billed charges,464.63,59,,371.7,percent of total billed charges,59% of total billed charges,686.7,87.2,,549.36,percent of total billed charges,87.2% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,640.16,81.29,,512.13,percent of total billed charges,81.29% of total billed charges,708.75,90,,567,percent of total billed charges,90% of totl billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,708.75,
C-SINK 2.8MM CANNULATED SCREW,35032313,CDM,278,RC,C1713,HCPCS,Outpatient,,,787.5,630,,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,686.7,87.2,,,percent of total billed charges,87.2% of total billed charges,464.63,59,,371.7,percent of total billed charges,59% of total billed charges,686.7,87.2,,549.36,percent of total billed charges,87.2% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,640.16,81.29,,512.13,percent of total billed charges,81.29% of total billed charges,708.75,90,,567,percent of total billed charges,90% of totl billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,708.75,
DOUBLE TROCAR K-WIRE .035X6 IN,35032318,CDM,278,RC,C1713,HCPCS,Outpatient,,,180,144,,153,85,,122.4,percent of total billed charges,85% of total billed charges,153,85,,122.4,percent of total billed charges,85% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,156.96,87.2,,,percent of total billed charges,87.2% of total billed charges,106.2,59,,84.96,percent of total billed charges,59% of total billed charges,156.96,87.2,,125.57,percent of total billed charges,87.2% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,146.32,81.29,,117.06,percent of total billed charges,81.29% of total billed charges,162,90,,129.6,percent of total billed charges,90% of totl billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,162,
CANNULATED SCREW 2.0X14MM,35032338,CDM,278,RC,C1713,HCPCS,Outpatient,,,723,578.4,,614.55,85,,491.64,percent of total billed charges,85% of total billed charges,614.55,85,,491.64,percent of total billed charges,85% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,537.04,74,,429.63,percent of total billed charges,74.28% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,537.04,74,,429.63,percent of total billed charges,74.28% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,537.04,74,,429.63,percent of total billed charges,74.28% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,650.7,90,,520.56,percent of total billed charges,90% of total billed charges,650.7,90,,520.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,630.46,87.2,,,percent of total billed charges,87.2% of total billed charges,426.57,59,,341.26,percent of total billed charges,59% of total billed charges,630.46,87.2,,504.37,percent of total billed charges,87.2% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,587.73,81.29,,470.18,percent of total billed charges,81.29% of total billed charges,650.7,90,,520.56,percent of total billed charges,90% of totl billed charges,650.7,90,,520.56,percent of total billed charges,90% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,650.7,90,,520.56,percent of total billed charges,90% of total billed charges,650.7,90,,520.56,percent of total billed charges,90% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,441.03,61,,352.82,percent of total billed charges,61% of total billed charges,375.96,52,,300.77,percent of total billed charges,52% of total billed charges,375.96,650.7,
8 HOLE PLATE 97MM,35032340,CDM,278,RC,C1713,HCPCS,Outpatient,,,776.25,621,,659.81,85,,527.85,percent of total billed charges,85% of total billed charges,659.81,85,,527.85,percent of total billed charges,85% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,676.89,87.2,,,percent of total billed charges,87.2% of total billed charges,457.99,59,,366.39,percent of total billed charges,59% of total billed charges,676.89,87.2,,541.51,percent of total billed charges,87.2% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,631.01,81.29,,504.81,percent of total billed charges,81.29% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of totl billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,403.65,698.63,
8 HOLE PLATE 107MM,35032341,CDM,278,RC,C1713,HCPCS,Outpatient,,,776.25,621,,659.81,85,,527.85,percent of total billed charges,85% of total billed charges,659.81,85,,527.85,percent of total billed charges,85% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,576.6,74,,461.28,percent of total billed charges,74.28% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,676.89,87.2,,,percent of total billed charges,87.2% of total billed charges,457.99,59,,366.39,percent of total billed charges,59% of total billed charges,676.89,87.2,,541.51,percent of total billed charges,87.2% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,631.01,81.29,,504.81,percent of total billed charges,81.29% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of totl billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,698.63,90,,558.9,percent of total billed charges,90% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,473.51,61,,378.81,percent of total billed charges,61% of total billed charges,403.65,52,,322.92,percent of total billed charges,52% of total billed charges,403.65,698.63,
CNSTRD ART ISRT RT 5-6 13M,35032345,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 13M,35032345,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 7-8 15M,35032346,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 7-8 15M,35032346,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 15M,35032347,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 15M,35032347,CDM,278,RC,C1713,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EVOS 3.5MMX22MM CTX SCR S-T,35032378,CDM,272,RC,C1713,HCPCS,Outpatient,,,113.4,90.72,,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,96.39,85,,77.11,percent of total billed charges,85% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,84.23,74,,67.38,percent of total billed charges,74.28% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,98.88,87.2,,,percent of total billed charges,87.2% of total billed charges,66.91,59,,53.53,percent of total billed charges,59% of total billed charges,98.88,87.2,,79.1,percent of total billed charges,87.2% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,92.18,81.29,,73.74,percent of total billed charges,81.29% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of totl billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,102.06,90,,81.65,percent of total billed charges,90% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,69.17,61,,55.34,percent of total billed charges,61% of total billed charges,58.97,52,,47.18,percent of total billed charges,52% of total billed charges,58.97,102.06,
EVOS 2.7X26MM LCK SCR T8 S-T,35032379,CDM,272,RC,C1713,HCPCS,Outpatient,,,497.7,398.16,,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,433.99,87.2,,,percent of total billed charges,87.2% of total billed charges,293.64,59,,234.91,percent of total billed charges,59% of total billed charges,433.99,87.2,,347.19,percent of total billed charges,87.2% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,404.58,81.29,,323.66,percent of total billed charges,81.29% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of totl billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,447.93,
EVOS 2.7X55MM LCK SRC T8 S-T,35032380,CDM,272,RC,C1713,HCPCS,Outpatient,,,497.7,398.16,,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,423.05,85,,338.44,percent of total billed charges,85% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,369.69,74,,295.75,percent of total billed charges,74.28% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,433.99,87.2,,,percent of total billed charges,87.2% of total billed charges,293.64,59,,234.91,percent of total billed charges,59% of total billed charges,433.99,87.2,,347.19,percent of total billed charges,87.2% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,404.58,81.29,,323.66,percent of total billed charges,81.29% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of totl billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,447.93,90,,358.34,percent of total billed charges,90% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,303.6,61,,242.88,percent of total billed charges,61% of total billed charges,258.8,52,,207.04,percent of total billed charges,52% of total billed charges,258.8,447.93,
SNIPER LOCKING SCREW,35032381,CDM,272,RC,C1713,HCPCS,Outpatient,,,450,360,,382.5,85,,306,percent of total billed charges,85% of total billed charges,382.5,85,,306,percent of total billed charges,85% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,392.4,87.2,,,percent of total billed charges,87.2% of total billed charges,265.5,59,,212.4,percent of total billed charges,59% of total billed charges,392.4,87.2,,313.92,percent of total billed charges,87.2% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,365.81,81.29,,292.65,percent of total billed charges,81.29% of total billed charges,405,90,,324,percent of total billed charges,90% of totl billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,405,
SCREW 2.4X10MM,35032421,CDM,278,RC,C1713,HCPCS,Outpatient,,,750,600,,637.5,85,,510,percent of total billed charges,85% of total billed charges,637.5,85,,510,percent of total billed charges,85% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,390,52,,312,percent of total billed charges,52% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,654,87.2,,,percent of total billed charges,87.2% of total billed charges,442.5,59,,354,percent of total billed charges,59% of total billed charges,654,87.2,,523.2,percent of total billed charges,87.2% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,609.68,81.29,,487.74,percent of total billed charges,81.29% of total billed charges,675,90,,540,percent of total billed charges,90% of totl billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,390,675,
SCREW 2.4X14MM,35032422,CDM,278,RC,C1713,HCPCS,Outpatient,,,750,600,,637.5,85,,510,percent of total billed charges,85% of total billed charges,637.5,85,,510,percent of total billed charges,85% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,390,52,,312,percent of total billed charges,52% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,654,87.2,,,percent of total billed charges,87.2% of total billed charges,442.5,59,,354,percent of total billed charges,59% of total billed charges,654,87.2,,523.2,percent of total billed charges,87.2% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,609.68,81.29,,487.74,percent of total billed charges,81.29% of total billed charges,675,90,,540,percent of total billed charges,90% of totl billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,390,675,
SCREW 2.4X12MM,35032423,CDM,278,RC,C1713,HCPCS,Outpatient,,,750,600,,637.5,85,,510,percent of total billed charges,85% of total billed charges,637.5,85,,510,percent of total billed charges,85% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,390,52,,312,percent of total billed charges,52% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,654,87.2,,,percent of total billed charges,87.2% of total billed charges,442.5,59,,354,percent of total billed charges,59% of total billed charges,654,87.2,,523.2,percent of total billed charges,87.2% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,609.68,81.29,,487.74,percent of total billed charges,81.29% of total billed charges,675,90,,540,percent of total billed charges,90% of totl billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,390,675,
INTRAMEDULLARY PLUG SM 8-10MM,35032424,CDM,278,RC,C1713,HCPCS,Outpatient,,,539.4,431.52,,458.49,85,,366.79,percent of total billed charges,85% of total billed charges,458.49,85,,366.79,percent of total billed charges,85% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,400.67,74,,320.54,percent of total billed charges,74.28% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,400.67,74,,320.54,percent of total billed charges,74.28% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,400.67,74,,320.54,percent of total billed charges,74.28% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,485.46,90,,388.37,percent of total billed charges,90% of total billed charges,485.46,90,,388.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,470.36,87.2,,,percent of total billed charges,87.2% of total billed charges,318.25,59,,254.6,percent of total billed charges,59% of total billed charges,470.36,87.2,,376.29,percent of total billed charges,87.2% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,438.48,81.29,,350.78,percent of total billed charges,81.29% of total billed charges,485.46,90,,388.37,percent of total billed charges,90% of totl billed charges,485.46,90,,388.37,percent of total billed charges,90% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,485.46,90,,388.37,percent of total billed charges,90% of total billed charges,485.46,90,,388.37,percent of total billed charges,90% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,329.03,61,,263.22,percent of total billed charges,61% of total billed charges,280.49,52,,224.39,percent of total billed charges,52% of total billed charges,280.49,485.46,
ACETABULAR BONE SCW 35MM,35032439,CDM,278,RC,C1713,HCPCS,Outpatient,,,399,319.2,,339.15,85,,271.32,percent of total billed charges,85% of total billed charges,339.15,85,,271.32,percent of total billed charges,85% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,296.38,74,,237.1,percent of total billed charges,74.28% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,296.38,74,,237.1,percent of total billed charges,74.28% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,296.38,74,,237.1,percent of total billed charges,74.28% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,359.1,90,,287.28,percent of total billed charges,90% of total billed charges,359.1,90,,287.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,347.93,87.2,,,percent of total billed charges,87.2% of total billed charges,235.41,59,,188.33,percent of total billed charges,59% of total billed charges,347.93,87.2,,278.34,percent of total billed charges,87.2% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,324.35,81.29,,259.48,percent of total billed charges,81.29% of total billed charges,359.1,90,,287.28,percent of total billed charges,90% of totl billed charges,359.1,90,,287.28,percent of total billed charges,90% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,359.1,90,,287.28,percent of total billed charges,90% of total billed charges,359.1,90,,287.28,percent of total billed charges,90% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,243.39,61,,194.71,percent of total billed charges,61% of total billed charges,207.48,52,,165.98,percent of total billed charges,52% of total billed charges,207.48,359.1,
SCREW SV ATS 5.5X50,35032664,CDM,278,RC,C1713,HCPCS,Outpatient,,,2686.13,2148.9,,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2342.31,87.2,,,percent of total billed charges,87.2% of total billed charges,1584.82,59,,1267.86,percent of total billed charges,59% of total billed charges,2342.31,87.2,,1873.85,percent of total billed charges,87.2% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2183.56,81.29,,1746.85,percent of total billed charges,81.29% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of totl billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,2417.52,
BONE CUBE DRIED 4-9.5MM,35032685,CDM,278,RC,C1713,HCPCS,Outpatient,,,728.61,582.89,,619.32,85,,495.46,percent of total billed charges,85% of total billed charges,619.32,85,,495.46,percent of total billed charges,85% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,541.21,74,,432.97,percent of total billed charges,74.28% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,541.21,74,,432.97,percent of total billed charges,74.28% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,541.21,74,,432.97,percent of total billed charges,74.28% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,655.75,90,,524.6,percent of total billed charges,90% of total billed charges,655.75,90,,524.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,635.35,87.2,,,percent of total billed charges,87.2% of total billed charges,429.88,59,,343.9,percent of total billed charges,59% of total billed charges,635.35,87.2,,508.28,percent of total billed charges,87.2% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,592.29,81.29,,473.83,percent of total billed charges,81.29% of total billed charges,655.75,90,,524.6,percent of total billed charges,90% of totl billed charges,655.75,90,,524.6,percent of total billed charges,90% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,655.75,90,,524.6,percent of total billed charges,90% of total billed charges,655.75,90,,524.6,percent of total billed charges,90% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,444.45,61,,355.56,percent of total billed charges,61% of total billed charges,378.88,52,,303.1,percent of total billed charges,52% of total billed charges,378.88,655.75,
SCREW 3.0X16MM CANNULATED,35032703,CDM,278,RC,C1713,HCPCS,Outpatient,,,1138.5,910.8,,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,992.77,87.2,,,percent of total billed charges,87.2% of total billed charges,671.72,59,,537.38,percent of total billed charges,59% of total billed charges,992.77,87.2,,794.22,percent of total billed charges,87.2% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,925.49,81.29,,740.39,percent of total billed charges,81.29% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of totl billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,1024.65,
SCREW 3.0X24MM CANNULATED,35032704,CDM,278,RC,C1713,HCPCS,Outpatient,,,1138.5,910.8,,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,992.77,87.2,,,percent of total billed charges,87.2% of total billed charges,671.72,59,,537.38,percent of total billed charges,59% of total billed charges,992.77,87.2,,794.22,percent of total billed charges,87.2% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,925.49,81.29,,740.39,percent of total billed charges,81.29% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of totl billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,1024.65,
SCREW 3.0X20MM CANNULATED,35032705,CDM,278,RC,C1713,HCPCS,Outpatient,,,1138.5,910.8,,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,967.73,85,,774.18,percent of total billed charges,85% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,845.68,74,,676.54,percent of total billed charges,74.28% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,992.77,87.2,,,percent of total billed charges,87.2% of total billed charges,671.72,59,,537.38,percent of total billed charges,59% of total billed charges,992.77,87.2,,794.22,percent of total billed charges,87.2% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,925.49,81.29,,740.39,percent of total billed charges,81.29% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of totl billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,1024.65,90,,819.72,percent of total billed charges,90% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,694.49,61,,555.59,percent of total billed charges,61% of total billed charges,592.02,52,,473.62,percent of total billed charges,52% of total billed charges,592.02,1024.65,
6.5MM LOW PRO HEX SCR 35MM,35032717,CDM,278,RC,C1713,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
SCREW CANN 4.5mm 241.7XX,35033000,CDM,278,RC,C1713,HCPCS,Outpatient,,,583.1,466.48,,495.64,85,,396.51,percent of total billed charges,85% of total billed charges,495.64,85,,396.51,percent of total billed charges,85% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,508.46,87.2,,,percent of total billed charges,87.2% of total billed charges,344.03,59,,275.22,percent of total billed charges,59% of total billed charges,508.46,87.2,,406.77,percent of total billed charges,87.2% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,474,81.29,,379.2,percent of total billed charges,81.29% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of totl billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,303.21,524.79,
SCREW CANN 7.3 MM 208.XXX,35033002,CDM,278,RC,C1713,HCPCS,Outpatient,,,747,597.6,,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,651.38,87.2,,,percent of total billed charges,87.2% of total billed charges,440.73,59,,352.58,percent of total billed charges,59% of total billed charges,651.38,87.2,,521.1,percent of total billed charges,87.2% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,607.24,81.29,,485.79,percent of total billed charges,81.29% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of totl billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,672.3,
SCREW COR 1.0 MM 400.5XX,35033003,CDM,278,RC,C1713,HCPCS,Outpatient,,,204.88,163.9,,174.15,85,,139.32,percent of total billed charges,85% of total billed charges,174.15,85,,139.32,percent of total billed charges,85% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,152.18,74,,121.74,percent of total billed charges,74.28% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,152.18,74,,121.74,percent of total billed charges,74.28% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,152.18,74,,121.74,percent of total billed charges,74.28% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,184.39,90,,147.51,percent of total billed charges,90% of total billed charges,184.39,90,,147.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,178.66,87.2,,,percent of total billed charges,87.2% of total billed charges,120.88,59,,96.7,percent of total billed charges,59% of total billed charges,178.66,87.2,,142.93,percent of total billed charges,87.2% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,166.55,81.29,,133.24,percent of total billed charges,81.29% of total billed charges,184.39,90,,147.51,percent of total billed charges,90% of totl billed charges,184.39,90,,147.51,percent of total billed charges,90% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,184.39,90,,147.51,percent of total billed charges,90% of total billed charges,184.39,90,,147.51,percent of total billed charges,90% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,124.98,61,,99.98,percent of total billed charges,61% of total billed charges,106.54,52,,85.23,percent of total billed charges,52% of total billed charges,106.54,184.39,
SCREW CANN 13.0 MM 219.99,35033004,CDM,278,RC,C1713,HCPCS,Outpatient,,,74.07,59.26,,62.96,85,,50.37,percent of total billed charges,85% of total billed charges,62.96,85,,50.37,percent of total billed charges,85% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,55.02,74,,44.02,percent of total billed charges,74.28% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,55.02,74,,44.02,percent of total billed charges,74.28% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,55.02,74,,44.02,percent of total billed charges,74.28% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,66.66,90,,53.33,percent of total billed charges,90% of total billed charges,66.66,90,,53.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,64.59,87.2,,,percent of total billed charges,87.2% of total billed charges,43.7,59,,34.96,percent of total billed charges,59% of total billed charges,64.59,87.2,,51.67,percent of total billed charges,87.2% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,60.21,81.29,,48.17,percent of total billed charges,81.29% of total billed charges,66.66,90,,53.33,percent of total billed charges,90% of totl billed charges,66.66,90,,53.33,percent of total billed charges,90% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,66.66,90,,53.33,percent of total billed charges,90% of total billed charges,66.66,90,,53.33,percent of total billed charges,90% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,45.18,61,,36.14,percent of total billed charges,61% of total billed charges,38.52,52,,30.82,percent of total billed charges,52% of total billed charges,38.52,66.66,
SCREW COR 4.5MM 214.8XX,35033005,CDM,278,RC,C1713,HCPCS,Outpatient,,,65.41,52.33,,55.6,85,,44.48,percent of total billed charges,85% of total billed charges,55.6,85,,44.48,percent of total billed charges,85% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,48.59,74,,38.87,percent of total billed charges,74.28% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,48.59,74,,38.87,percent of total billed charges,74.28% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,48.59,74,,38.87,percent of total billed charges,74.28% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,58.87,90,,47.1,percent of total billed charges,90% of total billed charges,58.87,90,,47.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,57.04,87.2,,,percent of total billed charges,87.2% of total billed charges,38.59,59,,30.87,percent of total billed charges,59% of total billed charges,57.04,87.2,,45.63,percent of total billed charges,87.2% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,53.17,81.29,,42.54,percent of total billed charges,81.29% of total billed charges,58.87,90,,47.1,percent of total billed charges,90% of totl billed charges,58.87,90,,47.1,percent of total billed charges,90% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,58.87,90,,47.1,percent of total billed charges,90% of total billed charges,58.87,90,,47.1,percent of total billed charges,90% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,39.9,61,,31.92,percent of total billed charges,61% of total billed charges,34.01,52,,27.21,percent of total billed charges,52% of total billed charges,34.01,58.87,
SCREW COR 4.5 214.870,35033006,CDM,278,RC,C1713,HCPCS,Outpatient,,,106.37,85.1,,90.41,85,,72.33,percent of total billed charges,85% of total billed charges,90.41,85,,72.33,percent of total billed charges,85% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,79.01,74,,63.21,percent of total billed charges,74.28% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,92.75,87.2,,,percent of total billed charges,87.2% of total billed charges,62.76,59,,50.21,percent of total billed charges,59% of total billed charges,92.75,87.2,,74.2,percent of total billed charges,87.2% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,86.47,81.29,,69.18,percent of total billed charges,81.29% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of totl billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,95.73,90,,76.58,percent of total billed charges,90% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,64.89,61,,51.91,percent of total billed charges,61% of total billed charges,55.31,52,,44.25,percent of total billed charges,52% of total billed charges,55.31,95.73,
SCREW MAL 4.5 MM 215.0XX,35033007,CDM,278,RC,C1713,HCPCS,Outpatient,,,99.28,79.42,,84.39,85,,67.51,percent of total billed charges,85% of total billed charges,84.39,85,,67.51,percent of total billed charges,85% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,73.75,74,,59,percent of total billed charges,74.28% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,73.75,74,,59,percent of total billed charges,74.28% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,73.75,74,,59,percent of total billed charges,74.28% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,89.35,90,,71.48,percent of total billed charges,90% of total billed charges,89.35,90,,71.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,86.57,87.2,,,percent of total billed charges,87.2% of total billed charges,58.58,59,,46.86,percent of total billed charges,59% of total billed charges,86.57,87.2,,69.26,percent of total billed charges,87.2% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,80.7,81.29,,64.56,percent of total billed charges,81.29% of total billed charges,89.35,90,,71.48,percent of total billed charges,90% of totl billed charges,89.35,90,,71.48,percent of total billed charges,90% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,89.35,90,,71.48,percent of total billed charges,90% of total billed charges,89.35,90,,71.48,percent of total billed charges,90% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,60.56,61,,48.45,percent of total billed charges,61% of total billed charges,51.63,52,,41.3,percent of total billed charges,52% of total billed charges,51.63,89.35,
SCREW CANC 6.5 MM 216.030-080,35033008,CDM,278,RC,C1713,HCPCS,Outpatient,,,104.8,83.84,,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,91.39,87.2,,,percent of total billed charges,87.2% of total billed charges,61.83,59,,49.46,percent of total billed charges,59% of total billed charges,91.39,87.2,,73.11,percent of total billed charges,87.2% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,85.19,81.29,,68.15,percent of total billed charges,81.29% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of totl billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,94.32,
SCREW CANC 6.5 MM 216.085.105,35033009,CDM,278,RC,C1713,HCPCS,Outpatient,,,115.84,92.67,,98.46,85,,78.77,percent of total billed charges,85% of total billed charges,98.46,85,,78.77,percent of total billed charges,85% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,101.01,87.2,,,percent of total billed charges,87.2% of total billed charges,68.35,59,,54.68,percent of total billed charges,59% of total billed charges,101.01,87.2,,80.81,percent of total billed charges,87.2% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,94.17,81.29,,75.34,percent of total billed charges,81.29% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of totl billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,60.24,104.26,
SCREW CANC 6.5 MM 216.110,35033010,CDM,278,RC,C1713,HCPCS,Outpatient,,,142.62,114.1,,121.23,85,,96.98,percent of total billed charges,85% of total billed charges,121.23,85,,96.98,percent of total billed charges,85% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,124.36,87.2,,,percent of total billed charges,87.2% of total billed charges,84.15,59,,67.32,percent of total billed charges,59% of total billed charges,124.36,87.2,,99.49,percent of total billed charges,87.2% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,115.94,81.29,,92.75,percent of total billed charges,81.29% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of totl billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,74.16,128.36,
SCREW CANC6.5MM217.045-217.080,35033011,CDM,278,RC,C1713,HCPCS,Outpatient,,,104.8,83.84,,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,91.39,87.2,,,percent of total billed charges,87.2% of total billed charges,61.83,59,,49.46,percent of total billed charges,59% of total billed charges,91.39,87.2,,73.11,percent of total billed charges,87.2% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,85.19,81.29,,68.15,percent of total billed charges,81.29% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of totl billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,94.32,
SCREW CANC6.5MM217.085-217.105,35033012,CDM,278,RC,C1713,HCPCS,Outpatient,,,115.84,92.67,,98.46,85,,78.77,percent of total billed charges,85% of total billed charges,98.46,85,,78.77,percent of total billed charges,85% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,86.05,74,,68.84,percent of total billed charges,74.28% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,101.01,87.2,,,percent of total billed charges,87.2% of total billed charges,68.35,59,,54.68,percent of total billed charges,59% of total billed charges,101.01,87.2,,80.81,percent of total billed charges,87.2% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,94.17,81.29,,75.34,percent of total billed charges,81.29% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of totl billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,104.26,90,,83.41,percent of total billed charges,90% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,70.66,61,,56.53,percent of total billed charges,61% of total billed charges,60.24,52,,48.19,percent of total billed charges,52% of total billed charges,60.24,104.26,
SCREW CANC 6.5mm 217.110,35033013,CDM,278,RC,C1713,HCPCS,Outpatient,,,142.62,114.1,,121.23,85,,96.98,percent of total billed charges,85% of total billed charges,121.23,85,,96.98,percent of total billed charges,85% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,105.94,74,,84.75,percent of total billed charges,74.28% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,124.36,87.2,,,percent of total billed charges,87.2% of total billed charges,84.15,59,,67.32,percent of total billed charges,59% of total billed charges,124.36,87.2,,99.49,percent of total billed charges,87.2% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,115.94,81.29,,92.75,percent of total billed charges,81.29% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of totl billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,128.36,90,,102.69,percent of total billed charges,90% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,87,61,,69.6,percent of total billed charges,61% of total billed charges,74.16,52,,59.33,percent of total billed charges,52% of total billed charges,74.16,128.36,
SCREW CANC 6.5mm 218.0XX,35033014,CDM,278,RC,C1713,HCPCS,Outpatient,,,104.8,83.84,,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,89.08,85,,71.26,percent of total billed charges,85% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,77.85,74,,62.28,percent of total billed charges,74.28% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,91.39,87.2,,,percent of total billed charges,87.2% of total billed charges,61.83,59,,49.46,percent of total billed charges,59% of total billed charges,91.39,87.2,,73.11,percent of total billed charges,87.2% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,85.19,81.29,,68.15,percent of total billed charges,81.29% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of totl billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,94.32,90,,75.46,percent of total billed charges,90% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,63.93,61,,51.14,percent of total billed charges,61% of total billed charges,54.5,52,,43.6,percent of total billed charges,52% of total billed charges,54.5,94.32,
SCREW SHAFT 3.5MM 204.2XX,35033036,CDM,278,RC,C1713,HCPCS,Outpatient,,,60.67,48.54,,51.57,85,,41.26,percent of total billed charges,85% of total billed charges,51.57,85,,41.26,percent of total billed charges,85% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,45.07,74,,36.06,percent of total billed charges,74.28% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,45.07,74,,36.06,percent of total billed charges,74.28% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,45.07,74,,36.06,percent of total billed charges,74.28% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,54.6,90,,43.68,percent of total billed charges,90% of total billed charges,54.6,90,,43.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,52.9,87.2,,,percent of total billed charges,87.2% of total billed charges,35.8,59,,28.64,percent of total billed charges,59% of total billed charges,52.9,87.2,,42.32,percent of total billed charges,87.2% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,49.32,81.29,,39.46,percent of total billed charges,81.29% of total billed charges,54.6,90,,43.68,percent of total billed charges,90% of totl billed charges,54.6,90,,43.68,percent of total billed charges,90% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,54.6,90,,43.68,percent of total billed charges,90% of total billed charges,54.6,90,,43.68,percent of total billed charges,90% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,37.01,61,,29.61,percent of total billed charges,61% of total billed charges,31.55,52,,25.24,percent of total billed charges,52% of total billed charges,31.55,54.6,
SCREW CANC 4.0MM 207.0XX,35033039,CDM,278,RC,C1713,HCPCS,Outpatient,,,252,201.6,,214.2,85,,171.36,percent of total billed charges,85% of total billed charges,214.2,85,,171.36,percent of total billed charges,85% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,187.19,74,,149.75,percent of total billed charges,74.28% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,219.74,87.2,,,percent of total billed charges,87.2% of total billed charges,148.68,59,,118.94,percent of total billed charges,59% of total billed charges,219.74,87.2,,175.79,percent of total billed charges,87.2% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,204.85,81.29,,163.88,percent of total billed charges,81.29% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of totl billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,226.8,90,,181.44,percent of total billed charges,90% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,153.72,61,,122.98,percent of total billed charges,61% of total billed charges,131.04,52,,104.83,percent of total billed charges,52% of total billed charges,131.04,226.8,
ANCHOR PEEK ZIP 5.5,35033128,CDM,278,RC,C1713,HCPCS,Outpatient,,,765.91,612.73,,651.02,85,,520.82,percent of total billed charges,85% of total billed charges,651.02,85,,520.82,percent of total billed charges,85% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,568.92,74,,455.14,percent of total billed charges,74.28% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,568.92,74,,455.14,percent of total billed charges,74.28% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,568.92,74,,455.14,percent of total billed charges,74.28% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,689.32,90,,551.46,percent of total billed charges,90% of total billed charges,689.32,90,,551.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,667.87,87.2,,,percent of total billed charges,87.2% of total billed charges,451.89,59,,361.51,percent of total billed charges,59% of total billed charges,667.87,87.2,,534.3,percent of total billed charges,87.2% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,622.61,81.29,,498.09,percent of total billed charges,81.29% of total billed charges,689.32,90,,551.46,percent of total billed charges,90% of totl billed charges,689.32,90,,551.46,percent of total billed charges,90% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,689.32,90,,551.46,percent of total billed charges,90% of total billed charges,689.32,90,,551.46,percent of total billed charges,90% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,467.21,61,,373.77,percent of total billed charges,61% of total billed charges,398.27,52,,318.62,percent of total billed charges,52% of total billed charges,398.27,689.32,
ARTH ANCHOR AR2323/2324 BSLC,35033174,CDM,278,RC,C1713,HCPCS,Outpatient,,,840.5,672.4,,714.43,85,,571.54,percent of total billed charges,85% of total billed charges,714.43,85,,571.54,percent of total billed charges,85% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,624.32,74,,499.46,percent of total billed charges,74.28% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,624.32,74,,499.46,percent of total billed charges,74.28% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,624.32,74,,499.46,percent of total billed charges,74.28% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,756.45,90,,605.16,percent of total billed charges,90% of total billed charges,756.45,90,,605.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,732.92,87.2,,,percent of total billed charges,87.2% of total billed charges,495.9,59,,396.72,percent of total billed charges,59% of total billed charges,732.92,87.2,,586.34,percent of total billed charges,87.2% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,683.24,81.29,,546.59,percent of total billed charges,81.29% of total billed charges,756.45,90,,605.16,percent of total billed charges,90% of totl billed charges,756.45,90,,605.16,percent of total billed charges,90% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,756.45,90,,605.16,percent of total billed charges,90% of total billed charges,756.45,90,,605.16,percent of total billed charges,90% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,512.71,61,,410.17,percent of total billed charges,61% of total billed charges,437.06,52,,349.65,percent of total billed charges,52% of total billed charges,437.06,756.45,
BIO SCREW CORK 5.5 AR1927BF,35033181,CDM,278,RC,C1713,HCPCS,Outpatient,,,673.71,538.97,,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,587.48,87.2,,,percent of total billed charges,87.2% of total billed charges,397.49,59,,317.99,percent of total billed charges,59% of total billed charges,587.48,87.2,,469.98,percent of total billed charges,87.2% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,547.66,81.29,,438.13,percent of total billed charges,81.29% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of totl billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,606.34,
ARTH MINI CORKSCREW AR1319 FT,35033182,CDM,278,RC,C1713,HCPCS,Outpatient,,,945.56,756.45,,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,824.53,87.2,,,percent of total billed charges,87.2% of total billed charges,557.88,59,,446.3,percent of total billed charges,59% of total billed charges,824.53,87.2,,659.62,percent of total billed charges,87.2% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,768.65,81.29,,614.92,percent of total billed charges,81.29% of total billed charges,851,90,,680.8,percent of total billed charges,90% of totl billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,851,
SCREW HEADLESS 3172018,35033185,CDM,278,RC,C1713,HCPCS,Outpatient,,,650.08,520.06,,552.57,85,,442.06,percent of total billed charges,85% of total billed charges,552.57,85,,442.06,percent of total billed charges,85% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,482.88,74,,386.3,percent of total billed charges,74.28% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,482.88,74,,386.3,percent of total billed charges,74.28% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,482.88,74,,386.3,percent of total billed charges,74.28% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,585.07,90,,468.06,percent of total billed charges,90% of total billed charges,585.07,90,,468.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,566.87,87.2,,,percent of total billed charges,87.2% of total billed charges,383.55,59,,306.84,percent of total billed charges,59% of total billed charges,566.87,87.2,,453.5,percent of total billed charges,87.2% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,528.45,81.29,,422.76,percent of total billed charges,81.29% of total billed charges,585.07,90,,468.06,percent of total billed charges,90% of totl billed charges,585.07,90,,468.06,percent of total billed charges,90% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,585.07,90,,468.06,percent of total billed charges,90% of total billed charges,585.07,90,,468.06,percent of total billed charges,90% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,396.55,61,,317.24,percent of total billed charges,61% of total billed charges,338.04,52,,270.43,percent of total billed charges,52% of total billed charges,338.04,585.07,
ANCHOR ARTH MICRO AR-1318FT,35033190,CDM,278,RC,C1713,HCPCS,Outpatient,,,673.71,538.97,,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,587.48,87.2,,,percent of total billed charges,87.2% of total billed charges,397.49,59,,317.99,percent of total billed charges,59% of total billed charges,587.48,87.2,,469.98,percent of total billed charges,87.2% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,547.66,81.29,,438.13,percent of total billed charges,81.29% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of totl billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,606.34,
STRYKER SCREW 340630/32/52/56,35033215,CDM,278,RC,C1713,HCPCS,Outpatient,,,85.11,68.09,,72.34,85,,57.87,percent of total billed charges,85% of total billed charges,72.34,85,,57.87,percent of total billed charges,85% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,63.22,74,,50.58,percent of total billed charges,74.28% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,63.22,74,,50.58,percent of total billed charges,74.28% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,63.22,74,,50.58,percent of total billed charges,74.28% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,76.6,90,,61.28,percent of total billed charges,90% of total billed charges,76.6,90,,61.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,74.22,87.2,,,percent of total billed charges,87.2% of total billed charges,50.21,59,,40.17,percent of total billed charges,59% of total billed charges,74.22,87.2,,59.38,percent of total billed charges,87.2% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,69.19,81.29,,55.35,percent of total billed charges,81.29% of total billed charges,76.6,90,,61.28,percent of total billed charges,90% of totl billed charges,76.6,90,,61.28,percent of total billed charges,90% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,76.6,90,,61.28,percent of total billed charges,90% of total billed charges,76.6,90,,61.28,percent of total billed charges,90% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,51.92,61,,41.54,percent of total billed charges,61% of total billed charges,44.26,52,,35.41,percent of total billed charges,52% of total billed charges,44.26,76.6,
OSTEOMEDSCREW33124 10/12/16/18,35033229,CDM,278,RC,C1713,HCPCS,Outpatient,,,220.63,176.5,,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,192.39,87.2,,,percent of total billed charges,87.2% of total billed charges,130.17,59,,104.14,percent of total billed charges,59% of total billed charges,192.39,87.2,,153.91,percent of total billed charges,87.2% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,179.35,81.29,,143.48,percent of total billed charges,81.29% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of totl billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,198.57,
OSTEOMED SCREW 33024 10/14/16,35033230,CDM,278,RC,C1713,HCPCS,Outpatient,,,299.43,239.54,,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,261.1,87.2,,,percent of total billed charges,87.2% of total billed charges,176.66,59,,141.33,percent of total billed charges,59% of total billed charges,261.1,87.2,,208.88,percent of total billed charges,87.2% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,243.41,81.29,,194.73,percent of total billed charges,81.29% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of totl billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,269.49,
SCREW COR 2.4MM 401.5XX.96,35039866,CDM,278,RC,C1713,HCPCS,Outpatient,,,333,266.4,,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,283.05,85,,226.44,percent of total billed charges,85% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,247.35,74,,197.88,percent of total billed charges,74.28% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,290.38,87.2,,,percent of total billed charges,87.2% of total billed charges,196.47,59,,157.18,percent of total billed charges,59% of total billed charges,290.38,87.2,,232.3,percent of total billed charges,87.2% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,270.7,81.29,,216.56,percent of total billed charges,81.29% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of totl billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,299.7,90,,239.76,percent of total billed charges,90% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,203.13,61,,162.5,percent of total billed charges,61% of total billed charges,173.16,52,,138.53,percent of total billed charges,52% of total billed charges,173.16,299.7,
"WIRE K 4"" (ALL)",35039894,CDM,278,RC,C1713,HCPCS,Outpatient,,,23.73,18.98,,20.17,85,,16.14,percent of total billed charges,85% of total billed charges,20.17,85,,16.14,percent of total billed charges,85% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,17.63,74,,14.1,percent of total billed charges,74.28% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,17.63,74,,14.1,percent of total billed charges,74.28% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,17.63,74,,14.1,percent of total billed charges,74.28% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,21.36,90,,17.09,percent of total billed charges,90% of total billed charges,21.36,90,,17.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,20.69,87.2,,,percent of total billed charges,87.2% of total billed charges,14,59,,11.2,percent of total billed charges,59% of total billed charges,20.69,87.2,,16.55,percent of total billed charges,87.2% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,19.29,81.29,,15.43,percent of total billed charges,81.29% of total billed charges,21.36,90,,17.09,percent of total billed charges,90% of totl billed charges,21.36,90,,17.09,percent of total billed charges,90% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,21.36,90,,17.09,percent of total billed charges,90% of total billed charges,21.36,90,,17.09,percent of total billed charges,90% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,14.48,61,,11.58,percent of total billed charges,61% of total billed charges,12.34,52,,9.87,percent of total billed charges,52% of total billed charges,12.34,21.36,
SCREW CANN 7.3MM 209.XXX,35039895,CDM,278,RC,C1713,HCPCS,Outpatient,,,747,597.6,,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,651.38,87.2,,,percent of total billed charges,87.2% of total billed charges,440.73,59,,352.58,percent of total billed charges,59% of total billed charges,651.38,87.2,,521.1,percent of total billed charges,87.2% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,607.24,81.29,,485.79,percent of total billed charges,81.29% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of totl billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,672.3,
SCREW COR 1.3MM 400.6XX,35039900,CDM,278,RC,C1713,HCPCS,Outpatient,,,215.91,172.73,,183.52,85,,146.82,percent of total billed charges,85% of total billed charges,183.52,85,,146.82,percent of total billed charges,85% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,160.38,74,,128.3,percent of total billed charges,74.28% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,160.38,74,,128.3,percent of total billed charges,74.28% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,160.38,74,,128.3,percent of total billed charges,74.28% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,194.32,90,,155.46,percent of total billed charges,90% of total billed charges,194.32,90,,155.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,188.27,87.2,,,percent of total billed charges,87.2% of total billed charges,127.39,59,,101.91,percent of total billed charges,59% of total billed charges,188.27,87.2,,150.62,percent of total billed charges,87.2% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,175.51,81.29,,140.41,percent of total billed charges,81.29% of total billed charges,194.32,90,,155.46,percent of total billed charges,90% of totl billed charges,194.32,90,,155.46,percent of total billed charges,90% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,194.32,90,,155.46,percent of total billed charges,90% of total billed charges,194.32,90,,155.46,percent of total billed charges,90% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,131.71,61,,105.37,percent of total billed charges,61% of total billed charges,112.27,52,,89.82,percent of total billed charges,52% of total billed charges,112.27,194.32,
SCREW COR 1.5MM 400.8XX.96,35039901,CDM,278,RC,C1713,HCPCS,Outpatient,,,148.92,119.14,,126.58,85,,101.26,percent of total billed charges,85% of total billed charges,126.58,85,,101.26,percent of total billed charges,85% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,110.62,74,,88.5,percent of total billed charges,74.28% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,110.62,74,,88.5,percent of total billed charges,74.28% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,110.62,74,,88.5,percent of total billed charges,74.28% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,134.03,90,,107.22,percent of total billed charges,90% of total billed charges,134.03,90,,107.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,129.86,87.2,,,percent of total billed charges,87.2% of total billed charges,87.86,59,,70.29,percent of total billed charges,59% of total billed charges,129.86,87.2,,103.89,percent of total billed charges,87.2% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,121.06,81.29,,96.85,percent of total billed charges,81.29% of total billed charges,134.03,90,,107.22,percent of total billed charges,90% of totl billed charges,134.03,90,,107.22,percent of total billed charges,90% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,134.03,90,,107.22,percent of total billed charges,90% of total billed charges,134.03,90,,107.22,percent of total billed charges,90% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,90.84,61,,72.67,percent of total billed charges,61% of total billed charges,77.44,52,,61.95,percent of total billed charges,52% of total billed charges,77.44,134.03,
SCREW COR 2.0MM 401.8XX.96,35039902,CDM,278,RC,C1713,HCPCS,Outpatient,,,163.9,131.12,,139.32,85,,111.46,percent of total billed charges,85% of total billed charges,139.32,85,,111.46,percent of total billed charges,85% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,121.74,74,,97.39,percent of total billed charges,74.28% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,121.74,74,,97.39,percent of total billed charges,74.28% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,121.74,74,,97.39,percent of total billed charges,74.28% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,147.51,90,,118.01,percent of total billed charges,90% of total billed charges,147.51,90,,118.01,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,142.92,87.2,,,percent of total billed charges,87.2% of total billed charges,96.7,59,,77.36,percent of total billed charges,59% of total billed charges,142.92,87.2,,114.34,percent of total billed charges,87.2% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,133.23,81.29,,106.58,percent of total billed charges,81.29% of total billed charges,147.51,90,,118.01,percent of total billed charges,90% of totl billed charges,147.51,90,,118.01,percent of total billed charges,90% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,147.51,90,,118.01,percent of total billed charges,90% of total billed charges,147.51,90,,118.01,percent of total billed charges,90% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,99.98,61,,79.98,percent of total billed charges,61% of total billed charges,85.23,52,,68.18,percent of total billed charges,52% of total billed charges,85.23,147.51,
SCREW CANN 4.5MM 214.5XX,35039929,CDM,278,RC,C1713,HCPCS,Outpatient,,,583.1,466.48,,495.64,85,,396.51,percent of total billed charges,85% of total billed charges,495.64,85,,396.51,percent of total billed charges,85% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,433.13,74,,346.5,percent of total billed charges,74.28% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,508.46,87.2,,,percent of total billed charges,87.2% of total billed charges,344.03,59,,275.22,percent of total billed charges,59% of total billed charges,508.46,87.2,,406.77,percent of total billed charges,87.2% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,474,81.29,,379.2,percent of total billed charges,81.29% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of totl billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,524.79,90,,419.83,percent of total billed charges,90% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,355.69,61,,284.55,percent of total billed charges,61% of total billed charges,303.21,52,,242.57,percent of total billed charges,52% of total billed charges,303.21,524.79,
SCREW WASHER CANN 10.0MM219.91,35039930,CDM,278,RC,C1713,HCPCS,Outpatient,,,73.28,58.62,,62.29,85,,49.83,percent of total billed charges,85% of total billed charges,62.29,85,,49.83,percent of total billed charges,85% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,54.43,74,,43.54,percent of total billed charges,74.28% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,54.43,74,,43.54,percent of total billed charges,74.28% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,54.43,74,,43.54,percent of total billed charges,74.28% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,65.95,90,,52.76,percent of total billed charges,90% of total billed charges,65.95,90,,52.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,63.9,87.2,,,percent of total billed charges,87.2% of total billed charges,43.24,59,,34.59,percent of total billed charges,59% of total billed charges,63.9,87.2,,51.12,percent of total billed charges,87.2% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,59.57,81.29,,47.66,percent of total billed charges,81.29% of total billed charges,65.95,90,,52.76,percent of total billed charges,90% of totl billed charges,65.95,90,,52.76,percent of total billed charges,90% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,65.95,90,,52.76,percent of total billed charges,90% of total billed charges,65.95,90,,52.76,percent of total billed charges,90% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,44.7,61,,35.76,percent of total billed charges,61% of total billed charges,38.11,52,,30.49,percent of total billed charges,52% of total billed charges,38.11,65.95,
SCREW CANN 6.5MM 208.4XX,35039941,CDM,278,RC,C1713,HCPCS,Outpatient,,,747,597.6,,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,634.95,85,,507.96,percent of total billed charges,85% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,554.87,74,,443.9,percent of total billed charges,74.28% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,651.38,87.2,,,percent of total billed charges,87.2% of total billed charges,440.73,59,,352.58,percent of total billed charges,59% of total billed charges,651.38,87.2,,521.1,percent of total billed charges,87.2% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,607.24,81.29,,485.79,percent of total billed charges,81.29% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of totl billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,672.3,90,,537.84,percent of total billed charges,90% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,455.67,61,,364.54,percent of total billed charges,61% of total billed charges,388.44,52,,310.75,percent of total billed charges,52% of total billed charges,388.44,672.3,
OSTEOMED SCREW 33016 08/08/12,35039986,CDM,278,RC,C1713,HCPCS,Outpatient,,,318.34,254.67,,270.59,85,,216.47,percent of total billed charges,85% of total billed charges,270.59,85,,216.47,percent of total billed charges,85% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,236.46,74,,189.17,percent of total billed charges,74.28% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,236.46,74,,189.17,percent of total billed charges,74.28% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,236.46,74,,189.17,percent of total billed charges,74.28% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,286.51,90,,229.21,percent of total billed charges,90% of total billed charges,286.51,90,,229.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,277.59,87.2,,,percent of total billed charges,87.2% of total billed charges,187.82,59,,150.26,percent of total billed charges,59% of total billed charges,277.59,87.2,,222.07,percent of total billed charges,87.2% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,258.78,81.29,,207.02,percent of total billed charges,81.29% of total billed charges,286.51,90,,229.21,percent of total billed charges,90% of totl billed charges,286.51,90,,229.21,percent of total billed charges,90% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,286.51,90,,229.21,percent of total billed charges,90% of total billed charges,286.51,90,,229.21,percent of total billed charges,90% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,194.19,61,,155.35,percent of total billed charges,61% of total billed charges,165.54,52,,132.43,percent of total billed charges,52% of total billed charges,165.54,286.51,
TRIDENT II CLUSTERHOLE HA 58F,35031227,CDM,278,RC,C1716,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
6.5MM LOW PROFILE HEX SCREW,35031228,CDM,278,RC,C1716,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
SIZE7ACCOLADELL 132 DEG,35031229,CDM,278,RC,C1716,HCPCS,Outpatient,,,3750,3000,,3187.5,85,,2550,percent of total billed charges,85% of total billed charges,3187.5,85,,2550,percent of total billed charges,85% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,2785.5,74,,2228.4,percent of total billed charges,74.28% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,2785.5,74,,2228.4,percent of total billed charges,74.28% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,2785.5,74,,2228.4,percent of total billed charges,74.28% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,3375,90,,2700,percent of total billed charges,90% of total billed charges,3375,90,,2700,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1950,52,,1560,percent of total billed charges,52% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,3270,87.2,,,percent of total billed charges,87.2% of total billed charges,2212.5,59,,1770,percent of total billed charges,59% of total billed charges,3270,87.2,,2616,percent of total billed charges,87.2% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,3048.38,81.29,,2438.7,percent of total billed charges,81.29% of total billed charges,3375,90,,2700,percent of total billed charges,90% of totl billed charges,3375,90,,2700,percent of total billed charges,90% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,3375,90,,2700,percent of total billed charges,90% of total billed charges,3375,90,,2700,percent of total billed charges,90% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,2287.5,61,,1830,percent of total billed charges,61% of total billed charges,1950,52,,1560,percent of total billed charges,52% of total billed charges,1950,3375,
DELTAV40 CERAMICHEAD 36/0,35031230,CDM,278,RC,C1716,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
CRE BALLOON DILATION CATHETER,43401059,CDM,272,RC,C1726,HCPCS,Outpatient,,,546.51,437.21,,464.53,85,,371.62,percent of total billed charges,85% of total billed charges,464.53,85,,371.62,percent of total billed charges,85% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,405.95,74,,324.76,percent of total billed charges,74.28% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,405.95,74,,324.76,percent of total billed charges,74.28% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,405.95,74,,324.76,percent of total billed charges,74.28% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,491.86,90,,393.49,percent of total billed charges,90% of total billed charges,491.86,90,,393.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,476.56,87.2,,,percent of total billed charges,87.2% of total billed charges,322.44,59,,257.95,percent of total billed charges,59% of total billed charges,476.56,87.2,,381.25,percent of total billed charges,87.2% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,444.26,81.29,,355.41,percent of total billed charges,81.29% of total billed charges,491.86,90,,393.49,percent of total billed charges,90% of totl billed charges,491.86,90,,393.49,percent of total billed charges,90% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,491.86,90,,393.49,percent of total billed charges,90% of total billed charges,491.86,90,,393.49,percent of total billed charges,90% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,333.37,61,,266.7,percent of total billed charges,61% of total billed charges,284.19,52,,227.35,percent of total billed charges,52% of total billed charges,284.19,491.86,
MED BI-WING ANCHOR 97792,35030048,CDM,278,RC,C1733,HCPCS,Outpatient,,,283.67,226.94,,241.12,85,,192.9,percent of total billed charges,85% of total billed charges,241.12,85,,192.9,percent of total billed charges,85% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,210.71,74,,168.57,percent of total billed charges,74.28% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,210.71,74,,168.57,percent of total billed charges,74.28% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,210.71,74,,168.57,percent of total billed charges,74.28% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,255.3,90,,204.24,percent of total billed charges,90% of total billed charges,255.3,90,,204.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,247.36,87.2,,,percent of total billed charges,87.2% of total billed charges,167.37,59,,133.9,percent of total billed charges,59% of total billed charges,247.36,87.2,,197.89,percent of total billed charges,87.2% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,230.6,81.29,,184.48,percent of total billed charges,81.29% of total billed charges,255.3,90,,204.24,percent of total billed charges,90% of totl billed charges,255.3,90,,204.24,percent of total billed charges,90% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,255.3,90,,204.24,percent of total billed charges,90% of total billed charges,255.3,90,,204.24,percent of total billed charges,90% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,173.04,61,,138.43,percent of total billed charges,61% of total billed charges,147.51,52,,118.01,percent of total billed charges,52% of total billed charges,147.51,255.3,
LITHOVUE - REVERSE DEFLECTION,35032349,CDM,272,RC,C1747,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
CATH PERITONEAL DIALYSIS,35030453,CDM,278,RC,C1750,HCPCS,Outpatient,,,246,196.8,,209.1,85,,167.28,percent of total billed charges,85% of total billed charges,209.1,85,,167.28,percent of total billed charges,85% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,182.73,74,,146.18,percent of total billed charges,74.28% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,182.73,74,,146.18,percent of total billed charges,74.28% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,182.73,74,,146.18,percent of total billed charges,74.28% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,221.4,90,,177.12,percent of total billed charges,90% of total billed charges,221.4,90,,177.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,214.51,87.2,,,percent of total billed charges,87.2% of total billed charges,145.14,59,,116.11,percent of total billed charges,59% of total billed charges,214.51,87.2,,171.61,percent of total billed charges,87.2% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,199.97,81.29,,159.98,percent of total billed charges,81.29% of total billed charges,221.4,90,,177.12,percent of total billed charges,90% of totl billed charges,221.4,90,,177.12,percent of total billed charges,90% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,221.4,90,,177.12,percent of total billed charges,90% of total billed charges,221.4,90,,177.12,percent of total billed charges,90% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,150.06,61,,120.05,percent of total billed charges,61% of total billed charges,127.92,52,,102.34,percent of total billed charges,52% of total billed charges,127.92,221.4,
PICC LINE KIT,32030004,CDM,272,RC,C1751,HCPCS,Outpatient,,,249.69,199.75,,212.24,85,,169.79,percent of total billed charges,85% of total billed charges,212.24,85,,169.79,percent of total billed charges,85% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,185.47,74,,148.38,percent of total billed charges,74.28% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,185.47,74,,148.38,percent of total billed charges,74.28% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,185.47,74,,148.38,percent of total billed charges,74.28% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,224.72,90,,179.78,percent of total billed charges,90% of total billed charges,224.72,90,,179.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,217.73,87.2,,,percent of total billed charges,87.2% of total billed charges,147.32,59,,117.86,percent of total billed charges,59% of total billed charges,217.73,87.2,,174.18,percent of total billed charges,87.2% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,202.97,81.29,,162.38,percent of total billed charges,81.29% of total billed charges,224.72,90,,179.78,percent of total billed charges,90% of totl billed charges,224.72,90,,179.78,percent of total billed charges,90% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,224.72,90,,179.78,percent of total billed charges,90% of total billed charges,224.72,90,,179.78,percent of total billed charges,90% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,152.31,61,,121.85,percent of total billed charges,61% of total billed charges,129.84,52,,103.87,percent of total billed charges,52% of total billed charges,129.84,224.72,
PICC START KIT,35030843,CDM,272,RC,C1751,HCPCS,Outpatient,,,1614.51,1291.61,,1372.33,85,,1097.86,percent of total billed charges,85% of total billed charges,1372.33,85,,1097.86,percent of total billed charges,85% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,1199.26,74,,959.41,percent of total billed charges,74.28% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,1199.26,74,,959.41,percent of total billed charges,74.28% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,1199.26,74,,959.41,percent of total billed charges,74.28% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of total billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,1407.85,87.2,,,percent of total billed charges,87.2% of total billed charges,952.56,59,,762.05,percent of total billed charges,59% of total billed charges,1407.85,87.2,,1126.28,percent of total billed charges,87.2% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,1312.44,81.29,,1049.95,percent of total billed charges,81.29% of total billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of totl billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of total billed charges,1453.06,90,,1162.45,percent of total billed charges,90% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,984.85,61,,787.88,percent of total billed charges,61% of total billed charges,839.55,52,,671.64,percent of total billed charges,52% of total billed charges,839.55,1453.06,
HICKMAN CATH SINGLE LUM 9.6FR,35031815,CDM,278,RC,C1751,HCPCS,Outpatient,,,720,576,,612,85,,489.6,percent of total billed charges,85% of total billed charges,612,85,,489.6,percent of total billed charges,85% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,627.84,87.2,,,percent of total billed charges,87.2% of total billed charges,424.8,59,,339.84,percent of total billed charges,59% of total billed charges,627.84,87.2,,502.27,percent of total billed charges,87.2% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,585.29,81.29,,468.23,percent of total billed charges,81.29% of total billed charges,648,90,,518.4,percent of total billed charges,90% of totl billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,648,
CATHETER TRIPLE LUMEN,35039052,CDM,278,RC,C1751,HCPCS,Outpatient,,,25.68,20.54,,21.83,85,,17.46,percent of total billed charges,85% of total billed charges,21.83,85,,17.46,percent of total billed charges,85% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,19.08,74,,15.26,percent of total billed charges,74.28% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,19.08,74,,15.26,percent of total billed charges,74.28% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,19.08,74,,15.26,percent of total billed charges,74.28% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,23.11,90,,18.49,percent of total billed charges,90% of total billed charges,23.11,90,,18.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,22.39,87.2,,,percent of total billed charges,87.2% of total billed charges,15.15,59,,12.12,percent of total billed charges,59% of total billed charges,22.39,87.2,,17.91,percent of total billed charges,87.2% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,20.88,81.29,,16.7,percent of total billed charges,81.29% of total billed charges,23.11,90,,18.49,percent of total billed charges,90% of totl billed charges,23.11,90,,18.49,percent of total billed charges,90% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,23.11,90,,18.49,percent of total billed charges,90% of total billed charges,23.11,90,,18.49,percent of total billed charges,90% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,15.66,61,,12.53,percent of total billed charges,61% of total billed charges,13.35,52,,10.68,percent of total billed charges,52% of total billed charges,13.35,23.11,
CATH KIT HEMODIALYSIS,35031318,CDM,278,RC,C1752,HCPCS,Outpatient,,,903.96,723.17,,768.37,85,,614.7,percent of total billed charges,85% of total billed charges,768.37,85,,614.7,percent of total billed charges,85% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,671.46,74,,537.17,percent of total billed charges,74.28% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,671.46,74,,537.17,percent of total billed charges,74.28% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,671.46,74,,537.17,percent of total billed charges,74.28% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,813.56,90,,650.85,percent of total billed charges,90% of total billed charges,813.56,90,,650.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,788.25,87.2,,,percent of total billed charges,87.2% of total billed charges,533.34,59,,426.67,percent of total billed charges,59% of total billed charges,788.25,87.2,,630.6,percent of total billed charges,87.2% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,734.83,81.29,,587.86,percent of total billed charges,81.29% of total billed charges,813.56,90,,650.85,percent of total billed charges,90% of totl billed charges,813.56,90,,650.85,percent of total billed charges,90% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,813.56,90,,650.85,percent of total billed charges,90% of total billed charges,813.56,90,,650.85,percent of total billed charges,90% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,551.42,61,,441.14,percent of total billed charges,61% of total billed charges,470.06,52,,376.05,percent of total billed charges,52% of total billed charges,470.06,813.56,
"CATHETER,PERITONEAL CUFF 62CM",35031319,CDM,278,RC,C1752,HCPCS,Outpatient,,,237.39,189.91,,201.78,85,,161.42,percent of total billed charges,85% of total billed charges,201.78,85,,161.42,percent of total billed charges,85% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,176.33,74,,141.06,percent of total billed charges,74.28% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,176.33,74,,141.06,percent of total billed charges,74.28% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,176.33,74,,141.06,percent of total billed charges,74.28% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,213.65,90,,170.92,percent of total billed charges,90% of total billed charges,213.65,90,,170.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,207,87.2,,,percent of total billed charges,87.2% of total billed charges,140.06,59,,112.05,percent of total billed charges,59% of total billed charges,207,87.2,,165.6,percent of total billed charges,87.2% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,192.97,81.29,,154.38,percent of total billed charges,81.29% of total billed charges,213.65,90,,170.92,percent of total billed charges,90% of totl billed charges,213.65,90,,170.92,percent of total billed charges,90% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,213.65,90,,170.92,percent of total billed charges,90% of total billed charges,213.65,90,,170.92,percent of total billed charges,90% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,144.81,61,,115.85,percent of total billed charges,61% of total billed charges,123.44,52,,98.75,percent of total billed charges,52% of total billed charges,123.44,213.65,
MED CATHETER ASCENDA 8780,35030047,CDM,278,RC,C1755,HCPCS,Outpatient,,,2109,1687.2,,1792.65,85,,1434.12,percent of total billed charges,85% of total billed charges,1792.65,85,,1434.12,percent of total billed charges,85% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1566.57,74,,1253.26,percent of total billed charges,74.28% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1566.57,74,,1253.26,percent of total billed charges,74.28% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1566.57,74,,1253.26,percent of total billed charges,74.28% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of total billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1839.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1244.31,59,,995.45,percent of total billed charges,59% of total billed charges,1839.05,87.2,,1471.24,percent of total billed charges,87.2% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1714.41,81.29,,1371.53,percent of total billed charges,81.29% of total billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of totl billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of total billed charges,1898.1,90,,1518.48,percent of total billed charges,90% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1286.49,61,,1029.19,percent of total billed charges,61% of total billed charges,1096.68,52,,877.34,percent of total billed charges,52% of total billed charges,1096.68,1898.1,
MED CATHETER PUMP SEG 8784,35030049,CDM,278,RC,C1755,HCPCS,Outpatient,,,1361.25,1089,,1157.06,85,,925.65,percent of total billed charges,85% of total billed charges,1157.06,85,,925.65,percent of total billed charges,85% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,1011.14,74,,808.91,percent of total billed charges,74.28% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,1011.14,74,,808.91,percent of total billed charges,74.28% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,1011.14,74,,808.91,percent of total billed charges,74.28% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,1225.13,90,,980.1,percent of total billed charges,90% of total billed charges,1225.13,90,,980.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,1187.01,87.2,,,percent of total billed charges,87.2% of total billed charges,803.14,59,,642.51,percent of total billed charges,59% of total billed charges,1187.01,87.2,,949.61,percent of total billed charges,87.2% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,1106.56,81.29,,885.25,percent of total billed charges,81.29% of total billed charges,1225.13,90,,980.1,percent of total billed charges,90% of totl billed charges,1225.13,90,,980.1,percent of total billed charges,90% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,1225.13,90,,980.1,percent of total billed charges,90% of total billed charges,1225.13,90,,980.1,percent of total billed charges,90% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,830.36,61,,664.29,percent of total billed charges,61% of total billed charges,707.85,52,,566.28,percent of total billed charges,52% of total billed charges,707.85,1225.13,
INTRATHECAL CATHETER 11823,35031371,CDM,278,RC,C1755,HCPCS,Outpatient,,,1200,960,,1020,85,,816,percent of total billed charges,85% of total billed charges,1020,85,,816,percent of total billed charges,85% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,624,52,,499.2,percent of total billed charges,52% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,1046.4,87.2,,,percent of total billed charges,87.2% of total billed charges,708,59,,566.4,percent of total billed charges,59% of total billed charges,1046.4,87.2,,837.12,percent of total billed charges,87.2% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,975.48,81.29,,780.38,percent of total billed charges,81.29% of total billed charges,1080,90,,864,percent of total billed charges,90% of totl billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,624,1080,
MED CATHETER INTRA 8596 SC,35033125,CDM,278,RC,C1755,HCPCS,Outpatient,,,1320,1056,,1122,85,,897.6,percent of total billed charges,85% of total billed charges,1122,85,,897.6,percent of total billed charges,85% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,980.5,74,,784.4,percent of total billed charges,74.28% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1151.04,87.2,,,percent of total billed charges,87.2% of total billed charges,778.8,59,,623.04,percent of total billed charges,59% of total billed charges,1151.04,87.2,,920.83,percent of total billed charges,87.2% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,1073.03,81.29,,858.42,percent of total billed charges,81.29% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of totl billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,1188,90,,950.4,percent of total billed charges,90% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,805.2,61,,644.16,percent of total billed charges,61% of total billed charges,686.4,52,,549.12,percent of total billed charges,52% of total billed charges,686.4,1188,
MED CATHETER INDURA 8709,35039833,CDM,278,RC,C1755,HCPCS,Outpatient,,,1406.53,1125.22,,1195.55,85,,956.44,percent of total billed charges,85% of total billed charges,1195.55,85,,956.44,percent of total billed charges,85% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1226.49,87.2,,,percent of total billed charges,87.2% of total billed charges,829.85,59,,663.88,percent of total billed charges,59% of total billed charges,1226.49,87.2,,981.19,percent of total billed charges,87.2% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1143.37,81.29,,914.7,percent of total billed charges,81.29% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of totl billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,731.4,1265.88,
CODMAN IT PUMP AP08200,35039834,CDM,278,RC,C1755,HCPCS,Outpatient,,,2352.09,1881.67,,1999.28,85,,1599.42,percent of total billed charges,85% of total billed charges,1999.28,85,,1599.42,percent of total billed charges,85% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,1747.13,74,,1397.7,percent of total billed charges,74.28% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,1747.13,74,,1397.7,percent of total billed charges,74.28% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,1747.13,74,,1397.7,percent of total billed charges,74.28% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of total billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,2051.02,87.2,,,percent of total billed charges,87.2% of total billed charges,1387.73,59,,1110.18,percent of total billed charges,59% of total billed charges,2051.02,87.2,,1640.82,percent of total billed charges,87.2% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,1912.01,81.29,,1529.61,percent of total billed charges,81.29% of total billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of totl billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of total billed charges,2116.88,90,,1693.5,percent of total billed charges,90% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,1434.77,61,,1147.82,percent of total billed charges,61% of total billed charges,1223.09,52,,978.47,percent of total billed charges,52% of total billed charges,1223.09,2116.88,
MED CATHETER 8516,35039933,CDM,278,RC,C1755,HCPCS,Outpatient,,,267.91,214.33,,227.72,85,,182.18,percent of total billed charges,85% of total billed charges,227.72,85,,182.18,percent of total billed charges,85% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,199,74,,159.2,percent of total billed charges,74.28% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,199,74,,159.2,percent of total billed charges,74.28% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,199,74,,159.2,percent of total billed charges,74.28% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,241.12,90,,192.9,percent of total billed charges,90% of total billed charges,241.12,90,,192.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,233.62,87.2,,,percent of total billed charges,87.2% of total billed charges,158.07,59,,126.46,percent of total billed charges,59% of total billed charges,233.62,87.2,,186.9,percent of total billed charges,87.2% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,217.78,81.29,,174.22,percent of total billed charges,81.29% of total billed charges,241.12,90,,192.9,percent of total billed charges,90% of totl billed charges,241.12,90,,192.9,percent of total billed charges,90% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,241.12,90,,192.9,percent of total billed charges,90% of total billed charges,241.12,90,,192.9,percent of total billed charges,90% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,163.43,61,,130.74,percent of total billed charges,61% of total billed charges,139.31,52,,111.45,percent of total billed charges,52% of total billed charges,139.31,241.12,
MED CATHETER INDURA 8709SC,35039937,CDM,278,RC,C1755,HCPCS,Outpatient,,,1642.91,1314.33,,1396.47,85,,1117.18,percent of total billed charges,85% of total billed charges,1396.47,85,,1117.18,percent of total billed charges,85% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,1220.35,74,,976.28,percent of total billed charges,74.28% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,1220.35,74,,976.28,percent of total billed charges,74.28% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,1220.35,74,,976.28,percent of total billed charges,74.28% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of total billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,1432.62,87.2,,,percent of total billed charges,87.2% of total billed charges,969.32,59,,775.46,percent of total billed charges,59% of total billed charges,1432.62,87.2,,1146.1,percent of total billed charges,87.2% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,1335.52,81.29,,1068.42,percent of total billed charges,81.29% of total billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of totl billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of total billed charges,1478.62,90,,1182.9,percent of total billed charges,90% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,1002.18,61,,801.74,percent of total billed charges,61% of total billed charges,854.31,52,,683.45,percent of total billed charges,52% of total billed charges,854.31,1478.62,
SM ILIAC CREST TISSUE PN40A002,35030898,CDM,278,RC,C1762,HCPCS,Outpatient,,,2081.25,1665,,1769.06,85,,1415.25,percent of total billed charges,85% of total billed charges,1769.06,85,,1415.25,percent of total billed charges,85% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1545.95,74,,1236.76,percent of total billed charges,74.28% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1545.95,74,,1236.76,percent of total billed charges,74.28% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1545.95,74,,1236.76,percent of total billed charges,74.28% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of total billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1814.85,87.2,,,percent of total billed charges,87.2% of total billed charges,1227.94,59,,982.35,percent of total billed charges,59% of total billed charges,1814.85,87.2,,1451.88,percent of total billed charges,87.2% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1691.85,81.29,,1353.48,percent of total billed charges,81.29% of total billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of totl billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of total billed charges,1873.13,90,,1498.5,percent of total billed charges,90% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1269.56,61,,1015.65,percent of total billed charges,61% of total billed charges,1082.25,52,,865.8,percent of total billed charges,52% of total billed charges,1082.25,1873.13,
"CANCELLOUS,CRD,15CC PN1003-12",35030899,CDM,278,RC,C1762,HCPCS,Outpatient,,,607.5,486,,516.38,85,,413.1,percent of total billed charges,85% of total billed charges,516.38,85,,413.1,percent of total billed charges,85% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,451.25,74,,361,percent of total billed charges,74.28% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,451.25,74,,361,percent of total billed charges,74.28% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,451.25,74,,361,percent of total billed charges,74.28% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,546.75,90,,437.4,percent of total billed charges,90% of total billed charges,546.75,90,,437.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,529.74,87.2,,,percent of total billed charges,87.2% of total billed charges,358.43,59,,286.74,percent of total billed charges,59% of total billed charges,529.74,87.2,,423.79,percent of total billed charges,87.2% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,493.84,81.29,,395.07,percent of total billed charges,81.29% of total billed charges,546.75,90,,437.4,percent of total billed charges,90% of totl billed charges,546.75,90,,437.4,percent of total billed charges,90% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,546.75,90,,437.4,percent of total billed charges,90% of total billed charges,546.75,90,,437.4,percent of total billed charges,90% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,370.58,61,,296.46,percent of total billed charges,61% of total billed charges,315.9,52,,252.72,percent of total billed charges,52% of total billed charges,315.9,546.75,
ALLOMATRIX DR BONE PUTTY 3CCC,35031342,CDM,278,RC,C1762,HCPCS,Outpatient,,,1510.5,1208.4,,1283.93,85,,1027.14,percent of total billed charges,85% of total billed charges,1283.93,85,,1027.14,percent of total billed charges,85% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,1122,74,,897.6,percent of total billed charges,74.28% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,1122,74,,897.6,percent of total billed charges,74.28% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,1122,74,,897.6,percent of total billed charges,74.28% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of total billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,1317.16,87.2,,,percent of total billed charges,87.2% of total billed charges,891.2,59,,712.96,percent of total billed charges,59% of total billed charges,1317.16,87.2,,1053.73,percent of total billed charges,87.2% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,1227.89,81.29,,982.31,percent of total billed charges,81.29% of total billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of totl billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of total billed charges,1359.45,90,,1087.56,percent of total billed charges,90% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,921.41,61,,737.13,percent of total billed charges,61% of total billed charges,785.46,52,,628.37,percent of total billed charges,52% of total billed charges,785.46,1359.45,
"CERVICAL ALLOGRAFT 14X11, 5MM",35031760,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"CERVICAL ALLOGRAFT 14X11, 6MM",35031761,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"CERVICAL ALLOGRAFT 14X11, 7MM",35031762,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"CERVICAL ALLOGRAFT 14X11, 8MM",35031763,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"CERVICAL ALLOGRAFT 14X11, 9MM",35031764,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"CERVICAL ALLOGRAFT 14X11, 10MM",35031765,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
ELEMAX CORTICAL CAN SPACER 7MM,35031770,CDM,278,RC,C1762,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
PRE-SHAPED PAT. LIG 10-ZORC,35031888,CDM,278,RC,C1762,HCPCS,Outpatient,,,4980.39,3984.31,,4233.33,85,,3386.66,percent of total billed charges,85% of total billed charges,4233.33,85,,3386.66,percent of total billed charges,85% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,3699.43,74,,2959.54,percent of total billed charges,74.28% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,3699.43,74,,2959.54,percent of total billed charges,74.28% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,3699.43,74,,2959.54,percent of total billed charges,74.28% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of total billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,4342.9,87.2,,,percent of total billed charges,87.2% of total billed charges,2938.43,59,,2350.74,percent of total billed charges,59% of total billed charges,4342.9,87.2,,3474.32,percent of total billed charges,87.2% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,4048.56,81.29,,3238.85,percent of total billed charges,81.29% of total billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of totl billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of total billed charges,4482.35,90,,3585.88,percent of total billed charges,90% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,3038.04,61,,2430.43,percent of total billed charges,61% of total billed charges,2589.8,52,,2071.84,percent of total billed charges,52% of total billed charges,2589.8,4482.35,
ACHILLES TENDON PRE-SHAPED FZ,35031937,CDM,278,RC,C1762,HCPCS,Outpatient,,,3720,2976,,3162,85,,2529.6,percent of total billed charges,85% of total billed charges,3162,85,,2529.6,percent of total billed charges,85% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,2763.22,74,,2210.58,percent of total billed charges,74.28% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,2763.22,74,,2210.58,percent of total billed charges,74.28% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,2763.22,74,,2210.58,percent of total billed charges,74.28% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,3348,90,,2678.4,percent of total billed charges,90% of total billed charges,3348,90,,2678.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,3243.84,87.2,,,percent of total billed charges,87.2% of total billed charges,2194.8,59,,1755.84,percent of total billed charges,59% of total billed charges,3243.84,87.2,,2595.07,percent of total billed charges,87.2% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,3023.99,81.29,,2419.19,percent of total billed charges,81.29% of total billed charges,3348,90,,2678.4,percent of total billed charges,90% of totl billed charges,3348,90,,2678.4,percent of total billed charges,90% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,3348,90,,2678.4,percent of total billed charges,90% of total billed charges,3348,90,,2678.4,percent of total billed charges,90% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,2269.2,61,,1815.36,percent of total billed charges,61% of total billed charges,1934.4,52,,1547.52,percent of total billed charges,52% of total billed charges,1934.4,3348,
TISSUE LASR 6X14X11,35031987,CDM,278,RC,C1762,HCPCS,Outpatient,,,1725,1380,,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1504.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1017.75,59,,814.2,percent of total billed charges,59% of total billed charges,1504.2,87.2,,1203.36,percent of total billed charges,87.2% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1402.25,81.29,,1121.8,percent of total billed charges,81.29% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of totl billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,1552.5,
TISSUE LASR 8X14X11,35032122,CDM,278,RC,C1762,HCPCS,Outpatient,,,1725,1380,,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1504.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1017.75,59,,814.2,percent of total billed charges,59% of total billed charges,1504.2,87.2,,1203.36,percent of total billed charges,87.2% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1402.25,81.29,,1121.8,percent of total billed charges,81.29% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of totl billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,1552.5,
INFUSE BONE GRAFT KIT,35032227,CDM,278,RC,C1762,HCPCS,Outpatient,,,6465,5172,,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5637.48,87.2,,,percent of total billed charges,87.2% of total billed charges,3814.35,59,,3051.48,percent of total billed charges,59% of total billed charges,5637.48,87.2,,4509.98,percent of total billed charges,87.2% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5255.4,81.29,,4204.32,percent of total billed charges,81.29% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of totl billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,5818.5,
INFUSE BONE GRAFT KIT,35032227,CDM,278,RC,C1762,HCPCS,Outpatient,,,6465,5172,,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5637.48,87.2,,,percent of total billed charges,87.2% of total billed charges,3814.35,59,,3051.48,percent of total billed charges,59% of total billed charges,5637.48,87.2,,4509.98,percent of total billed charges,87.2% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5255.4,81.29,,4204.32,percent of total billed charges,81.29% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of totl billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,5818.5,
TISSUE LASR 11X14X11,35032588,CDM,272,RC,C1762,HCPCS,Outpatient,,,1725,1380,,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1504.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1017.75,59,,814.2,percent of total billed charges,59% of total billed charges,1504.2,87.2,,1203.36,percent of total billed charges,87.2% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1402.25,81.29,,1121.8,percent of total billed charges,81.29% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of totl billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,1552.5,
LG ARTHRO BIOINDUCT IMPLANT,35031827,CDM,278,RC,C1763,HCPCS,Outpatient,,,4290,3432,,3646.5,85,,2917.2,percent of total billed charges,85% of total billed charges,3646.5,85,,2917.2,percent of total billed charges,85% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3740.88,87.2,,,percent of total billed charges,87.2% of total billed charges,2531.1,59,,2024.88,percent of total billed charges,59% of total billed charges,3740.88,87.2,,2992.7,percent of total billed charges,87.2% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3487.34,81.29,,2789.87,percent of total billed charges,81.29% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of totl billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,2230.8,3861,
MED ARTHRO BIOINDUCT IMPLANT,35031828,CDM,278,RC,C1763,HCPCS,Outpatient,,,4290,3432,,3646.5,85,,2917.2,percent of total billed charges,85% of total billed charges,3646.5,85,,2917.2,percent of total billed charges,85% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,3186.61,74,,2549.29,percent of total billed charges,74.28% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3740.88,87.2,,,percent of total billed charges,87.2% of total billed charges,2531.1,59,,2024.88,percent of total billed charges,59% of total billed charges,3740.88,87.2,,2992.7,percent of total billed charges,87.2% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,3487.34,81.29,,2789.87,percent of total billed charges,81.29% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of totl billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,3861,90,,3088.8,percent of total billed charges,90% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2616.9,61,,2093.52,percent of total billed charges,61% of total billed charges,2230.8,52,,1784.64,percent of total billed charges,52% of total billed charges,2230.8,3861,
JRNY BCS PAT RESRF29MMSM,35031237,CDM,278,RC,C1766,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
10MM OD WASHER 71143110,35031680,CDM,278,RC,C1766,HCPCS,Outpatient,,,134.79,107.83,,114.57,85,,91.66,percent of total billed charges,85% of total billed charges,114.57,85,,91.66,percent of total billed charges,85% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,100.12,74,,80.1,percent of total billed charges,74.28% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,100.12,74,,80.1,percent of total billed charges,74.28% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,100.12,74,,80.1,percent of total billed charges,74.28% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,121.31,90,,97.05,percent of total billed charges,90% of total billed charges,121.31,90,,97.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,117.54,87.2,,,percent of total billed charges,87.2% of total billed charges,79.53,59,,63.62,percent of total billed charges,59% of total billed charges,117.54,87.2,,94.03,percent of total billed charges,87.2% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,109.57,81.29,,87.66,percent of total billed charges,81.29% of total billed charges,121.31,90,,97.05,percent of total billed charges,90% of totl billed charges,121.31,90,,97.05,percent of total billed charges,90% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,121.31,90,,97.05,percent of total billed charges,90% of total billed charges,121.31,90,,97.05,percent of total billed charges,90% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,82.22,61,,65.78,percent of total billed charges,61% of total billed charges,70.09,52,,56.07,percent of total billed charges,52% of total billed charges,70.09,121.31,
R3 20DEG XLPE ACET LNR 36MMX60,35031889,CDM,278,RC,C1766,HCPCS,Outpatient,,,1500,1200,,1275,85,,1020,percent of total billed charges,85% of total billed charges,1275,85,,1020,percent of total billed charges,85% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,780,52,,624,percent of total billed charges,52% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1308,87.2,,,percent of total billed charges,87.2% of total billed charges,885,59,,708,percent of total billed charges,59% of total billed charges,1308,87.2,,1046.4,percent of total billed charges,87.2% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1219.35,81.29,,975.48,percent of total billed charges,81.29% of total billed charges,1350,90,,1080,percent of total billed charges,90% of totl billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,780,1350,
REDAPT MODULAR SHELL 60MM,35031890,CDM,278,RC,C1766,HCPCS,Outpatient,,,9345,7476,,7943.25,85,,6354.6,percent of total billed charges,85% of total billed charges,7943.25,85,,6354.6,percent of total billed charges,85% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,8148.84,87.2,,,percent of total billed charges,87.2% of total billed charges,5513.55,59,,4410.84,percent of total billed charges,59% of total billed charges,8148.84,87.2,,6519.07,percent of total billed charges,87.2% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,7596.55,81.29,,6077.24,percent of total billed charges,81.29% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of totl billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,4859.4,8410.5,
STIM PROCLAIM ELITE 5 GEN 3660,35030459,CDM,278,RC,C1767,HCPCS,Outpatient,,,32375,25900,,27518.75,85,,22015,percent of total billed charges,85% of total billed charges,27518.75,85,,22015,percent of total billed charges,85% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,24048.15,74,,19238.52,percent of total billed charges,74.28% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,24048.15,74,,19238.52,percent of total billed charges,74.28% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,24048.15,74,,19238.52,percent of total billed charges,74.28% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,29137.5,90,,23310,percent of total billed charges,90% of total billed charges,29137.5,90,,23310,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16835,52,,13468,percent of total billed charges,52% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,28231,87.2,,,percent of total billed charges,87.2% of total billed charges,19101.25,59,,15281,percent of total billed charges,59% of total billed charges,28231,87.2,,22584.8,percent of total billed charges,87.2% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,26317.64,81.29,,21054.11,percent of total billed charges,81.29% of total billed charges,29137.5,90,,23310,percent of total billed charges,90% of totl billed charges,29137.5,90,,23310,percent of total billed charges,90% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,29137.5,90,,23310,percent of total billed charges,90% of total billed charges,29137.5,90,,23310,percent of total billed charges,90% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,19748.75,61,,15799,percent of total billed charges,61% of total billed charges,16835,52,,13468,percent of total billed charges,52% of total billed charges,16835,29137.5,
STIM PRODIGY MRI 3772,35030471,CDM,278,RC,C1767,HCPCS,Outpatient,,,32759.65,26207.72,,27845.7,85,,22276.56,percent of total billed charges,85% of total billed charges,27845.7,85,,22276.56,percent of total billed charges,85% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,24333.87,74,,19467.1,percent of total billed charges,74.28% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,24333.87,74,,19467.1,percent of total billed charges,74.28% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,24333.87,74,,19467.1,percent of total billed charges,74.28% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of total billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,28566.41,87.2,,,percent of total billed charges,87.2% of total billed charges,19328.19,59,,15462.55,percent of total billed charges,59% of total billed charges,28566.41,87.2,,22853.13,percent of total billed charges,87.2% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,26630.32,81.29,,21304.26,percent of total billed charges,81.29% of total billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of totl billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of total billed charges,29483.69,90,,23586.95,percent of total billed charges,90% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,19983.39,61,,15986.71,percent of total billed charges,61% of total billed charges,17035.02,52,,13628.02,percent of total billed charges,52% of total billed charges,17035.02,29483.69,
STIM GENERATOR PULSE NOVI SC-1,35030485,CDM,278,RC,C1767,HCPCS,Outpatient,,,28485,22788,,24212.25,85,,19369.8,percent of total billed charges,85% of total billed charges,24212.25,85,,19369.8,percent of total billed charges,85% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,21158.66,74,,16926.93,percent of total billed charges,74.28% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,21158.66,74,,16926.93,percent of total billed charges,74.28% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,21158.66,74,,16926.93,percent of total billed charges,74.28% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of total billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,24838.92,87.2,,,percent of total billed charges,87.2% of total billed charges,16806.15,59,,13444.92,percent of total billed charges,59% of total billed charges,24838.92,87.2,,19871.14,percent of total billed charges,87.2% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,23155.46,81.29,,18524.37,percent of total billed charges,81.29% of total billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of totl billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of total billed charges,25636.5,90,,20509.2,percent of total billed charges,90% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,17375.85,61,,13900.68,percent of total billed charges,61% of total billed charges,14812.2,52,,11849.76,percent of total billed charges,52% of total billed charges,14812.2,25636.5,
WAVEWRITER ALPHA GEN SC-1432,35031766,CDM,278,RC,C1767,HCPCS,Outpatient,,,29235,23388,,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,25492.92,87.2,,,percent of total billed charges,87.2% of total billed charges,17248.65,59,,13798.92,percent of total billed charges,59% of total billed charges,25492.92,87.2,,20394.34,percent of total billed charges,87.2% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,23765.13,81.29,,19012.1,percent of total billed charges,81.29% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of totl billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,26311.5,
NEUROSTIMULATOR NON-RECHARGE,35031993,CDM,278,RC,C1767,HCPCS,Outpatient,,,18825,15060,,16001.25,85,,12801,percent of total billed charges,85% of total billed charges,16001.25,85,,12801,percent of total billed charges,85% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,13983.21,74,,11186.57,percent of total billed charges,74.28% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,13983.21,74,,11186.57,percent of total billed charges,74.28% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,13983.21,74,,11186.57,percent of total billed charges,74.28% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,16942.5,90,,13554,percent of total billed charges,90% of total billed charges,16942.5,90,,13554,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,16415.4,87.2,,,percent of total billed charges,87.2% of total billed charges,11106.75,59,,8885.4,percent of total billed charges,59% of total billed charges,16415.4,87.2,,13132.32,percent of total billed charges,87.2% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,15302.84,81.29,,12242.27,percent of total billed charges,81.29% of total billed charges,16942.5,90,,13554,percent of total billed charges,90% of totl billed charges,16942.5,90,,13554,percent of total billed charges,90% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,16942.5,90,,13554,percent of total billed charges,90% of total billed charges,16942.5,90,,13554,percent of total billed charges,90% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,11483.25,61,,9186.6,percent of total billed charges,61% of total billed charges,9789,52,,7831.2,percent of total billed charges,52% of total billed charges,9789,16942.5,
MED GENERATOR PRIME 37702,35033224,CDM,278,RC,C1767,HCPCS,Outpatient,,,22441.35,17953.08,,19075.15,85,,15260.12,percent of total billed charges,85% of total billed charges,19075.15,85,,15260.12,percent of total billed charges,85% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,16669.43,74,,13335.54,percent of total billed charges,74.28% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,16669.43,74,,13335.54,percent of total billed charges,74.28% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,16669.43,74,,13335.54,percent of total billed charges,74.28% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of total billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,19568.86,87.2,,,percent of total billed charges,87.2% of total billed charges,13240.4,59,,10592.32,percent of total billed charges,59% of total billed charges,19568.86,87.2,,15655.09,percent of total billed charges,87.2% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,18242.57,81.29,,14594.06,percent of total billed charges,81.29% of total billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of totl billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of total billed charges,20197.22,90,,16157.78,percent of total billed charges,90% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,13689.22,61,,10951.38,percent of total billed charges,61% of total billed charges,11669.5,52,,9335.6,percent of total billed charges,52% of total billed charges,11669.5,20197.22,
GLIDEWIRE 0.35 STIFF STRAIGHT,35031679,CDM,272,RC,C1768,HCPCS,Outpatient,,,232.5,186,,197.63,85,,158.1,percent of total billed charges,85% of total billed charges,197.63,85,,158.1,percent of total billed charges,85% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,172.7,74,,138.16,percent of total billed charges,74.28% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,172.7,74,,138.16,percent of total billed charges,74.28% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,172.7,74,,138.16,percent of total billed charges,74.28% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,209.25,90,,167.4,percent of total billed charges,90% of total billed charges,209.25,90,,167.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,202.74,87.2,,,percent of total billed charges,87.2% of total billed charges,137.18,59,,109.74,percent of total billed charges,59% of total billed charges,202.74,87.2,,162.19,percent of total billed charges,87.2% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,189,81.29,,151.2,percent of total billed charges,81.29% of total billed charges,209.25,90,,167.4,percent of total billed charges,90% of totl billed charges,209.25,90,,167.4,percent of total billed charges,90% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,209.25,90,,167.4,percent of total billed charges,90% of total billed charges,209.25,90,,167.4,percent of total billed charges,90% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,141.83,61,,113.46,percent of total billed charges,61% of total billed charges,120.9,52,,96.72,percent of total billed charges,52% of total billed charges,120.9,209.25,
NITINOL WIRE STR.TIP.035X150,35030451,CDM,272,RC,C1769,HCPCS,Outpatient,,,163.38,130.7,,138.87,85,,111.1,percent of total billed charges,85% of total billed charges,138.87,85,,111.1,percent of total billed charges,85% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,121.36,74,,97.09,percent of total billed charges,74.28% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,121.36,74,,97.09,percent of total billed charges,74.28% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,121.36,74,,97.09,percent of total billed charges,74.28% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,147.04,90,,117.63,percent of total billed charges,90% of total billed charges,147.04,90,,117.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,142.47,87.2,,,percent of total billed charges,87.2% of total billed charges,96.39,59,,77.11,percent of total billed charges,59% of total billed charges,142.47,87.2,,113.98,percent of total billed charges,87.2% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,132.81,81.29,,106.25,percent of total billed charges,81.29% of total billed charges,147.04,90,,117.63,percent of total billed charges,90% of totl billed charges,147.04,90,,117.63,percent of total billed charges,90% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,147.04,90,,117.63,percent of total billed charges,90% of total billed charges,147.04,90,,117.63,percent of total billed charges,90% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,99.66,61,,79.73,percent of total billed charges,61% of total billed charges,84.96,52,,67.97,percent of total billed charges,52% of total billed charges,84.96,147.04,
GUIDE WIRE 60cm 1771,35030477,CDM,272,RC,C1769,HCPCS,Outpatient,,,300,240,,255,85,,204,percent of total billed charges,85% of total billed charges,255,85,,204,percent of total billed charges,85% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,261.6,87.2,,,percent of total billed charges,87.2% of total billed charges,177,59,,141.6,percent of total billed charges,59% of total billed charges,261.6,87.2,,209.28,percent of total billed charges,87.2% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,243.87,81.29,,195.1,percent of total billed charges,81.29% of total billed charges,270,90,,216,percent of total billed charges,90% of totl billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,270,
"GLIDEWIRE ANGLED .035"" GR3506",35030562,CDM,272,RC,C1769,HCPCS,Outpatient,,,132,105.6,,112.2,85,,89.76,percent of total billed charges,85% of total billed charges,112.2,85,,89.76,percent of total billed charges,85% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,98.05,74,,78.44,percent of total billed charges,74.28% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,98.05,74,,78.44,percent of total billed charges,74.28% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,98.05,74,,78.44,percent of total billed charges,74.28% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,118.8,90,,95.04,percent of total billed charges,90% of total billed charges,118.8,90,,95.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,115.1,87.2,,,percent of total billed charges,87.2% of total billed charges,77.88,59,,62.3,percent of total billed charges,59% of total billed charges,115.1,87.2,,92.08,percent of total billed charges,87.2% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,107.3,81.29,,85.84,percent of total billed charges,81.29% of total billed charges,118.8,90,,95.04,percent of total billed charges,90% of totl billed charges,118.8,90,,95.04,percent of total billed charges,90% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,118.8,90,,95.04,percent of total billed charges,90% of total billed charges,118.8,90,,95.04,percent of total billed charges,90% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,80.52,61,,64.42,percent of total billed charges,61% of total billed charges,68.64,52,,54.91,percent of total billed charges,52% of total billed charges,68.64,118.8,
WIRE & PIN PAC 7207738,35030627,CDM,278,RC,C1769,HCPCS,Outpatient,,,667.8,534.24,,567.63,85,,454.1,percent of total billed charges,85% of total billed charges,567.63,85,,454.1,percent of total billed charges,85% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,496.04,74,,396.83,percent of total billed charges,74.28% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,496.04,74,,396.83,percent of total billed charges,74.28% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,496.04,74,,396.83,percent of total billed charges,74.28% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,601.02,90,,480.82,percent of total billed charges,90% of total billed charges,601.02,90,,480.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,582.32,87.2,,,percent of total billed charges,87.2% of total billed charges,394,59,,315.2,percent of total billed charges,59% of total billed charges,582.32,87.2,,465.86,percent of total billed charges,87.2% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,542.85,81.29,,434.28,percent of total billed charges,81.29% of total billed charges,601.02,90,,480.82,percent of total billed charges,90% of totl billed charges,601.02,90,,480.82,percent of total billed charges,90% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,601.02,90,,480.82,percent of total billed charges,90% of total billed charges,601.02,90,,480.82,percent of total billed charges,90% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,407.36,61,,325.89,percent of total billed charges,61% of total billed charges,347.26,52,,277.81,percent of total billed charges,52% of total billed charges,347.26,601.02,
CANNU-FLEX SILK 1.5 GUIDE WIRE,35030746,CDM,272,RC,C1769,HCPCS,Outpatient,,,129.15,103.32,,109.78,85,,87.82,percent of total billed charges,85% of total billed charges,109.78,85,,87.82,percent of total billed charges,85% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,95.93,74,,76.74,percent of total billed charges,74.28% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,95.93,74,,76.74,percent of total billed charges,74.28% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,95.93,74,,76.74,percent of total billed charges,74.28% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,116.24,90,,92.99,percent of total billed charges,90% of total billed charges,116.24,90,,92.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,112.62,87.2,,,percent of total billed charges,87.2% of total billed charges,76.2,59,,60.96,percent of total billed charges,59% of total billed charges,112.62,87.2,,90.1,percent of total billed charges,87.2% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,104.99,81.29,,83.99,percent of total billed charges,81.29% of total billed charges,116.24,90,,92.99,percent of total billed charges,90% of totl billed charges,116.24,90,,92.99,percent of total billed charges,90% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,116.24,90,,92.99,percent of total billed charges,90% of total billed charges,116.24,90,,92.99,percent of total billed charges,90% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,78.78,61,,63.02,percent of total billed charges,61% of total billed charges,67.16,52,,53.73,percent of total billed charges,52% of total billed charges,67.16,116.24,
".054""X6""GUIDE WIRE WS-1406ST",35031182,CDM,278,RC,C1769,HCPCS,Outpatient,,,66,52.8,,56.1,85,,44.88,percent of total billed charges,85% of total billed charges,56.1,85,,44.88,percent of total billed charges,85% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,49.02,74,,39.22,percent of total billed charges,74.28% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,49.02,74,,39.22,percent of total billed charges,74.28% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,49.02,74,,39.22,percent of total billed charges,74.28% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,59.4,90,,47.52,percent of total billed charges,90% of total billed charges,59.4,90,,47.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,57.55,87.2,,,percent of total billed charges,87.2% of total billed charges,38.94,59,,31.15,percent of total billed charges,59% of total billed charges,57.55,87.2,,46.04,percent of total billed charges,87.2% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,53.65,81.29,,42.92,percent of total billed charges,81.29% of total billed charges,59.4,90,,47.52,percent of total billed charges,90% of totl billed charges,59.4,90,,47.52,percent of total billed charges,90% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,59.4,90,,47.52,percent of total billed charges,90% of total billed charges,59.4,90,,47.52,percent of total billed charges,90% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,40.26,61,,32.21,percent of total billed charges,61% of total billed charges,34.32,52,,27.46,percent of total billed charges,52% of total billed charges,34.32,59.4,
1.6MMX180MM SM GUIDE WIRE,35031208,CDM,278,RC,C1769,HCPCS,Outpatient,,,195,156,,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,165.75,85,,132.6,percent of total billed charges,85% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,144.85,74,,115.88,percent of total billed charges,74.28% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,170.04,87.2,,,percent of total billed charges,87.2% of total billed charges,115.05,59,,92.04,percent of total billed charges,59% of total billed charges,170.04,87.2,,136.03,percent of total billed charges,87.2% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,158.52,81.29,,126.82,percent of total billed charges,81.29% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of totl billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,175.5,90,,140.4,percent of total billed charges,90% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,118.95,61,,95.16,percent of total billed charges,61% of total billed charges,101.4,52,,81.12,percent of total billed charges,52% of total billed charges,101.4,175.5,
ADJ PARALLEL WIRE GUIDE,35031273,CDM,272,RC,C1769,HCPCS,Outpatient,,,2565,2052,,2180.25,85,,1744.2,percent of total billed charges,85% of total billed charges,2180.25,85,,1744.2,percent of total billed charges,85% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,1905.28,74,,1524.22,percent of total billed charges,74.28% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,1905.28,74,,1524.22,percent of total billed charges,74.28% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,1905.28,74,,1524.22,percent of total billed charges,74.28% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of total billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,2236.68,87.2,,,percent of total billed charges,87.2% of total billed charges,1513.35,59,,1210.68,percent of total billed charges,59% of total billed charges,2236.68,87.2,,1789.34,percent of total billed charges,87.2% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,2085.09,81.29,,1668.07,percent of total billed charges,81.29% of total billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of totl billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of total billed charges,2308.5,90,,1846.8,percent of total billed charges,90% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,1564.65,61,,1251.72,percent of total billed charges,61% of total billed charges,1333.8,52,,1067.04,percent of total billed charges,52% of total billed charges,1333.8,2308.5,
GUIDE WIRE 0.062X6IN,35031964,CDM,278,RC,C1769,HCPCS,Outpatient,,,81,64.8,,68.85,85,,55.08,percent of total billed charges,85% of total billed charges,68.85,85,,55.08,percent of total billed charges,85% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,60.17,74,,48.14,percent of total billed charges,74.28% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,72.9,90,,58.32,percent of total billed charges,90% of total billed charges,72.9,90,,58.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,70.63,87.2,,,percent of total billed charges,87.2% of total billed charges,47.79,59,,38.23,percent of total billed charges,59% of total billed charges,70.63,87.2,,56.5,percent of total billed charges,87.2% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,65.84,81.29,,52.67,percent of total billed charges,81.29% of total billed charges,72.9,90,,58.32,percent of total billed charges,90% of totl billed charges,72.9,90,,58.32,percent of total billed charges,90% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,72.9,90,,58.32,percent of total billed charges,90% of total billed charges,72.9,90,,58.32,percent of total billed charges,90% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,49.41,61,,39.53,percent of total billed charges,61% of total billed charges,42.12,52,,33.7,percent of total billed charges,52% of total billed charges,42.12,72.9,
GUIDE WIRE 0.062X9.25IN,35031965,CDM,278,RC,C1769,HCPCS,Outpatient,,,120,96,,102,85,,81.6,percent of total billed charges,85% of total billed charges,102,85,,81.6,percent of total billed charges,85% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,104.64,87.2,,,percent of total billed charges,87.2% of total billed charges,70.8,59,,56.64,percent of total billed charges,59% of total billed charges,104.64,87.2,,83.71,percent of total billed charges,87.2% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,97.55,81.29,,78.04,percent of total billed charges,81.29% of total billed charges,108,90,,86.4,percent of total billed charges,90% of totl billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,108,
WIRE GUIDE 3160119,35033187,CDM,272,RC,C1769,HCPCS,Outpatient,,,72.5,58,,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,61.63,85,,49.3,percent of total billed charges,85% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,53.85,74,,43.08,percent of total billed charges,74.28% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,63.22,87.2,,,percent of total billed charges,87.2% of total billed charges,42.78,59,,34.22,percent of total billed charges,59% of total billed charges,63.22,87.2,,50.58,percent of total billed charges,87.2% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,58.94,81.29,,47.15,percent of total billed charges,81.29% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of totl billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,65.25,90,,52.2,percent of total billed charges,90% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,44.23,61,,35.38,percent of total billed charges,61% of total billed charges,37.7,52,,30.16,percent of total billed charges,52% of total billed charges,37.7,65.25,
WIRE GUIDE NON TH 3.8MM 292.81,35039896,CDM,272,RC,C1769,HCPCS,Outpatient,,,278.94,223.15,,237.1,85,,189.68,percent of total billed charges,85% of total billed charges,237.1,85,,189.68,percent of total billed charges,85% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,207.2,74,,165.76,percent of total billed charges,74.28% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,207.2,74,,165.76,percent of total billed charges,74.28% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,207.2,74,,165.76,percent of total billed charges,74.28% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,251.05,90,,200.84,percent of total billed charges,90% of total billed charges,251.05,90,,200.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,243.24,87.2,,,percent of total billed charges,87.2% of total billed charges,164.57,59,,131.66,percent of total billed charges,59% of total billed charges,243.24,87.2,,194.59,percent of total billed charges,87.2% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,226.75,81.29,,181.4,percent of total billed charges,81.29% of total billed charges,251.05,90,,200.84,percent of total billed charges,90% of totl billed charges,251.05,90,,200.84,percent of total billed charges,90% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,251.05,90,,200.84,percent of total billed charges,90% of total billed charges,251.05,90,,200.84,percent of total billed charges,90% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,170.15,61,,136.12,percent of total billed charges,61% of total billed charges,145.05,52,,116.04,percent of total billed charges,52% of total billed charges,145.05,251.05,
GUIDE WIRE THREAD 2.8mm,35039897,CDM,272,RC,C1769,HCPCS,Outpatient,,,126.08,100.86,,107.17,85,,85.74,percent of total billed charges,85% of total billed charges,107.17,85,,85.74,percent of total billed charges,85% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,93.65,74,,74.92,percent of total billed charges,74.28% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,93.65,74,,74.92,percent of total billed charges,74.28% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,93.65,74,,74.92,percent of total billed charges,74.28% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,113.47,90,,90.78,percent of total billed charges,90% of total billed charges,113.47,90,,90.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,109.94,87.2,,,percent of total billed charges,87.2% of total billed charges,74.39,59,,59.51,percent of total billed charges,59% of total billed charges,109.94,87.2,,87.95,percent of total billed charges,87.2% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,102.49,81.29,,81.99,percent of total billed charges,81.29% of total billed charges,113.47,90,,90.78,percent of total billed charges,90% of totl billed charges,113.47,90,,90.78,percent of total billed charges,90% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,113.47,90,,90.78,percent of total billed charges,90% of total billed charges,113.47,90,,90.78,percent of total billed charges,90% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,76.91,61,,61.53,percent of total billed charges,61% of total billed charges,65.56,52,,52.45,percent of total billed charges,52% of total billed charges,65.56,113.47,
WIRE GUIDE THREAD2.8MM 900.726,35039898,CDM,272,RC,C1769,HCPCS,Outpatient,,,217.48,173.98,,184.86,85,,147.89,percent of total billed charges,85% of total billed charges,184.86,85,,147.89,percent of total billed charges,85% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,161.54,74,,129.23,percent of total billed charges,74.28% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,161.54,74,,129.23,percent of total billed charges,74.28% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,161.54,74,,129.23,percent of total billed charges,74.28% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,195.73,90,,156.58,percent of total billed charges,90% of total billed charges,195.73,90,,156.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,189.64,87.2,,,percent of total billed charges,87.2% of total billed charges,128.31,59,,102.65,percent of total billed charges,59% of total billed charges,189.64,87.2,,151.71,percent of total billed charges,87.2% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,176.79,81.29,,141.43,percent of total billed charges,81.29% of total billed charges,195.73,90,,156.58,percent of total billed charges,90% of totl billed charges,195.73,90,,156.58,percent of total billed charges,90% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,195.73,90,,156.58,percent of total billed charges,90% of total billed charges,195.73,90,,156.58,percent of total billed charges,90% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,132.66,61,,106.13,percent of total billed charges,61% of total billed charges,113.09,52,,90.47,percent of total billed charges,52% of total billed charges,113.09,195.73,
WIRE GUIDE THREAD 1.6MM 292.72,35039931,CDM,272,RC,C1769,HCPCS,Outpatient,,,92.98,74.38,,79.03,85,,63.22,percent of total billed charges,85% of total billed charges,79.03,85,,63.22,percent of total billed charges,85% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,69.07,74,,55.26,percent of total billed charges,74.28% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,69.07,74,,55.26,percent of total billed charges,74.28% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,69.07,74,,55.26,percent of total billed charges,74.28% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,83.68,90,,66.94,percent of total billed charges,90% of total billed charges,83.68,90,,66.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,81.08,87.2,,,percent of total billed charges,87.2% of total billed charges,54.86,59,,43.89,percent of total billed charges,59% of total billed charges,81.08,87.2,,64.86,percent of total billed charges,87.2% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,75.58,81.29,,60.46,percent of total billed charges,81.29% of total billed charges,83.68,90,,66.94,percent of total billed charges,90% of totl billed charges,83.68,90,,66.94,percent of total billed charges,90% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,83.68,90,,66.94,percent of total billed charges,90% of total billed charges,83.68,90,,66.94,percent of total billed charges,90% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,56.72,61,,45.38,percent of total billed charges,61% of total billed charges,48.35,52,,38.68,percent of total billed charges,52% of total billed charges,48.35,83.68,
WIRE GIDE NONTHRD 1.6MM 292.72,35039932,CDM,272,RC,C1769,HCPCS,Outpatient,,,79.78,63.82,,67.81,85,,54.25,percent of total billed charges,85% of total billed charges,67.81,85,,54.25,percent of total billed charges,85% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,59.26,74,,47.41,percent of total billed charges,74.28% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,59.26,74,,47.41,percent of total billed charges,74.28% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,59.26,74,,47.41,percent of total billed charges,74.28% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,71.8,90,,57.44,percent of total billed charges,90% of total billed charges,71.8,90,,57.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,69.57,87.2,,,percent of total billed charges,87.2% of total billed charges,47.07,59,,37.66,percent of total billed charges,59% of total billed charges,69.57,87.2,,55.66,percent of total billed charges,87.2% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,64.85,81.29,,51.88,percent of total billed charges,81.29% of total billed charges,71.8,90,,57.44,percent of total billed charges,90% of totl billed charges,71.8,90,,57.44,percent of total billed charges,90% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,71.8,90,,57.44,percent of total billed charges,90% of total billed charges,71.8,90,,57.44,percent of total billed charges,90% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,48.67,61,,38.94,percent of total billed charges,61% of total billed charges,41.49,52,,33.19,percent of total billed charges,52% of total billed charges,41.49,71.8,
WIRE GUIDE 1.25MM 292.62,35039939,CDM,272,RC,C1769,HCPCS,Outpatient,,,48.23,38.58,,41,85,,32.8,percent of total billed charges,85% of total billed charges,41,85,,32.8,percent of total billed charges,85% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,35.83,74,,28.66,percent of total billed charges,74.28% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,35.83,74,,28.66,percent of total billed charges,74.28% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,35.83,74,,28.66,percent of total billed charges,74.28% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,43.41,90,,34.73,percent of total billed charges,90% of total billed charges,43.41,90,,34.73,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,42.06,87.2,,,percent of total billed charges,87.2% of total billed charges,28.46,59,,22.77,percent of total billed charges,59% of total billed charges,42.06,87.2,,33.65,percent of total billed charges,87.2% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,39.21,81.29,,31.37,percent of total billed charges,81.29% of total billed charges,43.41,90,,34.73,percent of total billed charges,90% of totl billed charges,43.41,90,,34.73,percent of total billed charges,90% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,43.41,90,,34.73,percent of total billed charges,90% of total billed charges,43.41,90,,34.73,percent of total billed charges,90% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,29.42,61,,23.54,percent of total billed charges,61% of total billed charges,25.08,52,,20.06,percent of total billed charges,52% of total billed charges,25.08,43.41,
WIRE GUIDE COOK TSFB-35-145,35039962,CDM,272,RC,C1769,HCPCS,Outpatient,,,52.01,41.61,,44.21,85,,35.37,percent of total billed charges,85% of total billed charges,44.21,85,,35.37,percent of total billed charges,85% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,38.63,74,,30.9,percent of total billed charges,74.28% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,38.63,74,,30.9,percent of total billed charges,74.28% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,38.63,74,,30.9,percent of total billed charges,74.28% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,46.81,90,,37.45,percent of total billed charges,90% of total billed charges,46.81,90,,37.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,45.35,87.2,,,percent of total billed charges,87.2% of total billed charges,30.69,59,,24.55,percent of total billed charges,59% of total billed charges,45.35,87.2,,36.28,percent of total billed charges,87.2% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,42.28,81.29,,33.82,percent of total billed charges,81.29% of total billed charges,46.81,90,,37.45,percent of total billed charges,90% of totl billed charges,46.81,90,,37.45,percent of total billed charges,90% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,46.81,90,,37.45,percent of total billed charges,90% of total billed charges,46.81,90,,37.45,percent of total billed charges,90% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,31.73,61,,25.38,percent of total billed charges,61% of total billed charges,27.05,52,,21.64,percent of total billed charges,52% of total billed charges,27.05,46.81,
ARIS TRANSOBTURATOR KIT,35030638,CDM,278,RC,C1771,HCPCS,Outpatient,,,2115,1692,,1797.75,85,,1438.2,percent of total billed charges,85% of total billed charges,1797.75,85,,1438.2,percent of total billed charges,85% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1571.02,74,,1256.82,percent of total billed charges,74.28% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1571.02,74,,1256.82,percent of total billed charges,74.28% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1571.02,74,,1256.82,percent of total billed charges,74.28% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of total billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1844.28,87.2,,,percent of total billed charges,87.2% of total billed charges,1247.85,59,,998.28,percent of total billed charges,59% of total billed charges,1844.28,87.2,,1475.42,percent of total billed charges,87.2% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1719.28,81.29,,1375.42,percent of total billed charges,81.29% of total billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of totl billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of total billed charges,1903.5,90,,1522.8,percent of total billed charges,90% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1290.15,61,,1032.12,percent of total billed charges,61% of total billed charges,1099.8,52,,879.84,percent of total billed charges,52% of total billed charges,1099.8,1903.5,
ARIS BLADDER SLING 934400,35031352,CDM,278,RC,C1771,HCPCS,Outpatient,,,1785,1428,,1517.25,85,,1213.8,percent of total billed charges,85% of total billed charges,1517.25,85,,1213.8,percent of total billed charges,85% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,1325.9,74,,1060.72,percent of total billed charges,74.28% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,1325.9,74,,1060.72,percent of total billed charges,74.28% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,1325.9,74,,1060.72,percent of total billed charges,74.28% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of total billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,1556.52,87.2,,,percent of total billed charges,87.2% of total billed charges,1053.15,59,,842.52,percent of total billed charges,59% of total billed charges,1556.52,87.2,,1245.22,percent of total billed charges,87.2% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,1451.03,81.29,,1160.82,percent of total billed charges,81.29% of total billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of totl billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of total billed charges,1606.5,90,,1285.2,percent of total billed charges,90% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,1088.85,61,,871.08,percent of total billed charges,61% of total billed charges,928.2,52,,742.56,percent of total billed charges,52% of total billed charges,928.2,1606.5,
TVT DEVICE w/OBTURATOR 810041B,35039504,CDM,278,RC,C1771,HCPCS,Outpatient,,,1832.02,1465.62,,1557.22,85,,1245.78,percent of total billed charges,85% of total billed charges,1557.22,85,,1245.78,percent of total billed charges,85% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,1360.82,74,,1088.66,percent of total billed charges,74.28% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,1360.82,74,,1088.66,percent of total billed charges,74.28% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,1360.82,74,,1088.66,percent of total billed charges,74.28% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of total billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,1597.52,87.2,,,percent of total billed charges,87.2% of total billed charges,1080.89,59,,864.71,percent of total billed charges,59% of total billed charges,1597.52,87.2,,1278.02,percent of total billed charges,87.2% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,1489.25,81.29,,1191.4,percent of total billed charges,81.29% of total billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of totl billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of total billed charges,1648.82,90,,1319.06,percent of total billed charges,90% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,1117.53,61,,894.02,percent of total billed charges,61% of total billed charges,952.65,52,,762.12,percent of total billed charges,52% of total billed charges,952.65,1648.82,
PROMETRA II PUMP 20ML 13827,35031369,CDM,278,RC,C1772,HCPCS,Outpatient,,,15000,12000,,12750,85,,10200,percent of total billed charges,85% of total billed charges,12750,85,,10200,percent of total billed charges,85% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13080,87.2,,,percent of total billed charges,87.2% of total billed charges,8850,59,,7080,percent of total billed charges,59% of total billed charges,13080,87.2,,10464,percent of total billed charges,87.2% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,12193.5,81.29,,9754.8,percent of total billed charges,81.29% of total billed charges,13500,90,,10800,percent of total billed charges,90% of totl billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,13500,
PROMETRA II PUMP 40ML 16827,35031370,CDM,278,RC,C1772,HCPCS,Outpatient,,,15000,12000,,12750,85,,10200,percent of total billed charges,85% of total billed charges,12750,85,,10200,percent of total billed charges,85% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13080,87.2,,,percent of total billed charges,87.2% of total billed charges,8850,59,,7080,percent of total billed charges,59% of total billed charges,13080,87.2,,10464,percent of total billed charges,87.2% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,12193.5,81.29,,9754.8,percent of total billed charges,81.29% of total billed charges,13500,90,,10800,percent of total billed charges,90% of totl billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,13500,
SYNCHROMED III 20ML PUMP,35032343,CDM,278,RC,C1772,HCPCS,Outpatient,,,25680,20544,,21828,85,,17462.4,percent of total billed charges,85% of total billed charges,21828,85,,17462.4,percent of total billed charges,85% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,19075.1,74,,15260.08,percent of total billed charges,74.28% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,19075.1,74,,15260.08,percent of total billed charges,74.28% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,19075.1,74,,15260.08,percent of total billed charges,74.28% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,23112,90,,18489.6,percent of total billed charges,90% of total billed charges,23112,90,,18489.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,22392.96,87.2,,,percent of total billed charges,87.2% of total billed charges,15151.2,59,,12120.96,percent of total billed charges,59% of total billed charges,22392.96,87.2,,17914.37,percent of total billed charges,87.2% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,20875.27,81.29,,16700.22,percent of total billed charges,81.29% of total billed charges,23112,90,,18489.6,percent of total billed charges,90% of totl billed charges,23112,90,,18489.6,percent of total billed charges,90% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,23112,90,,18489.6,percent of total billed charges,90% of total billed charges,23112,90,,18489.6,percent of total billed charges,90% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,15664.8,61,,12531.84,percent of total billed charges,61% of total billed charges,13353.6,52,,10682.88,percent of total billed charges,52% of total billed charges,13353.6,23112,
SYNCHROMED III 40ML PUMP,35032344,CDM,278,RC,C1772,HCPCS,Outpatient,,,21063,16850.4,,17903.55,85,,14322.84,percent of total billed charges,85% of total billed charges,17903.55,85,,14322.84,percent of total billed charges,85% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,18366.94,87.2,,,percent of total billed charges,87.2% of total billed charges,12427.17,59,,9941.74,percent of total billed charges,59% of total billed charges,18366.94,87.2,,14693.55,percent of total billed charges,87.2% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,17122.11,81.29,,13697.69,percent of total billed charges,81.29% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of totl billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,10952.76,18956.7,
MED SYNCHRMED INFUS 8637-20/40,35039424,CDM,278,RC,C1772,HCPCS,Outpatient,,,21063,16850.4,,17903.55,85,,14322.84,percent of total billed charges,85% of total billed charges,17903.55,85,,14322.84,percent of total billed charges,85% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,15645.6,74,,12516.48,percent of total billed charges,74.28% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,18366.94,87.2,,,percent of total billed charges,87.2% of total billed charges,12427.17,59,,9941.74,percent of total billed charges,59% of total billed charges,18366.94,87.2,,14693.55,percent of total billed charges,87.2% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,17122.11,81.29,,13697.69,percent of total billed charges,81.29% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of totl billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,18956.7,90,,15165.36,percent of total billed charges,90% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,12848.43,61,,10278.74,percent of total billed charges,61% of total billed charges,10952.76,52,,8762.21,percent of total billed charges,52% of total billed charges,10952.76,18956.7,
JRNY II BCS CNSTRD 11M,35032350,CDM,278,RC,C1773,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II BCS CNSTRD 11M,35032350,CDM,278,RC,C1773,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE BIOMET VANGUARD FEM.COMP,35030085,CDM,278,RC,C1776,HCPCS,Outpatient,,,2306.25,1845,,1960.31,85,,1568.25,percent of total billed charges,85% of total billed charges,1960.31,85,,1568.25,percent of total billed charges,85% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,2011.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1360.69,59,,1088.55,percent of total billed charges,59% of total billed charges,2011.05,87.2,,1608.84,percent of total billed charges,87.2% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1874.75,81.29,,1499.8,percent of total billed charges,81.29% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of totl billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1199.25,2075.63,
KNEE BIOMET VANGUARD TIB.TRAY,35030086,CDM,278,RC,C1776,HCPCS,Outpatient,,,1691.25,1353,,1437.56,85,,1150.05,percent of total billed charges,85% of total billed charges,1437.56,85,,1150.05,percent of total billed charges,85% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1474.77,87.2,,,percent of total billed charges,87.2% of total billed charges,997.84,59,,798.27,percent of total billed charges,59% of total billed charges,1474.77,87.2,,1179.82,percent of total billed charges,87.2% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1374.82,81.29,,1099.86,percent of total billed charges,81.29% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of totl billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,879.45,1522.13,
KNEE BIOMET VANGUARD E1 TIB.IN,35030087,CDM,278,RC,C1776,HCPCS,Outpatient,,,2306.25,1845,,1960.31,85,,1568.25,percent of total billed charges,85% of total billed charges,1960.31,85,,1568.25,percent of total billed charges,85% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1713.08,74,,1370.46,percent of total billed charges,74.28% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,2011.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1360.69,59,,1088.55,percent of total billed charges,59% of total billed charges,2011.05,87.2,,1608.84,percent of total billed charges,87.2% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1874.75,81.29,,1499.8,percent of total billed charges,81.29% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of totl billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,2075.63,90,,1660.5,percent of total billed charges,90% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1406.81,61,,1125.45,percent of total billed charges,61% of total billed charges,1199.25,52,,959.4,percent of total billed charges,52% of total billed charges,1199.25,2075.63,
KNEE BIOMET SERIES A PATELLA,35030088,CDM,278,RC,C1776,HCPCS,Outpatient,,,1499.06,1199.25,,1274.2,85,,1019.36,percent of total billed charges,85% of total billed charges,1274.2,85,,1019.36,percent of total billed charges,85% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,1113.5,74,,890.8,percent of total billed charges,74.28% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,1113.5,74,,890.8,percent of total billed charges,74.28% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,1113.5,74,,890.8,percent of total billed charges,74.28% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of total billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,1307.18,87.2,,,percent of total billed charges,87.2% of total billed charges,884.45,59,,707.56,percent of total billed charges,59% of total billed charges,1307.18,87.2,,1045.74,percent of total billed charges,87.2% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,1218.59,81.29,,974.87,percent of total billed charges,81.29% of total billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of totl billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of total billed charges,1349.15,90,,1079.32,percent of total billed charges,90% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,914.43,61,,731.54,percent of total billed charges,61% of total billed charges,779.51,52,,623.61,percent of total billed charges,52% of total billed charges,779.51,1349.15,
HIP STEM SECUR-FIT HA S-2337,35030097,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
HIP CUP TRIDENT PSL HA 542-11,35030098,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE BIOMET VANGUARD CR TIB.IN,35030117,CDM,278,RC,C1776,HCPCS,Outpatient,,,1798.88,1439.1,,1529.05,85,,1223.24,percent of total billed charges,85% of total billed charges,1529.05,85,,1223.24,percent of total billed charges,85% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,1336.21,74,,1068.97,percent of total billed charges,74.28% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,1336.21,74,,1068.97,percent of total billed charges,74.28% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,1336.21,74,,1068.97,percent of total billed charges,74.28% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of total billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,1568.62,87.2,,,percent of total billed charges,87.2% of total billed charges,1061.34,59,,849.07,percent of total billed charges,59% of total billed charges,1568.62,87.2,,1254.9,percent of total billed charges,87.2% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,1462.31,81.29,,1169.85,percent of total billed charges,81.29% of total billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of totl billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of total billed charges,1618.99,90,,1295.19,percent of total billed charges,90% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,1097.32,61,,877.86,percent of total billed charges,61% of total billed charges,935.42,52,,748.34,percent of total billed charges,52% of total billed charges,935.42,1618.99,
"STEINMANN PIN 3/32 x 9"" 1624-1",35030229,CDM,278,RC,C1776,HCPCS,Outpatient,,,28.07,22.46,,23.86,85,,19.09,percent of total billed charges,85% of total billed charges,23.86,85,,19.09,percent of total billed charges,85% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,20.85,74,,16.68,percent of total billed charges,74.28% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,24.48,87.2,,,percent of total billed charges,87.2% of total billed charges,16.56,59,,13.25,percent of total billed charges,59% of total billed charges,24.48,87.2,,19.58,percent of total billed charges,87.2% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,22.82,81.29,,18.26,percent of total billed charges,81.29% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of totl billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,25.26,90,,20.21,percent of total billed charges,90% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,17.12,61,,13.7,percent of total billed charges,61% of total billed charges,14.6,52,,11.68,percent of total billed charges,52% of total billed charges,14.6,25.26,
"STEINMANN PIN 5/32 x 9"" 1640-1",35030230,CDM,278,RC,C1776,HCPCS,Outpatient,,,15.84,12.67,,13.46,85,,10.77,percent of total billed charges,85% of total billed charges,13.46,85,,10.77,percent of total billed charges,85% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,11.77,74,,9.42,percent of total billed charges,74.28% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,11.77,74,,9.42,percent of total billed charges,74.28% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,11.77,74,,9.42,percent of total billed charges,74.28% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,14.26,90,,11.41,percent of total billed charges,90% of total billed charges,14.26,90,,11.41,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,13.81,87.2,,,percent of total billed charges,87.2% of total billed charges,9.35,59,,7.48,percent of total billed charges,59% of total billed charges,13.81,87.2,,11.05,percent of total billed charges,87.2% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,12.88,81.29,,10.3,percent of total billed charges,81.29% of total billed charges,14.26,90,,11.41,percent of total billed charges,90% of totl billed charges,14.26,90,,11.41,percent of total billed charges,90% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,14.26,90,,11.41,percent of total billed charges,90% of total billed charges,14.26,90,,11.41,percent of total billed charges,90% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,9.66,61,,7.73,percent of total billed charges,61% of total billed charges,8.24,52,,6.59,percent of total billed charges,52% of total billed charges,8.24,14.26,
"STEINMANN PIN 1/8 x 9"" 1632-1",35030231,CDM,278,RC,C1776,HCPCS,Outpatient,,,13.87,11.1,,11.79,85,,9.43,percent of total billed charges,85% of total billed charges,11.79,85,,9.43,percent of total billed charges,85% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,10.3,74,,8.24,percent of total billed charges,74.28% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,10.3,74,,8.24,percent of total billed charges,74.28% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,10.3,74,,8.24,percent of total billed charges,74.28% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,12.48,90,,9.98,percent of total billed charges,90% of total billed charges,12.48,90,,9.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,12.09,87.2,,,percent of total billed charges,87.2% of total billed charges,8.18,59,,6.54,percent of total billed charges,59% of total billed charges,12.09,87.2,,9.67,percent of total billed charges,87.2% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,11.27,81.29,,9.02,percent of total billed charges,81.29% of total billed charges,12.48,90,,9.98,percent of total billed charges,90% of totl billed charges,12.48,90,,9.98,percent of total billed charges,90% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,12.48,90,,9.98,percent of total billed charges,90% of total billed charges,12.48,90,,9.98,percent of total billed charges,90% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,8.46,61,,6.77,percent of total billed charges,61% of total billed charges,7.21,52,,5.77,percent of total billed charges,52% of total billed charges,7.21,12.48,
"STEINMANN PIN 7/64 x 9"" 1628-",35030232,CDM,278,RC,C1776,HCPCS,Outpatient,,,12.33,9.86,,10.48,85,,8.38,percent of total billed charges,85% of total billed charges,10.48,85,,8.38,percent of total billed charges,85% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.16,74,,7.33,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.16,74,,7.33,percent of total billed charges,74.28% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,9.16,74,,7.33,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,11.1,90,,8.88,percent of total billed charges,90% of total billed charges,11.1,90,,8.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.75,87.2,,,percent of total billed charges,87.2% of total billed charges,7.27,59,,5.82,percent of total billed charges,59% of total billed charges,10.75,87.2,,8.6,percent of total billed charges,87.2% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.02,81.29,,8.02,percent of total billed charges,81.29% of total billed charges,11.1,90,,8.88,percent of total billed charges,90% of totl billed charges,11.1,90,,8.88,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,11.1,90,,8.88,percent of total billed charges,90% of total billed charges,11.1,90,,8.88,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,11.1,
CMC NUGRIP IMPLANT NUG44320S,35030239,CDM,278,RC,C1776,HCPCS,Outpatient,,,3803.01,3042.41,,3232.56,85,,2586.05,percent of total billed charges,85% of total billed charges,3232.56,85,,2586.05,percent of total billed charges,85% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,2824.88,74,,2259.9,percent of total billed charges,74.28% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,2824.88,74,,2259.9,percent of total billed charges,74.28% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,2824.88,74,,2259.9,percent of total billed charges,74.28% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of total billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,3316.22,87.2,,,percent of total billed charges,87.2% of total billed charges,2243.78,59,,1795.02,percent of total billed charges,59% of total billed charges,3316.22,87.2,,2652.98,percent of total billed charges,87.2% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,3091.47,81.29,,2473.18,percent of total billed charges,81.29% of total billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of totl billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of total billed charges,3422.71,90,,2738.17,percent of total billed charges,90% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,2319.84,61,,1855.87,percent of total billed charges,61% of total billed charges,1977.57,52,,1582.06,percent of total billed charges,52% of total billed charges,1977.57,3422.71,
DRILL PIN TRIM-IT 1.5x100 AR41,35030263,CDM,272,RC,C1776,HCPCS,Outpatient,,,741.08,592.86,,629.92,85,,503.94,percent of total billed charges,85% of total billed charges,629.92,85,,503.94,percent of total billed charges,85% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,550.47,74,,440.38,percent of total billed charges,74.28% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,550.47,74,,440.38,percent of total billed charges,74.28% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,550.47,74,,440.38,percent of total billed charges,74.28% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,666.97,90,,533.58,percent of total billed charges,90% of total billed charges,666.97,90,,533.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,646.22,87.2,,,percent of total billed charges,87.2% of total billed charges,437.24,59,,349.79,percent of total billed charges,59% of total billed charges,646.22,87.2,,516.98,percent of total billed charges,87.2% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,602.42,81.29,,481.94,percent of total billed charges,81.29% of total billed charges,666.97,90,,533.58,percent of total billed charges,90% of totl billed charges,666.97,90,,533.58,percent of total billed charges,90% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,666.97,90,,533.58,percent of total billed charges,90% of total billed charges,666.97,90,,533.58,percent of total billed charges,90% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,452.06,61,,361.65,percent of total billed charges,61% of total billed charges,385.36,52,,308.29,percent of total billed charges,52% of total billed charges,385.36,666.97,
KNEE ACCIN TIB.TRAY AR-503-TTT,35030369,CDM,278,RC,C1776,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
KNEE VNGD TIB LOCK BAR 141205,35030418,CDM,278,RC,C1776,HCPCS,Outpatient,,,696,556.8,,591.6,85,,473.28,percent of total billed charges,85% of total billed charges,591.6,85,,473.28,percent of total billed charges,85% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,516.99,74,,413.59,percent of total billed charges,74.28% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,516.99,74,,413.59,percent of total billed charges,74.28% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,516.99,74,,413.59,percent of total billed charges,74.28% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,626.4,90,,501.12,percent of total billed charges,90% of total billed charges,626.4,90,,501.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,606.91,87.2,,,percent of total billed charges,87.2% of total billed charges,410.64,59,,328.51,percent of total billed charges,59% of total billed charges,606.91,87.2,,485.53,percent of total billed charges,87.2% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,565.78,81.29,,452.62,percent of total billed charges,81.29% of total billed charges,626.4,90,,501.12,percent of total billed charges,90% of totl billed charges,626.4,90,,501.12,percent of total billed charges,90% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,626.4,90,,501.12,percent of total billed charges,90% of total billed charges,626.4,90,,501.12,percent of total billed charges,90% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,424.56,61,,339.65,percent of total billed charges,61% of total billed charges,361.92,52,,289.54,percent of total billed charges,52% of total billed charges,361.92,626.4,
STEM RADIAL STR TI 8mm,35030441,CDM,278,RC,C1776,HCPCS,Outpatient,,,3982.5,3186,,3385.13,85,,2708.1,percent of total billed charges,85% of total billed charges,3385.13,85,,2708.1,percent of total billed charges,85% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3472.74,87.2,,,percent of total billed charges,87.2% of total billed charges,2349.68,59,,1879.74,percent of total billed charges,59% of total billed charges,3472.74,87.2,,2778.19,percent of total billed charges,87.2% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3237.37,81.29,,2589.9,percent of total billed charges,81.29% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of totl billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2070.9,3584.25,
HEAD RADIAL COCR 26mm,35030442,CDM,278,RC,C1776,HCPCS,Outpatient,,,3982.5,3186,,3385.13,85,,2708.1,percent of total billed charges,85% of total billed charges,3385.13,85,,2708.1,percent of total billed charges,85% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2958.2,74,,2366.56,percent of total billed charges,74.28% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3472.74,87.2,,,percent of total billed charges,87.2% of total billed charges,2349.68,59,,1879.74,percent of total billed charges,59% of total billed charges,3472.74,87.2,,2778.19,percent of total billed charges,87.2% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,3237.37,81.29,,2589.9,percent of total billed charges,81.29% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of totl billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,3584.25,90,,2867.4,percent of total billed charges,90% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2429.33,61,,1943.46,percent of total billed charges,61% of total billed charges,2070.9,52,,1656.72,percent of total billed charges,52% of total billed charges,2070.9,3584.25,
KNEE JRNY II BCS FEM OXI 74022,35030487,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
KNEE JRNY II BCS TIB.TRAY NP 7,35030489,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE JRNY II BCS TIB.INS. 7402,35030490,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE JRNY II BCS PATELLA 74024,35030491,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
HIP REF LINER XLPE 32mm 713333,35030494,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
SCREW REF SPHER HD 713325xx,35030496,CDM,278,RC,C1776,HCPCS,Outpatient,,,415.5,332.4,,353.18,85,,282.54,percent of total billed charges,85% of total billed charges,353.18,85,,282.54,percent of total billed charges,85% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,308.63,74,,246.9,percent of total billed charges,74.28% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,308.63,74,,246.9,percent of total billed charges,74.28% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,308.63,74,,246.9,percent of total billed charges,74.28% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,373.95,90,,299.16,percent of total billed charges,90% of total billed charges,373.95,90,,299.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,362.32,87.2,,,percent of total billed charges,87.2% of total billed charges,245.15,59,,196.12,percent of total billed charges,59% of total billed charges,362.32,87.2,,289.86,percent of total billed charges,87.2% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,337.76,81.29,,270.21,percent of total billed charges,81.29% of total billed charges,373.95,90,,299.16,percent of total billed charges,90% of totl billed charges,373.95,90,,299.16,percent of total billed charges,90% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,373.95,90,,299.16,percent of total billed charges,90% of total billed charges,373.95,90,,299.16,percent of total billed charges,90% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,253.46,61,,202.77,percent of total billed charges,61% of total billed charges,216.06,52,,172.85,percent of total billed charges,52% of total billed charges,216.06,373.95,
HIP REF SHELL 3/HOLE 713364xx,35030510,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SCREW REF HOLE COVER 71332500,35030511,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
THRD REF HOLE COVER 71330001,35030512,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
HIP SYN FEM COMP CEM 71316xxx,35030513,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
HIP INVIS DIST CENT SZx713132,35030514,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
HIP REF FEM HD OXI 32mm 713432,35030515,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE GENESIS II FEM OXI PS 714,35030531,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
KNEE GENESIS II TIB TRAY N/P 7,35030532,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE GENESIS II TIB INS PS 714,35030533,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE GENESIS II TIB INS XLPE 7,35030534,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE GENISIS II PATELLA 714205,35030535,CDM,278,RC,C1776,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
KNEE GENISIS II FEM N/P CR 714,35030536,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
HIP FEM HD OXI 36mm 713436xx,35030537,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
HIP HOLE COVER INSERTER 732133,35030543,CDM,278,RC,C1776,HCPCS,Outpatient,,,129.3,103.44,,109.91,85,,87.93,percent of total billed charges,85% of total billed charges,109.91,85,,87.93,percent of total billed charges,85% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,96.04,74,,76.83,percent of total billed charges,74.28% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,96.04,74,,76.83,percent of total billed charges,74.28% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,96.04,74,,76.83,percent of total billed charges,74.28% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,116.37,90,,93.1,percent of total billed charges,90% of total billed charges,116.37,90,,93.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,112.75,87.2,,,percent of total billed charges,87.2% of total billed charges,76.29,59,,61.03,percent of total billed charges,59% of total billed charges,112.75,87.2,,90.2,percent of total billed charges,87.2% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,105.11,81.29,,84.09,percent of total billed charges,81.29% of total billed charges,116.37,90,,93.1,percent of total billed charges,90% of totl billed charges,116.37,90,,93.1,percent of total billed charges,90% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,116.37,90,,93.1,percent of total billed charges,90% of total billed charges,116.37,90,,93.1,percent of total billed charges,90% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,78.87,61,,63.1,percent of total billed charges,61% of total billed charges,67.24,52,,53.79,percent of total billed charges,52% of total billed charges,67.24,116.37,
HIP SYN FEM COMP POR HO 713061,35030549,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
HIP HD C-TAPER BIOLOX 18-36xx,35030553,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HIP LINER TRIDENT 0x36mm 623-0,35030554,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
KNEE GII DISHED TIB INS,35030564,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ECH CEM FEM COMP 175,35030565,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
ECH CEM FEM COMP 225,35030566,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
ECH CEM CAL COMP 175,35030567,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
ECH CEM CAL COMP 225,35030568,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
HEMI FEMORAL SHAFT,35030569,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
"ECH CEM FEM COMP SZ 16, 225",35030571,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
COCR 12/14 FEM HEAD 32 + 16,35030572,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
GII DISHED INS SZ 5-6 9MM,35030582,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
HIP SYN POR HO FEM COM SZ 12,35030583,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
HIP SYN POR HO FEM COM SZ 17,35030584,CDM,278,RC,C1776,HCPCS,Outpatient,,,3500,2800,,2975,85,,2380,percent of total billed charges,85% of total billed charges,2975,85,,2380,percent of total billed charges,85% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,2599.8,74,,2079.84,percent of total billed charges,74.28% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,2599.8,74,,2079.84,percent of total billed charges,74.28% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,2599.8,74,,2079.84,percent of total billed charges,74.28% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,3150,90,,2520,percent of total billed charges,90% of total billed charges,3150,90,,2520,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1820,52,,1456,percent of total billed charges,52% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,3052,87.2,,,percent of total billed charges,87.2% of total billed charges,2065,59,,1652,percent of total billed charges,59% of total billed charges,3052,87.2,,2441.6,percent of total billed charges,87.2% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,2845.15,81.29,,2276.12,percent of total billed charges,81.29% of total billed charges,3150,90,,2520,percent of total billed charges,90% of totl billed charges,3150,90,,2520,percent of total billed charges,90% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,3150,90,,2520,percent of total billed charges,90% of total billed charges,3150,90,,2520,percent of total billed charges,90% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,2135,61,,1708,percent of total billed charges,61% of total billed charges,1820,52,,1456,percent of total billed charges,52% of total billed charges,1820,3150,
KNEE LGN DISHED ISRT SZ3-4 9MM,35030585,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HIP SYN POR HO FEM COM SZ 13,35030589,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
ACC 2.0 mm SS CABLE W/CLAMP,35030590,CDM,278,RC,C1776,HCPCS,Outpatient,,,975,780,,828.75,85,,663,percent of total billed charges,85% of total billed charges,828.75,85,,663,percent of total billed charges,85% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,850.2,87.2,,,percent of total billed charges,87.2% of total billed charges,575.25,59,,460.2,percent of total billed charges,59% of total billed charges,850.2,87.2,,680.16,percent of total billed charges,87.2% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,792.58,81.29,,634.06,percent of total billed charges,81.29% of total billed charges,877.5,90,,702,percent of total billed charges,90% of totl billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,877.5,
GNS TROCAR PIN 1/8 IN X 5 IN,35030592,CDM,278,RC,C1776,HCPCS,Outpatient,,,85,68,,72.25,85,,57.8,percent of total billed charges,85% of total billed charges,72.25,85,,57.8,percent of total billed charges,85% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,63.14,74,,50.51,percent of total billed charges,74.28% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,74.12,87.2,,,percent of total billed charges,87.2% of total billed charges,50.15,59,,40.12,percent of total billed charges,59% of total billed charges,74.12,87.2,,59.3,percent of total billed charges,87.2% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,69.1,81.29,,55.28,percent of total billed charges,81.29% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of totl billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,76.5,90,,61.2,percent of total billed charges,90% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,51.85,61,,41.48,percent of total billed charges,61% of total billed charges,44.2,52,,35.36,percent of total billed charges,52% of total billed charges,44.2,76.5,
KNEE JRNY BCS PAT RESRF 32mm S,35030593,CDM,278,RC,C1776,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
HIP SYN POR HO FEM COM SZ 15,35030605,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
GEN TROCAR PIN 1/8 X 3,35030609,CDM,278,RC,C1776,HCPCS,Outpatient,,,78.78,63.02,,66.96,85,,53.57,percent of total billed charges,85% of total billed charges,66.96,85,,53.57,percent of total billed charges,85% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,58.52,74,,46.82,percent of total billed charges,74.28% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,58.52,74,,46.82,percent of total billed charges,74.28% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,58.52,74,,46.82,percent of total billed charges,74.28% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,70.9,90,,56.72,percent of total billed charges,90% of total billed charges,70.9,90,,56.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,68.7,87.2,,,percent of total billed charges,87.2% of total billed charges,46.48,59,,37.18,percent of total billed charges,59% of total billed charges,68.7,87.2,,54.96,percent of total billed charges,87.2% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,64.04,81.29,,51.23,percent of total billed charges,81.29% of total billed charges,70.9,90,,56.72,percent of total billed charges,90% of totl billed charges,70.9,90,,56.72,percent of total billed charges,90% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,70.9,90,,56.72,percent of total billed charges,90% of total billed charges,70.9,90,,56.72,percent of total billed charges,90% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,48.06,61,,38.45,percent of total billed charges,61% of total billed charges,40.97,52,,32.78,percent of total billed charges,52% of total billed charges,40.97,70.9,
SYN POR HO FEM COM SZ 14,35030610,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
JRNY II BCS FEM COCR 74024214,35030612,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
NU GRIP SZ 20 M,35030614,CDM,278,RC,C1776,HCPCS,Outpatient,,,3959.96,3167.97,,3365.97,85,,2692.78,percent of total billed charges,85% of total billed charges,3365.97,85,,2692.78,percent of total billed charges,85% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3453.09,87.2,,,percent of total billed charges,87.2% of total billed charges,2336.38,59,,1869.1,percent of total billed charges,59% of total billed charges,3453.09,87.2,,2762.47,percent of total billed charges,87.2% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3219.05,81.29,,2575.24,percent of total billed charges,81.29% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of totl billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2059.18,3563.96,
LGN COCR CONSTRAINED FEM 3LT,35030646,CDM,278,RC,C1776,HCPCS,Outpatient,,,10594.8,8475.84,,9005.58,85,,7204.46,percent of total billed charges,85% of total billed charges,9005.58,85,,7204.46,percent of total billed charges,85% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,9238.67,87.2,,,percent of total billed charges,87.2% of total billed charges,6250.93,59,,5000.74,percent of total billed charges,59% of total billed charges,9238.67,87.2,,7390.94,percent of total billed charges,87.2% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,8612.51,81.29,,6890.01,percent of total billed charges,81.29% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of totl billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,5509.3,9535.32,
LGN CEMENT STEM12MMX,35030647,CDM,278,RC,C1776,HCPCS,Outpatient,,,2325.6,1860.48,,1976.76,85,,1581.41,percent of total billed charges,85% of total billed charges,1976.76,85,,1581.41,percent of total billed charges,85% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,1727.46,74,,1381.97,percent of total billed charges,74.28% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,1727.46,74,,1381.97,percent of total billed charges,74.28% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,1727.46,74,,1381.97,percent of total billed charges,74.28% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of total billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,2027.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1372.1,59,,1097.68,percent of total billed charges,59% of total billed charges,2027.92,87.2,,1622.34,percent of total billed charges,87.2% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,1890.48,81.29,,1512.38,percent of total billed charges,81.29% of total billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of totl billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of total billed charges,2093.04,90,,1674.43,percent of total billed charges,90% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,1418.62,61,,1134.9,percent of total billed charges,61% of total billed charges,1209.31,52,,967.45,percent of total billed charges,52% of total billed charges,1209.31,2093.04,
LGN POS FEM WDG 5mm,35030648,CDM,278,RC,C1776,HCPCS,Outpatient,,,1994.4,1595.52,,1695.24,85,,1356.19,percent of total billed charges,85% of total billed charges,1695.24,85,,1356.19,percent of total billed charges,85% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1739.12,87.2,,,percent of total billed charges,87.2% of total billed charges,1176.7,59,,941.36,percent of total billed charges,59% of total billed charges,1739.12,87.2,,1391.3,percent of total billed charges,87.2% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1621.25,81.29,,1297,percent of total billed charges,81.29% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of totl billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1037.09,1794.96,
LEGION SCW LWDG 53,35030649,CDM,278,RC,C1776,HCPCS,Outpatient,,,3168,2534.4,,2692.8,85,,2154.24,percent of total billed charges,85% of total billed charges,2692.8,85,,2154.24,percent of total billed charges,85% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,2353.19,74,,1882.55,percent of total billed charges,74.28% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,2353.19,74,,1882.55,percent of total billed charges,74.28% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,2353.19,74,,1882.55,percent of total billed charges,74.28% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of total billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,2762.5,87.2,,,percent of total billed charges,87.2% of total billed charges,1869.12,59,,1495.3,percent of total billed charges,59% of total billed charges,2762.5,87.2,,2210,percent of total billed charges,87.2% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,2575.27,81.29,,2060.22,percent of total billed charges,81.29% of total billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of totl billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of total billed charges,2851.2,90,,2280.96,percent of total billed charges,90% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,1932.48,61,,1545.98,percent of total billed charges,61% of total billed charges,1647.36,52,,1317.89,percent of total billed charges,52% of total billed charges,1647.36,2851.2,
GII CONST INSRT W/JRNY LOCK,35030650,CDM,278,RC,C1776,HCPCS,Outpatient,,,1755,1404,,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1530.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1035.45,59,,828.36,percent of total billed charges,59% of total billed charges,1530.36,87.2,,1224.29,percent of total billed charges,87.2% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1426.64,81.29,,1141.31,percent of total billed charges,81.29% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of totl billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,1579.5,
DELTA C-TAPER HEAD,35030661,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
32mm + 5mm FEMORAL HEAD,35030669,CDM,278,RC,C1776,HCPCS,Outpatient,,,1730.7,1384.56,,1471.1,85,,1176.88,percent of total billed charges,85% of total billed charges,1471.1,85,,1176.88,percent of total billed charges,85% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,1285.56,74,,1028.45,percent of total billed charges,74.28% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,1285.56,74,,1028.45,percent of total billed charges,74.28% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,1285.56,74,,1028.45,percent of total billed charges,74.28% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of total billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,1509.17,87.2,,,percent of total billed charges,87.2% of total billed charges,1021.11,59,,816.89,percent of total billed charges,59% of total billed charges,1509.17,87.2,,1207.34,percent of total billed charges,87.2% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,1406.89,81.29,,1125.51,percent of total billed charges,81.29% of total billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of totl billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of total billed charges,1557.63,90,,1246.1,percent of total billed charges,90% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,1055.73,61,,844.58,percent of total billed charges,61% of total billed charges,899.96,52,,719.97,percent of total billed charges,52% of total billed charges,899.96,1557.63,
32x52-55 10 DEG INS DURAT,35030670,CDM,278,RC,C1776,HCPCS,Outpatient,,,2166.75,1733.4,,1841.74,85,,1473.39,percent of total billed charges,85% of total billed charges,1841.74,85,,1473.39,percent of total billed charges,85% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1609.46,74,,1287.57,percent of total billed charges,74.28% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1609.46,74,,1287.57,percent of total billed charges,74.28% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1609.46,74,,1287.57,percent of total billed charges,74.28% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of total billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1889.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1278.38,59,,1022.7,percent of total billed charges,59% of total billed charges,1889.41,87.2,,1511.53,percent of total billed charges,87.2% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1761.35,81.29,,1409.08,percent of total billed charges,81.29% of total billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of totl billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of total billed charges,1950.08,90,,1560.06,percent of total billed charges,90% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1321.72,61,,1057.38,percent of total billed charges,61% of total billed charges,1126.71,52,,901.37,percent of total billed charges,52% of total billed charges,1126.71,1950.08,
REFL SPHER HEAD SCREW,35030678,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
REFL ACET LN32ID50-52OD,35030679,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
OXINIUM FEM HD,35030680,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
LGN COCR CONSTRAINED FEMUR,35030682,CDM,278,RC,C1776,HCPCS,Outpatient,,,10594.8,8475.84,,9005.58,85,,7204.46,percent of total billed charges,85% of total billed charges,9005.58,85,,7204.46,percent of total billed charges,85% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,7869.82,74,,6295.86,percent of total billed charges,74.28% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,9238.67,87.2,,,percent of total billed charges,87.2% of total billed charges,6250.93,59,,5000.74,percent of total billed charges,59% of total billed charges,9238.67,87.2,,7390.94,percent of total billed charges,87.2% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,8612.51,81.29,,6890.01,percent of total billed charges,81.29% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of totl billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,9535.32,90,,7628.26,percent of total billed charges,90% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,6462.83,61,,5170.26,percent of total billed charges,61% of total billed charges,5509.3,52,,4407.44,percent of total billed charges,52% of total billed charges,5509.3,9535.32,
LGN POS FEMORAL WEDGE,35030683,CDM,278,RC,C1776,HCPCS,Outpatient,,,1994.4,1595.52,,1695.24,85,,1356.19,percent of total billed charges,85% of total billed charges,1695.24,85,,1356.19,percent of total billed charges,85% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1481.44,74,,1185.15,percent of total billed charges,74.28% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1739.12,87.2,,,percent of total billed charges,87.2% of total billed charges,1176.7,59,,941.36,percent of total billed charges,59% of total billed charges,1739.12,87.2,,1391.3,percent of total billed charges,87.2% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1621.25,81.29,,1297,percent of total billed charges,81.29% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of totl billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1794.96,90,,1435.97,percent of total billed charges,90% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1216.58,61,,973.26,percent of total billed charges,61% of total billed charges,1037.09,52,,829.67,percent of total billed charges,52% of total billed charges,1037.09,1794.96,
LGN REV TIBIA BASE,35030684,CDM,278,RC,C1776,HCPCS,Outpatient,,,4600.8,3680.64,,3910.68,85,,3128.54,percent of total billed charges,85% of total billed charges,3910.68,85,,3128.54,percent of total billed charges,85% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,3417.47,74,,2733.98,percent of total billed charges,74.28% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,3417.47,74,,2733.98,percent of total billed charges,74.28% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,3417.47,74,,2733.98,percent of total billed charges,74.28% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of total billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,4011.9,87.2,,,percent of total billed charges,87.2% of total billed charges,2714.47,59,,2171.58,percent of total billed charges,59% of total billed charges,4011.9,87.2,,3209.52,percent of total billed charges,87.2% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,3739.99,81.29,,2991.99,percent of total billed charges,81.29% of total billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of totl billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of total billed charges,4140.72,90,,3312.58,percent of total billed charges,90% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,2806.49,61,,2245.19,percent of total billed charges,61% of total billed charges,2392.42,52,,1913.94,percent of total billed charges,52% of total billed charges,2392.42,4140.72,
LGN OFFSET COUPLER,35030685,CDM,278,RC,C1776,HCPCS,Outpatient,,,2336.4,1869.12,,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2037.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1378.48,59,,1102.78,percent of total billed charges,59% of total billed charges,2037.34,87.2,,1629.87,percent of total billed charges,87.2% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1899.26,81.29,,1519.41,percent of total billed charges,81.29% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of totl billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,2102.76,
GNS II CON INSERT,35030686,CDM,278,RC,C1776,HCPCS,Outpatient,,,3657.6,2926.08,,3108.96,85,,2487.17,percent of total billed charges,85% of total billed charges,3108.96,85,,2487.17,percent of total billed charges,85% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,2716.87,74,,2173.5,percent of total billed charges,74.28% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,2716.87,74,,2173.5,percent of total billed charges,74.28% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,2716.87,74,,2173.5,percent of total billed charges,74.28% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of total billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,3189.43,87.2,,,percent of total billed charges,87.2% of total billed charges,2157.98,59,,1726.38,percent of total billed charges,59% of total billed charges,3189.43,87.2,,2551.54,percent of total billed charges,87.2% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,2973.26,81.29,,2378.61,percent of total billed charges,81.29% of total billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of totl billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of total billed charges,3291.84,90,,2633.47,percent of total billed charges,90% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,2231.14,61,,1784.91,percent of total billed charges,61% of total billed charges,1901.95,52,,1521.56,percent of total billed charges,52% of total billed charges,1901.95,3291.84,
HUMERAL HEAD SHORT 44mm,35030730,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
GLENOID PEGGED,35030731,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HUMERAL STEM 11mm,35030732,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ REPLICATOR PLATE 4.5mm,35030733,CDM,278,RC,C1776,HCPCS,Outpatient,,,1935,1548,,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1687.32,87.2,,,percent of total billed charges,87.2% of total billed charges,1141.65,59,,913.32,percent of total billed charges,59% of total billed charges,1687.32,87.2,,1349.86,percent of total billed charges,87.2% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1572.96,81.29,,1258.37,percent of total billed charges,81.29% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of totl billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,1741.5,
REFL ACET LN32ID58-60ODW,35030748,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
EVOS 3.5MM LCK PLATE 10H,35030774,CDM,278,RC,C1776,HCPCS,Outpatient,,,1368.9,1095.12,,1163.57,85,,930.86,percent of total billed charges,85% of total billed charges,1163.57,85,,930.86,percent of total billed charges,85% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,1016.82,74,,813.46,percent of total billed charges,74.28% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,1016.82,74,,813.46,percent of total billed charges,74.28% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,1016.82,74,,813.46,percent of total billed charges,74.28% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,1232.01,90,,985.61,percent of total billed charges,90% of total billed charges,1232.01,90,,985.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,1193.68,87.2,,,percent of total billed charges,87.2% of total billed charges,807.65,59,,646.12,percent of total billed charges,59% of total billed charges,1193.68,87.2,,954.94,percent of total billed charges,87.2% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,1112.78,81.29,,890.22,percent of total billed charges,81.29% of total billed charges,1232.01,90,,985.61,percent of total billed charges,90% of totl billed charges,1232.01,90,,985.61,percent of total billed charges,90% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,1232.01,90,,985.61,percent of total billed charges,90% of total billed charges,1232.01,90,,985.61,percent of total billed charges,90% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,835.03,61,,668.02,percent of total billed charges,61% of total billed charges,711.83,52,,569.46,percent of total billed charges,52% of total billed charges,711.83,1232.01,
LGN TIB BASE W/JOURN LOCK,35030788,CDM,278,RC,C1776,HCPCS,Outpatient,,,7317,5853.6,,6219.45,85,,4975.56,percent of total billed charges,85% of total billed charges,6219.45,85,,4975.56,percent of total billed charges,85% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,6380.42,87.2,,,percent of total billed charges,87.2% of total billed charges,4317.03,59,,3453.62,percent of total billed charges,59% of total billed charges,6380.42,87.2,,5104.34,percent of total billed charges,87.2% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5947.99,81.29,,4758.39,percent of total billed charges,81.29% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of totl billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,3804.84,6585.3,
LGN OFFSET COUPLER 6MM,35030789,CDM,278,RC,C1776,HCPCS,Outpatient,,,2336.4,1869.12,,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2037.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1378.48,59,,1102.78,percent of total billed charges,59% of total billed charges,2037.34,87.2,,1629.87,percent of total billed charges,87.2% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1899.26,81.29,,1519.41,percent of total billed charges,81.29% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of totl billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,2102.76,
LAT DIST HUM LK PL 11H,35030791,CDM,278,RC,C1776,HCPCS,Outpatient,,,2358,1886.4,,2004.3,85,,1603.44,percent of total billed charges,85% of total billed charges,2004.3,85,,1603.44,percent of total billed charges,85% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,1751.52,74,,1401.22,percent of total billed charges,74.28% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,1751.52,74,,1401.22,percent of total billed charges,74.28% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,1751.52,74,,1401.22,percent of total billed charges,74.28% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of total billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,2056.18,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.22,59,,1112.98,percent of total billed charges,59% of total billed charges,2056.18,87.2,,1644.94,percent of total billed charges,87.2% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,1916.82,81.29,,1533.46,percent of total billed charges,81.29% of total billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of totl billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of total billed charges,2122.2,90,,1697.76,percent of total billed charges,90% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,1438.38,61,,1150.7,percent of total billed charges,61% of total billed charges,1226.16,52,,980.93,percent of total billed charges,52% of total billed charges,1226.16,2122.2,
GII TIB DISHED INS,35030796,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
REFL ACET LN 32ID54-56ODW,35030797,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
COMM HEADSET KIT TH90T01,35030807,CDM,278,RC,C1776,HCPCS,Outpatient,,,1579.5,1263.6,,1342.58,85,,1074.06,percent of total billed charges,85% of total billed charges,1342.58,85,,1074.06,percent of total billed charges,85% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,1173.25,74,,938.6,percent of total billed charges,74.28% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,1173.25,74,,938.6,percent of total billed charges,74.28% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,1173.25,74,,938.6,percent of total billed charges,74.28% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of total billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,1377.32,87.2,,,percent of total billed charges,87.2% of total billed charges,931.91,59,,745.53,percent of total billed charges,59% of total billed charges,1377.32,87.2,,1101.86,percent of total billed charges,87.2% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,1283.98,81.29,,1027.18,percent of total billed charges,81.29% of total billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of totl billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of total billed charges,1421.55,90,,1137.24,percent of total billed charges,90% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,963.5,61,,770.8,percent of total billed charges,61% of total billed charges,821.34,52,,657.07,percent of total billed charges,52% of total billed charges,821.34,1421.55,
C-TAPER COCR LFIT HEAD 36MM,35030838,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
TRIDENT PSLHA CLUSTER 54MM,35030839,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIDENT 0X3 INSERT 36MM,35030840,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
SECUR-FIT ARC/HA COLLAR STEM#6,35030841,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
BONE PUTTY DBM 5CC BY RTI,35030844,CDM,278,RC,C1776,HCPCS,Outpatient,,,3105,2484,,2639.25,85,,2111.4,percent of total billed charges,85% of total billed charges,2639.25,85,,2111.4,percent of total billed charges,85% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,2306.39,74,,1845.11,percent of total billed charges,74.28% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,2306.39,74,,1845.11,percent of total billed charges,74.28% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,2306.39,74,,1845.11,percent of total billed charges,74.28% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of total billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,2707.56,87.2,,,percent of total billed charges,87.2% of total billed charges,1831.95,59,,1465.56,percent of total billed charges,59% of total billed charges,2707.56,87.2,,2166.05,percent of total billed charges,87.2% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,2524.05,81.29,,2019.24,percent of total billed charges,81.29% of total billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of totl billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of total billed charges,2794.5,90,,2235.6,percent of total billed charges,90% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,1894.05,61,,1515.24,percent of total billed charges,61% of total billed charges,1614.6,52,,1291.68,percent of total billed charges,52% of total billed charges,1614.6,2794.5,
GII OXIN P/S FEM LT SZ 7,35030845,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PRESSFIT STEM 14MMX160MM,35030846,CDM,278,RC,C1776,HCPCS,Outpatient,,,2343.6,1874.88,,1992.06,85,,1593.65,percent of total billed charges,85% of total billed charges,1992.06,85,,1593.65,percent of total billed charges,85% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,2043.62,87.2,,,percent of total billed charges,87.2% of total billed charges,1382.72,59,,1106.18,percent of total billed charges,59% of total billed charges,2043.62,87.2,,1634.9,percent of total billed charges,87.2% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1905.11,81.29,,1524.09,percent of total billed charges,81.29% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of totl billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1218.67,2109.24,
C-TAPER COCR LFIT HEAD 36MM/0,35030854,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
TRIDENT PSL HA CLUSTER 58MM,35030855,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIDENT 0X3 INSERT 36MM ID,35030856,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
LGN PRESSFIT STEM 14MMX160MM,35030858,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
SECUR-FIT ARC/HACOLLAR STEM#7,35030871,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
"NK FLX PRLNG UL SZ1/2RT,9MM",35030873,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
"NKII,ALL-POLY PATELLA SZ1 10MM",35030874,CDM,278,RC,C1776,HCPCS,Outpatient,,,1995,1596,,1695.75,85,,1356.6,percent of total billed charges,85% of total billed charges,1695.75,85,,1356.6,percent of total billed charges,85% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1481.89,74,,1185.51,percent of total billed charges,74.28% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1481.89,74,,1185.51,percent of total billed charges,74.28% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1481.89,74,,1185.51,percent of total billed charges,74.28% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of total billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1739.64,87.2,,,percent of total billed charges,87.2% of total billed charges,1177.05,59,,941.64,percent of total billed charges,59% of total billed charges,1739.64,87.2,,1391.71,percent of total billed charges,87.2% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1621.74,81.29,,1297.39,percent of total billed charges,81.29% of total billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of totl billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of total billed charges,1795.5,90,,1436.4,percent of total billed charges,90% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1216.95,61,,973.56,percent of total billed charges,61% of total billed charges,1037.4,52,,829.92,percent of total billed charges,52% of total billed charges,1037.4,1795.5,
GII OXIN P/S FEM LEFT SZ4,35030875,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
TRIDENT PSLHA CLUSTER 56MM,35030876,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIDENT 10X3 INSERT 36MM,35030877,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ECH CEM 15MM CAL SZ 16 225MM,35030894,CDM,278,RC,C1776,HCPCS,Outpatient,,,8164.8,6531.84,,6940.08,85,,5552.06,percent of total billed charges,85% of total billed charges,6940.08,85,,5552.06,percent of total billed charges,85% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,7119.71,87.2,,,percent of total billed charges,87.2% of total billed charges,4817.23,59,,3853.78,percent of total billed charges,59% of total billed charges,7119.71,87.2,,5695.77,percent of total billed charges,87.2% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6637.17,81.29,,5309.74,percent of total billed charges,81.29% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of totl billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,4245.7,7348.32,
CER OPT TYPE 1 TPR SLEVE-6,35030903,CDM,278,RC,C1776,HCPCS,Outpatient,,,792,633.6,,673.2,85,,538.56,percent of total billed charges,85% of total billed charges,673.2,85,,538.56,percent of total billed charges,85% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,588.3,74,,470.64,percent of total billed charges,74.28% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,588.3,74,,470.64,percent of total billed charges,74.28% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,588.3,74,,470.64,percent of total billed charges,74.28% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,712.8,90,,570.24,percent of total billed charges,90% of total billed charges,712.8,90,,570.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,690.62,87.2,,,percent of total billed charges,87.2% of total billed charges,467.28,59,,373.82,percent of total billed charges,59% of total billed charges,690.62,87.2,,552.5,percent of total billed charges,87.2% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,643.82,81.29,,515.06,percent of total billed charges,81.29% of total billed charges,712.8,90,,570.24,percent of total billed charges,90% of totl billed charges,712.8,90,,570.24,percent of total billed charges,90% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,712.8,90,,570.24,percent of total billed charges,90% of total billed charges,712.8,90,,570.24,percent of total billed charges,90% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,483.12,61,,386.5,percent of total billed charges,61% of total billed charges,411.84,52,,329.47,percent of total billed charges,52% of total billed charges,411.84,712.8,
CER BIOLOXD OPT HD32MM,35030904,CDM,278,RC,C1776,HCPCS,Outpatient,,,5352,4281.6,,4549.2,85,,3639.36,percent of total billed charges,85% of total billed charges,4549.2,85,,3639.36,percent of total billed charges,85% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,3975.47,74,,3180.38,percent of total billed charges,74.28% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,3975.47,74,,3180.38,percent of total billed charges,74.28% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,3975.47,74,,3180.38,percent of total billed charges,74.28% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of total billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,4666.94,87.2,,,percent of total billed charges,87.2% of total billed charges,3157.68,59,,2526.14,percent of total billed charges,59% of total billed charges,4666.94,87.2,,3733.55,percent of total billed charges,87.2% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,4350.64,81.29,,3480.51,percent of total billed charges,81.29% of total billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of totl billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of total billed charges,4816.8,90,,3853.44,percent of total billed charges,90% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,3264.72,61,,2611.78,percent of total billed charges,61% of total billed charges,2783.04,52,,2226.43,percent of total billed charges,52% of total billed charges,2783.04,4816.8,
EPOLY 32MM RNGLC LNR HWSZ23,35030905,CDM,278,RC,C1776,HCPCS,Outpatient,,,4272,3417.6,,3631.2,85,,2904.96,percent of total billed charges,85% of total billed charges,3631.2,85,,2904.96,percent of total billed charges,85% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,3173.24,74,,2538.59,percent of total billed charges,74.28% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,3173.24,74,,2538.59,percent of total billed charges,74.28% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,3173.24,74,,2538.59,percent of total billed charges,74.28% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of total billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,3725.18,87.2,,,percent of total billed charges,87.2% of total billed charges,2520.48,59,,2016.38,percent of total billed charges,59% of total billed charges,3725.18,87.2,,2980.14,percent of total billed charges,87.2% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,3472.71,81.29,,2778.17,percent of total billed charges,81.29% of total billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of totl billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of total billed charges,3844.8,90,,3075.84,percent of total billed charges,90% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,2605.92,61,,2084.74,percent of total billed charges,61% of total billed charges,2221.44,52,,1777.15,percent of total billed charges,52% of total billed charges,2221.44,3844.8,
CANN SCREW 40MM 4.0 121840,35030909,CDM,278,RC,C1776,HCPCS,Outpatient,,,664.95,531.96,,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,565.21,85,,452.17,percent of total billed charges,85% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,493.92,74,,395.14,percent of total billed charges,74.28% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,579.84,87.2,,,percent of total billed charges,87.2% of total billed charges,392.32,59,,313.86,percent of total billed charges,59% of total billed charges,579.84,87.2,,463.87,percent of total billed charges,87.2% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,540.54,81.29,,432.43,percent of total billed charges,81.29% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of totl billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,598.46,90,,478.77,percent of total billed charges,90% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,405.62,61,,324.5,percent of total billed charges,61% of total billed charges,345.77,52,,276.62,percent of total billed charges,52% of total billed charges,345.77,598.46,
C-TAPER COCRLFITHEAD36MM,35030927,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
NUGRIP SZ 10S NUG44310S,35030930,CDM,278,RC,C1776,HCPCS,Outpatient,,,3959.96,3167.97,,3365.97,85,,2692.78,percent of total billed charges,85% of total billed charges,3365.97,85,,2692.78,percent of total billed charges,85% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2941.46,74,,2353.17,percent of total billed charges,74.28% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3453.09,87.2,,,percent of total billed charges,87.2% of total billed charges,2336.38,59,,1869.1,percent of total billed charges,59% of total billed charges,3453.09,87.2,,2762.47,percent of total billed charges,87.2% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,3219.05,81.29,,2575.24,percent of total billed charges,81.29% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of totl billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,3563.96,90,,2851.17,percent of total billed charges,90% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2415.58,61,,1932.46,percent of total billed charges,61% of total billed charges,2059.18,52,,1647.34,percent of total billed charges,52% of total billed charges,2059.18,3563.96,
JRNY11BCS CNST ART INSRT,35030943,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
SYN POR HO FEM COM SZ16,35030958,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
LGN CR OX FEM SZ8L 71421238,35030968,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR HIGH FLEX XLPE SZ1-8 9M,35030969,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
LGN CR OX FEM SZ3L 71421233,35030970,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN TIB BASE W/JOURN LOCKSZ8L,35030976,CDM,278,RC,C1776,HCPCS,Outpatient,,,7317,5853.6,,6219.45,85,,4975.56,percent of total billed charges,85% of total billed charges,6219.45,85,,4975.56,percent of total billed charges,85% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,5435.07,74,,4348.06,percent of total billed charges,74.28% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,6380.42,87.2,,,percent of total billed charges,87.2% of total billed charges,4317.03,59,,3453.62,percent of total billed charges,59% of total billed charges,6380.42,87.2,,5104.34,percent of total billed charges,87.2% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,5947.99,81.29,,4758.39,percent of total billed charges,81.29% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of totl billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,6585.3,90,,5268.24,percent of total billed charges,90% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,4463.37,61,,3570.7,percent of total billed charges,61% of total billed charges,3804.84,52,,3043.87,percent of total billed charges,52% of total billed charges,3804.84,6585.3,
SC HM ST7-8 10MM LTMD RTLA,35030977,CDM,278,RC,C1776,HCPCS,Outpatient,,,2592,2073.6,,2203.2,85,,1762.56,percent of total billed charges,85% of total billed charges,2203.2,85,,1762.56,percent of total billed charges,85% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2260.22,87.2,,,percent of total billed charges,87.2% of total billed charges,1529.28,59,,1223.42,percent of total billed charges,59% of total billed charges,2260.22,87.2,,1808.18,percent of total billed charges,87.2% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2107.04,81.29,,1685.63,percent of total billed charges,81.29% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of totl billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1347.84,2332.8,
JRNYII BCS CNSTRD ART INST7-8,35030978,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
REF NH SHELL SZ 52MM,35030983,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
REF NH SHELL SZ 56MM,35030984,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
Triathlon SRx3Tibial Insert,35031004,CDM,278,RC,C1776,HCPCS,Outpatient,,,1725,1380,,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,1466.25,85,,1173,percent of total billed charges,85% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1281.33,74,,1025.06,percent of total billed charges,74.28% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1504.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1017.75,59,,814.2,percent of total billed charges,59% of total billed charges,1504.2,87.2,,1203.36,percent of total billed charges,87.2% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,1402.25,81.29,,1121.8,percent of total billed charges,81.29% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of totl billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1552.5,90,,1242,percent of total billed charges,90% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,1052.25,61,,841.8,percent of total billed charges,61% of total billed charges,897,52,,717.6,percent of total billed charges,52% of total billed charges,897,1552.5,
Triathlon Asymmx3Patella,35031005,CDM,278,RC,C1776,HCPCS,Outpatient,,,1200,960,,1020,85,,816,percent of total billed charges,85% of total billed charges,1020,85,,816,percent of total billed charges,85% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,891.36,74,,713.09,percent of total billed charges,74.28% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,624,52,,499.2,percent of total billed charges,52% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,1046.4,87.2,,,percent of total billed charges,87.2% of total billed charges,708,59,,566.4,percent of total billed charges,59% of total billed charges,1046.4,87.2,,837.12,percent of total billed charges,87.2% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,975.48,81.29,,780.38,percent of total billed charges,81.29% of total billed charges,1080,90,,864,percent of total billed charges,90% of totl billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,1080,90,,864,percent of total billed charges,90% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,732,61,,585.6,percent of total billed charges,61% of total billed charges,624,52,,499.2,percent of total billed charges,52% of total billed charges,624,1080,
ARTH MENISCAL CINCH AR4500,35031081,CDM,278,RC,C1776,HCPCS,Outpatient,,,673.71,538.97,,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,572.65,85,,458.12,percent of total billed charges,85% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,500.43,74,,400.34,percent of total billed charges,74.28% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,587.48,87.2,,,percent of total billed charges,87.2% of total billed charges,397.49,59,,317.99,percent of total billed charges,59% of total billed charges,587.48,87.2,,469.98,percent of total billed charges,87.2% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,547.66,81.29,,438.13,percent of total billed charges,81.29% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of totl billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,606.34,90,,485.07,percent of total billed charges,90% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,410.96,61,,328.77,percent of total billed charges,61% of total billed charges,350.33,52,,280.26,percent of total billed charges,52% of total billed charges,350.33,606.34,
1.6mm SUB CNDYLER PLT 333-1620,35031086,CDM,278,RC,C1776,HCPCS,Outpatient,,,945.56,756.45,,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,803.73,85,,642.98,percent of total billed charges,85% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,702.36,74,,561.89,percent of total billed charges,74.28% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,824.53,87.2,,,percent of total billed charges,87.2% of total billed charges,557.88,59,,446.3,percent of total billed charges,59% of total billed charges,824.53,87.2,,659.62,percent of total billed charges,87.2% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,768.65,81.29,,614.92,percent of total billed charges,81.29% of total billed charges,851,90,,680.8,percent of total billed charges,90% of totl billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,851,90,,680.8,percent of total billed charges,90% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,576.79,61,,461.43,percent of total billed charges,61% of total billed charges,491.69,52,,393.35,percent of total billed charges,52% of total billed charges,491.69,851,
SCREW N/LOCK 1.6 X 8 331-1608,35031087,CDM,278,RC,C1776,HCPCS,Outpatient,,,220.63,176.5,,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,187.54,85,,150.03,percent of total billed charges,85% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,163.88,74,,131.1,percent of total billed charges,74.28% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,192.39,87.2,,,percent of total billed charges,87.2% of total billed charges,130.17,59,,104.14,percent of total billed charges,59% of total billed charges,192.39,87.2,,153.91,percent of total billed charges,87.2% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,179.35,81.29,,143.48,percent of total billed charges,81.29% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of totl billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,198.57,90,,158.86,percent of total billed charges,90% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,134.58,61,,107.66,percent of total billed charges,61% of total billed charges,114.73,52,,91.78,percent of total billed charges,52% of total billed charges,114.73,198.57,
SCREW LOCK 1.6 X 8 330-1608,35031088,CDM,278,RC,C1776,HCPCS,Outpatient,,,299.43,239.54,,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,261.1,87.2,,,percent of total billed charges,87.2% of total billed charges,176.66,59,,141.33,percent of total billed charges,59% of total billed charges,261.1,87.2,,208.88,percent of total billed charges,87.2% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,243.41,81.29,,194.73,percent of total billed charges,81.29% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of totl billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,269.49,
SCREW LOCK 1.6 X 11 336-1611,35031089,CDM,278,RC,C1776,HCPCS,Outpatient,,,299.43,239.54,,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,261.1,87.2,,,percent of total billed charges,87.2% of total billed charges,176.66,59,,141.33,percent of total billed charges,59% of total billed charges,261.1,87.2,,208.88,percent of total billed charges,87.2% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,243.41,81.29,,194.73,percent of total billed charges,81.29% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of totl billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,269.49,
SCREW LOCK 1.6 X 14 330-1614,35031090,CDM,278,RC,C1776,HCPCS,Outpatient,,,299.43,239.54,,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,254.52,85,,203.62,percent of total billed charges,85% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,222.42,74,,177.94,percent of total billed charges,74.28% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,261.1,87.2,,,percent of total billed charges,87.2% of total billed charges,176.66,59,,141.33,percent of total billed charges,59% of total billed charges,261.1,87.2,,208.88,percent of total billed charges,87.2% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,243.41,81.29,,194.73,percent of total billed charges,81.29% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of totl billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,269.49,90,,215.59,percent of total billed charges,90% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,182.65,61,,146.12,percent of total billed charges,61% of total billed charges,155.7,52,,124.56,percent of total billed charges,52% of total billed charges,155.7,269.49,
"HemiGreat Toe Implant, Sm",35031120,CDM,278,RC,C1776,HCPCS,Outpatient,,,3090,2472,,2626.5,85,,2101.2,percent of total billed charges,85% of total billed charges,2626.5,85,,2101.2,percent of total billed charges,85% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,2295.25,74,,1836.2,percent of total billed charges,74.28% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,2295.25,74,,1836.2,percent of total billed charges,74.28% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,2295.25,74,,1836.2,percent of total billed charges,74.28% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,2781,90,,2224.8,percent of total billed charges,90% of total billed charges,2781,90,,2224.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,2694.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1823.1,59,,1458.48,percent of total billed charges,59% of total billed charges,2694.48,87.2,,2155.58,percent of total billed charges,87.2% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,2511.86,81.29,,2009.49,percent of total billed charges,81.29% of total billed charges,2781,90,,2224.8,percent of total billed charges,90% of totl billed charges,2781,90,,2224.8,percent of total billed charges,90% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,2781,90,,2224.8,percent of total billed charges,90% of total billed charges,2781,90,,2224.8,percent of total billed charges,90% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,1884.9,61,,1507.92,percent of total billed charges,61% of total billed charges,1606.8,52,,1285.44,percent of total billed charges,52% of total billed charges,1606.8,2781,
LGN CR OX FEM SZ4L 71421234,35031132,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ5L 71421235,35031133,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ6L 71421236,35031134,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ7L 71421237,35031135,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR NP FEM SZ3L 71423203,35031136,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ4L 71423204,35031137,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ5L 71423205,35031138,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ6L 71423206,35031139,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ7L 71423207,35031140,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ8L 71423208,35031141,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ3L 71423223,35031142,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ4L 71423224,35031143,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ5L 71423225,35031144,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ6L 71423226,35031145,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ7L 71423227,35031146,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ8L 71423228,35031147,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS OX FEM SZ3L 71421213,35031148,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ4L 71421214,35031149,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ5L 71421215,35031150,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN P SOX FEM SZ6L 71421216,35031151,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ7L 71421217,35031152,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ8L 71421218,35031153,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ3R 71421203,35031154,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ4R 71421204,35031155,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ5R 71421205,35031156,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ6R 71421206,35031157,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ7R 71421207,35031158,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN PS OX FEM SZ8R 71421208,35031159,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ3R 71421223,35031160,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ4R 71421224,35031161,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ5R 71421225,35031162,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ6R 71421226,35031163,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ7R 71421227,35031164,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR OX FEM SZ8R 71421228,35031165,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
LGN CR NP FEM SZ3R 71423213,35031166,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ4R 71423214,35031167,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ5R 71423215,35031168,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ6R 71423216,35031169,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ7R 71423217,35031170,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN CR NP FEM SZ8R 71423218,35031171,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ3R 71423233,35031172,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ4R 71423234,35031173,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ5R 71423235,35031174,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ6R 71423236,35031175,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ7R 71423237,35031176,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
LGN PS NP FEM SZ8R 71423238,35031177,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
EVOS2.7/3.5MM L-DHUMERUS,35031187,CDM,278,RC,C1776,HCPCS,Outpatient,,,1794,1435.2,,1524.9,85,,1219.92,percent of total billed charges,85% of total billed charges,1524.9,85,,1219.92,percent of total billed charges,85% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,1332.58,74,,1066.06,percent of total billed charges,74.28% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,1332.58,74,,1066.06,percent of total billed charges,74.28% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,1332.58,74,,1066.06,percent of total billed charges,74.28% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of total billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,1564.37,87.2,,,percent of total billed charges,87.2% of total billed charges,1058.46,59,,846.77,percent of total billed charges,59% of total billed charges,1564.37,87.2,,1251.5,percent of total billed charges,87.2% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,1458.34,81.29,,1166.67,percent of total billed charges,81.29% of total billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of totl billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of total billed charges,1614.6,90,,1291.68,percent of total billed charges,90% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,1094.34,61,,875.47,percent of total billed charges,61% of total billed charges,932.88,52,,746.3,percent of total billed charges,52% of total billed charges,932.88,1614.6,
EVOS2.7X48MM CTXSCR T8 S-T,35031188,CDM,278,RC,C1776,HCPCS,Outpatient,,,98.19,78.55,,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,83.46,85,,66.77,percent of total billed charges,85% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,72.94,74,,58.35,percent of total billed charges,74.28% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,85.62,87.2,,,percent of total billed charges,87.2% of total billed charges,57.93,59,,46.34,percent of total billed charges,59% of total billed charges,85.62,87.2,,68.5,percent of total billed charges,87.2% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,79.82,81.29,,63.86,percent of total billed charges,81.29% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of totl billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,88.37,90,,70.7,percent of total billed charges,90% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,59.9,61,,47.92,percent of total billed charges,61% of total billed charges,51.06,52,,40.85,percent of total billed charges,52% of total billed charges,51.06,88.37,
EVOS2.7X48MM LCK SCR T8 S-T,35031189,CDM,278,RC,C1776,HCPCS,Outpatient,,,305.76,244.61,,259.9,85,,207.92,percent of total billed charges,85% of total billed charges,259.9,85,,207.92,percent of total billed charges,85% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159,52,,127.2,percent of total billed charges,52% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,266.62,87.2,,,percent of total billed charges,87.2% of total billed charges,180.4,59,,144.32,percent of total billed charges,59% of total billed charges,266.62,87.2,,213.3,percent of total billed charges,87.2% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,248.55,81.29,,198.84,percent of total billed charges,81.29% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of totl billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,159,275.18,
EVOS2.7X44MM LCK SCR T8 S-T,35031190,CDM,278,RC,C1776,HCPCS,Outpatient,,,305.76,244.61,,259.9,85,,207.92,percent of total billed charges,85% of total billed charges,259.9,85,,207.92,percent of total billed charges,85% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,227.12,74,,181.7,percent of total billed charges,74.28% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159,52,,127.2,percent of total billed charges,52% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,266.62,87.2,,,percent of total billed charges,87.2% of total billed charges,180.4,59,,144.32,percent of total billed charges,59% of total billed charges,266.62,87.2,,213.3,percent of total billed charges,87.2% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,248.55,81.29,,198.84,percent of total billed charges,81.29% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of totl billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,275.18,90,,220.14,percent of total billed charges,90% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,186.51,61,,149.21,percent of total billed charges,61% of total billed charges,159,52,,127.2,percent of total billed charges,52% of total billed charges,159,275.18,
EVOS3.5X34MM CTX SCR S-T,35031191,CDM,278,RC,C1776,HCPCS,Outpatient,,,70.59,56.47,,60,85,,48,percent of total billed charges,85% of total billed charges,60,85,,48,percent of total billed charges,85% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,52.43,74,,41.94,percent of total billed charges,74.28% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,52.43,74,,41.94,percent of total billed charges,74.28% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,52.43,74,,41.94,percent of total billed charges,74.28% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,63.53,90,,50.82,percent of total billed charges,90% of total billed charges,63.53,90,,50.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,61.55,87.2,,,percent of total billed charges,87.2% of total billed charges,41.65,59,,33.32,percent of total billed charges,59% of total billed charges,61.55,87.2,,49.24,percent of total billed charges,87.2% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,57.38,81.29,,45.9,percent of total billed charges,81.29% of total billed charges,63.53,90,,50.82,percent of total billed charges,90% of totl billed charges,63.53,90,,50.82,percent of total billed charges,90% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,63.53,90,,50.82,percent of total billed charges,90% of total billed charges,63.53,90,,50.82,percent of total billed charges,90% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,43.06,61,,34.45,percent of total billed charges,61% of total billed charges,36.71,52,,29.37,percent of total billed charges,52% of total billed charges,36.71,63.53,
EVOS3.5X19MM LCKSCR S-T,35031192,CDM,278,RC,C1776,HCPCS,Outpatient,,,366.6,293.28,,311.61,85,,249.29,percent of total billed charges,85% of total billed charges,311.61,85,,249.29,percent of total billed charges,85% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,272.31,74,,217.85,percent of total billed charges,74.28% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,272.31,74,,217.85,percent of total billed charges,74.28% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,272.31,74,,217.85,percent of total billed charges,74.28% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,329.94,90,,263.95,percent of total billed charges,90% of total billed charges,329.94,90,,263.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,319.68,87.2,,,percent of total billed charges,87.2% of total billed charges,216.29,59,,173.03,percent of total billed charges,59% of total billed charges,319.68,87.2,,255.74,percent of total billed charges,87.2% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,298.01,81.29,,238.41,percent of total billed charges,81.29% of total billed charges,329.94,90,,263.95,percent of total billed charges,90% of totl billed charges,329.94,90,,263.95,percent of total billed charges,90% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,329.94,90,,263.95,percent of total billed charges,90% of total billed charges,329.94,90,,263.95,percent of total billed charges,90% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,223.63,61,,178.9,percent of total billed charges,61% of total billed charges,190.63,52,,152.5,percent of total billed charges,52% of total billed charges,190.63,329.94,
EVOS3.5X20MM LCK SCR S-T,35031193,CDM,278,RC,C1776,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
2.5MM PROV FIX PIN-25MM,35031194,CDM,278,RC,C1776,HCPCS,Outpatient,,,779.1,623.28,,662.24,85,,529.79,percent of total billed charges,85% of total billed charges,662.24,85,,529.79,percent of total billed charges,85% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,578.72,74,,462.98,percent of total billed charges,74.28% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,578.72,74,,462.98,percent of total billed charges,74.28% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,578.72,74,,462.98,percent of total billed charges,74.28% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,701.19,90,,560.95,percent of total billed charges,90% of total billed charges,701.19,90,,560.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,679.38,87.2,,,percent of total billed charges,87.2% of total billed charges,459.67,59,,367.74,percent of total billed charges,59% of total billed charges,679.38,87.2,,543.5,percent of total billed charges,87.2% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,633.33,81.29,,506.66,percent of total billed charges,81.29% of total billed charges,701.19,90,,560.95,percent of total billed charges,90% of totl billed charges,701.19,90,,560.95,percent of total billed charges,90% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,701.19,90,,560.95,percent of total billed charges,90% of total billed charges,701.19,90,,560.95,percent of total billed charges,90% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,475.25,61,,380.2,percent of total billed charges,61% of total billed charges,405.13,52,,324.1,percent of total billed charges,52% of total billed charges,405.13,701.19,
11X120MMDIST STEM MOD CEM,35031196,CDM,278,RC,C1776,HCPCS,Outpatient,,,6808.5,5446.8,,5787.23,85,,4629.78,percent of total billed charges,85% of total billed charges,5787.23,85,,4629.78,percent of total billed charges,85% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5937.01,87.2,,,percent of total billed charges,87.2% of total billed charges,4017.02,59,,3213.62,percent of total billed charges,59% of total billed charges,5937.01,87.2,,4749.61,percent of total billed charges,87.2% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5534.63,81.29,,4427.7,percent of total billed charges,81.29% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of totl billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,3540.42,6127.65,
DISTAL FIX RING HA24.5,35031197,CDM,278,RC,C1776,HCPCS,Outpatient,,,2186.63,1749.3,,1858.64,85,,1486.91,percent of total billed charges,85% of total billed charges,1858.64,85,,1486.91,percent of total billed charges,85% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1906.74,87.2,,,percent of total billed charges,87.2% of total billed charges,1290.11,59,,1032.09,percent of total billed charges,59% of total billed charges,1906.74,87.2,,1525.39,percent of total billed charges,87.2% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1777.51,81.29,,1422.01,percent of total billed charges,81.29% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of totl billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1137.05,1967.97,
DISTAL FIX RING HA17.5,35031198,CDM,278,RC,C1776,HCPCS,Outpatient,,,2186.63,1749.3,,1858.64,85,,1486.91,percent of total billed charges,85% of total billed charges,1858.64,85,,1486.91,percent of total billed charges,85% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1624.23,74,,1299.38,percent of total billed charges,74.28% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1906.74,87.2,,,percent of total billed charges,87.2% of total billed charges,1290.11,59,,1032.09,percent of total billed charges,59% of total billed charges,1906.74,87.2,,1525.39,percent of total billed charges,87.2% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1777.51,81.29,,1422.01,percent of total billed charges,81.29% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of totl billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1967.97,90,,1574.38,percent of total billed charges,90% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1333.84,61,,1067.07,percent of total billed charges,61% of total billed charges,1137.05,52,,909.64,percent of total billed charges,52% of total billed charges,1137.05,1967.97,
11X80MMDIS STEM MOD CEM,35031199,CDM,278,RC,C1776,HCPCS,Outpatient,,,6808.5,5446.8,,5787.23,85,,4629.78,percent of total billed charges,85% of total billed charges,5787.23,85,,4629.78,percent of total billed charges,85% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,5057.35,74,,4045.88,percent of total billed charges,74.28% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5937.01,87.2,,,percent of total billed charges,87.2% of total billed charges,4017.02,59,,3213.62,percent of total billed charges,59% of total billed charges,5937.01,87.2,,4749.61,percent of total billed charges,87.2% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,5534.63,81.29,,4427.7,percent of total billed charges,81.29% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of totl billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,6127.65,90,,4902.12,percent of total billed charges,90% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,4153.19,61,,3322.55,percent of total billed charges,61% of total billed charges,3540.42,52,,2832.34,percent of total billed charges,52% of total billed charges,3540.42,6127.65,
75MM MID SEG MOD,35031200,CDM,278,RC,C1776,HCPCS,Outpatient,,,13916.63,11133.3,,11829.14,85,,9463.31,percent of total billed charges,85% of total billed charges,11829.14,85,,9463.31,percent of total billed charges,85% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,10337.27,74,,8269.82,percent of total billed charges,74.28% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,10337.27,74,,8269.82,percent of total billed charges,74.28% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,10337.27,74,,8269.82,percent of total billed charges,74.28% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of total billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,12135.3,87.2,,,percent of total billed charges,87.2% of total billed charges,8210.81,59,,6568.65,percent of total billed charges,59% of total billed charges,12135.3,87.2,,9708.24,percent of total billed charges,87.2% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,11312.83,81.29,,9050.26,percent of total billed charges,81.29% of total billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of totl billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of total billed charges,12524.97,90,,10019.98,percent of total billed charges,90% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,8489.14,61,,6791.31,percent of total billed charges,61% of total billed charges,7236.65,52,,5789.32,percent of total billed charges,52% of total billed charges,7236.65,12524.97,
25MM MID SEG MOD,35031201,CDM,278,RC,C1776,HCPCS,Outpatient,,,12112.5,9690,,10295.63,85,,8236.5,percent of total billed charges,85% of total billed charges,10295.63,85,,8236.5,percent of total billed charges,85% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,8997.17,74,,7197.74,percent of total billed charges,74.28% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,8997.17,74,,7197.74,percent of total billed charges,74.28% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,8997.17,74,,7197.74,percent of total billed charges,74.28% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,10901.25,90,,8721,percent of total billed charges,90% of total billed charges,10901.25,90,,8721,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,10562.1,87.2,,,percent of total billed charges,87.2% of total billed charges,7146.38,59,,5717.1,percent of total billed charges,59% of total billed charges,10562.1,87.2,,8449.68,percent of total billed charges,87.2% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,9846.25,81.29,,7877,percent of total billed charges,81.29% of total billed charges,10901.25,90,,8721,percent of total billed charges,90% of totl billed charges,10901.25,90,,8721,percent of total billed charges,90% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,10901.25,90,,8721,percent of total billed charges,90% of total billed charges,10901.25,90,,8721,percent of total billed charges,90% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,7388.63,61,,5910.9,percent of total billed charges,61% of total billed charges,6298.5,52,,5038.8,percent of total billed charges,52% of total billed charges,6298.5,10901.25,
LG PROX BODY+12.5 308-12-05,35031202,CDM,278,RC,C1776,HCPCS,Outpatient,,,8459.63,6767.7,,7190.69,85,,5752.55,percent of total billed charges,85% of total billed charges,7190.69,85,,5752.55,percent of total billed charges,85% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,6283.81,74,,5027.05,percent of total billed charges,74.28% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,6283.81,74,,5027.05,percent of total billed charges,74.28% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,6283.81,74,,5027.05,percent of total billed charges,74.28% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of total billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,7376.8,87.2,,,percent of total billed charges,87.2% of total billed charges,4991.18,59,,3992.94,percent of total billed charges,59% of total billed charges,7376.8,87.2,,5901.44,percent of total billed charges,87.2% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,6876.83,81.29,,5501.46,percent of total billed charges,81.29% of total billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of totl billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of total billed charges,7613.67,90,,6090.94,percent of total billed charges,90% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,5160.37,61,,4128.3,percent of total billed charges,61% of total billed charges,4399.01,52,,3519.21,percent of total billed charges,52% of total billed charges,4399.01,7613.67,
EQ REV TRAY ADAP PLATE TRAY+0,35031203,CDM,278,RC,C1776,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
TAPER LCK SCREW112 308-16-12,35031204,CDM,278,RC,C1776,HCPCS,Outpatient,,,1023.19,818.55,,869.71,85,,695.77,percent of total billed charges,85% of total billed charges,869.71,85,,695.77,percent of total billed charges,85% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,760.03,74,,608.02,percent of total billed charges,74.28% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,760.03,74,,608.02,percent of total billed charges,74.28% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,760.03,74,,608.02,percent of total billed charges,74.28% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,920.87,90,,736.7,percent of total billed charges,90% of total billed charges,920.87,90,,736.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,892.22,87.2,,,percent of total billed charges,87.2% of total billed charges,603.68,59,,482.94,percent of total billed charges,59% of total billed charges,892.22,87.2,,713.78,percent of total billed charges,87.2% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,831.75,81.29,,665.4,percent of total billed charges,81.29% of total billed charges,920.87,90,,736.7,percent of total billed charges,90% of totl billed charges,920.87,90,,736.7,percent of total billed charges,90% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,920.87,90,,736.7,percent of total billed charges,90% of total billed charges,920.87,90,,736.7,percent of total billed charges,90% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,624.15,61,,499.32,percent of total billed charges,61% of total billed charges,532.06,52,,425.65,percent of total billed charges,52% of total billed charges,532.06,920.87,
EQ REV 42MM HUM LINER+0,35031205,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
"EQ HUM STEM PRIM,PRESS FIT9MM",35031213,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
"EQ GLENOID, PEG ALPHA,MED",35031214,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ACC 2.0MM COCR CABLEW/CLAMP,35031231,CDM,278,RC,C1776,HCPCS,Outpatient,,,953.64,762.91,,810.59,85,,648.47,percent of total billed charges,85% of total billed charges,810.59,85,,648.47,percent of total billed charges,85% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,708.36,74,,566.69,percent of total billed charges,74.28% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,831.57,87.2,,,percent of total billed charges,87.2% of total billed charges,562.65,59,,450.12,percent of total billed charges,59% of total billed charges,831.57,87.2,,665.26,percent of total billed charges,87.2% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,775.21,81.29,,620.17,percent of total billed charges,81.29% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of totl billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,858.28,90,,686.62,percent of total billed charges,90% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,581.72,61,,465.38,percent of total billed charges,61% of total billed charges,495.89,52,,396.71,percent of total billed charges,52% of total billed charges,495.89,858.28,
JRNY BCS PAT RESRF29MMSM,35031237,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
VGD VE AS TIB BRG79X12MM,35031246,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
ECH CEM FEM SZ16 175MM,35031310,CDM,278,RC,C1776,HCPCS,Outpatient,,,8164.8,6531.84,,6940.08,85,,5552.06,percent of total billed charges,85% of total billed charges,6940.08,85,,5552.06,percent of total billed charges,85% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,6064.81,74,,4851.85,percent of total billed charges,74.28% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,7119.71,87.2,,,percent of total billed charges,87.2% of total billed charges,4817.23,59,,3853.78,percent of total billed charges,59% of total billed charges,7119.71,87.2,,5695.77,percent of total billed charges,87.2% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,6637.17,81.29,,5309.74,percent of total billed charges,81.29% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of totl billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,7348.32,90,,5878.66,percent of total billed charges,90% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4980.53,61,,3984.42,percent of total billed charges,61% of total billed charges,4245.7,52,,3396.56,percent of total billed charges,52% of total billed charges,4245.7,7348.32,
"EQREVCMP SCREWLCKCAPKIT,4.5X42",35031343,CDM,278,RC,C1776,HCPCS,Outpatient,,,240,192,,204,85,,163.2,percent of total billed charges,85% of total billed charges,204,85,,163.2,percent of total billed charges,85% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,209.28,87.2,,,percent of total billed charges,87.2% of total billed charges,141.6,59,,113.28,percent of total billed charges,59% of total billed charges,209.28,87.2,,167.42,percent of total billed charges,87.2% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,195.1,81.29,,156.08,percent of total billed charges,81.29% of total billed charges,216,90,,172.8,percent of total billed charges,90% of totl billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,124.8,216,
"EQREVCMP SCREWLCKCAPKIT,4.5X38",35031344,CDM,278,RC,C1776,HCPCS,Outpatient,,,240,192,,204,85,,163.2,percent of total billed charges,85% of total billed charges,204,85,,163.2,percent of total billed charges,85% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,178.27,74,,142.62,percent of total billed charges,74.28% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,209.28,87.2,,,percent of total billed charges,87.2% of total billed charges,141.6,59,,113.28,percent of total billed charges,59% of total billed charges,209.28,87.2,,167.42,percent of total billed charges,87.2% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,195.1,81.29,,156.08,percent of total billed charges,81.29% of total billed charges,216,90,,172.8,percent of total billed charges,90% of totl billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,216,90,,172.8,percent of total billed charges,90% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,146.4,61,,117.12,percent of total billed charges,61% of total billed charges,124.8,52,,99.84,percent of total billed charges,52% of total billed charges,124.8,216,
EQREV 38MM HUMERAL LINER,35031346,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQREV 38MM GLENOSPHERE,35031347,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
"EQ, HUM STEM PRIM,PRESSFIT15MM",35031348,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ REV LOCKING SCREW 320-15-05,35031349,CDM,278,RC,C1776,HCPCS,Outpatient,,,375,300,,318.75,85,,255,percent of total billed charges,85% of total billed charges,318.75,85,,255,percent of total billed charges,85% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,278.55,74,,222.84,percent of total billed charges,74.28% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,195,52,,156,percent of total billed charges,52% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,327,87.2,,,percent of total billed charges,87.2% of total billed charges,221.25,59,,177,percent of total billed charges,59% of total billed charges,327,87.2,,261.6,percent of total billed charges,87.2% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,304.84,81.29,,243.87,percent of total billed charges,81.29% of total billed charges,337.5,90,,270,percent of total billed charges,90% of totl billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,337.5,90,,270,percent of total billed charges,90% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,228.75,61,,183,percent of total billed charges,61% of total billed charges,195,52,,156,percent of total billed charges,52% of total billed charges,195,337.5,
EQ REV GLENOID PLATE 320-15-01,35031350,CDM,278,RC,C1776,HCPCS,Outpatient,,,2280,1824,,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1988.16,87.2,,,percent of total billed charges,87.2% of total billed charges,1345.2,59,,1076.16,percent of total billed charges,59% of total billed charges,1988.16,87.2,,1590.53,percent of total billed charges,87.2% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1853.41,81.29,,1482.73,percent of total billed charges,81.29% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of totl billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,2052,
EQ REV 38MM HUMERAL LINER+0,35031359,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
"EQ,HUMSTEMPRIM,PRESSFIT15MM",35031362,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQUINPXE REV 38MMGLENOSPHERE,35031364,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
VGD VE AS TIB BRG 67X10MM,35031367,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
VGD VE AS TIB BRG 75X11MM,35031368,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
EQ REVCOM SCR LCK CAPKIT4.5X30,35031381,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
REMEDY MOD HEAD 46MM RHHDSM,35031394,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD HEAD 54MM RHHDMD,35031395,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD HEAD 60MM RHHDLG,35031396,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD STEM SM RHSTSM,35031397,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD STEM MED RHSTMD,35031398,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDFY MOD STEM LARGE RHSTLG,35031399,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD LONG STEM SM RHLSSM,35031400,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD LONG STEM MED RHLSM,35031401,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMEDY MOD LONG STEM LG RHLSLG,35031402,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
REMACECUP46MMID/54MMOD RHACSM,35031403,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
REMSPECGVFEMHEAD46MM GVHDSM,35031404,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REM SPEC GV FEM HEAD 54MM GVHD,35031405,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REMSPECGVFEMHEAD60MM GVHDLG,35031406,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REMSPECGVFEMSTEAMSM GVSTSM,35031407,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REMSPECGVFEMSTEAMMD GVSTMD,35031408,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REMSPECGVFEMSTEAMSM GVSTLG,35031409,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REMSPECGVFEMLSTEMSM GVLSSM,35031410,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REM SPEC GV FEM LSTEM MD GVLSM,35031411,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
REM SPEC GV FEM LSTEM LG GVLSL,35031412,CDM,278,RC,C1776,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
EQHUMSTEMPRIMPRESS12MM,35031413,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQHUMSTEMPRIMPRESS14MM,35031414,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
GLENOSPHERE 38MM 320-06-38,35031417,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
"EQ,HUMHEADSHORT,50MMBETA",35031419,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
"EQGLEN,PEGGED BETA,LG",35031420,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
36MMHUMLINER320-36-00,35031421,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
GLENOSPHERE36MM320-31-36,35031422,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
SMGLENOIDPLATE320-35-01,35031423,CDM,278,RC,C1776,HCPCS,Outpatient,,,2280,1824,,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1988.16,87.2,,,percent of total billed charges,87.2% of total billed charges,1345.2,59,,1076.16,percent of total billed charges,59% of total billed charges,1988.16,87.2,,1590.53,percent of total billed charges,87.2% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1853.41,81.29,,1482.73,percent of total billed charges,81.29% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of totl billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,2052,
EQREVCOMPSCRW4.5X46,35031424,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
EQHUMSTEMPRESSFIT13MM,35031425,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
VGD VE AS TIB BRG71X11MM,35031426,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SERIES A PAT THN 34 3 PEG,35031427,CDM,278,RC,C1776,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
EQ HUMERAL STEM 7MM 300-01-07,35031441,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ HUMERAL STEM 8MM 300-01-08,35031442,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ HUMERAL STEM 10MM 300-01-10,35031443,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ HUMERAL STEM 16MM 300-01-16,35031444,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ HUMERAL STEM 17MM 300-01-17,35031445,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ HUMERAL STEM 19MM 300-01-19,35031446,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
EQ REPLICATOR PLATE 1.5MM,35031447,CDM,278,RC,C1776,HCPCS,Outpatient,,,1935,1548,,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1687.32,87.2,,,percent of total billed charges,87.2% of total billed charges,1141.65,59,,913.32,percent of total billed charges,59% of total billed charges,1687.32,87.2,,1349.86,percent of total billed charges,87.2% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1572.96,81.29,,1258.37,percent of total billed charges,81.29% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of totl billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,1741.5,
EQ TRADITIONAL SCREW KIT,35031448,CDM,278,RC,C1776,HCPCS,Outpatient,,,585,468,,497.25,85,,397.8,percent of total billed charges,85% of total billed charges,497.25,85,,397.8,percent of total billed charges,85% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,434.54,74,,347.63,percent of total billed charges,74.28% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,434.54,74,,347.63,percent of total billed charges,74.28% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,434.54,74,,347.63,percent of total billed charges,74.28% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,526.5,90,,421.2,percent of total billed charges,90% of total billed charges,526.5,90,,421.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,510.12,87.2,,,percent of total billed charges,87.2% of total billed charges,345.15,59,,276.12,percent of total billed charges,59% of total billed charges,510.12,87.2,,408.1,percent of total billed charges,87.2% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,475.55,81.29,,380.44,percent of total billed charges,81.29% of total billed charges,526.5,90,,421.2,percent of total billed charges,90% of totl billed charges,526.5,90,,421.2,percent of total billed charges,90% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,526.5,90,,421.2,percent of total billed charges,90% of total billed charges,526.5,90,,421.2,percent of total billed charges,90% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,356.85,61,,285.48,percent of total billed charges,61% of total billed charges,304.2,52,,243.36,percent of total billed charges,52% of total billed charges,304.2,526.5,
0MM FIXED ANGLE KIT,35031449,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
1.5MM FIXED ANGLE,35031450,CDM,278,RC,C1776,HCPCS,Outpatient,,,2280,1824,,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1938,85,,1550.4,percent of total billed charges,85% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1693.58,74,,1354.86,percent of total billed charges,74.28% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1988.16,87.2,,,percent of total billed charges,87.2% of total billed charges,1345.2,59,,1076.16,percent of total billed charges,59% of total billed charges,1988.16,87.2,,1590.53,percent of total billed charges,87.2% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1853.41,81.29,,1482.73,percent of total billed charges,81.29% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of totl billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,2052,90,,1641.6,percent of total billed charges,90% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1390.8,61,,1112.64,percent of total billed charges,61% of total billed charges,1185.6,52,,948.48,percent of total billed charges,52% of total billed charges,1185.6,2052,
4.5MM FIXED ANGLE KIT,35031451,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
EQ PRESERVE STEM 6MM,35031452,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 7MM,35031453,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 8MM,35031454,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 9MM,35031455,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 10MM,35031456,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 11MM,35031457,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 12MM,35031458,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 13MM,35031459,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 14MM,35031460,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ PRESERVE STEM 15MM,35031461,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
0 FXD-ANG SHRT REP PLATE,35031462,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
1.5MM SHORT REP PLATE,35031463,CDM,278,RC,C1776,HCPCS,Outpatient,,,1935,1548,,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1687.32,87.2,,,percent of total billed charges,87.2% of total billed charges,1141.65,59,,913.32,percent of total billed charges,59% of total billed charges,1687.32,87.2,,1349.86,percent of total billed charges,87.2% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1572.96,81.29,,1258.37,percent of total billed charges,81.29% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of totl billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,1741.5,
4.5MM SHORT REP PLATE,35031464,CDM,278,RC,C1776,HCPCS,Outpatient,,,1935,1548,,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1644.75,85,,1315.8,percent of total billed charges,85% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1437.32,74,,1149.86,percent of total billed charges,74.28% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1687.32,87.2,,,percent of total billed charges,87.2% of total billed charges,1141.65,59,,913.32,percent of total billed charges,59% of total billed charges,1687.32,87.2,,1349.86,percent of total billed charges,87.2% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1572.96,81.29,,1258.37,percent of total billed charges,81.29% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of totl billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1741.5,90,,1393.2,percent of total billed charges,90% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1180.35,61,,944.28,percent of total billed charges,61% of total billed charges,1006.2,52,,804.96,percent of total billed charges,52% of total billed charges,1006.2,1741.5,
0 SHORT FA REP PLATE KIT,35031465,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
1.5 SHORT FA REP PLATE KIT,35031466,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
4.5 SHORT FA REP PLATE KIT,35031467,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
0 FXD-ANG SHRT REP PLT,35031468,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
1.5 FXD-ANG SHRT REP PLT,35031469,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
4.5 FXD-ANG SHRT REP PLT,35031470,CDM,278,RC,C1776,HCPCS,Outpatient,,,1680,1344,,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,1428,85,,1142.4,percent of total billed charges,85% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1247.9,74,,998.32,percent of total billed charges,74.28% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1464.96,87.2,,,percent of total billed charges,87.2% of total billed charges,991.2,59,,792.96,percent of total billed charges,59% of total billed charges,1464.96,87.2,,1171.97,percent of total billed charges,87.2% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,1365.67,81.29,,1092.54,percent of total billed charges,81.29% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of totl billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1512,90,,1209.6,percent of total billed charges,90% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,1024.8,61,,819.84,percent of total billed charges,61% of total billed charges,873.6,52,,698.88,percent of total billed charges,52% of total billed charges,873.6,1512,
EQ HUMERAL STEM CEMENTED 6MM,35031471,CDM,278,RC,C1776,HCPCS,Outpatient,,,4527.9,3622.32,,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3948.33,87.2,,,percent of total billed charges,87.2% of total billed charges,2671.46,59,,2137.17,percent of total billed charges,59% of total billed charges,3948.33,87.2,,3158.66,percent of total billed charges,87.2% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3680.73,81.29,,2944.58,percent of total billed charges,81.29% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of totl billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,4075.11,
EQ HUMERAL STEM CEMENTED 8MM,35031472,CDM,278,RC,C1776,HCPCS,Outpatient,,,4527.9,3622.32,,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3948.33,87.2,,,percent of total billed charges,87.2% of total billed charges,2671.46,59,,2137.17,percent of total billed charges,59% of total billed charges,3948.33,87.2,,3158.66,percent of total billed charges,87.2% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3680.73,81.29,,2944.58,percent of total billed charges,81.29% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of totl billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,4075.11,
EQ HUMERAL STEM CEMENTED 10MM,35031473,CDM,278,RC,C1776,HCPCS,Outpatient,,,4527.9,3622.32,,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3948.33,87.2,,,percent of total billed charges,87.2% of total billed charges,2671.46,59,,2137.17,percent of total billed charges,59% of total billed charges,3948.33,87.2,,3158.66,percent of total billed charges,87.2% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3680.73,81.29,,2944.58,percent of total billed charges,81.29% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of totl billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,4075.11,
EQ HUMERAL STEM CEMENTED 12MM,35031474,CDM,278,RC,C1776,HCPCS,Outpatient,,,4527.9,3622.32,,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,3848.72,85,,3078.98,percent of total billed charges,85% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,3363.32,74,,2690.66,percent of total billed charges,74.28% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3948.33,87.2,,,percent of total billed charges,87.2% of total billed charges,2671.46,59,,2137.17,percent of total billed charges,59% of total billed charges,3948.33,87.2,,3158.66,percent of total billed charges,87.2% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,3680.73,81.29,,2944.58,percent of total billed charges,81.29% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of totl billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,4075.11,90,,3260.09,percent of total billed charges,90% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2762.02,61,,2209.62,percent of total billed charges,61% of total billed charges,2354.51,52,,1883.61,percent of total billed charges,52% of total billed charges,2354.51,4075.11,
6.5MM PTFRM STEM LT 304-21-07,35031475,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
8.5MM PLATFORM FX STEM LEFT,35031476,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
10.5MM PLATFORM FX STEM LEFT,35031477,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
12.5MM PLATFORM FX STEM LEFT,35031478,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
6.5MM PTFRM STEM RT 304-22-07,35031479,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
8.5MM PLATFORM FX STEM RIGHT,35031480,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
10.5MM PLATFORM FX STEM RIGHT,35031481,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
12.5MM PLATFORM FX STEM RIGHT,35031482,CDM,278,RC,C1776,HCPCS,Outpatient,,,3825,3060,,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,3251.25,85,,2601,percent of total billed charges,85% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2841.21,74,,2272.97,percent of total billed charges,74.28% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3335.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2256.75,59,,1805.4,percent of total billed charges,59% of total billed charges,3335.4,87.2,,2668.32,percent of total billed charges,87.2% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,3109.34,81.29,,2487.47,percent of total billed charges,81.29% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of totl billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,3442.5,90,,2754,percent of total billed charges,90% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,2333.25,61,,1866.6,percent of total billed charges,61% of total billed charges,1989,52,,1591.2,percent of total billed charges,52% of total billed charges,1989,3442.5,
6.5MM PTFRM STEM LT 304-23-07,35031483,CDM,278,RC,C1776,HCPCS,Outpatient,,,10116.9,8093.52,,8599.37,85,,6879.5,percent of total billed charges,85% of total billed charges,8599.37,85,,6879.5,percent of total billed charges,85% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,8821.94,87.2,,,percent of total billed charges,87.2% of total billed charges,5968.97,59,,4775.18,percent of total billed charges,59% of total billed charges,8821.94,87.2,,7057.55,percent of total billed charges,87.2% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,8224.03,81.29,,6579.22,percent of total billed charges,81.29% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of totl billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,5260.79,9105.21,
6.5MM PTFRM STEM RT 304-24-07,35031484,CDM,278,RC,C1776,HCPCS,Outpatient,,,10116.9,8093.52,,8599.37,85,,6879.5,percent of total billed charges,85% of total billed charges,8599.37,85,,6879.5,percent of total billed charges,85% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,7514.83,74,,6011.86,percent of total billed charges,74.28% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,8821.94,87.2,,,percent of total billed charges,87.2% of total billed charges,5968.97,59,,4775.18,percent of total billed charges,59% of total billed charges,8821.94,87.2,,7057.55,percent of total billed charges,87.2% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,8224.03,81.29,,6579.22,percent of total billed charges,81.29% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of totl billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,9105.21,90,,7284.17,percent of total billed charges,90% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,6171.31,61,,4937.05,percent of total billed charges,61% of total billed charges,5260.79,52,,4208.63,percent of total billed charges,52% of total billed charges,5260.79,9105.21,
EQ HUMERAL LONG STM 8MM 175MM,35031485,CDM,278,RC,C1776,HCPCS,Outpatient,,,8123.4,6498.72,,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7083.6,87.2,,,percent of total billed charges,87.2% of total billed charges,4792.81,59,,3834.25,percent of total billed charges,59% of total billed charges,7083.6,87.2,,5666.88,percent of total billed charges,87.2% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6603.51,81.29,,5282.81,percent of total billed charges,81.29% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of totl billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,7311.06,
EQ HUMERAL LONG STM 8MM 215MM,35031486,CDM,278,RC,C1776,HCPCS,Outpatient,,,8123.4,6498.72,,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7083.6,87.2,,,percent of total billed charges,87.2% of total billed charges,4792.81,59,,3834.25,percent of total billed charges,59% of total billed charges,7083.6,87.2,,5666.88,percent of total billed charges,87.2% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6603.51,81.29,,5282.81,percent of total billed charges,81.29% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of totl billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,7311.06,
EQ HUMERAL LONG STM 10MM 200MM,35031487,CDM,278,RC,C1776,HCPCS,Outpatient,,,8123.4,6498.72,,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7083.6,87.2,,,percent of total billed charges,87.2% of total billed charges,4792.81,59,,3834.25,percent of total billed charges,59% of total billed charges,7083.6,87.2,,5666.88,percent of total billed charges,87.2% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6603.51,81.29,,5282.81,percent of total billed charges,81.29% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of totl billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,7311.06,
EQ HUMERAL LONG STM 12MM 200MM,35031488,CDM,278,RC,C1776,HCPCS,Outpatient,,,8123.4,6498.72,,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,6904.89,85,,5523.91,percent of total billed charges,85% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,6034.06,74,,4827.25,percent of total billed charges,74.28% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,7083.6,87.2,,,percent of total billed charges,87.2% of total billed charges,4792.81,59,,3834.25,percent of total billed charges,59% of total billed charges,7083.6,87.2,,5666.88,percent of total billed charges,87.2% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,6603.51,81.29,,5282.81,percent of total billed charges,81.29% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of totl billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,7311.06,90,,5848.85,percent of total billed charges,90% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4955.27,61,,3964.22,percent of total billed charges,61% of total billed charges,4224.17,52,,3379.34,percent of total billed charges,52% of total billed charges,4224.17,7311.06,
XS HUM HD 41MM XS OFFSET,35031489,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
XS HUM HD 44MM XS OFFSET,35031490,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
XS HUM HD 47MM XS OFFSET,35031491,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD EXTRA SHORT 50MM,35031492,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD EXTRA SHORT 53MM,35031493,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD SHORT 38MM ALPHA,35031494,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD SHORT 41MM ALPHA,35031495,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD SHORT 47MM BETA,35031496,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD SHORT 53MM BETA,35031497,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 38MM ALPHA,35031498,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 41MM ALPHA,35031499,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 44MM ALPHA,35031500,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 47MM BETA,35031501,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 50MM BETA,35031502,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD TALL 53MM BETA,35031503,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD EXP 47MM BETA,35031504,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD EXP 50MM BETA,35031505,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
EQ HUMERAL HD EXP 53MM BETA,35031506,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
CTA HUMERAL HD SHORT 38MM,35031507,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD SHORT 41MM,35031508,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD SHORT 44MM,35031509,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD SHORT 47MM,35031510,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD SHORT 50MM,35031511,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD SHORT 53MM,35031512,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 38MM,35031513,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 41MM,35031514,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 44MM,35031515,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 47MM,35031516,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 50MM,35031517,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
CTA HUMERAL HD TALL 53MM,35031518,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
RESURFACING CAGE 25MM,35031519,CDM,278,RC,C1776,HCPCS,Outpatient,,,1282.5,1026,,1090.13,85,,872.1,percent of total billed charges,85% of total billed charges,1090.13,85,,872.1,percent of total billed charges,85% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1118.34,87.2,,,percent of total billed charges,87.2% of total billed charges,756.68,59,,605.34,percent of total billed charges,59% of total billed charges,1118.34,87.2,,894.67,percent of total billed charges,87.2% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1042.54,81.29,,834.03,percent of total billed charges,81.29% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of totl billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,666.9,1154.25,
RESURFACING CAGE 30MM,35031520,CDM,278,RC,C1776,HCPCS,Outpatient,,,1282.5,1026,,1090.13,85,,872.1,percent of total billed charges,85% of total billed charges,1090.13,85,,872.1,percent of total billed charges,85% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,952.64,74,,762.11,percent of total billed charges,74.28% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1118.34,87.2,,,percent of total billed charges,87.2% of total billed charges,756.68,59,,605.34,percent of total billed charges,59% of total billed charges,1118.34,87.2,,894.67,percent of total billed charges,87.2% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,1042.54,81.29,,834.03,percent of total billed charges,81.29% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of totl billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,1154.25,90,,923.4,percent of total billed charges,90% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,782.33,61,,625.86,percent of total billed charges,61% of total billed charges,666.9,52,,533.52,percent of total billed charges,52% of total billed charges,666.9,1154.25,
RESURFACING HUMERAL HD 38MM,35031521,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
RESURFACING HUMERAL HD 41MM,35031522,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
RESURFACING HUMERAL HD 44MM,35031523,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
RESURFACING HUMERAL HD 47MM,35031524,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
RESURFACING HUMERAL HD 50MM,35031525,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
RESURFACING HUMERAL HD 53MM,35031526,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
EQ GLENOID KEELED ALPHA SM,35031527,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED ALPHA MED,35031528,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED ALPHA LG,35031529,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED BETA SM,35031530,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED BETA MED,35031531,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED BETA LG,35031532,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID KEELED BETA XL,35031533,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID PEGGED ALPHA SM,35031534,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID PEGGED ALPHA LARGE,35031535,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID PEGGED BETA MED,35031536,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EQ GLENOID PEGGED BETA XL,35031537,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
UHMWPE POST AUG GLENOID SM LT,35031538,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID MED LT,35031539,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID LG LT,35031540,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID XL LT,35031541,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID SM RT,35031542,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID MED RT,35031543,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID LG RT,35031544,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLENOID XL RT,35031545,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN SM LT 12,35031546,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN MED LT 12,35031547,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN LG LT 12,35031548,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN XL LT 12,35031549,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN SM RT 12,35031550,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN MED RT 12,35031551,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN LG RT 12,35031552,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN XL RT 12,35031553,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN SM LT 16,35031554,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN MED LT 16,35031555,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN LG LT 16,35031556,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN XL LT 16,35031557,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN SM RT 16,35031558,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN MED RT 16,35031559,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN LG RT 16,35031560,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
UHMWPE POST AUG GLEN XL RT 16,35031561,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID SM ALPHA,35031562,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID MED ALPHA,35031563,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID LG ALPHA,35031564,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID MED BETA,35031565,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID LG BETA,35031566,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID XL BETA,35031567,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID SM POST AUG LT,35031568,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID MD POST AUG LT,35031569,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID LG POST AUG LT,35031570,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID XL POST AUG LT,35031571,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID SM POST AUG RT,35031572,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID MD POST AUG RT,35031573,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID LG POST AUG RT,35031574,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ CAGE GLENOID XL POST AUG RT,35031575,CDM,278,RC,C1776,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
EQ 36MM GLENOSPHERE,35031576,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
EQ REVERSE 42MM GLENOSPHERE,35031577,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
EQ REVERSE 46MM GLENOSPHERE,35031578,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
RS EXP GSPHERE 38MM +4MM OFF,35031579,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
RS EXP GSPHERE 42MM +4MM OFF,35031580,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
46X21MM GSPHERE HIGH MOMNT ARM,35031581,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
GLENOSPHERE 42MM,35031582,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GLENOSPHERE 46MM,35031583,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GSPHERE EXP 38MM +4MM OFFSET,35031584,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
GSPHERE EXP 42MM +4MM OFFSET,35031585,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
GSPHERE EXP 46MM +4MM OFFSET,35031586,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ REV ADAPTER PLATE TRAY +5,35031587,CDM,278,RC,C1776,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
EQ REV ADAPTER PLATE TRAY +10,35031588,CDM,278,RC,C1776,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
HUMERAL TRAY +15MM,35031589,CDM,278,RC,C1776,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
GSPHERE 46X21MM INSET,35031590,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EQ REV TORQUE DEF SCREW ASSEMB,35031591,CDM,278,RC,C1776,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
RS GLENOID PLATE SUP AUG 10DEG,35031592,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
RS GLEN PLT POST AUG 8DEG L,35031593,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
RS GLEN PLT POST AUG 8DEG R,35031594,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
RS GLEN PLT EXT +10MM CAGE PEG,35031595,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SUP/POST AUGPLATE L RS GLEN,35031596,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SUP/POST AUGPLATE R RS GLEN,35031597,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SUP/POST AUGPLATE L +10RS GLEN,35031598,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
LOW PROFILE LOCKING CAP,35031599,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
EQ REV CMP SCR LCK 4.5X18MM,35031600,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
EQ REV CMP SCR LCK 4.5X22MM,35031601,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
EQ REV CMP SCR LCK 4.5X26MM,35031602,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
18MM CMP SCR W/LOW PRO LCK CAP,35031603,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
22MM CMP SCR W/LOW PRO LCK CAP,35031604,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
26MM CMP SCR W/LOW PRO LCK CAP,35031605,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
30MM CMP SCR W/LOW PRO LCK CAP,35031606,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
34MM CMP SCR W/LOW PRO LCK CAP,35031607,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
38MM CMP SCR W/LOW PRO LCK CAP,35031608,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
42MM CMP SCR W/LOW PRO LCK CAP,35031609,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
46MM CMP SCR W/LOW PRO LCK CAP,35031610,CDM,278,RC,C1776,HCPCS,Outpatient,,,360,288,,306,85,,244.8,percent of total billed charges,85% of total billed charges,306,85,,244.8,percent of total billed charges,85% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,267.41,74,,213.93,percent of total billed charges,74.28% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,313.92,87.2,,,percent of total billed charges,87.2% of total billed charges,212.4,59,,169.92,percent of total billed charges,59% of total billed charges,313.92,87.2,,251.14,percent of total billed charges,87.2% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,292.64,81.29,,234.11,percent of total billed charges,81.29% of total billed charges,324,90,,259.2,percent of total billed charges,90% of totl billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,324,90,,259.2,percent of total billed charges,90% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,219.6,61,,175.68,percent of total billed charges,61% of total billed charges,187.2,52,,149.76,percent of total billed charges,52% of total billed charges,187.2,324,
GLENOSPHERE 38MM,35031611,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GLENOSPHERE 40MM,35031612,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GLENOSPHERE 42MM,35031613,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GLENOSPHERE 44MM,35031614,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
GLENOSPHERE 46MM,35031615,CDM,278,RC,C1776,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
EXP GSPHERE 36MM SM REV,35031616,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EXP GSPHERE 38MM SM REV,35031617,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EXP GSPHERE 40MM SM REV,35031618,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
EXP GSPHERE 42MM SM REV,35031619,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
SM SUP AUG GLEN PLATE,35031620,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SM POST AUG GLEN PLATE LT,35031621,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SM POST AUG GLEN PLATE RT,35031622,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SM EXT CAGE GLEN PLATE,35031623,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SM SUP/POST AUG GLEN PLATE LT,35031624,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
SM SUP/POST AUG GLEN PLATE RT,35031625,CDM,278,RC,C1776,HCPCS,Outpatient,,,4650,3720,,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,3952.5,85,,3162,percent of total billed charges,85% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,3454.02,74,,2763.22,percent of total billed charges,74.28% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,4054.8,87.2,,,percent of total billed charges,87.2% of total billed charges,2743.5,59,,2194.8,percent of total billed charges,59% of total billed charges,4054.8,87.2,,3243.84,percent of total billed charges,87.2% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,3779.99,81.29,,3023.99,percent of total billed charges,81.29% of total billed charges,4185,90,,3348,percent of total billed charges,90% of totl billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,4185,90,,3348,percent of total billed charges,90% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2836.5,61,,2269.2,percent of total billed charges,61% of total billed charges,2418,52,,1934.4,percent of total billed charges,52% of total billed charges,2418,4185,
36MM HUM LINER +2.5MM UNCONST,35031626,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
36MM HUM LINER +0MM CONST,35031627,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
36MM HUM LINER +2.5MM CONST,35031628,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 38MM HUM CONST LINER +0,35031629,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 38MM HUM CONST LIN +2.5,35031630,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
HUMERAL LINER 40MM +0,35031631,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
HUMERAL LINER 40MM +2.5,35031632,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
CONST HUMERAL LINER 40MM +0,35031633,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
CONST HUMERAL LINER 40MM +2.5,35031634,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 42MM HUM LINER +2.5,35031635,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 42MM HUM CONST LIN +0,35031636,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 42MM HUM CONST LIN +2.5,35031637,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
HUMERAL LINER 44MM +0,35031638,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
HUMERAL LINER 44MM +2.5,35031639,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
CONST HUMERAL LINER 44MM +0,35031640,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
CONST HUMERAL LINER 44MM +2.5,35031641,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 46MM HUMERAL LINER +0,35031642,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 46MM HUMERAL LINER +2.5,35031643,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 46MM HUM CONST LIN +0,35031644,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
EQ REV 46MM HUM CONST LIN +2.5,35031645,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
SERIES A PAT STD 37 3 PEG,35031646,CDM,278,RC,C1776,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
VE VGD VE AS TIB BG 75X10,35031647,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SERIES A PAT THN 31 3 PEG,35031657,CDM,278,RC,C1776,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
VGD VE AS TIB BRG79X10,35031658,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
VGD VE AS TIB BRG71X10,35031659,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
ACC 2MMCOCR CABLE 71340020,35031660,CDM,278,RC,C1776,HCPCS,Outpatient,,,639.36,511.49,,543.46,85,,434.77,percent of total billed charges,85% of total billed charges,543.46,85,,434.77,percent of total billed charges,85% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,474.92,74,,379.94,percent of total billed charges,74.28% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,474.92,74,,379.94,percent of total billed charges,74.28% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,474.92,74,,379.94,percent of total billed charges,74.28% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,575.42,90,,460.34,percent of total billed charges,90% of total billed charges,575.42,90,,460.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,557.52,87.2,,,percent of total billed charges,87.2% of total billed charges,377.22,59,,301.78,percent of total billed charges,59% of total billed charges,557.52,87.2,,446.02,percent of total billed charges,87.2% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,519.74,81.29,,415.79,percent of total billed charges,81.29% of total billed charges,575.42,90,,460.34,percent of total billed charges,90% of totl billed charges,575.42,90,,460.34,percent of total billed charges,90% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,575.42,90,,460.34,percent of total billed charges,90% of total billed charges,575.42,90,,460.34,percent of total billed charges,90% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,390.01,61,,312.01,percent of total billed charges,61% of total billed charges,332.47,52,,265.98,percent of total billed charges,52% of total billed charges,332.47,575.42,
ACC STD 85MM3CBL TROCH GRIP,35031661,CDM,278,RC,C1776,HCPCS,Outpatient,,,2653.2,2122.56,,2255.22,85,,1804.18,percent of total billed charges,85% of total billed charges,2255.22,85,,1804.18,percent of total billed charges,85% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,1970.8,74,,1576.64,percent of total billed charges,74.28% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,1970.8,74,,1576.64,percent of total billed charges,74.28% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,1970.8,74,,1576.64,percent of total billed charges,74.28% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of total billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,2313.59,87.2,,,percent of total billed charges,87.2% of total billed charges,1565.39,59,,1252.31,percent of total billed charges,59% of total billed charges,2313.59,87.2,,1850.87,percent of total billed charges,87.2% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,2156.79,81.29,,1725.43,percent of total billed charges,81.29% of total billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of totl billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of total billed charges,2387.88,90,,1910.3,percent of total billed charges,90% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,1618.45,61,,1294.76,percent of total billed charges,61% of total billed charges,1379.66,52,,1103.73,percent of total billed charges,52% of total billed charges,1379.66,2387.88,
EVOSVOLARPLATE3H RT STDT1 48MM,35031666,CDM,278,RC,C1776,HCPCS,Outpatient,,,2310,1848,,1963.5,85,,1570.8,percent of total billed charges,85% of total billed charges,1963.5,85,,1570.8,percent of total billed charges,85% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,1715.87,74,,1372.7,percent of total billed charges,74.28% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,1715.87,74,,1372.7,percent of total billed charges,74.28% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,1715.87,74,,1372.7,percent of total billed charges,74.28% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,2079,90,,1663.2,percent of total billed charges,90% of total billed charges,2079,90,,1663.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,2014.32,87.2,,,percent of total billed charges,87.2% of total billed charges,1362.9,59,,1090.32,percent of total billed charges,59% of total billed charges,2014.32,87.2,,1611.46,percent of total billed charges,87.2% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,1877.8,81.29,,1502.24,percent of total billed charges,81.29% of total billed charges,2079,90,,1663.2,percent of total billed charges,90% of totl billed charges,2079,90,,1663.2,percent of total billed charges,90% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,2079,90,,1663.2,percent of total billed charges,90% of total billed charges,2079,90,,1663.2,percent of total billed charges,90% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,1409.1,61,,1127.28,percent of total billed charges,61% of total billed charges,1201.2,52,,960.96,percent of total billed charges,52% of total billed charges,1201.2,2079,
VLPT1 2.4MMX18MM LCK SCR T7S-T,35031667,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
VLPT1 2.4MMX13MM LCK SCR T7S-T,35031668,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
VLPT1 2.4MMX12MM LCK SCR T7S-T,35031669,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
VLPT1 2.4MMX22MM LCK SCR T7S-T,35031670,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
VLPT1 2.4MMX20MM LCK SCR T7S-T,35031671,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
VLPT1 2.4MM16MM LCK SCR T7S-T,35031672,CDM,278,RC,C1776,HCPCS,Outpatient,,,393.12,314.5,,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,334.15,85,,267.32,percent of total billed charges,85% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,292.01,74,,233.61,percent of total billed charges,74.28% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,342.8,87.2,,,percent of total billed charges,87.2% of total billed charges,231.94,59,,185.55,percent of total billed charges,59% of total billed charges,342.8,87.2,,274.24,percent of total billed charges,87.2% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,319.57,81.29,,255.66,percent of total billed charges,81.29% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of totl billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,353.81,90,,283.05,percent of total billed charges,90% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,239.8,61,,191.84,percent of total billed charges,61% of total billed charges,204.42,52,,163.54,percent of total billed charges,52% of total billed charges,204.42,353.81,
EVOS T1 3.5MMX13MMLCK SCR T15S,35031673,CDM,278,RC,C1776,HCPCS,Outpatient,,,702,561.6,,596.7,85,,477.36,percent of total billed charges,85% of total billed charges,596.7,85,,477.36,percent of total billed charges,85% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,521.45,74,,417.16,percent of total billed charges,74.28% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,521.45,74,,417.16,percent of total billed charges,74.28% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,521.45,74,,417.16,percent of total billed charges,74.28% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,631.8,90,,505.44,percent of total billed charges,90% of total billed charges,631.8,90,,505.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,612.14,87.2,,,percent of total billed charges,87.2% of total billed charges,414.18,59,,331.34,percent of total billed charges,59% of total billed charges,612.14,87.2,,489.71,percent of total billed charges,87.2% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,570.66,81.29,,456.53,percent of total billed charges,81.29% of total billed charges,631.8,90,,505.44,percent of total billed charges,90% of totl billed charges,631.8,90,,505.44,percent of total billed charges,90% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,631.8,90,,505.44,percent of total billed charges,90% of total billed charges,631.8,90,,505.44,percent of total billed charges,90% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,428.22,61,,342.58,percent of total billed charges,61% of total billed charges,365.04,52,,292.03,percent of total billed charges,52% of total billed charges,365.04,631.8,
VLPT1 2.4MMX13MM LCK SCR T7S-T,35031674,CDM,278,RC,C1776,HCPCS,Outpatient,,,185.55,148.44,,157.72,85,,126.18,percent of total billed charges,85% of total billed charges,157.72,85,,126.18,percent of total billed charges,85% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,137.83,74,,110.26,percent of total billed charges,74.28% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,137.83,74,,110.26,percent of total billed charges,74.28% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,137.83,74,,110.26,percent of total billed charges,74.28% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,167,90,,133.6,percent of total billed charges,90% of total billed charges,167,90,,133.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,161.8,87.2,,,percent of total billed charges,87.2% of total billed charges,109.47,59,,87.58,percent of total billed charges,59% of total billed charges,161.8,87.2,,129.44,percent of total billed charges,87.2% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,150.83,81.29,,120.66,percent of total billed charges,81.29% of total billed charges,167,90,,133.6,percent of total billed charges,90% of totl billed charges,167,90,,133.6,percent of total billed charges,90% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,167,90,,133.6,percent of total billed charges,90% of total billed charges,167,90,,133.6,percent of total billed charges,90% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,113.19,61,,90.55,percent of total billed charges,61% of total billed charges,96.49,52,,77.19,percent of total billed charges,52% of total billed charges,96.49,167,
PERI-LOC4.5T25CRTX SCR68MMS-T,35031681,CDM,278,RC,C1776,HCPCS,Outpatient,,,96.24,76.99,,81.8,85,,65.44,percent of total billed charges,85% of total billed charges,81.8,85,,65.44,percent of total billed charges,85% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,71.49,74,,57.19,percent of total billed charges,74.28% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,71.49,74,,57.19,percent of total billed charges,74.28% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,71.49,74,,57.19,percent of total billed charges,74.28% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,86.62,90,,69.3,percent of total billed charges,90% of total billed charges,86.62,90,,69.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,83.92,87.2,,,percent of total billed charges,87.2% of total billed charges,56.78,59,,45.42,percent of total billed charges,59% of total billed charges,83.92,87.2,,67.14,percent of total billed charges,87.2% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,78.23,81.29,,62.58,percent of total billed charges,81.29% of total billed charges,86.62,90,,69.3,percent of total billed charges,90% of totl billed charges,86.62,90,,69.3,percent of total billed charges,90% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,86.62,90,,69.3,percent of total billed charges,90% of total billed charges,86.62,90,,69.3,percent of total billed charges,90% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,58.71,61,,46.97,percent of total billed charges,61% of total billed charges,50.04,52,,40.03,percent of total billed charges,52% of total billed charges,50.04,86.62,
PERI-LOC4.5T25CRTX SCR74MMS-T,35031682,CDM,278,RC,C1776,HCPCS,Outpatient,,,169.32,135.46,,143.92,85,,115.14,percent of total billed charges,85% of total billed charges,143.92,85,,115.14,percent of total billed charges,85% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,125.77,74,,100.62,percent of total billed charges,74.28% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,125.77,74,,100.62,percent of total billed charges,74.28% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,125.77,74,,100.62,percent of total billed charges,74.28% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,152.39,90,,121.91,percent of total billed charges,90% of total billed charges,152.39,90,,121.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,147.65,87.2,,,percent of total billed charges,87.2% of total billed charges,99.9,59,,79.92,percent of total billed charges,59% of total billed charges,147.65,87.2,,118.12,percent of total billed charges,87.2% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,137.64,81.29,,110.11,percent of total billed charges,81.29% of total billed charges,152.39,90,,121.91,percent of total billed charges,90% of totl billed charges,152.39,90,,121.91,percent of total billed charges,90% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,152.39,90,,121.91,percent of total billed charges,90% of total billed charges,152.39,90,,121.91,percent of total billed charges,90% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,103.29,61,,82.63,percent of total billed charges,61% of total billed charges,88.05,52,,70.44,percent of total billed charges,52% of total billed charges,88.05,152.39,
LGN OX CONSTRAINED FEM 6LT,35031683,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
LGN PRSFT STEM15X220MMSTRT,35031684,CDM,278,RC,C1776,HCPCS,Outpatient,,,2635.2,2108.16,,2239.92,85,,1791.94,percent of total billed charges,85% of total billed charges,2239.92,85,,1791.94,percent of total billed charges,85% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2297.89,87.2,,,percent of total billed charges,87.2% of total billed charges,1554.77,59,,1243.82,percent of total billed charges,59% of total billed charges,2297.89,87.2,,1838.31,percent of total billed charges,87.2% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2142.15,81.29,,1713.72,percent of total billed charges,81.29% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of totl billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1370.3,2371.68,
LGN SCW LWDG S6 15D X 10P,35031685,CDM,278,RC,C1776,HCPCS,Outpatient,,,3391.2,2712.96,,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2957.13,87.2,,,percent of total billed charges,87.2% of total billed charges,2000.81,59,,1600.65,percent of total billed charges,59% of total billed charges,2957.13,87.2,,2365.7,percent of total billed charges,87.2% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2756.71,81.29,,2205.37,percent of total billed charges,81.29% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of totl billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,3052.08,
LGN SCW LWDGS6 15D X 5P,35031686,CDM,278,RC,C1776,HCPCS,Outpatient,,,3391.2,2712.96,,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2957.13,87.2,,,percent of total billed charges,87.2% of total billed charges,2000.81,59,,1600.65,percent of total billed charges,59% of total billed charges,2957.13,87.2,,2365.7,percent of total billed charges,87.2% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2756.71,81.29,,2205.37,percent of total billed charges,81.29% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of totl billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,3052.08,
GII CONST INSRTW/JRNY LOCK5-6,35031687,CDM,278,RC,C1776,HCPCS,Outpatient,,,1755,1404,,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1530.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1035.45,59,,828.36,percent of total billed charges,59% of total billed charges,1530.36,87.2,,1224.29,percent of total billed charges,87.2% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1426.64,81.29,,1141.31,percent of total billed charges,81.29% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of totl billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,1579.5,
D/M 2.0MMVIT BEADED CBL/SLEEVE,35031688,CDM,278,RC,C1776,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
JRNY11 ISRT XLPE DD LSZ1-2 15M,35031689,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"PLATE, 1 LEVEL 17MM-3001017",35031701,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 19MM-3001019",35031702,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 21MM-3001021",35031703,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 23MM-3001023",35031704,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 25MM-3001025",35031705,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 27MM-3011027",35031706,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 1 LEVEL 29MM-3001029",35031707,CDM,278,RC,C1776,HCPCS,Outpatient,,,2636.25,2109,,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,2240.81,85,,1792.65,percent of total billed charges,85% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1958.21,74,,1566.57,percent of total billed charges,74.28% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2298.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1555.39,59,,1244.31,percent of total billed charges,59% of total billed charges,2298.81,87.2,,1839.05,percent of total billed charges,87.2% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,2143.01,81.29,,1714.41,percent of total billed charges,81.29% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of totl billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,2372.63,90,,1898.1,percent of total billed charges,90% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1608.11,61,,1286.49,percent of total billed charges,61% of total billed charges,1370.85,52,,1096.68,percent of total billed charges,52% of total billed charges,1370.85,2372.63,
"PLATE, 2 LEVEL 27MM-3002027",35031708,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 29MM-3002029",35031709,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 31MM-3002031",35031710,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 33MM-3002033",35031711,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 35MM-3002035",35031712,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 37MM-3002037",35031713,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 39MM-3002039",35031714,CDM,278,RC,C1776,HCPCS,Outpatient,,,2925,2340,,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,2486.25,85,,1989,percent of total billed charges,85% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2172.69,74,,1738.15,percent of total billed charges,74.28% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2550.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1725.75,59,,1380.6,percent of total billed charges,59% of total billed charges,2550.6,87.2,,2040.48,percent of total billed charges,87.2% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,2377.73,81.29,,1902.18,percent of total billed charges,81.29% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of totl billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,2632.5,90,,2106,percent of total billed charges,90% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1784.25,61,,1427.4,percent of total billed charges,61% of total billed charges,1521,52,,1216.8,percent of total billed charges,52% of total billed charges,1521,2632.5,
"PLATE, 2 LEVEL 41MM-3002041",35031715,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 43MM-3002043",35031716,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 45MM-3002045",35031717,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 48MM-3002048",35031718,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 2 LEVEL 51MM-3002051",35031719,CDM,278,RC,C1776,HCPCS,Outpatient,,,2671.88,2137.5,,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,2271.1,85,,1816.88,percent of total billed charges,85% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1984.67,74,,1587.74,percent of total billed charges,74.28% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2329.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1576.41,59,,1261.13,percent of total billed charges,59% of total billed charges,2329.88,87.2,,1863.9,percent of total billed charges,87.2% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,2171.97,81.29,,1737.58,percent of total billed charges,81.29% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of totl billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,2404.69,90,,1923.75,percent of total billed charges,90% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1629.85,61,,1303.88,percent of total billed charges,61% of total billed charges,1389.38,52,,1111.5,percent of total billed charges,52% of total billed charges,1389.38,2404.69,
"PLATE, 3 LEVEL 43MM-3003043",35031720,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 45MM-3003045",35031721,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 48MM-3003048",35031722,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 51MM-3003051",35031723,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 53MM-3003053",35031724,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 55MM-3003055",35031725,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 57MM-3003057",35031726,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 59MM-3003059",35031727,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"PLATE, 3 LEVEL 61MM-3003061",35031728,CDM,278,RC,C1776,HCPCS,Outpatient,,,2939.07,2351.26,,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,2498.21,85,,1998.57,percent of total billed charges,85% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2183.14,74,,1746.51,percent of total billed charges,74.28% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2562.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.05,59,,1387.24,percent of total billed charges,59% of total billed charges,2562.87,87.2,,2050.3,percent of total billed charges,87.2% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,2389.17,81.29,,1911.34,percent of total billed charges,81.29% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of totl billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,2645.16,90,,2116.13,percent of total billed charges,90% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1792.83,61,,1434.26,percent of total billed charges,61% of total billed charges,1528.32,52,,1222.66,percent of total billed charges,52% of total billed charges,1528.32,2645.16,
"SCREW, 13MM - 7713513",35031729,CDM,278,RC,C1776,HCPCS,Outpatient,,,720,576,,612,85,,489.6,percent of total billed charges,85% of total billed charges,612,85,,489.6,percent of total billed charges,85% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,627.84,87.2,,,percent of total billed charges,87.2% of total billed charges,424.8,59,,339.84,percent of total billed charges,59% of total billed charges,627.84,87.2,,502.27,percent of total billed charges,87.2% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,585.29,81.29,,468.23,percent of total billed charges,81.29% of total billed charges,648,90,,518.4,percent of total billed charges,90% of totl billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,648,
"SCREW, 15MM - 7713515",35031730,CDM,278,RC,C1776,HCPCS,Outpatient,,,720,576,,612,85,,489.6,percent of total billed charges,85% of total billed charges,612,85,,489.6,percent of total billed charges,85% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,627.84,87.2,,,percent of total billed charges,87.2% of total billed charges,424.8,59,,339.84,percent of total billed charges,59% of total billed charges,627.84,87.2,,502.27,percent of total billed charges,87.2% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,585.29,81.29,,468.23,percent of total billed charges,81.29% of total billed charges,648,90,,518.4,percent of total billed charges,90% of totl billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,648,
"SCREW, 17MM - 7713517",35031731,CDM,278,RC,C1776,HCPCS,Outpatient,,,712.5,570,,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,621.3,87.2,,,percent of total billed charges,87.2% of total billed charges,420.38,59,,336.3,percent of total billed charges,59% of total billed charges,621.3,87.2,,497.04,percent of total billed charges,87.2% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,579.19,81.29,,463.35,percent of total billed charges,81.29% of total billed charges,641.25,90,,513,percent of total billed charges,90% of totl billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,641.25,
"RESCUE SCREW, 13MM - 7714013",35031732,CDM,278,RC,C1776,HCPCS,Outpatient,,,712.5,570,,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,621.3,87.2,,,percent of total billed charges,87.2% of total billed charges,420.38,59,,336.3,percent of total billed charges,59% of total billed charges,621.3,87.2,,497.04,percent of total billed charges,87.2% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,579.19,81.29,,463.35,percent of total billed charges,81.29% of total billed charges,641.25,90,,513,percent of total billed charges,90% of totl billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,641.25,
"RESCUE SCREW, 15MM - 7714015",35031733,CDM,278,RC,C1776,HCPCS,Outpatient,,,712.5,570,,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,621.3,87.2,,,percent of total billed charges,87.2% of total billed charges,420.38,59,,336.3,percent of total billed charges,59% of total billed charges,621.3,87.2,,497.04,percent of total billed charges,87.2% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,579.19,81.29,,463.35,percent of total billed charges,81.29% of total billed charges,641.25,90,,513,percent of total billed charges,90% of totl billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,641.25,
"RESCUE SCREW, 17MM - 7714017",35031734,CDM,278,RC,C1776,HCPCS,Outpatient,,,712.5,570,,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,605.63,85,,484.5,percent of total billed charges,85% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,529.25,74,,423.4,percent of total billed charges,74.28% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,621.3,87.2,,,percent of total billed charges,87.2% of total billed charges,420.38,59,,336.3,percent of total billed charges,59% of total billed charges,621.3,87.2,,497.04,percent of total billed charges,87.2% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,579.19,81.29,,463.35,percent of total billed charges,81.29% of total billed charges,641.25,90,,513,percent of total billed charges,90% of totl billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,641.25,90,,513,percent of total billed charges,90% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,434.63,61,,347.7,percent of total billed charges,61% of total billed charges,370.5,52,,296.4,percent of total billed charges,52% of total billed charges,370.5,641.25,
LGN REV TB BASE SZ5RT 71424015,35031735,CDM,278,RC,C1776,HCPCS,Outpatient,,,4921.2,3936.96,,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4291.29,87.2,,,percent of total billed charges,87.2% of total billed charges,2903.51,59,,2322.81,percent of total billed charges,59% of total billed charges,4291.29,87.2,,3433.03,percent of total billed charges,87.2% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4000.44,81.29,,3200.35,percent of total billed charges,81.29% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of totl billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,4429.08,
LGN CEM STEM12X120MMSTRT,35031736,CDM,278,RC,C1776,HCPCS,Outpatient,,,2376,1900.8,,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2071.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1401.84,59,,1121.47,percent of total billed charges,59% of total billed charges,2071.87,87.2,,1657.5,percent of total billed charges,87.2% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1931.45,81.29,,1545.16,percent of total billed charges,81.29% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of totl billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,2138.4,
SC HM ST5-6 10MMLTLA RTMD,35031737,CDM,278,RC,C1776,HCPCS,Outpatient,,,2592,2073.6,,2203.2,85,,1762.56,percent of total billed charges,85% of total billed charges,2203.2,85,,1762.56,percent of total billed charges,85% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1925.34,74,,1540.27,percent of total billed charges,74.28% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2260.22,87.2,,,percent of total billed charges,87.2% of total billed charges,1529.28,59,,1223.42,percent of total billed charges,59% of total billed charges,2260.22,87.2,,1808.18,percent of total billed charges,87.2% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,2107.04,81.29,,1685.63,percent of total billed charges,81.29% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of totl billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,2332.8,90,,1866.24,percent of total billed charges,90% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1581.12,61,,1264.9,percent of total billed charges,61% of total billed charges,1347.84,52,,1078.27,percent of total billed charges,52% of total billed charges,1347.84,2332.8,
LGN HM ST5-6 5MMLTMD-RTLA,35031738,CDM,278,RC,C1776,HCPCS,Outpatient,,,2610,2088,,2218.5,85,,1774.8,percent of total billed charges,85% of total billed charges,2218.5,85,,1774.8,percent of total billed charges,85% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2275.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1539.9,59,,1231.92,percent of total billed charges,59% of total billed charges,2275.92,87.2,,1820.74,percent of total billed charges,87.2% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2121.67,81.29,,1697.34,percent of total billed charges,81.29% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of totl billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1357.2,2349,
LGN CON ART INS 9MM SZ5-6,35031739,CDM,278,RC,C1776,HCPCS,Outpatient,,,3913.2,3130.56,,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3412.31,87.2,,,percent of total billed charges,87.2% of total billed charges,2308.79,59,,1847.03,percent of total billed charges,59% of total billed charges,3412.31,87.2,,2729.85,percent of total billed charges,87.2% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3181.04,81.29,,2544.83,percent of total billed charges,81.29% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of totl billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,3521.88,
LGN OX CON FEM 6RT 71421176,35031740,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
LGN SCRW DIS FEM WDG SZ6 10MM,35031741,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
LGN SCRW DIS FEM WDG SZ6 5MM,35031742,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
VGD VE AS TIB BRG 67X11MM,35031769,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
VGD SERIESA PATELLA 34MM184766,35031772,CDM,278,RC,C1776,HCPCS,Outpatient,,,1506.38,1205.1,,1280.42,85,,1024.34,percent of total billed charges,85% of total billed charges,1280.42,85,,1024.34,percent of total billed charges,85% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1313.56,87.2,,,percent of total billed charges,87.2% of total billed charges,888.76,59,,711.01,percent of total billed charges,59% of total billed charges,1313.56,87.2,,1050.85,percent of total billed charges,87.2% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1224.54,81.29,,979.63,percent of total billed charges,81.29% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of totl billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,783.32,1355.74,
GII CONST INSRT W/JRNY LOCK3-4,35031808,CDM,278,RC,C1776,HCPCS,Outpatient,,,1755,1404,,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1530.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1035.45,59,,828.36,percent of total billed charges,59% of total billed charges,1530.36,87.2,,1224.29,percent of total billed charges,87.2% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1426.64,81.29,,1141.31,percent of total billed charges,81.29% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of totl billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,1579.5,
LGN OX CONSTRAINED FEM 5 RT,35031809,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
LGN OFFSET COUPLER 2MM,35031810,CDM,278,RC,C1776,HCPCS,Outpatient,,,2336.4,1869.12,,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1985.94,85,,1588.75,percent of total billed charges,85% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1735.48,74,,1388.38,percent of total billed charges,74.28% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,2037.34,87.2,,,percent of total billed charges,87.2% of total billed charges,1378.48,59,,1102.78,percent of total billed charges,59% of total billed charges,2037.34,87.2,,1629.87,percent of total billed charges,87.2% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1899.26,81.29,,1519.41,percent of total billed charges,81.29% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of totl billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,2102.76,90,,1682.21,percent of total billed charges,90% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1425.2,61,,1140.16,percent of total billed charges,61% of total billed charges,1214.93,52,,971.94,percent of total billed charges,52% of total billed charges,1214.93,2102.76,
LGN CEMENT STEM14MMX120MM STRT,35031811,CDM,278,RC,C1776,HCPCS,Outpatient,,,2376,1900.8,,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2071.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1401.84,59,,1121.47,percent of total billed charges,59% of total billed charges,2071.87,87.2,,1657.5,percent of total billed charges,87.2% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1931.45,81.29,,1545.16,percent of total billed charges,81.29% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of totl billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,2138.4,
LGN SCRW DIS FEM WDG SZ5 5MM,35031812,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
LEGION SCW LWDG S5 10D X 5P,35031813,CDM,278,RC,C1776,HCPCS,Outpatient,,,3391.2,2712.96,,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2957.13,87.2,,,percent of total billed charges,87.2% of total billed charges,2000.81,59,,1600.65,percent of total billed charges,59% of total billed charges,2957.13,87.2,,2365.7,percent of total billed charges,87.2% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2756.71,81.29,,2205.37,percent of total billed charges,81.29% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of totl billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,3052.08,
LEGION SCW LWDG S5 5D X 5P,35031814,CDM,278,RC,C1776,HCPCS,Outpatient,,,3391.2,2712.96,,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2957.13,87.2,,,percent of total billed charges,87.2% of total billed charges,2000.81,59,,1600.65,percent of total billed charges,59% of total billed charges,2957.13,87.2,,2365.7,percent of total billed charges,87.2% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2756.71,81.29,,2205.37,percent of total billed charges,81.29% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of totl billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,3052.08,
VGD VE AS TIB BRG 67X13,35031819,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
VGD VE PS+ TIB BRG79/83X12MM,35031820,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
6DEG COCR FEM HEAD36MM,35031821,CDM,278,RC,C1776,HCPCS,Outpatient,,,1618.5,1294.8,,1375.73,85,,1100.58,percent of total billed charges,85% of total billed charges,1375.73,85,,1100.58,percent of total billed charges,85% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,1202.22,74,,961.78,percent of total billed charges,74.28% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,1202.22,74,,961.78,percent of total billed charges,74.28% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,1202.22,74,,961.78,percent of total billed charges,74.28% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of total billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,1411.33,87.2,,,percent of total billed charges,87.2% of total billed charges,954.92,59,,763.94,percent of total billed charges,59% of total billed charges,1411.33,87.2,,1129.06,percent of total billed charges,87.2% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,1315.68,81.29,,1052.54,percent of total billed charges,81.29% of total billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of totl billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of total billed charges,1456.65,90,,1165.32,percent of total billed charges,90% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,987.29,61,,789.83,percent of total billed charges,61% of total billed charges,841.62,52,,673.3,percent of total billed charges,52% of total billed charges,841.62,1456.65,
MOD CUP 10DEG LIN LONG58X36,35031822,CDM,278,RC,C1776,HCPCS,Outpatient,,,2661.75,2129.4,,2262.49,85,,1809.99,percent of total billed charges,85% of total billed charges,2262.49,85,,1809.99,percent of total billed charges,85% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,1977.15,74,,1581.72,percent of total billed charges,74.28% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,1977.15,74,,1581.72,percent of total billed charges,74.28% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,1977.15,74,,1581.72,percent of total billed charges,74.28% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of total billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,2321.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1570.43,59,,1256.34,percent of total billed charges,59% of total billed charges,2321.05,87.2,,1856.84,percent of total billed charges,87.2% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,2163.74,81.29,,1730.99,percent of total billed charges,81.29% of total billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of totl billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of total billed charges,2395.58,90,,1916.46,percent of total billed charges,90% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,1623.67,61,,1298.94,percent of total billed charges,61% of total billed charges,1384.11,52,,1107.29,percent of total billed charges,52% of total billed charges,1384.11,2395.58,
MOD CUP REPLACE LOCK RING58MM,35031823,CDM,278,RC,C1776,HCPCS,Outpatient,,,331.5,265.2,,281.78,85,,225.42,percent of total billed charges,85% of total billed charges,281.78,85,,225.42,percent of total billed charges,85% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,246.24,74,,196.99,percent of total billed charges,74.28% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,246.24,74,,196.99,percent of total billed charges,74.28% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,246.24,74,,196.99,percent of total billed charges,74.28% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,298.35,90,,238.68,percent of total billed charges,90% of total billed charges,298.35,90,,238.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,289.07,87.2,,,percent of total billed charges,87.2% of total billed charges,195.59,59,,156.47,percent of total billed charges,59% of total billed charges,289.07,87.2,,231.26,percent of total billed charges,87.2% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,269.48,81.29,,215.58,percent of total billed charges,81.29% of total billed charges,298.35,90,,238.68,percent of total billed charges,90% of totl billed charges,298.35,90,,238.68,percent of total billed charges,90% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,298.35,90,,238.68,percent of total billed charges,90% of total billed charges,298.35,90,,238.68,percent of total billed charges,90% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,202.22,61,,161.78,percent of total billed charges,61% of total billed charges,172.38,52,,137.9,percent of total billed charges,52% of total billed charges,172.38,298.35,
JRNY 11 BCS CNSTRDARTISRT5-6LT,35031824,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
VGD VD AS TIB BRG67x14mm,35031826,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
VGD VE AS TIB BRG 67X11MM,35031831,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SERIES A PAT STD 31 3 PEG,35031832,CDM,278,RC,C1776,HCPCS,Outpatient,,,975,780,,828.75,85,,663,percent of total billed charges,85% of total billed charges,828.75,85,,663,percent of total billed charges,85% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,850.2,87.2,,,percent of total billed charges,87.2% of total billed charges,575.25,59,,460.2,percent of total billed charges,59% of total billed charges,850.2,87.2,,680.16,percent of total billed charges,87.2% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,792.58,81.29,,634.06,percent of total billed charges,81.29% of total billed charges,877.5,90,,702,percent of total billed charges,90% of totl billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,877.5,
VGD VE AS TIB BRG 67X12MM,35031860,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIDENT 0X3 INSERT 36MMID,35031864,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 20DEG XLPE ACET LNR 36MMX60,35031889,CDM,278,RC,C1776,HCPCS,Outpatient,,,1500,1200,,1275,85,,1020,percent of total billed charges,85% of total billed charges,1275,85,,1020,percent of total billed charges,85% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,780,52,,624,percent of total billed charges,52% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1308,87.2,,,percent of total billed charges,87.2% of total billed charges,885,59,,708,percent of total billed charges,59% of total billed charges,1308,87.2,,1046.4,percent of total billed charges,87.2% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1219.35,81.29,,975.48,percent of total billed charges,81.29% of total billed charges,1350,90,,1080,percent of total billed charges,90% of totl billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,780,1350,
REDAPT MODULAR SHELL 60MM,35031890,CDM,278,RC,C1776,HCPCS,Outpatient,,,9345,7476,,7943.25,85,,6354.6,percent of total billed charges,85% of total billed charges,7943.25,85,,6354.6,percent of total billed charges,85% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,6941.47,74,,5553.18,percent of total billed charges,74.28% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,8148.84,87.2,,,percent of total billed charges,87.2% of total billed charges,5513.55,59,,4410.84,percent of total billed charges,59% of total billed charges,8148.84,87.2,,6519.07,percent of total billed charges,87.2% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,7596.55,81.29,,6077.24,percent of total billed charges,81.29% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of totl billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,8410.5,90,,6728.4,percent of total billed charges,90% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,5700.45,61,,4560.36,percent of total billed charges,61% of total billed charges,4859.4,52,,3887.52,percent of total billed charges,52% of total billed charges,4859.4,8410.5,
LGN HM ST 3-4 5MM LTMD-RTLA,35031898,CDM,278,RC,C1776,HCPCS,Outpatient,,,2610,2088,,2218.5,85,,1774.8,percent of total billed charges,85% of total billed charges,2218.5,85,,1774.8,percent of total billed charges,85% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1938.71,74,,1550.97,percent of total billed charges,74.28% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2275.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1539.9,59,,1231.92,percent of total billed charges,59% of total billed charges,2275.92,87.2,,1820.74,percent of total billed charges,87.2% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,2121.67,81.29,,1697.34,percent of total billed charges,81.29% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of totl billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,2349,90,,1879.2,percent of total billed charges,90% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1592.1,61,,1273.68,percent of total billed charges,61% of total billed charges,1357.2,52,,1085.76,percent of total billed charges,52% of total billed charges,1357.2,2349,
LEGION CON ART INS 9MM SZ 3-4,35031899,CDM,278,RC,C1776,HCPCS,Outpatient,,,3913.2,3130.56,,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3412.31,87.2,,,percent of total billed charges,87.2% of total billed charges,2308.79,59,,1847.03,percent of total billed charges,59% of total billed charges,3412.31,87.2,,2729.85,percent of total billed charges,87.2% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3181.04,81.29,,2544.83,percent of total billed charges,81.29% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of totl billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,3521.88,
LGN CEMENT STEM 14MMX160MM,35031900,CDM,278,RC,C1776,HCPCS,Outpatient,,,2487.6,1990.08,,2114.46,85,,1691.57,percent of total billed charges,85% of total billed charges,2114.46,85,,1691.57,percent of total billed charges,85% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,1847.79,74,,1478.23,percent of total billed charges,74.28% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,1847.79,74,,1478.23,percent of total billed charges,74.28% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,1847.79,74,,1478.23,percent of total billed charges,74.28% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of total billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,2169.19,87.2,,,percent of total billed charges,87.2% of total billed charges,1467.68,59,,1174.14,percent of total billed charges,59% of total billed charges,2169.19,87.2,,1735.35,percent of total billed charges,87.2% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,2022.17,81.29,,1617.74,percent of total billed charges,81.29% of total billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of totl billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of total billed charges,2238.84,90,,1791.07,percent of total billed charges,90% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,1517.44,61,,1213.95,percent of total billed charges,61% of total billed charges,1293.55,52,,1034.84,percent of total billed charges,52% of total billed charges,1293.55,2238.84,
LGN REV TIBIA BASE SZ 3 RT,35031901,CDM,278,RC,C1776,HCPCS,Outpatient,,,4921.2,3936.96,,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4291.29,87.2,,,percent of total billed charges,87.2% of total billed charges,2903.51,59,,2322.81,percent of total billed charges,59% of total billed charges,4291.29,87.2,,3433.03,percent of total billed charges,87.2% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4000.44,81.29,,3200.35,percent of total billed charges,81.29% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of totl billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,4429.08,
OX FEM HD 12/14 28MM+4,35031920,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
THRD REF HOLE COVER,35031924,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
XS PROX BODY +12.5,35031925,CDM,278,RC,C1776,HCPCS,Outpatient,,,10322.7,8258.16,,8774.3,85,,7019.44,percent of total billed charges,85% of total billed charges,8774.3,85,,7019.44,percent of total billed charges,85% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,7667.7,74,,6134.16,percent of total billed charges,74.28% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,7667.7,74,,6134.16,percent of total billed charges,74.28% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,7667.7,74,,6134.16,percent of total billed charges,74.28% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of total billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,9001.39,87.2,,,percent of total billed charges,87.2% of total billed charges,6090.39,59,,4872.31,percent of total billed charges,59% of total billed charges,9001.39,87.2,,7201.11,percent of total billed charges,87.2% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,8391.32,81.29,,6713.06,percent of total billed charges,81.29% of total billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of totl billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of total billed charges,9290.43,90,,7432.34,percent of total billed charges,90% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,6296.85,61,,5037.48,percent of total billed charges,61% of total billed charges,5367.8,52,,4294.24,percent of total billed charges,52% of total billed charges,5367.8,9290.43,
50MM MIDDLE SEGMENT MODULAR,35031926,CDM,278,RC,C1776,HCPCS,Outpatient,,,15402.83,12322.26,,13092.41,85,,10473.93,percent of total billed charges,85% of total billed charges,13092.41,85,,10473.93,percent of total billed charges,85% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,11441.22,74,,9152.98,percent of total billed charges,74.28% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,11441.22,74,,9152.98,percent of total billed charges,74.28% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,11441.22,74,,9152.98,percent of total billed charges,74.28% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of total billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,13431.27,87.2,,,percent of total billed charges,87.2% of total billed charges,9087.67,59,,7270.14,percent of total billed charges,59% of total billed charges,13431.27,87.2,,10745.02,percent of total billed charges,87.2% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,12520.96,81.29,,10016.77,percent of total billed charges,81.29% of total billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of totl billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of total billed charges,13862.55,90,,11090.04,percent of total billed charges,90% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,9395.73,61,,7516.58,percent of total billed charges,61% of total billed charges,8009.47,52,,6407.58,percent of total billed charges,52% of total billed charges,8009.47,13862.55,
TAPER LOCKING SCREW 137,35031927,CDM,278,RC,C1776,HCPCS,Outpatient,,,1248.3,998.64,,1061.06,85,,848.85,percent of total billed charges,85% of total billed charges,1061.06,85,,848.85,percent of total billed charges,85% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,927.24,74,,741.79,percent of total billed charges,74.28% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,927.24,74,,741.79,percent of total billed charges,74.28% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,927.24,74,,741.79,percent of total billed charges,74.28% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,1123.47,90,,898.78,percent of total billed charges,90% of total billed charges,1123.47,90,,898.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,1088.52,87.2,,,percent of total billed charges,87.2% of total billed charges,736.5,59,,589.2,percent of total billed charges,59% of total billed charges,1088.52,87.2,,870.82,percent of total billed charges,87.2% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,1014.74,81.29,,811.79,percent of total billed charges,81.29% of total billed charges,1123.47,90,,898.78,percent of total billed charges,90% of totl billed charges,1123.47,90,,898.78,percent of total billed charges,90% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,1123.47,90,,898.78,percent of total billed charges,90% of total billed charges,1123.47,90,,898.78,percent of total billed charges,90% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,761.46,61,,609.17,percent of total billed charges,61% of total billed charges,649.12,52,,519.3,percent of total billed charges,52% of total billed charges,649.12,1123.47,
7X80MM DIS STEM MOD CEM,35031928,CDM,278,RC,C1776,HCPCS,Outpatient,,,8307.75,6646.2,,7061.59,85,,5649.27,percent of total billed charges,85% of total billed charges,7061.59,85,,5649.27,percent of total billed charges,85% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,6171,74,,4936.8,percent of total billed charges,74.28% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,6171,74,,4936.8,percent of total billed charges,74.28% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,6171,74,,4936.8,percent of total billed charges,74.28% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of total billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,7244.36,87.2,,,percent of total billed charges,87.2% of total billed charges,4901.57,59,,3921.26,percent of total billed charges,59% of total billed charges,7244.36,87.2,,5795.49,percent of total billed charges,87.2% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,6753.37,81.29,,5402.7,percent of total billed charges,81.29% of total billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of totl billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of total billed charges,7476.98,90,,5981.58,percent of total billed charges,90% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,5067.73,61,,4054.18,percent of total billed charges,61% of total billed charges,4320.03,52,,3456.02,percent of total billed charges,52% of total billed charges,4320.03,7476.98,
SERIES A PAT STD 40 3 PEG,35031934,CDM,278,RC,C1776,HCPCS,Outpatient,,,1506.38,1205.1,,1280.42,85,,1024.34,percent of total billed charges,85% of total billed charges,1280.42,85,,1024.34,percent of total billed charges,85% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,1118.94,74,,895.15,percent of total billed charges,74.28% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1313.56,87.2,,,percent of total billed charges,87.2% of total billed charges,888.76,59,,711.01,percent of total billed charges,59% of total billed charges,1313.56,87.2,,1050.85,percent of total billed charges,87.2% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,1224.54,81.29,,979.63,percent of total billed charges,81.29% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of totl billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,1355.74,90,,1084.59,percent of total billed charges,90% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,918.89,61,,735.11,percent of total billed charges,61% of total billed charges,783.32,52,,626.66,percent of total billed charges,52% of total billed charges,783.32,1355.74,
VNGD PS+ TIB BRG 10X79/83MM,35031936,CDM,278,RC,C1776,HCPCS,Outpatient,,,1807.65,1446.12,,1536.5,85,,1229.2,percent of total billed charges,85% of total billed charges,1536.5,85,,1229.2,percent of total billed charges,85% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,1342.72,74,,1074.18,percent of total billed charges,74.28% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,1342.72,74,,1074.18,percent of total billed charges,74.28% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,1342.72,74,,1074.18,percent of total billed charges,74.28% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of total billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,1576.27,87.2,,,percent of total billed charges,87.2% of total billed charges,1066.51,59,,853.21,percent of total billed charges,59% of total billed charges,1576.27,87.2,,1261.02,percent of total billed charges,87.2% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,1469.44,81.29,,1175.55,percent of total billed charges,81.29% of total billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of totl billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of total billed charges,1626.89,90,,1301.51,percent of total billed charges,90% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,1102.67,61,,882.14,percent of total billed charges,61% of total billed charges,939.98,52,,751.98,percent of total billed charges,52% of total billed charges,939.98,1626.89,
GNS II CON INS SZ5-6 21MM,35031939,CDM,278,RC,C1776,HCPCS,Outpatient,,,3913.2,3130.56,,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,3326.22,85,,2660.98,percent of total billed charges,85% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2906.72,74,,2325.38,percent of total billed charges,74.28% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3412.31,87.2,,,percent of total billed charges,87.2% of total billed charges,2308.79,59,,1847.03,percent of total billed charges,59% of total billed charges,3412.31,87.2,,2729.85,percent of total billed charges,87.2% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,3181.04,81.29,,2544.83,percent of total billed charges,81.29% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of totl billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,3521.88,90,,2817.5,percent of total billed charges,90% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2387.05,61,,1909.64,percent of total billed charges,61% of total billed charges,2034.86,52,,1627.89,percent of total billed charges,52% of total billed charges,2034.86,3521.88,
LEGION 2 SCW LWDG S7 5DX10P,35031940,CDM,278,RC,C1776,HCPCS,Outpatient,,,3391.2,2712.96,,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,2882.52,85,,2306.02,percent of total billed charges,85% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2518.98,74,,2015.18,percent of total billed charges,74.28% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2957.13,87.2,,,percent of total billed charges,87.2% of total billed charges,2000.81,59,,1600.65,percent of total billed charges,59% of total billed charges,2957.13,87.2,,2365.7,percent of total billed charges,87.2% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,2756.71,81.29,,2205.37,percent of total billed charges,81.29% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of totl billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,3052.08,90,,2441.66,percent of total billed charges,90% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,2068.63,61,,1654.9,percent of total billed charges,61% of total billed charges,1763.42,52,,1410.74,percent of total billed charges,52% of total billed charges,1763.42,3052.08,
LGN CEMENT STEM 18X120MM STRT,35031941,CDM,278,RC,C1776,HCPCS,Outpatient,,,2376,1900.8,,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,2019.6,85,,1615.68,percent of total billed charges,85% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1764.89,74,,1411.91,percent of total billed charges,74.28% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,2071.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1401.84,59,,1121.47,percent of total billed charges,59% of total billed charges,2071.87,87.2,,1657.5,percent of total billed charges,87.2% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1931.45,81.29,,1545.16,percent of total billed charges,81.29% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of totl billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,2138.4,90,,1710.72,percent of total billed charges,90% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1449.36,61,,1159.49,percent of total billed charges,61% of total billed charges,1235.52,52,,988.42,percent of total billed charges,52% of total billed charges,1235.52,2138.4,
LGN OX CONSTRAINED FEM 7 LT,35031942,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
BOSTON SCI. IMPLANT BNDL,35031946,CDM,278,RC,C1776,HCPCS,Outpatient,,,51262.5,41010,,43573.13,85,,34858.5,percent of total billed charges,85% of total billed charges,43573.13,85,,34858.5,percent of total billed charges,85% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,38077.79,74,,30462.23,percent of total billed charges,74.28% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,38077.79,74,,30462.23,percent of total billed charges,74.28% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,38077.79,74,,30462.23,percent of total billed charges,74.28% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,46136.25,90,,36909,percent of total billed charges,90% of total billed charges,46136.25,90,,36909,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,44700.9,87.2,,,percent of total billed charges,87.2% of total billed charges,30244.88,59,,24195.9,percent of total billed charges,59% of total billed charges,44700.9,87.2,,35760.72,percent of total billed charges,87.2% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,41671.29,81.29,,33337.03,percent of total billed charges,81.29% of total billed charges,46136.25,90,,36909,percent of total billed charges,90% of totl billed charges,46136.25,90,,36909,percent of total billed charges,90% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,46136.25,90,,36909,percent of total billed charges,90% of total billed charges,46136.25,90,,36909,percent of total billed charges,90% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,31270.13,61,,25016.1,percent of total billed charges,61% of total billed charges,26656.5,52,,21325.2,percent of total billed charges,52% of total billed charges,26656.5,46136.25,
"HEMI GREAT TOE IMPLANT, EX-SM",35031954,CDM,278,RC,C1776,HCPCS,Outpatient,,,3384,2707.2,,2876.4,85,,2301.12,percent of total billed charges,85% of total billed charges,2876.4,85,,2301.12,percent of total billed charges,85% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2950.85,87.2,,,percent of total billed charges,87.2% of total billed charges,1996.56,59,,1597.25,percent of total billed charges,59% of total billed charges,2950.85,87.2,,2360.68,percent of total billed charges,87.2% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2750.85,81.29,,2200.68,percent of total billed charges,81.29% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of totl billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,1759.68,3045.6,
DELTA V40 CERAMIC HEAD 32/0,35031966,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
ACCOLADE II SZ 4 132 DEG,35031967,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTERHOLE HA 50D,35031968,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIDENT 0 DEG X3 INSERT 43MM,35031969,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SCREW HOLE COVER R3,35031970,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
R3 20DEG XLPE ACET LNR 32X54MM,35031971,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 3 HOLE ACET SHELL 54MM,35031972,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
ALL POLY PAT VE 29 MM DIA,35031988,CDM,278,RC,C1776,HCPCS,Outpatient,,,1299.38,1039.5,,1104.47,85,,883.58,percent of total billed charges,85% of total billed charges,1104.47,85,,883.58,percent of total billed charges,85% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1133.06,87.2,,,percent of total billed charges,87.2% of total billed charges,766.63,59,,613.3,percent of total billed charges,59% of total billed charges,1133.06,87.2,,906.45,percent of total billed charges,87.2% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1056.27,81.29,,845.02,percent of total billed charges,81.29% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of totl billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,675.68,1169.44,
PSN FEM CR CMT CCR NRWSZ4 L,35031989,CDM,278,RC,C1776,HCPCS,Outpatient,,,2317.5,1854,,1969.88,85,,1575.9,percent of total billed charges,85% of total billed charges,1969.88,85,,1575.9,percent of total billed charges,85% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,2020.86,87.2,,,percent of total billed charges,87.2% of total billed charges,1367.33,59,,1093.86,percent of total billed charges,59% of total billed charges,2020.86,87.2,,1616.69,percent of total billed charges,87.2% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1883.9,81.29,,1507.12,percent of total billed charges,81.29% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of totl billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1205.1,2085.75,
PSN ASF CR 10MM VE L 3-9CD,35031990,CDM,278,RC,C1776,HCPCS,Outpatient,,,2317.5,1854,,1969.88,85,,1575.9,percent of total billed charges,85% of total billed charges,1969.88,85,,1575.9,percent of total billed charges,85% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1721.44,74,,1377.15,percent of total billed charges,74.28% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,2020.86,87.2,,,percent of total billed charges,87.2% of total billed charges,1367.33,59,,1093.86,percent of total billed charges,59% of total billed charges,2020.86,87.2,,1616.69,percent of total billed charges,87.2% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1883.9,81.29,,1507.12,percent of total billed charges,81.29% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of totl billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,2085.75,90,,1668.6,percent of total billed charges,90% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1413.68,61,,1130.94,percent of total billed charges,61% of total billed charges,1205.1,52,,964.08,percent of total billed charges,52% of total billed charges,1205.1,2085.75,
PSN TIB STM 5 DEG SZ C L,35031991,CDM,278,RC,C1776,HCPCS,Outpatient,,,1699.5,1359.6,,1444.58,85,,1155.66,percent of total billed charges,85% of total billed charges,1444.58,85,,1155.66,percent of total billed charges,85% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,1262.39,74,,1009.91,percent of total billed charges,74.28% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,1262.39,74,,1009.91,percent of total billed charges,74.28% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,1262.39,74,,1009.91,percent of total billed charges,74.28% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of total billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,1481.96,87.2,,,percent of total billed charges,87.2% of total billed charges,1002.71,59,,802.17,percent of total billed charges,59% of total billed charges,1481.96,87.2,,1185.57,percent of total billed charges,87.2% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,1381.52,81.29,,1105.22,percent of total billed charges,81.29% of total billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of totl billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of total billed charges,1529.55,90,,1223.64,percent of total billed charges,90% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,1036.7,61,,829.36,percent of total billed charges,61% of total billed charges,883.74,52,,706.99,percent of total billed charges,52% of total billed charges,883.74,1529.55,
TRIDENT 0X3 INSERT 32MM ID,35031994,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
ACCOLADEII SIZE 2 127 DEG,35031995,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTER HOLE HA 48D,35031996,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
HEX SCR LOW PROFILE 6.5 X 20MM,35031997,CDM,278,RC,C1776,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
R3 3 HOLE ACET SHELL 52MM,35031998,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON CR FEM COMPONENT,35032026,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON PRIM TIB BASEPLATE,35032027,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
X3 TRIATHLON CS INSERT #4 9MM,35032028,CDM,278,RC,C1776,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
CS POLY TIBIA COMPONENT SZ 4,35032029,CDM,278,RC,C1776,HCPCS,Outpatient,,,1912.5,1530,,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1667.7,87.2,,,percent of total billed charges,87.2% of total billed charges,1128.38,59,,902.7,percent of total billed charges,59% of total billed charges,1667.7,87.2,,1334.16,percent of total billed charges,87.2% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1554.67,81.29,,1243.74,percent of total billed charges,81.29% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of totl billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,1721.25,
TRIATHLON CR FEM COMPONENT,35032038,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON ASYMMETRIC X3,35032039,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
SIZE 6 ACCOLADE II 127 DEG,35032040,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
DYNAMIC LOCKING RING,35032054,CDM,278,RC,C1776,HCPCS,Outpatient,,,1743.75,1395,,1482.19,85,,1185.75,percent of total billed charges,85% of total billed charges,1482.19,85,,1185.75,percent of total billed charges,85% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,1295.26,74,,1036.21,percent of total billed charges,74.28% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,1295.26,74,,1036.21,percent of total billed charges,74.28% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,1295.26,74,,1036.21,percent of total billed charges,74.28% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of total billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,1520.55,87.2,,,percent of total billed charges,87.2% of total billed charges,1028.81,59,,823.05,percent of total billed charges,59% of total billed charges,1520.55,87.2,,1216.44,percent of total billed charges,87.2% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,1417.49,81.29,,1133.99,percent of total billed charges,81.29% of total billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of totl billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of total billed charges,1569.38,90,,1255.5,percent of total billed charges,90% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,1063.69,61,,850.95,percent of total billed charges,61% of total billed charges,906.75,52,,725.4,percent of total billed charges,52% of total billed charges,906.75,1569.38,
DURALOC MARATHON 10DEG LINER,35032055,CDM,278,RC,C1776,HCPCS,Outpatient,,,6004.5,4803.6,,5103.83,85,,4083.06,percent of total billed charges,85% of total billed charges,5103.83,85,,4083.06,percent of total billed charges,85% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,4460.14,74,,3568.11,percent of total billed charges,74.28% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,4460.14,74,,3568.11,percent of total billed charges,74.28% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,4460.14,74,,3568.11,percent of total billed charges,74.28% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of total billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,5235.92,87.2,,,percent of total billed charges,87.2% of total billed charges,3542.66,59,,2834.13,percent of total billed charges,59% of total billed charges,5235.92,87.2,,4188.74,percent of total billed charges,87.2% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,4881.06,81.29,,3904.85,percent of total billed charges,81.29% of total billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of totl billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of total billed charges,5404.05,90,,4323.24,percent of total billed charges,90% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,3662.75,61,,2930.2,percent of total billed charges,61% of total billed charges,3122.34,52,,2497.87,percent of total billed charges,52% of total billed charges,3122.34,5404.05,
TOTAL HIP BALL FEMORAL HD,35032056,CDM,278,RC,C1776,HCPCS,Outpatient,,,3126,2500.8,,2657.1,85,,2125.68,percent of total billed charges,85% of total billed charges,2657.1,85,,2125.68,percent of total billed charges,85% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,2321.99,74,,1857.59,percent of total billed charges,74.28% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,2321.99,74,,1857.59,percent of total billed charges,74.28% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,2321.99,74,,1857.59,percent of total billed charges,74.28% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of total billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,2725.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1844.34,59,,1475.47,percent of total billed charges,59% of total billed charges,2725.87,87.2,,2180.7,percent of total billed charges,87.2% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,2541.13,81.29,,2032.9,percent of total billed charges,81.29% of total billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of totl billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of total billed charges,2813.4,90,,2250.72,percent of total billed charges,90% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,1906.86,61,,1525.49,percent of total billed charges,61% of total billed charges,1625.52,52,,1300.42,percent of total billed charges,52% of total billed charges,1625.52,2813.4,
V40 COCR LFIT HEAD 36MM/-5,35032057,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
INSIGNIA COLLARED STD 5,35032058,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTERHOLE HA 52E,35032059,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON CR FEM COMP - CEMENT,35032060,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON PRIM TIM BASEPLATE,35032061,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
X3 TRIATHLON CS INSERT #6 9MM,35032062,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
2.5MM PROV FIXATION PIN 14MM,35032070,CDM,278,RC,C1776,HCPCS,Outpatient,,,709.8,567.84,,603.33,85,,482.66,percent of total billed charges,85% of total billed charges,603.33,85,,482.66,percent of total billed charges,85% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,527.24,74,,421.79,percent of total billed charges,74.28% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,527.24,74,,421.79,percent of total billed charges,74.28% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,527.24,74,,421.79,percent of total billed charges,74.28% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,638.82,90,,511.06,percent of total billed charges,90% of total billed charges,638.82,90,,511.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,618.95,87.2,,,percent of total billed charges,87.2% of total billed charges,418.78,59,,335.02,percent of total billed charges,59% of total billed charges,618.95,87.2,,495.16,percent of total billed charges,87.2% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,577,81.29,,461.6,percent of total billed charges,81.29% of total billed charges,638.82,90,,511.06,percent of total billed charges,90% of totl billed charges,638.82,90,,511.06,percent of total billed charges,90% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,638.82,90,,511.06,percent of total billed charges,90% of total billed charges,638.82,90,,511.06,percent of total billed charges,90% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,432.98,61,,346.38,percent of total billed charges,61% of total billed charges,369.1,52,,295.28,percent of total billed charges,52% of total billed charges,369.1,638.82,
LGN CR GHGH FLEX XLPE SZ 3-4,35032075,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ALL POLY PAT VE 32MM DIA,35032077,CDM,278,RC,C1776,HCPCS,Outpatient,,,1299.38,1039.5,,1104.47,85,,883.58,percent of total billed charges,85% of total billed charges,1104.47,85,,883.58,percent of total billed charges,85% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,965.18,74,,772.14,percent of total billed charges,74.28% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1133.06,87.2,,,percent of total billed charges,87.2% of total billed charges,766.63,59,,613.3,percent of total billed charges,59% of total billed charges,1133.06,87.2,,906.45,percent of total billed charges,87.2% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,1056.27,81.29,,845.02,percent of total billed charges,81.29% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of totl billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,1169.44,90,,935.55,percent of total billed charges,90% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,792.62,61,,634.1,percent of total billed charges,61% of total billed charges,675.68,52,,540.54,percent of total billed charges,52% of total billed charges,675.68,1169.44,
PSN FEM CR CMT CCR STD SZ6 L,35032078,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN MC VE ASF L 10MM 6-7/EF,35032079,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN TIM STM 5 DEG SZ E L,35032080,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
TPRLC 133 MP TYPE1 PPS SO 11.0,35032081,CDM,278,RC,C1776,HCPCS,Outpatient,,,3543.75,2835,,3012.19,85,,2409.75,percent of total billed charges,85% of total billed charges,3012.19,85,,2409.75,percent of total billed charges,85% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,2632.3,74,,2105.84,percent of total billed charges,74.28% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,2632.3,74,,2105.84,percent of total billed charges,74.28% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,2632.3,74,,2105.84,percent of total billed charges,74.28% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of total billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,3090.15,87.2,,,percent of total billed charges,87.2% of total billed charges,2090.81,59,,1672.65,percent of total billed charges,59% of total billed charges,3090.15,87.2,,2472.12,percent of total billed charges,87.2% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,2880.71,81.29,,2304.57,percent of total billed charges,81.29% of total billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of totl billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of total billed charges,3189.38,90,,2551.5,percent of total billed charges,90% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,2161.69,61,,1729.35,percent of total billed charges,61% of total billed charges,1842.75,52,,1474.2,percent of total billed charges,52% of total billed charges,1842.75,3189.38,
G7 VIT E NEUTRAL LNR 36MM G,35032082,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
G7 PPS LTD ACET SHELL 58G,35032083,CDM,278,RC,C1776,HCPCS,Outpatient,,,1890,1512,,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1648.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.1,59,,892.08,percent of total billed charges,59% of total billed charges,1648.08,87.2,,1318.46,percent of total billed charges,87.2% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1536.38,81.29,,1229.1,percent of total billed charges,81.29% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of totl billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,1701,
DELTA CERAMIC FEM HD 36/0MM,35032085,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
GII CONST INSRT W/JRNY LOCK,35032086,CDM,278,RC,C1776,HCPCS,Outpatient,,,1755,1404,,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,1491.75,85,,1193.4,percent of total billed charges,85% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1303.61,74,,1042.89,percent of total billed charges,74.28% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1530.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1035.45,59,,828.36,percent of total billed charges,59% of total billed charges,1530.36,87.2,,1224.29,percent of total billed charges,87.2% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,1426.64,81.29,,1141.31,percent of total billed charges,81.29% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of totl billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1579.5,90,,1263.6,percent of total billed charges,90% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,1070.55,61,,856.44,percent of total billed charges,61% of total billed charges,912.6,52,,730.08,percent of total billed charges,52% of total billed charges,912.6,1579.5,
LGN SCW DIS FEM WDG SZ7 15MM,35032087,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
LGN SCW DIS FEM WDG SZ7 5MM,35032088,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
LGN PRSFT STEM 12X22MM STRT,35032089,CDM,278,RC,C1776,HCPCS,Outpatient,,,2635.2,2108.16,,2239.92,85,,1791.94,percent of total billed charges,85% of total billed charges,2239.92,85,,1791.94,percent of total billed charges,85% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1957.43,74,,1565.94,percent of total billed charges,74.28% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2297.89,87.2,,,percent of total billed charges,87.2% of total billed charges,1554.77,59,,1243.82,percent of total billed charges,59% of total billed charges,2297.89,87.2,,1838.31,percent of total billed charges,87.2% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,2142.15,81.29,,1713.72,percent of total billed charges,81.29% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of totl billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,2371.68,90,,1897.34,percent of total billed charges,90% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1607.47,61,,1285.98,percent of total billed charges,61% of total billed charges,1370.3,52,,1096.24,percent of total billed charges,52% of total billed charges,1370.3,2371.68,
LGN SCW DIS FEM WDG SZ7 10MM,35032090,CDM,278,RC,C1776,HCPCS,Outpatient,,,2314.8,1851.84,,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1967.58,85,,1574.06,percent of total billed charges,85% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1719.43,74,,1375.54,percent of total billed charges,74.28% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,2018.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1365.73,59,,1092.58,percent of total billed charges,59% of total billed charges,2018.51,87.2,,1614.81,percent of total billed charges,87.2% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1881.7,81.29,,1505.36,percent of total billed charges,81.29% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of totl billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,2083.32,90,,1666.66,percent of total billed charges,90% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1412.03,61,,1129.62,percent of total billed charges,61% of total billed charges,1203.7,52,,962.96,percent of total billed charges,52% of total billed charges,1203.7,2083.32,
LGN OX CONSTRAINED FEM 7 RT,35032091,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
TRIATHLON CR FEM COMPONENT,35032095,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
X3 TRIATHLON INSERT CS#6 10MM,35032096,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
V40 COCR LFIT HEAD 32MM/0,35032097,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
SIZE 2 ACCOLADE II 132 DEG,35032098,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTERHOLE HA 46C,35032099,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIDENT 0 DEG X3 INSERT 32MMID,35032100,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
"NEXGEN ALL-POLY PATELLA, 32MM",35032101,CDM,278,RC,C1776,HCPCS,Outpatient,,,826.88,661.5,,702.85,85,,562.28,percent of total billed charges,85% of total billed charges,702.85,85,,562.28,percent of total billed charges,85% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,721.04,87.2,,,percent of total billed charges,87.2% of total billed charges,487.86,59,,390.29,percent of total billed charges,59% of total billed charges,721.04,87.2,,576.83,percent of total billed charges,87.2% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,672.17,81.29,,537.74,percent of total billed charges,81.29% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of totl billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,429.98,744.19,
PSN FEM CR CMT CCR STD SZ5 L,35032102,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN STRT HYB ST 14 X +30 M,35032103,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
PSN TIB STM 5 DEG SZ D L,35032104,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
PSN MC VE ASF L 10MM 4-5/CD,35032105,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN FEM CR CMT CCR NRE SZ 9 L,35032120,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
NEXGEN CR ALL-POLU TIB SZ 4,35032121,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
DELTA V-40 CERAMIC HEAD 32/-4,35032123,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
SIZE 4 ACCOLADE II 127DEG,35032124,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
JRNY II BCS CNSTRD ART ISRT RT,35032126,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
PSN ASF CR 10MM VE R 3-9 CD,35032127,CDM,278,RC,C1776,HCPCS,Outpatient,,,2716.88,2173.5,,2309.35,85,,1847.48,percent of total billed charges,85% of total billed charges,2309.35,85,,1847.48,percent of total billed charges,85% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,2018.1,74,,1614.48,percent of total billed charges,74.28% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,2018.1,74,,1614.48,percent of total billed charges,74.28% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,2018.1,74,,1614.48,percent of total billed charges,74.28% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of total billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,2369.12,87.2,,,percent of total billed charges,87.2% of total billed charges,1602.96,59,,1282.37,percent of total billed charges,59% of total billed charges,2369.12,87.2,,1895.3,percent of total billed charges,87.2% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,2208.55,81.29,,1766.84,percent of total billed charges,81.29% of total billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of totl billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of total billed charges,2445.19,90,,1956.15,percent of total billed charges,90% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,1657.3,61,,1325.84,percent of total billed charges,61% of total billed charges,1412.78,52,,1130.22,percent of total billed charges,52% of total billed charges,1412.78,2445.19,
PSN TIB STM 5 DEG SZ D R,35032128,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
PSN FEM CR CMT CCR NRW SZ6 R,35032129,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN FEM CR CMT CCR STD SZ11 R,35032132,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN MC VE ASF R 11MM 8-11GH,35032133,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN TIB STM 5 DEG SZ G R,35032134,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
"NEXGEN ALL-POLY PATELLA, 35MM",35032135,CDM,278,RC,C1776,HCPCS,Outpatient,,,826.88,661.5,,702.85,85,,562.28,percent of total billed charges,85% of total billed charges,702.85,85,,562.28,percent of total billed charges,85% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,614.21,74,,491.37,percent of total billed charges,74.28% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,721.04,87.2,,,percent of total billed charges,87.2% of total billed charges,487.86,59,,390.29,percent of total billed charges,59% of total billed charges,721.04,87.2,,576.83,percent of total billed charges,87.2% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,672.17,81.29,,537.74,percent of total billed charges,81.29% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of totl billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,744.19,90,,595.35,percent of total billed charges,90% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,504.4,61,,403.52,percent of total billed charges,61% of total billed charges,429.98,52,,343.98,percent of total billed charges,52% of total billed charges,429.98,744.19,
PSN MC VE ASF L 10MM 8-11 GH,35032136,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN TIB STM 5 DEG SZ G L,35032137,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
PSN FEM CR CMT CCR STD SZ11 L,35032138,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN PK VE PLY RM SZ F 8MM,35032140,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
PSN PK CMT FEM RM SZ 5,35032141,CDM,278,RC,C1776,HCPCS,Outpatient,,,2677.5,2142,,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2334.78,87.2,,,percent of total billed charges,87.2% of total billed charges,1579.73,59,,1263.78,percent of total billed charges,59% of total billed charges,2334.78,87.2,,1867.82,percent of total billed charges,87.2% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2176.54,81.29,,1741.23,percent of total billed charges,81.29% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of totl billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,2409.75,
PSN PK CMT TIM RM SZ F,35032142,CDM,278,RC,C1776,HCPCS,Outpatient,,,1890,1512,,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1648.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.1,59,,892.08,percent of total billed charges,59% of total billed charges,1648.08,87.2,,1318.46,percent of total billed charges,87.2% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1536.38,81.29,,1229.1,percent of total billed charges,81.29% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of totl billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,1701,
PSN FEM CR CMT TIN STD SZ 8L,35032143,CDM,278,RC,C1776,HCPCS,Outpatient,,,4725,3780,,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,4016.25,85,,3213,percent of total billed charges,85% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,3509.73,74,,2807.78,percent of total billed charges,74.28% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,4120.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2787.75,59,,2230.2,percent of total billed charges,59% of total billed charges,4120.2,87.2,,3296.16,percent of total billed charges,87.2% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,3840.95,81.29,,3072.76,percent of total billed charges,81.29% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of totl billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,4252.5,90,,3402,percent of total billed charges,90% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2882.25,61,,2305.8,percent of total billed charges,61% of total billed charges,2457,52,,1965.6,percent of total billed charges,52% of total billed charges,2457,4252.5,
PSN MC VE ASF L 10MM 8-11EF,35032144,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
V40 COCR LFIT HEAD 36MM/0,35032145,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
INSIGNIA COLLARED STD 3,35032146,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTERHOLE HA 54E,35032147,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
PSN MC VE ASF L 11MM 8-11GH,35032148,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
LGN PRESSFIT STEM 16X160MM,35032149,CDM,278,RC,C1776,HCPCS,Outpatient,,,2343.6,1874.88,,1992.06,85,,1593.65,percent of total billed charges,85% of total billed charges,1992.06,85,,1593.65,percent of total billed charges,85% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1740.83,74,,1392.66,percent of total billed charges,74.28% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,2043.62,87.2,,,percent of total billed charges,87.2% of total billed charges,1382.72,59,,1106.18,percent of total billed charges,59% of total billed charges,2043.62,87.2,,1634.9,percent of total billed charges,87.2% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1905.11,81.29,,1524.09,percent of total billed charges,81.29% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of totl billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,2109.24,90,,1687.39,percent of total billed charges,90% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1429.6,61,,1143.68,percent of total billed charges,61% of total billed charges,1218.67,52,,974.94,percent of total billed charges,52% of total billed charges,1218.67,2109.24,
EVOS 3.5MM CVD PROX HUM PL 4H,35032150,CDM,278,RC,C1776,HCPCS,Outpatient,,,3239.25,2591.4,,2753.36,85,,2202.69,percent of total billed charges,85% of total billed charges,2753.36,85,,2202.69,percent of total billed charges,85% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,2406.11,74,,1924.89,percent of total billed charges,74.28% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,2406.11,74,,1924.89,percent of total billed charges,74.28% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,2406.11,74,,1924.89,percent of total billed charges,74.28% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of total billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,2824.63,87.2,,,percent of total billed charges,87.2% of total billed charges,1911.16,59,,1528.93,percent of total billed charges,59% of total billed charges,2824.63,87.2,,2259.7,percent of total billed charges,87.2% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,2633.19,81.29,,2106.55,percent of total billed charges,81.29% of total billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of totl billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of total billed charges,2915.33,90,,2332.26,percent of total billed charges,90% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,1975.94,61,,1580.75,percent of total billed charges,61% of total billed charges,1684.41,52,,1347.53,percent of total billed charges,52% of total billed charges,1684.41,2915.33,
PSN FEM CR CMT CCR STDSZ10 R,35032154,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN ASF CR 10MM VE R 7-12GH,35032155,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
FIBULA NAIL 2 2.6X110MM,35032165,CDM,278,RC,C1776,HCPCS,Outpatient,,,6388.5,5110.8,,5430.23,85,,4344.18,percent of total billed charges,85% of total billed charges,5430.23,85,,4344.18,percent of total billed charges,85% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5570.77,87.2,,,percent of total billed charges,87.2% of total billed charges,3769.22,59,,3015.38,percent of total billed charges,59% of total billed charges,5570.77,87.2,,4456.62,percent of total billed charges,87.2% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5193.21,81.29,,4154.57,percent of total billed charges,81.29% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of totl billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,3322.02,5749.65,
TRIATHLON PS FEM COMPONENT CEM,35032167,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON PRIM TIB BASEPLATE,35032168,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIATHLON PS X3 TIBIAL INSERT,35032169,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIATHLON ASYMMETRIC X3 PAT,35032170,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
TRIATHLON CR FEM COMPONENT,35032171,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIATHLON ASYMMETRIC X3 PAT,35032172,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
INSIGNIA COLLARED STANDARD 4,35032179,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
SPHER HEAD SCREW 30MM,35032180,CDM,278,RC,C1776,HCPCS,Outpatient,,,150,120,,127.5,85,,102,percent of total billed charges,85% of total billed charges,127.5,85,,102,percent of total billed charges,85% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,111.42,74,,89.14,percent of total billed charges,74.28% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,130.8,87.2,,,percent of total billed charges,87.2% of total billed charges,88.5,59,,70.8,percent of total billed charges,59% of total billed charges,130.8,87.2,,104.64,percent of total billed charges,87.2% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,121.94,81.29,,97.55,percent of total billed charges,81.29% of total billed charges,135,90,,108,percent of total billed charges,90% of totl billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,135,90,,108,percent of total billed charges,90% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,91.5,61,,73.2,percent of total billed charges,61% of total billed charges,78,52,,62.4,percent of total billed charges,52% of total billed charges,78,135,
R3 3 HOLE ACET SHELL 56MM,35032181,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 20 DEG XLPE ACET LNR 36X56M,35032182,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
SIZE 6 ACCOLADE II 132 DEG,35032184,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
DURACON DURATION A/P LIPPED,35032185,CDM,278,RC,C1776,HCPCS,Outpatient,,,1753.65,1402.92,,1490.6,85,,1192.48,percent of total billed charges,85% of total billed charges,1490.6,85,,1192.48,percent of total billed charges,85% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,1302.61,74,,1042.09,percent of total billed charges,74.28% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,1302.61,74,,1042.09,percent of total billed charges,74.28% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,1302.61,74,,1042.09,percent of total billed charges,74.28% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of total billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,1529.18,87.2,,,percent of total billed charges,87.2% of total billed charges,1034.65,59,,827.72,percent of total billed charges,59% of total billed charges,1529.18,87.2,,1223.34,percent of total billed charges,87.2% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,1425.54,81.29,,1140.43,percent of total billed charges,81.29% of total billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of totl billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of total billed charges,1578.29,90,,1262.63,percent of total billed charges,90% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,1069.73,61,,855.78,percent of total billed charges,61% of total billed charges,911.9,52,,729.52,percent of total billed charges,52% of total billed charges,911.9,1578.29,
R3 20DEG XLPE ACET LNR 32X50MM,35032186,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 3-HOLE ACET SHELL 50MM,35032187,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
PSN PK VE PLY RM SZ G 8MM,35032188,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
"PSN PK CMT FEM, RM, SZ 6",35032189,CDM,278,RC,C1776,HCPCS,Outpatient,,,2677.5,2142,,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2334.78,87.2,,,percent of total billed charges,87.2% of total billed charges,1579.73,59,,1263.78,percent of total billed charges,59% of total billed charges,2334.78,87.2,,1867.82,percent of total billed charges,87.2% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2176.54,81.29,,1741.23,percent of total billed charges,81.29% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of totl billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,2409.75,
"PSN PK CMT TIB, RM, SZ G",35032190,CDM,278,RC,C1776,HCPCS,Outpatient,,,1890,1512,,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1648.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.1,59,,892.08,percent of total billed charges,59% of total billed charges,1648.08,87.2,,1318.46,percent of total billed charges,87.2% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1536.38,81.29,,1229.1,percent of total billed charges,81.29% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of totl billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,1701,
HEMI GREAT TOE IMPLANT,35032191,CDM,278,RC,C1776,HCPCS,Outpatient,,,3384,2707.2,,2876.4,85,,2301.12,percent of total billed charges,85% of total billed charges,2876.4,85,,2301.12,percent of total billed charges,85% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2513.64,74,,2010.91,percent of total billed charges,74.28% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2950.85,87.2,,,percent of total billed charges,87.2% of total billed charges,1996.56,59,,1597.25,percent of total billed charges,59% of total billed charges,2950.85,87.2,,2360.68,percent of total billed charges,87.2% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,2750.85,81.29,,2200.68,percent of total billed charges,81.29% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of totl billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,3045.6,90,,2436.48,percent of total billed charges,90% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,2064.24,61,,1651.39,percent of total billed charges,61% of total billed charges,1759.68,52,,1407.74,percent of total billed charges,52% of total billed charges,1759.68,3045.6,
THREADED PIN SZ 1.3 COLLARED,35032193,CDM,278,RC,C1776,HCPCS,Outpatient,,,787.5,630,,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,669.38,85,,535.5,percent of total billed charges,85% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,584.96,74,,467.97,percent of total billed charges,74.28% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,686.7,87.2,,,percent of total billed charges,87.2% of total billed charges,464.63,59,,371.7,percent of total billed charges,59% of total billed charges,686.7,87.2,,549.36,percent of total billed charges,87.2% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,640.16,81.29,,512.13,percent of total billed charges,81.29% of total billed charges,708.75,90,,567,percent of total billed charges,90% of totl billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,708.75,90,,567,percent of total billed charges,90% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,480.38,61,,384.3,percent of total billed charges,61% of total billed charges,409.5,52,,327.6,percent of total billed charges,52% of total billed charges,409.5,708.75,
ACC 150MM TITANIUM PLATE,35032194,CDM,278,RC,C1776,HCPCS,Outpatient,,,1711.8,1369.44,,1455.03,85,,1164.02,percent of total billed charges,85% of total billed charges,1455.03,85,,1164.02,percent of total billed charges,85% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,1271.53,74,,1017.22,percent of total billed charges,74.28% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,1271.53,74,,1017.22,percent of total billed charges,74.28% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,1271.53,74,,1017.22,percent of total billed charges,74.28% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of total billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,1492.69,87.2,,,percent of total billed charges,87.2% of total billed charges,1009.96,59,,807.97,percent of total billed charges,59% of total billed charges,1492.69,87.2,,1194.15,percent of total billed charges,87.2% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,1391.52,81.29,,1113.22,percent of total billed charges,81.29% of total billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of totl billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of total billed charges,1540.62,90,,1232.5,percent of total billed charges,90% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,1044.2,61,,835.36,percent of total billed charges,61% of total billed charges,890.14,52,,712.11,percent of total billed charges,52% of total billed charges,890.14,1540.62,
NON-LOCKING HEXALOBE SCW,35032197,CDM,278,RC,C1776,HCPCS,Outpatient,,,630,504,,535.5,85,,428.4,percent of total billed charges,85% of total billed charges,535.5,85,,428.4,percent of total billed charges,85% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,549.36,87.2,,,percent of total billed charges,87.2% of total billed charges,371.7,59,,297.36,percent of total billed charges,59% of total billed charges,549.36,87.2,,439.49,percent of total billed charges,87.2% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,512.13,81.29,,409.7,percent of total billed charges,81.29% of total billed charges,567,90,,453.6,percent of total billed charges,90% of totl billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,327.6,567,
3.5X26MM,35032198,CDM,278,RC,C1776,HCPCS,Outpatient,,,1188,950.4,,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,1009.8,85,,807.84,percent of total billed charges,85% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,882.45,74,,705.96,percent of total billed charges,74.28% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,1035.94,87.2,,,percent of total billed charges,87.2% of total billed charges,700.92,59,,560.74,percent of total billed charges,59% of total billed charges,1035.94,87.2,,828.75,percent of total billed charges,87.2% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,965.73,81.29,,772.58,percent of total billed charges,81.29% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of totl billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,1069.2,90,,855.36,percent of total billed charges,90% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,724.68,61,,579.74,percent of total billed charges,61% of total billed charges,617.76,52,,494.21,percent of total billed charges,52% of total billed charges,617.76,1069.2,
SCREW ACUTRAK2 45MM,35032199,CDM,278,RC,C1776,HCPCS,Outpatient,,,1524,1219.2,,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,1295.4,85,,1036.32,percent of total billed charges,85% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1132.03,74,,905.62,percent of total billed charges,74.28% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1328.93,87.2,,,percent of total billed charges,87.2% of total billed charges,899.16,59,,719.33,percent of total billed charges,59% of total billed charges,1328.93,87.2,,1063.14,percent of total billed charges,87.2% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,1238.86,81.29,,991.09,percent of total billed charges,81.29% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of totl billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,1371.6,90,,1097.28,percent of total billed charges,90% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,929.64,61,,743.71,percent of total billed charges,61% of total billed charges,792.48,52,,633.98,percent of total billed charges,52% of total billed charges,792.48,1371.6,
FIBULA NAIL 2 3.6X110MM,35032200,CDM,278,RC,C1776,HCPCS,Outpatient,,,6388.5,5110.8,,5430.23,85,,4344.18,percent of total billed charges,85% of total billed charges,5430.23,85,,4344.18,percent of total billed charges,85% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,4745.38,74,,3796.3,percent of total billed charges,74.28% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5570.77,87.2,,,percent of total billed charges,87.2% of total billed charges,3769.22,59,,3015.38,percent of total billed charges,59% of total billed charges,5570.77,87.2,,4456.62,percent of total billed charges,87.2% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,5193.21,81.29,,4154.57,percent of total billed charges,81.29% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of totl billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,5749.65,90,,4599.72,percent of total billed charges,90% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3896.99,61,,3117.59,percent of total billed charges,61% of total billed charges,3322.02,52,,2657.62,percent of total billed charges,52% of total billed charges,3322.02,5749.65,
OXINIUM FEM HD 12/14 22 MM +4,35032201,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
OR3O DUAL MOBILITY LINER 40/52,35032202,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
OR3O DM XLPE INSERT 22/40,35032203,CDM,278,RC,C1776,HCPCS,Outpatient,,,2400,1920,,2040,85,,1632,percent of total billed charges,85% of total billed charges,2040,85,,1632,percent of total billed charges,85% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,1782.72,74,,1426.18,percent of total billed charges,74.28% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,1782.72,74,,1426.18,percent of total billed charges,74.28% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,1782.72,74,,1426.18,percent of total billed charges,74.28% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,2160,90,,1728,percent of total billed charges,90% of total billed charges,2160,90,,1728,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1248,52,,998.4,percent of total billed charges,52% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,2092.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1416,59,,1132.8,percent of total billed charges,59% of total billed charges,2092.8,87.2,,1674.24,percent of total billed charges,87.2% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,1950.96,81.29,,1560.77,percent of total billed charges,81.29% of total billed charges,2160,90,,1728,percent of total billed charges,90% of totl billed charges,2160,90,,1728,percent of total billed charges,90% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,2160,90,,1728,percent of total billed charges,90% of total billed charges,2160,90,,1728,percent of total billed charges,90% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,1464,61,,1171.2,percent of total billed charges,61% of total billed charges,1248,52,,998.4,percent of total billed charges,52% of total billed charges,1248,2160,
REDAPT LOCKING SCREW 20MM,35032204,CDM,278,RC,C1776,HCPCS,Outpatient,,,408.96,327.17,,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,356.61,87.2,,,percent of total billed charges,87.2% of total billed charges,241.29,59,,193.03,percent of total billed charges,59% of total billed charges,356.61,87.2,,285.29,percent of total billed charges,87.2% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,332.44,81.29,,265.95,percent of total billed charges,81.29% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of totl billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,368.06,
REDAPT LOCKING SCREW 40MM,35032205,CDM,278,RC,C1776,HCPCS,Outpatient,,,408.96,327.17,,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,347.62,85,,278.1,percent of total billed charges,85% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,303.78,74,,243.02,percent of total billed charges,74.28% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,356.61,87.2,,,percent of total billed charges,87.2% of total billed charges,241.29,59,,193.03,percent of total billed charges,59% of total billed charges,356.61,87.2,,285.29,percent of total billed charges,87.2% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,332.44,81.29,,265.95,percent of total billed charges,81.29% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of totl billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,368.06,90,,294.45,percent of total billed charges,90% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,249.47,61,,199.58,percent of total billed charges,61% of total billed charges,212.66,52,,170.13,percent of total billed charges,52% of total billed charges,212.66,368.06,
REDAPT MODULAR SHELL 52MM,35032206,CDM,278,RC,C1776,HCPCS,Outpatient,,,11932.5,9546,,10142.63,85,,8114.1,percent of total billed charges,85% of total billed charges,10142.63,85,,8114.1,percent of total billed charges,85% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,8863.46,74,,7090.77,percent of total billed charges,74.28% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,8863.46,74,,7090.77,percent of total billed charges,74.28% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,8863.46,74,,7090.77,percent of total billed charges,74.28% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of total billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,10405.14,87.2,,,percent of total billed charges,87.2% of total billed charges,7040.18,59,,5632.14,percent of total billed charges,59% of total billed charges,10405.14,87.2,,8324.11,percent of total billed charges,87.2% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,9699.93,81.29,,7759.94,percent of total billed charges,81.29% of total billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of totl billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of total billed charges,10739.25,90,,8591.4,percent of total billed charges,90% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,7278.83,61,,5823.06,percent of total billed charges,61% of total billed charges,6204.9,52,,4963.92,percent of total billed charges,52% of total billed charges,6204.9,10739.25,
INSIGNIA COLLARED STANDARD 8,35032207,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
TRIDENT II CLUSTERHOLE HA 56F,35032208,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
TRIDENT 0 DEG X3 INSERT 36MM,35032209,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
PSN TIB STM 5 DEG SZ C R,35032210,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
PSN MC VE ASF R 10MM,35032211,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
R3 20 DEG XLPE ACET LNR 32X52,35032212,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
2.7/3.5 LCP LATERAL DSTL FIB,35032214,CDM,278,RC,C1776,HCPCS,Outpatient,,,2161.5,1729.2,,1837.28,85,,1469.82,percent of total billed charges,85% of total billed charges,1837.28,85,,1469.82,percent of total billed charges,85% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1605.56,74,,1284.45,percent of total billed charges,74.28% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1605.56,74,,1284.45,percent of total billed charges,74.28% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1605.56,74,,1284.45,percent of total billed charges,74.28% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of total billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1884.83,87.2,,,percent of total billed charges,87.2% of total billed charges,1275.29,59,,1020.23,percent of total billed charges,59% of total billed charges,1884.83,87.2,,1507.86,percent of total billed charges,87.2% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1757.08,81.29,,1405.66,percent of total billed charges,81.29% of total billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of totl billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of total billed charges,1945.35,90,,1556.28,percent of total billed charges,90% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1318.52,61,,1054.82,percent of total billed charges,61% of total billed charges,1123.98,52,,899.18,percent of total billed charges,52% of total billed charges,1123.98,1945.35,
SCREW 3.5MM CORTEX 14MM,35032215,CDM,278,RC,C1776,HCPCS,Outpatient,,,243,194.4,,206.55,85,,165.24,percent of total billed charges,85% of total billed charges,206.55,85,,165.24,percent of total billed charges,85% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,211.9,87.2,,,percent of total billed charges,87.2% of total billed charges,143.37,59,,114.7,percent of total billed charges,59% of total billed charges,211.9,87.2,,169.52,percent of total billed charges,87.2% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,197.53,81.29,,158.02,percent of total billed charges,81.29% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of totl billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,126.36,218.7,
SCREW 3.5MM CORTEX 16MM,35032216,CDM,278,RC,C1776,HCPCS,Outpatient,,,243,194.4,,206.55,85,,165.24,percent of total billed charges,85% of total billed charges,206.55,85,,165.24,percent of total billed charges,85% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,180.5,74,,144.4,percent of total billed charges,74.28% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,211.9,87.2,,,percent of total billed charges,87.2% of total billed charges,143.37,59,,114.7,percent of total billed charges,59% of total billed charges,211.9,87.2,,169.52,percent of total billed charges,87.2% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,197.53,81.29,,158.02,percent of total billed charges,81.29% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of totl billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,218.7,90,,174.96,percent of total billed charges,90% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,148.23,61,,118.58,percent of total billed charges,61% of total billed charges,126.36,52,,101.09,percent of total billed charges,52% of total billed charges,126.36,218.7,
2.7 LCKNG SCREW SLF-TPNG,35032217,CDM,278,RC,C1776,HCPCS,Outpatient,,,659.25,527.4,,560.36,85,,448.29,percent of total billed charges,85% of total billed charges,560.36,85,,448.29,percent of total billed charges,85% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,574.87,87.2,,,percent of total billed charges,87.2% of total billed charges,388.96,59,,311.17,percent of total billed charges,59% of total billed charges,574.87,87.2,,459.9,percent of total billed charges,87.2% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,535.9,81.29,,428.72,percent of total billed charges,81.29% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of totl billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,342.81,593.33,
2.7 LCKNG SCREW SLF-TPNG,35032218,CDM,278,RC,C1776,HCPCS,Outpatient,,,659.25,527.4,,560.36,85,,448.29,percent of total billed charges,85% of total billed charges,560.36,85,,448.29,percent of total billed charges,85% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,489.69,74,,391.75,percent of total billed charges,74.28% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,574.87,87.2,,,percent of total billed charges,87.2% of total billed charges,388.96,59,,311.17,percent of total billed charges,59% of total billed charges,574.87,87.2,,459.9,percent of total billed charges,87.2% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,535.9,81.29,,428.72,percent of total billed charges,81.29% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of totl billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,593.33,90,,474.66,percent of total billed charges,90% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,402.14,61,,321.71,percent of total billed charges,61% of total billed charges,342.81,52,,274.25,percent of total billed charges,52% of total billed charges,342.81,593.33,
CLAVICLE PLATE 6-HOLE LEFT,35032221,CDM,278,RC,C1776,HCPCS,Outpatient,,,4164,3331.2,,3539.4,85,,2831.52,percent of total billed charges,85% of total billed charges,3539.4,85,,2831.52,percent of total billed charges,85% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,3093.02,74,,2474.42,percent of total billed charges,74.28% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3631.01,87.2,,,percent of total billed charges,87.2% of total billed charges,2456.76,59,,1965.41,percent of total billed charges,59% of total billed charges,3631.01,87.2,,2904.81,percent of total billed charges,87.2% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,3384.92,81.29,,2707.94,percent of total billed charges,81.29% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of totl billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,3747.6,90,,2998.08,percent of total billed charges,90% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2540.04,61,,2032.03,percent of total billed charges,61% of total billed charges,2165.28,52,,1732.22,percent of total billed charges,52% of total billed charges,2165.28,3747.6,
SCREW LOCKING 3.5X12MM,35032222,CDM,278,RC,C1776,HCPCS,Outpatient,,,711,568.8,,604.35,85,,483.48,percent of total billed charges,85% of total billed charges,604.35,85,,483.48,percent of total billed charges,85% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,528.13,74,,422.5,percent of total billed charges,74.28% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,619.99,87.2,,,percent of total billed charges,87.2% of total billed charges,419.49,59,,335.59,percent of total billed charges,59% of total billed charges,619.99,87.2,,495.99,percent of total billed charges,87.2% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,577.97,81.29,,462.38,percent of total billed charges,81.29% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of totl billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,639.9,90,,511.92,percent of total billed charges,90% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,433.71,61,,346.97,percent of total billed charges,61% of total billed charges,369.72,52,,295.78,percent of total billed charges,52% of total billed charges,369.72,639.9,
SCREW 4.5X24MM CANNULATED,35032224,CDM,278,RC,C1776,HCPCS,Outpatient,,,273,218.4,,232.05,85,,185.64,percent of total billed charges,85% of total billed charges,232.05,85,,185.64,percent of total billed charges,85% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,238.06,87.2,,,percent of total billed charges,87.2% of total billed charges,161.07,59,,128.86,percent of total billed charges,59% of total billed charges,238.06,87.2,,190.45,percent of total billed charges,87.2% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,221.92,81.29,,177.54,percent of total billed charges,81.29% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of totl billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,141.96,245.7,
SCREW 4.5X26MM CANNULATED,35032225,CDM,278,RC,C1776,HCPCS,Outpatient,,,273,218.4,,232.05,85,,185.64,percent of total billed charges,85% of total billed charges,232.05,85,,185.64,percent of total billed charges,85% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,202.78,74,,162.22,percent of total billed charges,74.28% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,238.06,87.2,,,percent of total billed charges,87.2% of total billed charges,161.07,59,,128.86,percent of total billed charges,59% of total billed charges,238.06,87.2,,190.45,percent of total billed charges,87.2% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,221.92,81.29,,177.54,percent of total billed charges,81.29% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of totl billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,245.7,90,,196.56,percent of total billed charges,90% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,166.53,61,,133.22,percent of total billed charges,61% of total billed charges,141.96,52,,113.57,percent of total billed charges,52% of total billed charges,141.96,245.7,
CS ALL-POLY TIBIA SZ 6 9MM,35032226,CDM,278,RC,C1776,HCPCS,Outpatient,,,1912.5,1530,,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1667.7,87.2,,,percent of total billed charges,87.2% of total billed charges,1128.38,59,,902.7,percent of total billed charges,59% of total billed charges,1667.7,87.2,,1334.16,percent of total billed charges,87.2% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1554.67,81.29,,1243.74,percent of total billed charges,81.29% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of totl billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,1721.25,
R3 20DEG XPE ACET LNR 36X64MM,35032252,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 20 DEG XLPE ACET LNR,35032263,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
PSN FEM CR CMT COCR SZ27 R,35032269,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
FEMORAL STEM 12/14 TAPER,35032271,CDM,278,RC,C1776,HCPCS,Outpatient,,,3300,2640,,2805,85,,2244,percent of total billed charges,85% of total billed charges,2805,85,,2244,percent of total billed charges,85% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2451.24,74,,1960.99,percent of total billed charges,74.28% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2877.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1947,59,,1557.6,percent of total billed charges,59% of total billed charges,2877.6,87.2,,2302.08,percent of total billed charges,87.2% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,2682.57,81.29,,2146.06,percent of total billed charges,81.29% of total billed charges,2970,90,,2376,percent of total billed charges,90% of totl billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2970,90,,2376,percent of total billed charges,90% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,2013,61,,1610.4,percent of total billed charges,61% of total billed charges,1716,52,,1372.8,percent of total billed charges,52% of total billed charges,1716,2970,
CERAMIC FEMORAL HEAD +1.5 36MM,35032272,CDM,278,RC,C1776,HCPCS,Outpatient,,,1462.5,1170,,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,1243.13,85,,994.5,percent of total billed charges,85% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1086.35,74,,869.08,percent of total billed charges,74.28% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1275.3,87.2,,,percent of total billed charges,87.2% of total billed charges,862.88,59,,690.3,percent of total billed charges,59% of total billed charges,1275.3,87.2,,1020.24,percent of total billed charges,87.2% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,1188.87,81.29,,951.1,percent of total billed charges,81.29% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of totl billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,1316.25,90,,1053,percent of total billed charges,90% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,892.13,61,,713.7,percent of total billed charges,61% of total billed charges,760.5,52,,608.4,percent of total billed charges,52% of total billed charges,760.5,1316.25,
PSN PK CMT FEM RM SZ 4,35032282,CDM,278,RC,C1776,HCPCS,Outpatient,,,2677.5,2142,,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2334.78,87.2,,,percent of total billed charges,87.2% of total billed charges,1579.73,59,,1263.78,percent of total billed charges,59% of total billed charges,2334.78,87.2,,1867.82,percent of total billed charges,87.2% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2176.54,81.29,,1741.23,percent of total billed charges,81.29% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of totl billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,2409.75,
PSN PK CMT TIB RM SZ E,35032283,CDM,278,RC,C1776,HCPCS,Outpatient,,,1890,1512,,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1648.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.1,59,,892.08,percent of total billed charges,59% of total billed charges,1648.08,87.2,,1318.46,percent of total billed charges,87.2% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1536.38,81.29,,1229.1,percent of total billed charges,81.29% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of totl billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,1701,
PSN PK VE PLY RM SZ E 8MM,35032284,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
6.5MM LOW PROFILE HEX SCR 15MM,35032287,CDM,278,RC,C1776,HCPCS,Outpatient,,,75,60,,63.75,85,,51,percent of total billed charges,85% of total billed charges,63.75,85,,51,percent of total billed charges,85% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,55.71,74,,44.57,percent of total billed charges,74.28% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,65.4,87.2,,,percent of total billed charges,87.2% of total billed charges,44.25,59,,35.4,percent of total billed charges,59% of total billed charges,65.4,87.2,,52.32,percent of total billed charges,87.2% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,60.97,81.29,,48.78,percent of total billed charges,81.29% of total billed charges,67.5,90,,54,percent of total billed charges,90% of totl billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,67.5,90,,54,percent of total billed charges,90% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,45.75,61,,36.6,percent of total billed charges,61% of total billed charges,39,52,,31.2,percent of total billed charges,52% of total billed charges,39,67.5,
JRNY II BCS CNSTRD 5-6 LT 13M,35032288,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HIP STEM SZ 5,35032289,CDM,278,RC,C1776,HCPCS,Outpatient,,,3450,2760,,2932.5,85,,2346,percent of total billed charges,85% of total billed charges,2932.5,85,,2346,percent of total billed charges,85% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,3008.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2035.5,59,,1628.4,percent of total billed charges,59% of total billed charges,3008.4,87.2,,2406.72,percent of total billed charges,87.2% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2804.51,81.29,,2243.61,percent of total billed charges,81.29% of total billed charges,3105,90,,2484,percent of total billed charges,90% of totl billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,1794,3105,
48MM OD HOODED HXLPE,35032290,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
FEMORAL HEAD 32MM,35032291,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
POROUS ACETABULAR SHELL,35032292,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
PSN MC VE ASF R 10MM 8-11,35032320,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN TIB STM 5 DEG SZ E R,35032321,CDM,278,RC,C1776,HCPCS,Outpatient,,,2244.38,1795.5,,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1907.72,85,,1526.18,percent of total billed charges,85% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1667.13,74,,1333.7,percent of total billed charges,74.28% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1957.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1324.18,59,,1059.34,percent of total billed charges,59% of total billed charges,1957.1,87.2,,1565.68,percent of total billed charges,87.2% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1824.46,81.29,,1459.57,percent of total billed charges,81.29% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of totl billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,2019.94,90,,1615.95,percent of total billed charges,90% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1369.07,61,,1095.26,percent of total billed charges,61% of total billed charges,1167.08,52,,933.66,percent of total billed charges,52% of total billed charges,1167.08,2019.94,
PSN FEM CR CMT COCR NRW SZ9 R,35032322,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
PSN FEM CR CMT COCR STD SZ9 L,35032323,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
EVOS 3.5MM X 18MM LCK SCR S-T,35032330,CDM,278,RC,C1776,HCPCS,Outpatient,,,590.1,472.08,,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,501.59,85,,401.27,percent of total billed charges,85% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,438.33,74,,350.66,percent of total billed charges,74.28% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,514.57,87.2,,,percent of total billed charges,87.2% of total billed charges,348.16,59,,278.53,percent of total billed charges,59% of total billed charges,514.57,87.2,,411.66,percent of total billed charges,87.2% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,479.69,81.29,,383.75,percent of total billed charges,81.29% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of totl billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,531.09,90,,424.87,percent of total billed charges,90% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,359.96,61,,287.97,percent of total billed charges,61% of total billed charges,306.85,52,,245.48,percent of total billed charges,52% of total billed charges,306.85,531.09,
EVOS 3.5MM SUP MS CLAV PL 8H L,35032331,CDM,278,RC,C1776,HCPCS,Outpatient,,,1695.75,1356.6,,1441.39,85,,1153.11,percent of total billed charges,85% of total billed charges,1441.39,85,,1153.11,percent of total billed charges,85% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1259.6,74,,1007.68,percent of total billed charges,74.28% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1478.69,87.2,,,percent of total billed charges,87.2% of total billed charges,1000.49,59,,800.39,percent of total billed charges,59% of total billed charges,1478.69,87.2,,1182.95,percent of total billed charges,87.2% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,1378.48,81.29,,1102.78,percent of total billed charges,81.29% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of totl billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1526.18,90,,1220.94,percent of total billed charges,90% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,1034.41,61,,827.53,percent of total billed charges,61% of total billed charges,881.79,52,,705.43,percent of total billed charges,52% of total billed charges,881.79,1526.18,
CNSTRD ART ISRT RT 5-6 13M,35032345,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 13M,35032345,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 7-8 15M,35032346,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 7-8 15M,35032346,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 15M,35032347,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CNSTRD ART ISRT RT 5-6 15M,35032347,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II BCS CNSTRD 11M,35032350,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II BCS CNSTRD 11M,35032350,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"KNEE REVISION FEMUR, 7 LEFT",35032356,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
"KNEE, CEMENTED STEM 10X40MM",35032357,CDM,278,RC,C1776,HCPCS,Outpatient,,,4536.75,3629.4,,3856.24,85,,3084.99,percent of total billed charges,85% of total billed charges,3856.24,85,,3084.99,percent of total billed charges,85% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3956.05,87.2,,,percent of total billed charges,87.2% of total billed charges,2676.68,59,,2141.34,percent of total billed charges,59% of total billed charges,3956.05,87.2,,3164.84,percent of total billed charges,87.2% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3687.92,81.29,,2950.34,percent of total billed charges,81.29% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of totl billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,2359.11,4083.08,
"KNEE, UNIVERSAL BP, NP 7L",35032358,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
"KNEE TIBIAL INSERT, SZ7, 16MM",35032359,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"KNEE, PRESS FIT BP MINUS, 7R",35032360,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
"KNEE, PRESS FIT FEMUR, 7R",35032361,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
"KNEE INS, 7R 12MM, VE",35032362,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"KNEE FEMUR, NP, 8L",35032366,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
"KNEE INS, 8L 14MM, VE",35032367,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"KNEE, FIN BP, NP 8L",35032368,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
"TRI-PEG PATELLA, 35X9MM E-PLUS",35032369,CDM,278,RC,C1776,HCPCS,Outpatient,,,750,600,,637.5,85,,510,percent of total billed charges,85% of total billed charges,637.5,85,,510,percent of total billed charges,85% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,557.1,74,,445.68,percent of total billed charges,74.28% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,390,52,,312,percent of total billed charges,52% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,654,87.2,,,percent of total billed charges,87.2% of total billed charges,442.5,59,,354,percent of total billed charges,59% of total billed charges,654,87.2,,523.2,percent of total billed charges,87.2% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,609.68,81.29,,487.74,percent of total billed charges,81.29% of total billed charges,675,90,,540,percent of total billed charges,90% of totl billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,675,90,,540,percent of total billed charges,90% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,457.5,61,,366,percent of total billed charges,61% of total billed charges,390,52,,312,percent of total billed charges,52% of total billed charges,390,675,
"DON JOY KNEE, 11R 10MM VE",35032371,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
"KNEE PRESS FIT FEMUR, 10R",35032372,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
"KNEE PRESS FIT BP, 11R",35032373,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
"KNEE PRES FT BP, 10L",35032374,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
"KNEE PRESS FIT FEMUR, 9L",35032375,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
"KNEE INS, 10L 12MM VE",35032376,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
EVOS 2.7 3.5MM OLECRANON,35032377,CDM,278,RC,C1776,HCPCS,Outpatient,,,3087,2469.6,,2623.95,85,,2099.16,percent of total billed charges,85% of total billed charges,2623.95,85,,2099.16,percent of total billed charges,85% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,2293.02,74,,1834.42,percent of total billed charges,74.28% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,2293.02,74,,1834.42,percent of total billed charges,74.28% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,2293.02,74,,1834.42,percent of total billed charges,74.28% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of total billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,2691.86,87.2,,,percent of total billed charges,87.2% of total billed charges,1821.33,59,,1457.06,percent of total billed charges,59% of total billed charges,2691.86,87.2,,2153.49,percent of total billed charges,87.2% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,2509.42,81.29,,2007.54,percent of total billed charges,81.29% of total billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of totl billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of total billed charges,2778.3,90,,2222.64,percent of total billed charges,90% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,1883.07,61,,1506.46,percent of total billed charges,61% of total billed charges,1605.24,52,,1284.19,percent of total billed charges,52% of total billed charges,1605.24,2778.3,
ROD 5.5CCM PERC 75MM,35032382,CDM,278,RC,C1776,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
TANDEM UNI 12 14 TPR SLV-3,35032383,CDM,278,RC,C1776,HCPCS,Outpatient,,,300,240,,255,85,,204,percent of total billed charges,85% of total billed charges,255,85,,204,percent of total billed charges,85% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,261.6,87.2,,,percent of total billed charges,87.2% of total billed charges,177,59,,141.6,percent of total billed charges,59% of total billed charges,261.6,87.2,,209.28,percent of total billed charges,87.2% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,243.87,81.29,,195.1,percent of total billed charges,81.29% of total billed charges,270,90,,216,percent of total billed charges,90% of totl billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,270,
TANDEM UNIPOLAR 43MM,35032384,CDM,278,RC,C1776,HCPCS,Outpatient,,,600,480,,510,85,,408,percent of total billed charges,85% of total billed charges,510,85,,408,percent of total billed charges,85% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,445.68,74,,356.54,percent of total billed charges,74.28% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,445.68,74,,356.54,percent of total billed charges,74.28% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,445.68,74,,356.54,percent of total billed charges,74.28% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,540,90,,432,percent of total billed charges,90% of total billed charges,540,90,,432,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,312,52,,249.6,percent of total billed charges,52% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,523.2,87.2,,,percent of total billed charges,87.2% of total billed charges,354,59,,283.2,percent of total billed charges,59% of total billed charges,523.2,87.2,,418.56,percent of total billed charges,87.2% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,487.74,81.29,,390.19,percent of total billed charges,81.29% of total billed charges,540,90,,432,percent of total billed charges,90% of totl billed charges,540,90,,432,percent of total billed charges,90% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,540,90,,432,percent of total billed charges,90% of total billed charges,540,90,,432,percent of total billed charges,90% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,366,61,,292.8,percent of total billed charges,61% of total billed charges,312,52,,249.6,percent of total billed charges,52% of total billed charges,312,540,
KNEE FIN BP MINUS NP 6L,35032385,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NP 6L,35032386,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 6L 11MM VE,35032387,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NP 6R,35032388,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP NP 6R,35032389,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 6R 11M VE,35032390,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT FEMUR 11R,35032391,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE 3D PRESS FIT FEMUR 11R,35032392,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
TRI-PEG PATELL 38X9MM E-PLUS,35032393,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
KNEE PRESS FIT FEMUR 10R,35032394,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE 3D INS 10R 10MM VE,35032395,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE 3D INS 8L 16MM VE,35032396,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE 3D FEMUR NP 7L,35032397,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
TRIATHLON CR FEM COMPONENT,35032398,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
CS POLY TIBIA COMPONENT SZ 3,35032399,CDM,278,RC,C1776,HCPCS,Outpatient,,,1912.5,1530,,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,1625.63,85,,1300.5,percent of total billed charges,85% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1420.61,74,,1136.49,percent of total billed charges,74.28% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1667.7,87.2,,,percent of total billed charges,87.2% of total billed charges,1128.38,59,,902.7,percent of total billed charges,59% of total billed charges,1667.7,87.2,,1334.16,percent of total billed charges,87.2% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,1554.67,81.29,,1243.74,percent of total billed charges,81.29% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of totl billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1721.25,90,,1377,percent of total billed charges,90% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,1166.63,61,,933.3,percent of total billed charges,61% of total billed charges,994.5,52,,795.6,percent of total billed charges,52% of total billed charges,994.5,1721.25,
R3 3 HOLE ACET SHELL 58MM,35032400,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
R3 20 DEG ACET LNR 36X58MM,35032401,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
CUP HEMISPHERICAL CLUSER 58MM,35032404,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
ACETABULAR BONE SCREW 30MM,35032405,CDM,272,RC,C1776,HCPCS,Outpatient,,,390,312,,331.5,85,,265.2,percent of total billed charges,85% of total billed charges,331.5,85,,265.2,percent of total billed charges,85% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,289.69,74,,231.75,percent of total billed charges,74.28% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,289.69,74,,231.75,percent of total billed charges,74.28% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,289.69,74,,231.75,percent of total billed charges,74.28% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,351,90,,280.8,percent of total billed charges,90% of total billed charges,351,90,,280.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,340.08,87.2,,,percent of total billed charges,87.2% of total billed charges,230.1,59,,184.08,percent of total billed charges,59% of total billed charges,340.08,87.2,,272.06,percent of total billed charges,87.2% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,317.03,81.29,,253.62,percent of total billed charges,81.29% of total billed charges,351,90,,280.8,percent of total billed charges,90% of totl billed charges,351,90,,280.8,percent of total billed charges,90% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,351,90,,280.8,percent of total billed charges,90% of total billed charges,351,90,,280.8,percent of total billed charges,90% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,237.9,61,,190.32,percent of total billed charges,61% of total billed charges,202.8,52,,162.24,percent of total billed charges,52% of total billed charges,202.8,351,
ACETABULAR LINER NEUTRAL SZ15,35032406,CDM,278,RC,C1776,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
BLADE STEM LATERAL SZ15,35032407,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
HEAD FEMORAL CERAMIC 36MM +8.0,35032408,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE CEMENTED STEM 10X65MM,35032409,CDM,278,RC,C1776,HCPCS,Outpatient,,,4536.75,3629.4,,3856.24,85,,3084.99,percent of total billed charges,85% of total billed charges,3856.24,85,,3084.99,percent of total billed charges,85% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,3369.9,74,,2695.92,percent of total billed charges,74.28% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3956.05,87.2,,,percent of total billed charges,87.2% of total billed charges,2676.68,59,,2141.34,percent of total billed charges,59% of total billed charges,3956.05,87.2,,3164.84,percent of total billed charges,87.2% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,3687.92,81.29,,2950.34,percent of total billed charges,81.29% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of totl billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,4083.08,90,,3266.46,percent of total billed charges,90% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2767.42,61,,2213.94,percent of total billed charges,61% of total billed charges,2359.11,52,,1887.29,percent of total billed charges,52% of total billed charges,2359.11,4083.08,
KNEE REVISION FEMUS 9R,35032410,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE UNIVERSAL BP NP 9R,35032411,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE TIBIAL INSERT SZ9 12MM,35032412,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE TIBIAL INSERT SZ9 11MM,35032413,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 8L,35032414,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 8L 11MM VE,35032415,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT FEMUR 8L,35032416,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 8L 10MM VE,35032417,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 6R 12MM VE,35032418,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 6R,35032419,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE PRESS FIT FEMUR 6R,35032420,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
ECHO HIP FX LAT FEMORAL 9MM,35032425,CDM,278,RC,C1776,HCPCS,Outpatient,,,1653,1322.4,,1405.05,85,,1124.04,percent of total billed charges,85% of total billed charges,1405.05,85,,1124.04,percent of total billed charges,85% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,1227.85,74,,982.28,percent of total billed charges,74.28% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,1227.85,74,,982.28,percent of total billed charges,74.28% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,1227.85,74,,982.28,percent of total billed charges,74.28% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of total billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,1441.42,87.2,,,percent of total billed charges,87.2% of total billed charges,975.27,59,,780.22,percent of total billed charges,59% of total billed charges,1441.42,87.2,,1153.14,percent of total billed charges,87.2% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,1343.72,81.29,,1074.98,percent of total billed charges,81.29% of total billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of totl billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of total billed charges,1487.7,90,,1190.16,percent of total billed charges,90% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,1008.33,61,,806.66,percent of total billed charges,61% of total billed charges,859.56,52,,687.65,percent of total billed charges,52% of total billed charges,859.56,1487.7,
G7 OSSEOTI 3 HOLE SHELL 52MM E,35032426,CDM,278,RC,C1776,HCPCS,Outpatient,,,5679,4543.2,,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4952.09,87.2,,,percent of total billed charges,87.2% of total billed charges,3350.61,59,,2680.49,percent of total billed charges,59% of total billed charges,4952.09,87.2,,3961.67,percent of total billed charges,87.2% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4616.46,81.29,,3693.17,percent of total billed charges,81.29% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of totl billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,5111.1,
G7 VIT E NEUTRAL LNR 36MM E,35032427,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
CER BIOLOXD OPTION HD 36MM,35032429,CDM,278,RC,C1776,HCPCS,Outpatient,,,4644,3715.2,,3947.4,85,,3157.92,percent of total billed charges,85% of total billed charges,3947.4,85,,3157.92,percent of total billed charges,85% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,3449.56,74,,2759.65,percent of total billed charges,74.28% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,3449.56,74,,2759.65,percent of total billed charges,74.28% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,3449.56,74,,2759.65,percent of total billed charges,74.28% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of total billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,4049.57,87.2,,,percent of total billed charges,87.2% of total billed charges,2739.96,59,,2191.97,percent of total billed charges,59% of total billed charges,4049.57,87.2,,3239.66,percent of total billed charges,87.2% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,3775.11,81.29,,3020.09,percent of total billed charges,81.29% of total billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of totl billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of total billed charges,4179.6,90,,3343.68,percent of total billed charges,90% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,2832.84,61,,2266.27,percent of total billed charges,61% of total billed charges,2414.88,52,,1931.9,percent of total billed charges,52% of total billed charges,2414.88,4179.6,
KNEE FIN BPP MINUS NP 6R,35032430,CDM,278,RC,C1776,HCPCS,Outpatient,,,3150,2520,,2677.5,85,,2142,percent of total billed charges,85% of total billed charges,2677.5,85,,2142,percent of total billed charges,85% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,2339.82,74,,1871.86,percent of total billed charges,74.28% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,2339.82,74,,1871.86,percent of total billed charges,74.28% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,2339.82,74,,1871.86,percent of total billed charges,74.28% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,2835,90,,2268,percent of total billed charges,90% of total billed charges,2835,90,,2268,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,2746.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1858.5,59,,1486.8,percent of total billed charges,59% of total billed charges,2746.8,87.2,,2197.44,percent of total billed charges,87.2% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,2560.64,81.29,,2048.51,percent of total billed charges,81.29% of total billed charges,2835,90,,2268,percent of total billed charges,90% of totl billed charges,2835,90,,2268,percent of total billed charges,90% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,2835,90,,2268,percent of total billed charges,90% of total billed charges,2835,90,,2268,percent of total billed charges,90% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,1921.5,61,,1537.2,percent of total billed charges,61% of total billed charges,1638,52,,1310.4,percent of total billed charges,52% of total billed charges,1638,2835,
KNEE INS 6R 16MM VE,35032431,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 7R,35032432,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 7R 11MM VE,35032433,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRI-PEG PATELLA 32X8MM E-PLUS,35032434,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
KNEE PRESS FIT BP MINUS 6R,35032435,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 6R 10MM VE,35032436,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CUP HEMI CLUSTER 52MM,35032437,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
ACETABULAR LINER NEU HXE+36F,35032438,CDM,278,RC,C1776,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
VIVACIT-E DM BEARING 28X40MM,35032440,CDM,278,RC,C1776,HCPCS,Outpatient,,,2520,2016,,2142,85,,1713.6,percent of total billed charges,85% of total billed charges,2142,85,,1713.6,percent of total billed charges,85% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,1871.86,74,,1497.49,percent of total billed charges,74.28% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,1871.86,74,,1497.49,percent of total billed charges,74.28% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,1871.86,74,,1497.49,percent of total billed charges,74.28% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,2268,90,,1814.4,percent of total billed charges,90% of total billed charges,2268,90,,1814.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,2197.44,87.2,,,percent of total billed charges,87.2% of total billed charges,1486.8,59,,1189.44,percent of total billed charges,59% of total billed charges,2197.44,87.2,,1757.95,percent of total billed charges,87.2% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,2048.51,81.29,,1638.81,percent of total billed charges,81.29% of total billed charges,2268,90,,1814.4,percent of total billed charges,90% of totl billed charges,2268,90,,1814.4,percent of total billed charges,90% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,2268,90,,1814.4,percent of total billed charges,90% of total billed charges,2268,90,,1814.4,percent of total billed charges,90% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,1537.2,61,,1229.76,percent of total billed charges,61% of total billed charges,1310.4,52,,1048.32,percent of total billed charges,52% of total billed charges,1310.4,2268,
G7 OSSEOTI 3 HOLE SHELL 50MM D,35032441,CDM,278,RC,C1776,HCPCS,Outpatient,,,5679,4543.2,,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4952.09,87.2,,,percent of total billed charges,87.2% of total billed charges,3350.61,59,,2680.49,percent of total billed charges,59% of total billed charges,4952.09,87.2,,3961.67,percent of total billed charges,87.2% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4616.46,81.29,,3693.17,percent of total billed charges,81.29% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of totl billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,5111.1,
28MM DIA COCR MOD HD +9MM NK,35032442,CDM,278,RC,C1776,HCPCS,Outpatient,,,1181.25,945,,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1030.05,87.2,,,percent of total billed charges,87.2% of total billed charges,696.94,59,,557.55,percent of total billed charges,59% of total billed charges,1030.05,87.2,,824.04,percent of total billed charges,87.2% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,960.24,81.29,,768.19,percent of total billed charges,81.29% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of totl billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,1063.13,
28MM DIA COCR MOD HD +12MM,35032443,CDM,278,RC,C1776,HCPCS,Outpatient,,,1181.25,945,,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1030.05,87.2,,,percent of total billed charges,87.2% of total billed charges,696.94,59,,557.55,percent of total billed charges,59% of total billed charges,1030.05,87.2,,824.04,percent of total billed charges,87.2% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,960.24,81.29,,768.19,percent of total billed charges,81.29% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of totl billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,1063.13,
G7 DUAL MOBILITY LINER 40MM D,35032444,CDM,278,RC,C1776,HCPCS,Outpatient,,,2677.5,2142,,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2334.78,87.2,,,percent of total billed charges,87.2% of total billed charges,1579.73,59,,1263.78,percent of total billed charges,59% of total billed charges,2334.78,87.2,,1867.82,percent of total billed charges,87.2% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2176.54,81.29,,1741.23,percent of total billed charges,81.29% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of totl billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,2409.75,
KNEE PRESS FIT BP 8L,35032446,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE REVISION FEMUS 6 RIGHT,35032447,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE UNIVERSAL BP NP 4R,35032448,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE TIBIAL INSERT SZ 4 16MM,35032449,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 7L,35032452,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 7L 10MM VE,35032453,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
LEAD ISTM II 33CM SSMRI TINED,35032455,CDM,278,RC,C1776,HCPCS,Outpatient,,,4500,3600,,3825,85,,3060,percent of total billed charges,85% of total billed charges,3825,85,,3060,percent of total billed charges,85% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,3342.6,74,,2674.08,percent of total billed charges,74.28% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3924,87.2,,,percent of total billed charges,87.2% of total billed charges,2655,59,,2124,percent of total billed charges,59% of total billed charges,3924,87.2,,3139.2,percent of total billed charges,87.2% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,3658.05,81.29,,2926.44,percent of total billed charges,81.29% of total billed charges,4050,90,,3240,percent of total billed charges,90% of totl billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,4050,90,,3240,percent of total billed charges,90% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2745,61,,2196,percent of total billed charges,61% of total billed charges,2340,52,,1872,percent of total billed charges,52% of total billed charges,2340,4050,
INTERSTIM REVISION KIT,35032456,CDM,278,RC,C1776,HCPCS,Outpatient,,,888.75,711,,755.44,85,,604.35,percent of total billed charges,85% of total billed charges,755.44,85,,604.35,percent of total billed charges,85% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,660.16,74,,528.13,percent of total billed charges,74.28% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,660.16,74,,528.13,percent of total billed charges,74.28% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,660.16,74,,528.13,percent of total billed charges,74.28% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,799.88,90,,639.9,percent of total billed charges,90% of total billed charges,799.88,90,,639.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,774.99,87.2,,,percent of total billed charges,87.2% of total billed charges,524.36,59,,419.49,percent of total billed charges,59% of total billed charges,774.99,87.2,,619.99,percent of total billed charges,87.2% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,722.46,81.29,,577.97,percent of total billed charges,81.29% of total billed charges,799.88,90,,639.9,percent of total billed charges,90% of totl billed charges,799.88,90,,639.9,percent of total billed charges,90% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,799.88,90,,639.9,percent of total billed charges,90% of total billed charges,799.88,90,,639.9,percent of total billed charges,90% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,542.14,61,,433.71,percent of total billed charges,61% of total billed charges,462.15,52,,369.72,percent of total billed charges,52% of total billed charges,462.15,799.88,
CER OPTION TYPE 1 TPR,35032457,CDM,278,RC,C1776,HCPCS,Outpatient,,,649.69,519.75,,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,566.53,87.2,,,percent of total billed charges,87.2% of total billed charges,383.32,59,,306.66,percent of total billed charges,59% of total billed charges,566.53,87.2,,453.22,percent of total billed charges,87.2% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,528.13,81.29,,422.5,percent of total billed charges,81.29% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of totl billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,584.72,
VERSYS DISTAL CETERALIZER 9MM,35032458,CDM,278,RC,C1776,HCPCS,Outpatient,,,236.25,189,,200.81,85,,160.65,percent of total billed charges,85% of total billed charges,200.81,85,,160.65,percent of total billed charges,85% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,175.49,74,,140.39,percent of total billed charges,74.28% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,206.01,87.2,,,percent of total billed charges,87.2% of total billed charges,139.39,59,,111.51,percent of total billed charges,59% of total billed charges,206.01,87.2,,164.81,percent of total billed charges,87.2% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,192.05,81.29,,153.64,percent of total billed charges,81.29% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of totl billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,212.63,90,,170.1,percent of total billed charges,90% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,144.11,61,,115.29,percent of total billed charges,61% of total billed charges,122.85,52,,98.28,percent of total billed charges,52% of total billed charges,122.85,212.63,
ECHO FX 7MM STD FEMORAL,35032459,CDM,278,RC,C1776,HCPCS,Outpatient,,,1653.75,1323,,1405.69,85,,1124.55,percent of total billed charges,85% of total billed charges,1405.69,85,,1124.55,percent of total billed charges,85% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,1228.41,74,,982.73,percent of total billed charges,74.28% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,1228.41,74,,982.73,percent of total billed charges,74.28% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,1228.41,74,,982.73,percent of total billed charges,74.28% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of total billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,1442.07,87.2,,,percent of total billed charges,87.2% of total billed charges,975.71,59,,780.57,percent of total billed charges,59% of total billed charges,1442.07,87.2,,1153.66,percent of total billed charges,87.2% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,1344.33,81.29,,1075.46,percent of total billed charges,81.29% of total billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of totl billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of total billed charges,1488.38,90,,1190.7,percent of total billed charges,90% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,1008.79,61,,807.03,percent of total billed charges,61% of total billed charges,859.95,52,,687.96,percent of total billed charges,52% of total billed charges,859.95,1488.38,
KNEE FEMU NP 10R,35032460,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP NP 10R,35032461,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 10R 12MM VE,35032462,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 11R,35032463,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 11R 12MM VE,35032464,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NP 11R,35032465,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
ROD 5.5CCM PERC 50MM,35032466,CDM,278,RC,C1776,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
KNEE PRESS FIT FEMUR 11L,35032472,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE PRESS FIT BP MINUS 11L,35032473,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 11L 19MM VE,35032474,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE TIBIAL INSERT SZ5 16MM,35032475,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE REV DISTAL FEM SZ4/5 5MM,35032476,CDM,278,RC,C1776,HCPCS,Outpatient,,,2340,1872,,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2040.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1380.6,59,,1104.48,percent of total billed charges,59% of total billed charges,2040.48,87.2,,1632.38,percent of total billed charges,87.2% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1902.19,81.29,,1521.75,percent of total billed charges,81.29% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of totl billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,2106,
KNEE REV FEMUR 4 RIGHT,35032477,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE UNIVERSAL BP NP 5R,35032478,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE INS 7L 12MM VE,35032479,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP MINS 9L,35032480,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 9L 12MM VE,35032481,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE REVISION FEMUR 5 LEFT,35032482,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE TIBIAL INSERT SZ6 14MM,35032483,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRI-PEG PATELLA 29X8MM E-PLUS,35032484,CDM,278,RC,C1776,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
KNEE TIBIAL HALF BLOCK SZ6 5MM,35032485,CDM,278,RC,C1776,HCPCS,Outpatient,,,3953.25,3162.6,,3360.26,85,,2688.21,percent of total billed charges,85% of total billed charges,3360.26,85,,2688.21,percent of total billed charges,85% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3447.23,87.2,,,percent of total billed charges,87.2% of total billed charges,2332.42,59,,1865.94,percent of total billed charges,59% of total billed charges,3447.23,87.2,,2757.78,percent of total billed charges,87.2% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3213.6,81.29,,2570.88,percent of total billed charges,81.29% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of totl billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2055.69,3557.93,
KNEE TIBIAL INSERT SZ 6 BRIDGE,35032486,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE UNIVERSAL BP NP 6L,35032487,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE FIN BP MINUS NP 7R,35032488,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NP 7R,35032489,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE PRESS FIT BP MINUS 6L,35032490,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE PRESS FIT FEMUR 6L,35032491,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 6L 10MM VE,35032492,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 7R 10MM VE,35032493,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
INTRAMEDULLARY PLUG 11-13MM,35032494,CDM,278,RC,C1776,HCPCS,Outpatient,,,566.37,453.1,,481.41,85,,385.13,percent of total billed charges,85% of total billed charges,481.41,85,,385.13,percent of total billed charges,85% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,493.87,87.2,,,percent of total billed charges,87.2% of total billed charges,334.16,59,,267.33,percent of total billed charges,59% of total billed charges,493.87,87.2,,395.1,percent of total billed charges,87.2% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,460.4,81.29,,368.32,percent of total billed charges,81.29% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of totl billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,294.51,509.73,
KNEE PRESS FIT FEMUR 7L,35032495,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE PRESS FIT BP MINUS 7L,35032496,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE UNIVERSAL BP NP 8L MINUS,35032497,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE TIBIAL INSERT SZ8 12MM,35032498,CDM,278,RC,C1776,HCPCS,Outpatient,,,4266.75,3413.4,,3626.74,85,,2901.39,percent of total billed charges,85% of total billed charges,3626.74,85,,2901.39,percent of total billed charges,85% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3720.61,87.2,,,percent of total billed charges,87.2% of total billed charges,2517.38,59,,2013.9,percent of total billed charges,59% of total billed charges,3720.61,87.2,,2976.49,percent of total billed charges,87.2% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3468.44,81.29,,2774.75,percent of total billed charges,81.29% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of totl billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,2218.71,3840.08,
KNEE TIBIAL AUGMENT SCREW 10MM,35032499,CDM,278,RC,C1776,HCPCS,Outpatient,,,2169,1735.2,,1843.65,85,,1474.92,percent of total billed charges,85% of total billed charges,1843.65,85,,1474.92,percent of total billed charges,85% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1611.13,74,,1288.9,percent of total billed charges,74.28% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1611.13,74,,1288.9,percent of total billed charges,74.28% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1611.13,74,,1288.9,percent of total billed charges,74.28% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of total billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1891.37,87.2,,,percent of total billed charges,87.2% of total billed charges,1279.71,59,,1023.77,percent of total billed charges,59% of total billed charges,1891.37,87.2,,1513.1,percent of total billed charges,87.2% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1763.18,81.29,,1410.54,percent of total billed charges,81.29% of total billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of totl billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of total billed charges,1952.1,90,,1561.68,percent of total billed charges,90% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1323.09,61,,1058.47,percent of total billed charges,61% of total billed charges,1127.88,52,,902.3,percent of total billed charges,52% of total billed charges,1127.88,1952.1,
KNEE UNIVERSAL BP NP 4L,35032500,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE TIBIAL INSERT SZ4 13MM,35032501,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NP 8R,35032502,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 7R 13MM VE,35032503,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 9R,35032504,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE PRESS FIT FEMUR 9R,35032505,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 9R 11MM VE,35032506,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIATHLON CR FEM - CEMENTED,35032507,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
X3 TRIATHLON CS INSERT #8 9MM,35032508,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
TRIATHLON ASYMMETRIC X3,35032509,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
JRNY II CR FEM OX NP LT SZ4,35032510,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
LGN OX CONSTRAINED FEM 4 LT,35032511,CDM,278,RC,C1776,HCPCS,Outpatient,,,12312,9849.6,,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,10465.2,85,,8372.16,percent of total billed charges,85% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,9145.35,74,,7316.28,percent of total billed charges,74.28% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10736.06,87.2,,,percent of total billed charges,87.2% of total billed charges,7264.08,59,,5811.26,percent of total billed charges,59% of total billed charges,10736.06,87.2,,8588.85,percent of total billed charges,87.2% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,10008.42,81.29,,8006.74,percent of total billed charges,81.29% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of totl billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,11080.8,90,,8864.64,percent of total billed charges,90% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,7510.32,61,,6008.26,percent of total billed charges,61% of total billed charges,6402.24,52,,5121.79,percent of total billed charges,52% of total billed charges,6402.24,11080.8,
LGN PRESSFIT STEM 12X120MM,35032512,CDM,278,RC,C1776,HCPCS,Outpatient,,,2278.8,1823.04,,1936.98,85,,1549.58,percent of total billed charges,85% of total billed charges,1936.98,85,,1549.58,percent of total billed charges,85% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1987.11,87.2,,,percent of total billed charges,87.2% of total billed charges,1344.49,59,,1075.59,percent of total billed charges,59% of total billed charges,1987.11,87.2,,1589.69,percent of total billed charges,87.2% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1852.44,81.29,,1481.95,percent of total billed charges,81.29% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of totl billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1184.98,2050.92,
LGN PS H-FLEX XLPE SZ3-4 11MM,35032513,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
LGN PRESSFIT STEM 11X120MM,35032514,CDM,278,RC,C1776,HCPCS,Outpatient,,,2278.8,1823.04,,1936.98,85,,1549.58,percent of total billed charges,85% of total billed charges,1936.98,85,,1549.58,percent of total billed charges,85% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1692.69,74,,1354.15,percent of total billed charges,74.28% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1987.11,87.2,,,percent of total billed charges,87.2% of total billed charges,1344.49,59,,1075.59,percent of total billed charges,59% of total billed charges,1987.11,87.2,,1589.69,percent of total billed charges,87.2% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1852.44,81.29,,1481.95,percent of total billed charges,81.29% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of totl billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,2050.92,90,,1640.74,percent of total billed charges,90% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1390.07,61,,1112.06,percent of total billed charges,61% of total billed charges,1184.98,52,,947.98,percent of total billed charges,52% of total billed charges,1184.98,2050.92,
LGN REV TIBIA BASE SZ3 LT,35032515,CDM,278,RC,C1776,HCPCS,Outpatient,,,4921.2,3936.96,,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,4183.02,85,,3346.42,percent of total billed charges,85% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3655.47,74,,2924.38,percent of total billed charges,74.28% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4291.29,87.2,,,percent of total billed charges,87.2% of total billed charges,2903.51,59,,2322.81,percent of total billed charges,59% of total billed charges,4291.29,87.2,,3433.03,percent of total billed charges,87.2% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,4000.44,81.29,,3200.35,percent of total billed charges,81.29% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of totl billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,4429.08,90,,3543.26,percent of total billed charges,90% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,3001.93,61,,2401.54,percent of total billed charges,61% of total billed charges,2559.02,52,,2047.22,percent of total billed charges,52% of total billed charges,2559.02,4429.08,
REDAPT MODULAR SHELL 56MM,35032519,CDM,278,RC,C1776,HCPCS,Outpatient,,,13132.5,10506,,11162.63,85,,8930.1,percent of total billed charges,85% of total billed charges,11162.63,85,,8930.1,percent of total billed charges,85% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,9754.82,74,,7803.86,percent of total billed charges,74.28% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,9754.82,74,,7803.86,percent of total billed charges,74.28% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,9754.82,74,,7803.86,percent of total billed charges,74.28% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of total billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,11451.54,87.2,,,percent of total billed charges,87.2% of total billed charges,7748.18,59,,6198.54,percent of total billed charges,59% of total billed charges,11451.54,87.2,,9161.23,percent of total billed charges,87.2% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,10675.41,81.29,,8540.33,percent of total billed charges,81.29% of total billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of totl billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of total billed charges,11819.25,90,,9455.4,percent of total billed charges,90% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,8010.83,61,,6408.66,percent of total billed charges,61% of total billed charges,6828.9,52,,5463.12,percent of total billed charges,52% of total billed charges,6828.9,11819.25,
KNEE TIBIAL INSERT SZ9 14MM,35032520,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 11L 10MM VE,35032521,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 6L 13MM VE,35032522,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HEAD FEM BILOX 36MM NEUTRAL,35032523,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 9L,35032524,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 9L 10MM VE,35032525,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 6L,35032526,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 6L 12MM VE,35032527,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 6L 14MM VE,35032528,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 9L 13MM VE,35032529,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 11L 10MM VE,35032530,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II XLPE DD RT SZ3-4 13MM,35032531,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II CR FEM OX NP RT SZ5,35032532,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
ACET CUP HEMI CLUSTER54MM,35032535,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
ACETABULAR LINER NEUTRAL 36G,35032536,CDM,278,RC,C1776,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
BLADE STEM LATERAL SZ12,35032537,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
FEMORAL BILOX DELTA 36MM +4,35032538,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
BLADE STEM LATERAL SZ 8,35032539,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
KNEE FEMUR NONPOROUS 8L,35032540,CDM,278,RC,C1776,HCPCS,Outpatient,,,2100,1680,,1785,85,,1428,percent of total billed charges,85% of total billed charges,1785,85,,1428,percent of total billed charges,85% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1559.88,74,,1247.9,percent of total billed charges,74.28% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1831.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1239,59,,991.2,percent of total billed charges,59% of total billed charges,1831.2,87.2,,1464.96,percent of total billed charges,87.2% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1707.09,81.29,,1365.67,percent of total billed charges,81.29% of total billed charges,1890,90,,1512,percent of total billed charges,90% of totl billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1890,90,,1512,percent of total billed charges,90% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1281,61,,1024.8,percent of total billed charges,61% of total billed charges,1092,52,,873.6,percent of total billed charges,52% of total billed charges,1092,1890,
KNEE PRESS FIT FEMUR 9R,35032541,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 7R 13MM VE,35032542,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
BLADE STEM LATERAL SZ 13,35032544,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
KNEE FIN BP NP 6L,35032545,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FIN BP NP 7L,35032546,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 7L 16MM VE,35032547,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HIP STEM SZ10 EXT 130 DEG NECK,35032549,CDM,278,RC,C1776,HCPCS,Outpatient,,,3450,2760,,2932.5,85,,2346,percent of total billed charges,85% of total billed charges,2932.5,85,,2346,percent of total billed charges,85% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2562.66,74,,2050.13,percent of total billed charges,74.28% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,3008.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2035.5,59,,1628.4,percent of total billed charges,59% of total billed charges,3008.4,87.2,,2406.72,percent of total billed charges,87.2% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,2804.51,81.29,,2243.61,percent of total billed charges,81.29% of total billed charges,3105,90,,2484,percent of total billed charges,90% of totl billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,3105,90,,2484,percent of total billed charges,90% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,2104.5,61,,1683.6,percent of total billed charges,61% of total billed charges,1794,52,,1435.2,percent of total billed charges,52% of total billed charges,1794,3105,
FEMORAL HD 36MM 12/14 TAPER,35032550,CDM,278,RC,C1776,HCPCS,Outpatient,,,2250,1800,,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1912.5,85,,1530,percent of total billed charges,85% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1671.3,74,,1337.04,percent of total billed charges,74.28% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1962,87.2,,,percent of total billed charges,87.2% of total billed charges,1327.5,59,,1062,percent of total billed charges,59% of total billed charges,1962,87.2,,1569.6,percent of total billed charges,87.2% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1829.03,81.29,,1463.22,percent of total billed charges,81.29% of total billed charges,2025,90,,1620,percent of total billed charges,90% of totl billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,2025,90,,1620,percent of total billed charges,90% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1372.5,61,,1098,percent of total billed charges,61% of total billed charges,1170,52,,936,percent of total billed charges,52% of total billed charges,1170,2025,
KNEE PRESS FIT BP MINUS 8L,35032551,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 10L 16MM VE,35032552,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT FEMUR 10L,35032553,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIT BP MINUS PMP 10R,35032554,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 10R 14MM VE,35032555,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT FEMUR 8R,35032556,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 8R 10MM VE,35032557,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 8R,35032558,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 10L 14MM VE,35032559,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NONPOROUS 7L,35032564,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE TIBIAL INSERT SZ7 10MM,35032565,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
OSSEOTI 4 HOLE SHELL 65MM F,35032566,CDM,278,RC,C1776,HCPCS,Outpatient,,,5679,4543.2,,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4952.09,87.2,,,percent of total billed charges,87.2% of total billed charges,3350.61,59,,2680.49,percent of total billed charges,59% of total billed charges,4952.09,87.2,,3961.67,percent of total billed charges,87.2% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4616.46,81.29,,3693.17,percent of total billed charges,81.29% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of totl billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,5111.1,
VIT E NEUTRAL LNR 36MM F,35032567,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
KNEE PRESS FIT FEMUR 5R,35032569,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP MINUS NP 5R,35032570,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 5R 12MM VE,35032571,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP MINUS 10R,35032572,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
BLADE STEP STEM COXA VARA SZ7,35032573,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
ACET CUP HEMI CLUSTER 50MM,35032574,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
ACETABULAR LINER NEU HXE +36E,35032575,CDM,278,RC,C1776,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
HEAD FEM BILOX 36MM DELTA -4.0,35032576,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY 7.5 RND RSRF PAT 32MM STD,35032577,CDM,278,RC,C1776,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
JRNY ISER XLPE DD RT SZ3-4 9MM,35032578,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
G7 VIT E NEUTRAL LNR 36MM D,35032579,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
KNEE FIN BP MINUS NP 11L,35032580,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NP 11L,35032581,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 11L 13MM VE,35032582,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HIP DISTAL STEM 15X170,35032583,CDM,278,RC,C1776,HCPCS,Outpatient,,,4511.25,3609,,3834.56,85,,3067.65,percent of total billed charges,85% of total billed charges,3834.56,85,,3067.65,percent of total billed charges,85% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,3350.96,74,,2680.77,percent of total billed charges,74.28% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,3350.96,74,,2680.77,percent of total billed charges,74.28% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,3350.96,74,,2680.77,percent of total billed charges,74.28% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of total billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,3933.81,87.2,,,percent of total billed charges,87.2% of total billed charges,2661.64,59,,2129.31,percent of total billed charges,59% of total billed charges,3933.81,87.2,,3147.05,percent of total billed charges,87.2% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,3667.2,81.29,,2933.76,percent of total billed charges,81.29% of total billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of totl billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of total billed charges,4060.13,90,,3248.1,percent of total billed charges,90% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,2751.86,61,,2201.49,percent of total billed charges,61% of total billed charges,2345.85,52,,1876.68,percent of total billed charges,52% of total billed charges,2345.85,4060.13,
POLY BEARING ID28 OD40,35032584,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
DUAL MOBILITY METAL LINER 40E,35032585,CDM,278,RC,C1776,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
HEAD FEMORAL BILOX 28MM,35032586,CDM,278,RC,C1776,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
LATERAL OFFSET PROX BODY 75MM,35032587,CDM,278,RC,C1776,HCPCS,Outpatient,,,8661.75,6929.4,,7362.49,85,,5889.99,percent of total billed charges,85% of total billed charges,7362.49,85,,5889.99,percent of total billed charges,85% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,6433.95,74,,5147.16,percent of total billed charges,74.28% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,6433.95,74,,5147.16,percent of total billed charges,74.28% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,6433.95,74,,5147.16,percent of total billed charges,74.28% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of total billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,7553.05,87.2,,,percent of total billed charges,87.2% of total billed charges,5110.43,59,,4088.34,percent of total billed charges,59% of total billed charges,7553.05,87.2,,6042.44,percent of total billed charges,87.2% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,7041.14,81.29,,5632.91,percent of total billed charges,81.29% of total billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of totl billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of total billed charges,7795.58,90,,6236.46,percent of total billed charges,90% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,5283.67,61,,4226.94,percent of total billed charges,61% of total billed charges,4504.11,52,,3603.29,percent of total billed charges,52% of total billed charges,4504.11,7795.58,
KNEE FEMUR NP 10L,35032589,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE PRESS FIT BP MINUS 10L,35032590,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
BLADE STEM LATERAL SZ 10,35032591,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
HUMERAL ADAPTER TRAY +0,35032592,CDM,278,RC,C1776,HCPCS,Outpatient,,,2775,2220,,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,2358.75,85,,1887,percent of total billed charges,85% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2061.27,74,,1649.02,percent of total billed charges,74.28% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2419.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1637.25,59,,1309.8,percent of total billed charges,59% of total billed charges,2419.8,87.2,,1935.84,percent of total billed charges,87.2% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,2255.8,81.29,,1804.64,percent of total billed charges,81.29% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of totl billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,2497.5,90,,1998,percent of total billed charges,90% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1692.75,61,,1354.2,percent of total billed charges,61% of total billed charges,1443,52,,1154.4,percent of total billed charges,52% of total billed charges,1443,2497.5,
KNEE INS 9R 12MM VE,35032593,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 5R 10MM VE,35032594,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NP 5R,35032595,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP NP 8R,35032596,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 8R 13MM VE,35032597,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 8R 11MM VE,35032598,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP MINUS 8R,35032599,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
CER OPTION TYPE 1 TPR SLEVE +3,35032600,CDM,278,RC,C1776,HCPCS,Outpatient,,,649.69,519.75,,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,566.53,87.2,,,percent of total billed charges,87.2% of total billed charges,383.32,59,,306.66,percent of total billed charges,59% of total billed charges,566.53,87.2,,453.22,percent of total billed charges,87.2% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,528.13,81.29,,422.5,percent of total billed charges,81.29% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of totl billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,584.72,
BLADE STEM LATERAL SZ9,35032606,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
BLADE STEM LATERAL SZ 17,35032607,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
CUP HEMI CLUSTER 56MM,35032608,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE UNIVERSAL BP NP 3R,35032609,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE REVISION FEMUR 3R,35032610,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE TIBIAL AUG HALF SZ3 5MM,35032611,CDM,278,RC,C1776,HCPCS,Outpatient,,,3953.25,3162.6,,3360.26,85,,2688.21,percent of total billed charges,85% of total billed charges,3360.26,85,,2688.21,percent of total billed charges,85% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2936.47,74,,2349.18,percent of total billed charges,74.28% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3447.23,87.2,,,percent of total billed charges,87.2% of total billed charges,2332.42,59,,1865.94,percent of total billed charges,59% of total billed charges,3447.23,87.2,,2757.78,percent of total billed charges,87.2% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,3213.6,81.29,,2570.88,percent of total billed charges,81.29% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of totl billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,3557.93,90,,2846.34,percent of total billed charges,90% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2411.48,61,,1929.18,percent of total billed charges,61% of total billed charges,2055.69,52,,1644.55,percent of total billed charges,52% of total billed charges,2055.69,3557.93,
KNEE TIBIAL INSERT SZ 3 13MM,35032612,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE TIBIAL INSERT SZ 7 14MM,35032641,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 11L,35032642,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NP 9L,35032644,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP NP 9L,35032645,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 9L 14MM VE,35032646,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NP 5L,35032647,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 5L 10MM VE,35032648,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 5L,35032649,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FIN BP MINUS NP 8R,35032650,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE REVISION FEMUR 9 LEFT,35032651,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
KNEE UNIVERSAL BP NP 9L,35032652,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE REV POSTERIOR SZ8/9 5MM,35032653,CDM,278,RC,C1776,HCPCS,Outpatient,,,2340,1872,,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2040.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1380.6,59,,1104.48,percent of total billed charges,59% of total billed charges,2040.48,87.2,,1632.38,percent of total billed charges,87.2% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1902.19,81.29,,1521.75,percent of total billed charges,81.29% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of totl billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,2106,
KNEE TIBIAL INSERT SZ10 12MM,35032654,CDM,278,RC,C1776,HCPCS,Outpatient,,,4266.75,3413.4,,3626.74,85,,2901.39,percent of total billed charges,85% of total billed charges,3626.74,85,,2901.39,percent of total billed charges,85% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,3169.34,74,,2535.47,percent of total billed charges,74.28% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3720.61,87.2,,,percent of total billed charges,87.2% of total billed charges,2517.38,59,,2013.9,percent of total billed charges,59% of total billed charges,3720.61,87.2,,2976.49,percent of total billed charges,87.2% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,3468.44,81.29,,2774.75,percent of total billed charges,81.29% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of totl billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,3840.08,90,,3072.06,percent of total billed charges,90% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2602.72,61,,2082.18,percent of total billed charges,61% of total billed charges,2218.71,52,,1774.97,percent of total billed charges,52% of total billed charges,2218.71,3840.08,
KNEE UNIVERSAL BP NP 10R,35032655,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE INS 9R 10MM VE,35032656,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP MINUS 9R,35032657,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
JRNY II SXLPE DD LT SZ3-4 13MM,35032658,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II CR FEM OX NP LT SZ6,35032659,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
TRIDENT 0 DEG INSERT 36MM,35032660,CDM,278,RC,C1776,HCPCS,Outpatient,,,5482.5,4386,,4660.13,85,,3728.1,percent of total billed charges,85% of total billed charges,4660.13,85,,3728.1,percent of total billed charges,85% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,4072.4,74,,3257.92,percent of total billed charges,74.28% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,4072.4,74,,3257.92,percent of total billed charges,74.28% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,4072.4,74,,3257.92,percent of total billed charges,74.28% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of total billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,4780.74,87.2,,,percent of total billed charges,87.2% of total billed charges,3234.68,59,,2587.74,percent of total billed charges,59% of total billed charges,4780.74,87.2,,3824.59,percent of total billed charges,87.2% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,4456.72,81.29,,3565.38,percent of total billed charges,81.29% of total billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of totl billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of total billed charges,4934.25,90,,3947.4,percent of total billed charges,90% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,3344.33,61,,2675.46,percent of total billed charges,61% of total billed charges,2850.9,52,,2280.72,percent of total billed charges,52% of total billed charges,2850.9,4934.25,
KNEE INS 8R 14MM VE,35032661,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE UNIVERSAL BP NP 7R,35032662,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
KNEE REVISION FEMUR 7 RIGHT,35032663,CDM,278,RC,C1776,HCPCS,Outpatient,,,11550,9240,,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,9817.5,85,,7854,percent of total billed charges,85% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,8579.34,74,,6863.47,percent of total billed charges,74.28% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,10071.6,87.2,,,percent of total billed charges,87.2% of total billed charges,6814.5,59,,5451.6,percent of total billed charges,59% of total billed charges,10071.6,87.2,,8057.28,percent of total billed charges,87.2% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,9389,81.29,,7511.2,percent of total billed charges,81.29% of total billed charges,10395,90,,8316,percent of total billed charges,90% of totl billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,10395,90,,8316,percent of total billed charges,90% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,7045.5,61,,5636.4,percent of total billed charges,61% of total billed charges,6006,52,,4804.8,percent of total billed charges,52% of total billed charges,6006,10395,
PSN PK VE PLY LM SZ G 8MM,35032666,CDM,278,RC,C1776,HCPCS,Outpatient,,,2126.25,1701,,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1807.31,85,,1445.85,percent of total billed charges,85% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1579.38,74,,1263.5,percent of total billed charges,74.28% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1854.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1254.49,59,,1003.59,percent of total billed charges,59% of total billed charges,1854.09,87.2,,1483.27,percent of total billed charges,87.2% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1728.43,81.29,,1382.74,percent of total billed charges,81.29% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of totl billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1913.63,90,,1530.9,percent of total billed charges,90% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1297.01,61,,1037.61,percent of total billed charges,61% of total billed charges,1105.65,52,,884.52,percent of total billed charges,52% of total billed charges,1105.65,1913.63,
PSN PK CMT FEM LM SZ 3,35032667,CDM,278,RC,C1776,HCPCS,Outpatient,,,2677.5,2142,,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,2275.88,85,,1820.7,percent of total billed charges,85% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1988.85,74,,1591.08,percent of total billed charges,74.28% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2334.78,87.2,,,percent of total billed charges,87.2% of total billed charges,1579.73,59,,1263.78,percent of total billed charges,59% of total billed charges,2334.78,87.2,,1867.82,percent of total billed charges,87.2% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,2176.54,81.29,,1741.23,percent of total billed charges,81.29% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of totl billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,2409.75,90,,1927.8,percent of total billed charges,90% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1633.28,61,,1306.62,percent of total billed charges,61% of total billed charges,1392.3,52,,1113.84,percent of total billed charges,52% of total billed charges,1392.3,2409.75,
PSN PK CMT TIB LM SZ G,35032668,CDM,278,RC,C1776,HCPCS,Outpatient,,,1890,1512,,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,1606.5,85,,1285.2,percent of total billed charges,85% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1403.89,74,,1123.11,percent of total billed charges,74.28% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1648.08,87.2,,,percent of total billed charges,87.2% of total billed charges,1115.1,59,,892.08,percent of total billed charges,59% of total billed charges,1648.08,87.2,,1318.46,percent of total billed charges,87.2% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,1536.38,81.29,,1229.1,percent of total billed charges,81.29% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of totl billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1701,90,,1360.8,percent of total billed charges,90% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,1152.9,61,,922.32,percent of total billed charges,61% of total billed charges,982.8,52,,786.24,percent of total billed charges,52% of total billed charges,982.8,1701,
KNEE FEMUR NP 4L,35032669,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 4L 16MM VE,35032670,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 4L,35032671,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE REV DISTAL FEM SZ6/7 5MM,35032672,CDM,278,RC,C1776,HCPCS,Outpatient,,,2340,1872,,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2040.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1380.6,59,,1104.48,percent of total billed charges,59% of total billed charges,2040.48,87.2,,1632.38,percent of total billed charges,87.2% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1902.19,81.29,,1521.75,percent of total billed charges,81.29% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of totl billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,2106,
KNEE REV POS REM SZ7 12MM,35032673,CDM,278,RC,C1776,HCPCS,Outpatient,,,2340,1872,,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1989,85,,1591.2,percent of total billed charges,85% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1738.15,74,,1390.52,percent of total billed charges,74.28% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,2040.48,87.2,,,percent of total billed charges,87.2% of total billed charges,1380.6,59,,1104.48,percent of total billed charges,59% of total billed charges,2040.48,87.2,,1632.38,percent of total billed charges,87.2% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1902.19,81.29,,1521.75,percent of total billed charges,81.29% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of totl billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,2106,90,,1684.8,percent of total billed charges,90% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1427.4,61,,1141.92,percent of total billed charges,61% of total billed charges,1216.8,52,,973.44,percent of total billed charges,52% of total billed charges,1216.8,2106,
KNEE TIBIAL INSERT SZ7 12MM,35032674,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
BLADE STEM LATERAL SZ7,35032675,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
KNEE INS 6L 16MM VE,35032676,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 5R 13MM VE,35032677,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 6R 13MM VE,35032678,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE SYMMETRIC CONE TIBIAL XS,35032679,CDM,278,RC,C1776,HCPCS,Outpatient,,,10125,8100,,8606.25,85,,6885,percent of total billed charges,85% of total billed charges,8606.25,85,,6885,percent of total billed charges,85% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,7520.85,74,,6016.68,percent of total billed charges,74.28% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,7520.85,74,,6016.68,percent of total billed charges,74.28% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,7520.85,74,,6016.68,percent of total billed charges,74.28% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,9112.5,90,,7290,percent of total billed charges,90% of total billed charges,9112.5,90,,7290,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5265,52,,4212,percent of total billed charges,52% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,8829,87.2,,,percent of total billed charges,87.2% of total billed charges,5973.75,59,,4779,percent of total billed charges,59% of total billed charges,8829,87.2,,7063.2,percent of total billed charges,87.2% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,8230.61,81.29,,6584.49,percent of total billed charges,81.29% of total billed charges,9112.5,90,,7290,percent of total billed charges,90% of totl billed charges,9112.5,90,,7290,percent of total billed charges,90% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,9112.5,90,,7290,percent of total billed charges,90% of total billed charges,9112.5,90,,7290,percent of total billed charges,90% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,6176.25,61,,4941,percent of total billed charges,61% of total billed charges,5265,52,,4212,percent of total billed charges,52% of total billed charges,5265,9112.5,
G7 OSSEOTI 4HOLE SHELL 54MM F,35032680,CDM,278,RC,C1776,HCPCS,Outpatient,,,5679,4543.2,,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,4827.15,85,,3861.72,percent of total billed charges,85% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,4218.36,74,,3374.69,percent of total billed charges,74.28% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4952.09,87.2,,,percent of total billed charges,87.2% of total billed charges,3350.61,59,,2680.49,percent of total billed charges,59% of total billed charges,4952.09,87.2,,3961.67,percent of total billed charges,87.2% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,4616.46,81.29,,3693.17,percent of total billed charges,81.29% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of totl billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,5111.1,90,,4088.88,percent of total billed charges,90% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,3464.19,61,,2771.35,percent of total billed charges,61% of total billed charges,2953.08,52,,2362.46,percent of total billed charges,52% of total billed charges,2953.08,5111.1,
JRNY II CR FEM OX NP RT S7,35032682,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
JRNY II XLPE DD RT SZ5/6 13MM,35032683,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
PSN MC VE ASF R 10MM 6-7/EF,35032686,CDM,278,RC,C1776,HCPCS,Outpatient,,,1811.25,1449,,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,1539.56,85,,1231.65,percent of total billed charges,85% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1345.4,74,,1076.32,percent of total billed charges,74.28% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1579.41,87.2,,,percent of total billed charges,87.2% of total billed charges,1068.64,59,,854.91,percent of total billed charges,59% of total billed charges,1579.41,87.2,,1263.53,percent of total billed charges,87.2% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,1472.37,81.29,,1177.9,percent of total billed charges,81.29% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of totl billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1630.13,90,,1304.1,percent of total billed charges,90% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,1104.86,61,,883.89,percent of total billed charges,61% of total billed charges,941.85,52,,753.48,percent of total billed charges,52% of total billed charges,941.85,1630.13,
PSN FEM CR CMT CCR STD SZ 7 R,35032687,CDM,278,RC,C1776,HCPCS,Outpatient,,,3386.25,2709,,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,2878.31,85,,2302.65,percent of total billed charges,85% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2515.31,74,,2012.25,percent of total billed charges,74.28% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2952.81,87.2,,,percent of total billed charges,87.2% of total billed charges,1997.89,59,,1598.31,percent of total billed charges,59% of total billed charges,2952.81,87.2,,2362.25,percent of total billed charges,87.2% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,2752.68,81.29,,2202.14,percent of total billed charges,81.29% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of totl billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,3047.63,90,,2438.1,percent of total billed charges,90% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,2065.61,61,,1652.49,percent of total billed charges,61% of total billed charges,1760.85,52,,1408.68,percent of total billed charges,52% of total billed charges,1760.85,3047.63,
KNEE INS 9L 16MM VE,35032688,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NONPOROUS 7R,35032689,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 10L 10MM VE,35032690,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 10L,35032691,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NONPOROUS 10L,35032692,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE TIBIAL INSERT SZ10 14MM,35032693,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 10L,35032694,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
ISRT XLPE DD RT SZ 3-4 10MM,35032695,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II CR FEM OX NP RT SZ 6,35032696,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
KNEE TIBIAL INSERT SZ 6 10MM,35032697,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 9L,35032698,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
JRNY II CR FEM OX NP LT SZ 5,35032699,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
ISRT XLPE DD LT SZ 3-4 9MM,35032700,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
RINGLOC BI-POLAR,35032701,CDM,278,RC,C1776,HCPCS,Outpatient,,,2008.13,1606.5,,1706.91,85,,1365.53,percent of total billed charges,85% of total billed charges,1706.91,85,,1365.53,percent of total billed charges,85% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1491.64,74,,1193.31,percent of total billed charges,74.28% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1491.64,74,,1193.31,percent of total billed charges,74.28% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1491.64,74,,1193.31,percent of total billed charges,74.28% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of total billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1751.09,87.2,,,percent of total billed charges,87.2% of total billed charges,1184.8,59,,947.84,percent of total billed charges,59% of total billed charges,1751.09,87.2,,1400.87,percent of total billed charges,87.2% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1632.41,81.29,,1305.93,percent of total billed charges,81.29% of total billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of totl billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of total billed charges,1807.32,90,,1445.86,percent of total billed charges,90% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1224.96,61,,979.97,percent of total billed charges,61% of total billed charges,1044.23,52,,835.38,percent of total billed charges,52% of total billed charges,1044.23,1807.32,
MOD HD STD NECK TP1 TAPER 28MM,35032702,CDM,278,RC,C1776,HCPCS,Outpatient,,,1181.25,945,,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,1004.06,85,,803.25,percent of total billed charges,85% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,877.43,74,,701.94,percent of total billed charges,74.28% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,1030.05,87.2,,,percent of total billed charges,87.2% of total billed charges,696.94,59,,557.55,percent of total billed charges,59% of total billed charges,1030.05,87.2,,824.04,percent of total billed charges,87.2% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,960.24,81.29,,768.19,percent of total billed charges,81.29% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of totl billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,1063.13,90,,850.5,percent of total billed charges,90% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,720.56,61,,576.45,percent of total billed charges,61% of total billed charges,614.25,52,,491.4,percent of total billed charges,52% of total billed charges,614.25,1063.13,
KNEE TIBIAL INSERT SZ 10 10MM,35032706,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 5L 14MM VE,35032707,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FEMUR NONPOROUS 4L,35032708,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE TIBIAL INSERT SZ 4 14MM,35032709,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP MINUS NP 4L,35032710,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 11L 14MM VE,35032711,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE PRESS FIT BP 11L,35032712,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
KNEE INS 8L 12MM VE,35032713,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
JRNY II CR FEM OX NP RT SZ 4,35032714,CDM,278,RC,C1776,HCPCS,Outpatient,,,3600,2880,,3060,85,,2448,percent of total billed charges,85% of total billed charges,3060,85,,2448,percent of total billed charges,85% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2674.08,74,,2139.26,percent of total billed charges,74.28% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,3139.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2124,59,,1699.2,percent of total billed charges,59% of total billed charges,3139.2,87.2,,2511.36,percent of total billed charges,87.2% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,2926.44,81.29,,2341.15,percent of total billed charges,81.29% of total billed charges,3240,90,,2592,percent of total billed charges,90% of totl billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,3240,90,,2592,percent of total billed charges,90% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,2196,61,,1756.8,percent of total billed charges,61% of total billed charges,1872,52,,1497.6,percent of total billed charges,52% of total billed charges,1872,3240,
INSIGNIA COLLARED STANDARD 6,35032716,CDM,278,RC,C1776,HCPCS,Outpatient,,,3000,2400,,2550,85,,2040,percent of total billed charges,85% of total billed charges,2550,85,,2040,percent of total billed charges,85% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2228.4,74,,1782.72,percent of total billed charges,74.28% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2616,87.2,,,percent of total billed charges,87.2% of total billed charges,1770,59,,1416,percent of total billed charges,59% of total billed charges,2616,87.2,,2092.8,percent of total billed charges,87.2% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,2438.7,81.29,,1950.96,percent of total billed charges,81.29% of total billed charges,2700,90,,2160,percent of total billed charges,90% of totl billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,2700,90,,2160,percent of total billed charges,90% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1830,61,,1464,percent of total billed charges,61% of total billed charges,1560,52,,1248,percent of total billed charges,52% of total billed charges,1560,2700,
ISRT XLPE DD RT SZ 3-4 12MM,35032718,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
CER OPT TYPE 1 TPR SLEVE 0MM,35032719,CDM,278,RC,C1776,HCPCS,Outpatient,,,866.25,693,,736.31,85,,589.05,percent of total billed charges,85% of total billed charges,736.31,85,,589.05,percent of total billed charges,85% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,643.45,74,,514.76,percent of total billed charges,74.28% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,643.45,74,,514.76,percent of total billed charges,74.28% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,643.45,74,,514.76,percent of total billed charges,74.28% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,779.63,90,,623.7,percent of total billed charges,90% of total billed charges,779.63,90,,623.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,755.37,87.2,,,percent of total billed charges,87.2% of total billed charges,511.09,59,,408.87,percent of total billed charges,59% of total billed charges,755.37,87.2,,604.3,percent of total billed charges,87.2% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,704.17,81.29,,563.34,percent of total billed charges,81.29% of total billed charges,779.63,90,,623.7,percent of total billed charges,90% of totl billed charges,779.63,90,,623.7,percent of total billed charges,90% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,779.63,90,,623.7,percent of total billed charges,90% of total billed charges,779.63,90,,623.7,percent of total billed charges,90% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,528.41,61,,422.73,percent of total billed charges,61% of total billed charges,450.45,52,,360.36,percent of total billed charges,52% of total billed charges,450.45,779.63,
KNEE FEMUR NP 9R,35032720,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE INS 10R 11MM VE,35032721,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 5R,35032722,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
BLADE STEM LATERAL SZ5,35032723,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
ALTRX NEUT 32IDX48OD,35032724,CDM,278,RC,C1776,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
PINN SECTORW/GRIPTON 48MM,35032725,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ACTIS COLLARED HIGH SZ 3,35032726,CDM,278,RC,C1776,HCPCS,Outpatient,,,3225,2580,,2741.25,85,,2193,percent of total billed charges,85% of total billed charges,2741.25,85,,2193,percent of total billed charges,85% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,2395.53,74,,1916.42,percent of total billed charges,74.28% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,2395.53,74,,1916.42,percent of total billed charges,74.28% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,2395.53,74,,1916.42,percent of total billed charges,74.28% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,2902.5,90,,2322,percent of total billed charges,90% of total billed charges,2902.5,90,,2322,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,2812.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1902.75,59,,1522.2,percent of total billed charges,59% of total billed charges,2812.2,87.2,,2249.76,percent of total billed charges,87.2% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,2621.6,81.29,,2097.28,percent of total billed charges,81.29% of total billed charges,2902.5,90,,2322,percent of total billed charges,90% of totl billed charges,2902.5,90,,2322,percent of total billed charges,90% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,2902.5,90,,2322,percent of total billed charges,90% of total billed charges,2902.5,90,,2322,percent of total billed charges,90% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,1967.25,61,,1573.8,percent of total billed charges,61% of total billed charges,1677,52,,1341.6,percent of total billed charges,52% of total billed charges,1677,2902.5,
DELTA CER HEAD 12/14 32MM+1,35032727,CDM,278,RC,C1776,HCPCS,Outpatient,,,1687.5,1350,,1434.38,85,,1147.5,percent of total billed charges,85% of total billed charges,1434.38,85,,1147.5,percent of total billed charges,85% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1253.48,74,,1002.78,percent of total billed charges,74.28% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,877.5,52,,702,percent of total billed charges,52% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1471.5,87.2,,,percent of total billed charges,87.2% of total billed charges,995.63,59,,796.5,percent of total billed charges,59% of total billed charges,1471.5,87.2,,1177.2,percent of total billed charges,87.2% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,1371.77,81.29,,1097.42,percent of total billed charges,81.29% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of totl billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1518.75,90,,1215,percent of total billed charges,90% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,1029.38,61,,823.5,percent of total billed charges,61% of total billed charges,877.5,52,,702,percent of total billed charges,52% of total billed charges,877.5,1518.75,
HEAD FEMORAL COCR 36MM +10.5MM,35032728,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
BLADE STEM LATERAL SZ19,35032729,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
BLADE STEM LATERAL SZ6,35032730,CDM,278,RC,C1776,HCPCS,Outpatient,,,4200,3360,,3570,85,,2856,percent of total billed charges,85% of total billed charges,3570,85,,2856,percent of total billed charges,85% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3119.76,74,,2495.81,percent of total billed charges,74.28% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3662.4,87.2,,,percent of total billed charges,87.2% of total billed charges,2478,59,,1982.4,percent of total billed charges,59% of total billed charges,3662.4,87.2,,2929.92,percent of total billed charges,87.2% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,3414.18,81.29,,2731.34,percent of total billed charges,81.29% of total billed charges,3780,90,,3024,percent of total billed charges,90% of totl billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,3780,90,,3024,percent of total billed charges,90% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2562,61,,2049.6,percent of total billed charges,61% of total billed charges,2184,52,,1747.2,percent of total billed charges,52% of total billed charges,2184,3780,
KNEE TIBIAL INSERT SZ6 16MM,35032731,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE UNIVERSAL BP NP 6R,35032732,CDM,278,RC,C1776,HCPCS,Outpatient,,,7436.25,5949,,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,6320.81,85,,5056.65,percent of total billed charges,85% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,5523.65,74,,4418.92,percent of total billed charges,74.28% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6484.41,87.2,,,percent of total billed charges,87.2% of total billed charges,4387.39,59,,3509.91,percent of total billed charges,59% of total billed charges,6484.41,87.2,,5187.53,percent of total billed charges,87.2% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,6044.93,81.29,,4835.94,percent of total billed charges,81.29% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of totl billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,6692.63,90,,5354.1,percent of total billed charges,90% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,4536.11,61,,3628.89,percent of total billed charges,61% of total billed charges,3866.85,52,,3093.48,percent of total billed charges,52% of total billed charges,3866.85,6692.63,
ISRT XLPE DD LT SZ 5-6 10MM,35032733,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
MODULAR HUMERAL HEAD 45MM,35032736,CDM,278,RC,C1776,HCPCS,Outpatient,,,4875,3900,,4143.75,85,,3315,percent of total billed charges,85% of total billed charges,4143.75,85,,3315,percent of total billed charges,85% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2535,52,,2028,percent of total billed charges,52% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,4251,87.2,,,percent of total billed charges,87.2% of total billed charges,2876.25,59,,2301,percent of total billed charges,59% of total billed charges,4251,87.2,,3400.8,percent of total billed charges,87.2% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3962.89,81.29,,3170.31,percent of total billed charges,81.29% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of totl billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,2535,4387.5,
MODULAR HUMERAL STERM MEDIUM,35032737,CDM,278,RC,C1776,HCPCS,Outpatient,,,4875,3900,,4143.75,85,,3315,percent of total billed charges,85% of total billed charges,4143.75,85,,3315,percent of total billed charges,85% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,3621.15,74,,2896.92,percent of total billed charges,74.28% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2535,52,,2028,percent of total billed charges,52% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,4251,87.2,,,percent of total billed charges,87.2% of total billed charges,2876.25,59,,2301,percent of total billed charges,59% of total billed charges,4251,87.2,,3400.8,percent of total billed charges,87.2% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,3962.89,81.29,,3170.31,percent of total billed charges,81.29% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of totl billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,4387.5,90,,3510,percent of total billed charges,90% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2973.75,61,,2379,percent of total billed charges,61% of total billed charges,2535,52,,2028,percent of total billed charges,52% of total billed charges,2535,4387.5,
KNEE FIN BP MINUS NP 11R,35032738,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 7L 13MM VE,35032739,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 7R,35032740,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
LEGION FEM CONE ID 20MM RIGHT,35032741,CDM,278,RC,C1776,HCPCS,Outpatient,,,7200,5760,,6120,85,,4896,percent of total billed charges,85% of total billed charges,6120,85,,4896,percent of total billed charges,85% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,5348.16,74,,4278.53,percent of total billed charges,74.28% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,5348.16,74,,4278.53,percent of total billed charges,74.28% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,5348.16,74,,4278.53,percent of total billed charges,74.28% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,6480,90,,5184,percent of total billed charges,90% of total billed charges,6480,90,,5184,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,6278.4,87.2,,,percent of total billed charges,87.2% of total billed charges,4248,59,,3398.4,percent of total billed charges,59% of total billed charges,6278.4,87.2,,5022.72,percent of total billed charges,87.2% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,5852.88,81.29,,4682.3,percent of total billed charges,81.29% of total billed charges,6480,90,,5184,percent of total billed charges,90% of totl billed charges,6480,90,,5184,percent of total billed charges,90% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,6480,90,,5184,percent of total billed charges,90% of total billed charges,6480,90,,5184,percent of total billed charges,90% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,4392,61,,3513.6,percent of total billed charges,61% of total billed charges,3744,52,,2995.2,percent of total billed charges,52% of total billed charges,3744,6480,
R3 20DEG XLPE ACET LNR 32X48MM,35032743,CDM,278,RC,C1776,HCPCS,Outpatient,,,1500,1200,,1275,85,,1020,percent of total billed charges,85% of total billed charges,1275,85,,1020,percent of total billed charges,85% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,780,52,,624,percent of total billed charges,52% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1308,87.2,,,percent of total billed charges,87.2% of total billed charges,885,59,,708,percent of total billed charges,59% of total billed charges,1308,87.2,,1046.4,percent of total billed charges,87.2% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1219.35,81.29,,975.48,percent of total billed charges,81.29% of total billed charges,1350,90,,1080,percent of total billed charges,90% of totl billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,780,1350,
R3 3 HOLE ACET SHELL MM48,35032744,CDM,278,RC,C1776,HCPCS,Outpatient,,,1500,1200,,1275,85,,1020,percent of total billed charges,85% of total billed charges,1275,85,,1020,percent of total billed charges,85% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1114.2,74,,891.36,percent of total billed charges,74.28% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,780,52,,624,percent of total billed charges,52% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1308,87.2,,,percent of total billed charges,87.2% of total billed charges,885,59,,708,percent of total billed charges,59% of total billed charges,1308,87.2,,1046.4,percent of total billed charges,87.2% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,1219.35,81.29,,975.48,percent of total billed charges,81.29% of total billed charges,1350,90,,1080,percent of total billed charges,90% of totl billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,1350,90,,1080,percent of total billed charges,90% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,915,61,,732,percent of total billed charges,61% of total billed charges,780,52,,624,percent of total billed charges,52% of total billed charges,780,1350,
KNEE FIN BP NP 9R,35032745,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 8R 12MM VE,35032746,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE INS 5L 11MM VE,35032747,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
KNEE FIN BP NP 5L,35032748,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE FEMUR NOPOROUS 4R,35032750,CDM,278,RC,C1776,HCPCS,Outpatient,,,2850,2280,,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,2422.5,85,,1938,percent of total billed charges,85% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2116.98,74,,1693.58,percent of total billed charges,74.28% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2485.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1681.5,59,,1345.2,percent of total billed charges,59% of total billed charges,2485.2,87.2,,1988.16,percent of total billed charges,87.2% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,2316.77,81.29,,1853.42,percent of total billed charges,81.29% of total billed charges,2565,90,,2052,percent of total billed charges,90% of totl billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,2565,90,,2052,percent of total billed charges,90% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1738.5,61,,1390.8,percent of total billed charges,61% of total billed charges,1482,52,,1185.6,percent of total billed charges,52% of total billed charges,1482,2565,
KNEE FIN BP MINUS NP 4R,35032751,CDM,278,RC,C1776,HCPCS,Outpatient,,,1575,1260,,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,1338.75,85,,1071,percent of total billed charges,85% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1169.91,74,,935.93,percent of total billed charges,74.28% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1373.4,87.2,,,percent of total billed charges,87.2% of total billed charges,929.25,59,,743.4,percent of total billed charges,59% of total billed charges,1373.4,87.2,,1098.72,percent of total billed charges,87.2% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,1280.32,81.29,,1024.26,percent of total billed charges,81.29% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of totl billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,1417.5,90,,1134,percent of total billed charges,90% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,960.75,61,,768.6,percent of total billed charges,61% of total billed charges,819,52,,655.2,percent of total billed charges,52% of total billed charges,819,1417.5,
KNEE INS 6R 14MM VE,35032752,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
HEAD FEMORAL 28MM +3.5,35032753,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
ACETABULAR DUAL MOBILITY 42F,35032754,CDM,278,RC,C1776,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
ACETABULAR ID28 OD42,35032755,CDM,278,RC,C1776,HCPCS,Outpatient,,,900,720,,765,85,,612,percent of total billed charges,85% of total billed charges,765,85,,612,percent of total billed charges,85% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,668.52,74,,534.82,percent of total billed charges,74.28% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,784.8,87.2,,,percent of total billed charges,87.2% of total billed charges,531,59,,424.8,percent of total billed charges,59% of total billed charges,784.8,87.2,,627.84,percent of total billed charges,87.2% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,731.61,81.29,,585.29,percent of total billed charges,81.29% of total billed charges,810,90,,648,percent of total billed charges,90% of totl billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,810,90,,648,percent of total billed charges,90% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,549,61,,439.2,percent of total billed charges,61% of total billed charges,468,52,,374.4,percent of total billed charges,52% of total billed charges,468,810,
145DEG PE 38MM HUM LINER +0,35032756,CDM,278,RC,C1776,HCPCS,Outpatient,,,1845,1476,,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,1568.25,85,,1254.6,percent of total billed charges,85% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1370.47,74,,1096.38,percent of total billed charges,74.28% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1608.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1088.55,59,,870.84,percent of total billed charges,59% of total billed charges,1608.84,87.2,,1287.07,percent of total billed charges,87.2% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,1499.8,81.29,,1199.84,percent of total billed charges,81.29% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of totl billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1660.5,90,,1328.4,percent of total billed charges,90% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,1125.45,61,,900.36,percent of total billed charges,61% of total billed charges,959.4,52,,767.52,percent of total billed charges,52% of total billed charges,959.4,1660.5,
CER OPTION TYPE 1 TPR SLEVE +6,35032757,CDM,278,RC,C1776,HCPCS,Outpatient,,,649.69,519.75,,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,552.24,85,,441.79,percent of total billed charges,85% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,482.59,74,,386.07,percent of total billed charges,74.28% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,566.53,87.2,,,percent of total billed charges,87.2% of total billed charges,383.32,59,,306.66,percent of total billed charges,59% of total billed charges,566.53,87.2,,453.22,percent of total billed charges,87.2% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,528.13,81.29,,422.5,percent of total billed charges,81.29% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of totl billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,584.72,90,,467.78,percent of total billed charges,90% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,396.31,61,,317.05,percent of total billed charges,61% of total billed charges,337.84,52,,270.27,percent of total billed charges,52% of total billed charges,337.84,584.72,
INTRAMEDULLARY PLUG LGE,35032758,CDM,278,RC,C1776,HCPCS,Outpatient,,,566.37,453.1,,481.41,85,,385.13,percent of total billed charges,85% of total billed charges,481.41,85,,385.13,percent of total billed charges,85% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,420.7,74,,336.56,percent of total billed charges,74.28% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,493.87,87.2,,,percent of total billed charges,87.2% of total billed charges,334.16,59,,267.33,percent of total billed charges,59% of total billed charges,493.87,87.2,,395.1,percent of total billed charges,87.2% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,460.4,81.29,,368.32,percent of total billed charges,81.29% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of totl billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,509.73,90,,407.78,percent of total billed charges,90% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,345.49,61,,276.39,percent of total billed charges,61% of total billed charges,294.51,52,,235.61,percent of total billed charges,52% of total billed charges,294.51,509.73,
JRNYII ISRT XLPEDD LT SZ3-4 11,35032759,CDM,278,RC,C1776,HCPCS,Outpatient,,,2025,1620,,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1721.25,85,,1377,percent of total billed charges,85% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1504.17,74,,1203.34,percent of total billed charges,74.28% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1765.8,87.2,,,percent of total billed charges,87.2% of total billed charges,1194.75,59,,955.8,percent of total billed charges,59% of total billed charges,1765.8,87.2,,1412.64,percent of total billed charges,87.2% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1646.12,81.29,,1316.9,percent of total billed charges,81.29% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of totl billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1822.5,90,,1458,percent of total billed charges,90% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1235.25,61,,988.2,percent of total billed charges,61% of total billed charges,1053,52,,842.4,percent of total billed charges,52% of total billed charges,1053,1822.5,
SBI SR PIP - 2,35033226,CDM,278,RC,C1776,HCPCS,Outpatient,,,5358.19,4286.55,,4554.46,85,,3643.57,percent of total billed charges,85% of total billed charges,4554.46,85,,3643.57,percent of total billed charges,85% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,3980.06,74,,3184.05,percent of total billed charges,74.28% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,3980.06,74,,3184.05,percent of total billed charges,74.28% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,3980.06,74,,3184.05,percent of total billed charges,74.28% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of total billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,4672.34,87.2,,,percent of total billed charges,87.2% of total billed charges,3161.33,59,,2529.06,percent of total billed charges,59% of total billed charges,4672.34,87.2,,3737.87,percent of total billed charges,87.2% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,4355.67,81.29,,3484.54,percent of total billed charges,81.29% of total billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of totl billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of total billed charges,4822.37,90,,3857.9,percent of total billed charges,90% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,3268.5,61,,2614.8,percent of total billed charges,61% of total billed charges,2786.26,52,,2229.01,percent of total billed charges,52% of total billed charges,2786.26,4822.37,
SBI ULNAR IMPLANT STEM 1,35033233,CDM,278,RC,C1776,HCPCS,Outpatient,,,6310.05,5048.04,,5363.54,85,,4290.83,percent of total billed charges,85% of total billed charges,5363.54,85,,4290.83,percent of total billed charges,85% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,4687.11,74,,3749.69,percent of total billed charges,74.28% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,4687.11,74,,3749.69,percent of total billed charges,74.28% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,4687.11,74,,3749.69,percent of total billed charges,74.28% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of total billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,5502.36,87.2,,,percent of total billed charges,87.2% of total billed charges,3722.93,59,,2978.34,percent of total billed charges,59% of total billed charges,5502.36,87.2,,4401.89,percent of total billed charges,87.2% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,5129.44,81.29,,4103.55,percent of total billed charges,81.29% of total billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of totl billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of total billed charges,5679.05,90,,4543.24,percent of total billed charges,90% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,3849.13,61,,3079.3,percent of total billed charges,61% of total billed charges,3281.23,52,,2624.98,percent of total billed charges,52% of total billed charges,3281.23,5679.05,
SBI ULNAR IMPLANT HEAD 1,35033234,CDM,278,RC,C1776,HCPCS,Outpatient,,,2426.94,1941.55,,2062.9,85,,1650.32,percent of total billed charges,85% of total billed charges,2062.9,85,,1650.32,percent of total billed charges,85% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,1802.73,74,,1442.18,percent of total billed charges,74.28% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,1802.73,74,,1442.18,percent of total billed charges,74.28% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,1802.73,74,,1442.18,percent of total billed charges,74.28% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of total billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,2116.29,87.2,,,percent of total billed charges,87.2% of total billed charges,1431.89,59,,1145.51,percent of total billed charges,59% of total billed charges,2116.29,87.2,,1693.03,percent of total billed charges,87.2% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,1972.86,81.29,,1578.29,percent of total billed charges,81.29% of total billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of totl billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of total billed charges,2184.25,90,,1747.4,percent of total billed charges,90% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,1480.43,61,,1184.34,percent of total billed charges,61% of total billed charges,1262.01,52,,1009.61,percent of total billed charges,52% of total billed charges,1262.01,2184.25,
LEAD VECTRIS COMP 1X8 977A260,35030106,CDM,278,RC,C1778,HCPCS,Outpatient,,,5223,4178.4,,4439.55,85,,3551.64,percent of total billed charges,85% of total billed charges,4439.55,85,,3551.64,percent of total billed charges,85% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,3879.64,74,,3103.71,percent of total billed charges,74.28% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,3879.64,74,,3103.71,percent of total billed charges,74.28% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,3879.64,74,,3103.71,percent of total billed charges,74.28% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of total billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,4554.46,87.2,,,percent of total billed charges,87.2% of total billed charges,3081.57,59,,2465.26,percent of total billed charges,59% of total billed charges,4554.46,87.2,,3643.57,percent of total billed charges,87.2% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,4245.78,81.29,,3396.62,percent of total billed charges,81.29% of total billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of totl billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of total billed charges,4700.7,90,,3760.56,percent of total billed charges,90% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,3186.03,61,,2548.82,percent of total billed charges,61% of total billed charges,2715.96,52,,2172.77,percent of total billed charges,52% of total billed charges,2715.96,4700.7,
STIM LEAD LINEAR ST SC-2218-50,35030243,CDM,278,RC,C1778,HCPCS,Outpatient,,,3750.48,3000.38,,3187.91,85,,2550.33,percent of total billed charges,85% of total billed charges,3187.91,85,,2550.33,percent of total billed charges,85% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,2785.86,74,,2228.69,percent of total billed charges,74.28% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,2785.86,74,,2228.69,percent of total billed charges,74.28% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,2785.86,74,,2228.69,percent of total billed charges,74.28% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of total billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,3270.42,87.2,,,percent of total billed charges,87.2% of total billed charges,2212.78,59,,1770.22,percent of total billed charges,59% of total billed charges,3270.42,87.2,,2616.34,percent of total billed charges,87.2% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,3048.77,81.29,,2439.02,percent of total billed charges,81.29% of total billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of totl billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of total billed charges,3375.43,90,,2700.34,percent of total billed charges,90% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,2287.79,61,,1830.23,percent of total billed charges,61% of total billed charges,1950.25,52,,1560.2,percent of total billed charges,52% of total billed charges,1950.25,3375.43,
STIM.LEAD INFINION 50cm SC-231,35030269,CDM,278,RC,C1778,HCPCS,Outpatient,,,6303.75,5043,,5358.19,85,,4286.55,percent of total billed charges,85% of total billed charges,5358.19,85,,4286.55,percent of total billed charges,85% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,4682.43,74,,3745.94,percent of total billed charges,74.28% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,4682.43,74,,3745.94,percent of total billed charges,74.28% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,4682.43,74,,3745.94,percent of total billed charges,74.28% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of total billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,5496.87,87.2,,,percent of total billed charges,87.2% of total billed charges,3719.21,59,,2975.37,percent of total billed charges,59% of total billed charges,5496.87,87.2,,4397.5,percent of total billed charges,87.2% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,5124.32,81.29,,4099.46,percent of total billed charges,81.29% of total billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of totl billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of total billed charges,5673.38,90,,4538.7,percent of total billed charges,90% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,3845.29,61,,3076.23,percent of total billed charges,61% of total billed charges,3277.95,52,,2622.36,percent of total billed charges,52% of total billed charges,3277.95,5673.38,
STIM LEAD BLANK SC-4350,35030351,CDM,278,RC,C1778,HCPCS,Outpatient,,,230.63,184.5,,196.04,85,,156.83,percent of total billed charges,85% of total billed charges,196.04,85,,156.83,percent of total billed charges,85% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,171.31,74,,137.05,percent of total billed charges,74.28% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,171.31,74,,137.05,percent of total billed charges,74.28% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,171.31,74,,137.05,percent of total billed charges,74.28% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,207.57,90,,166.06,percent of total billed charges,90% of total billed charges,207.57,90,,166.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,201.11,87.2,,,percent of total billed charges,87.2% of total billed charges,136.07,59,,108.86,percent of total billed charges,59% of total billed charges,201.11,87.2,,160.89,percent of total billed charges,87.2% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,187.48,81.29,,149.98,percent of total billed charges,81.29% of total billed charges,207.57,90,,166.06,percent of total billed charges,90% of totl billed charges,207.57,90,,166.06,percent of total billed charges,90% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,207.57,90,,166.06,percent of total billed charges,90% of total billed charges,207.57,90,,166.06,percent of total billed charges,90% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,140.68,61,,112.54,percent of total billed charges,61% of total billed charges,119.93,52,,95.94,percent of total billed charges,52% of total billed charges,119.93,207.57,
STEM LEAD INFINION CX,35030359,CDM,278,RC,C1778,HCPCS,Outpatient,,,7377,5901.6,,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6432.74,87.2,,,percent of total billed charges,87.2% of total billed charges,4352.43,59,,3481.94,percent of total billed charges,59% of total billed charges,6432.74,87.2,,5146.19,percent of total billed charges,87.2% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5996.76,81.29,,4797.41,percent of total billed charges,81.29% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of totl billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,6639.3,
STIM LEAD AVISTA MRI 8 56cm,35030429,CDM,278,RC,C1778,HCPCS,Outpatient,,,6075,4860,,5163.75,85,,4131,percent of total billed charges,85% of total billed charges,5163.75,85,,4131,percent of total billed charges,85% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,4512.51,74,,3610.01,percent of total billed charges,74.28% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,4512.51,74,,3610.01,percent of total billed charges,74.28% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,4512.51,74,,3610.01,percent of total billed charges,74.28% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,5467.5,90,,4374,percent of total billed charges,90% of total billed charges,5467.5,90,,4374,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,5297.4,87.2,,,percent of total billed charges,87.2% of total billed charges,3584.25,59,,2867.4,percent of total billed charges,59% of total billed charges,5297.4,87.2,,4237.92,percent of total billed charges,87.2% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,4938.37,81.29,,3950.7,percent of total billed charges,81.29% of total billed charges,5467.5,90,,4374,percent of total billed charges,90% of totl billed charges,5467.5,90,,4374,percent of total billed charges,90% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,5467.5,90,,4374,percent of total billed charges,90% of total billed charges,5467.5,90,,4374,percent of total billed charges,90% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,3705.75,61,,2964.6,percent of total billed charges,61% of total billed charges,3159,52,,2527.2,percent of total billed charges,52% of total billed charges,3159,5467.5,
STIM LEAD LINEAR 3-4 SC-2352-5,35030523,CDM,278,RC,C1778,HCPCS,Outpatient,,,4050,3240,,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,3442.5,85,,2754,percent of total billed charges,85% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3008.34,74,,2406.67,percent of total billed charges,74.28% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3531.6,87.2,,,percent of total billed charges,87.2% of total billed charges,2389.5,59,,1911.6,percent of total billed charges,59% of total billed charges,3531.6,87.2,,2825.28,percent of total billed charges,87.2% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,3292.25,81.29,,2633.8,percent of total billed charges,81.29% of total billed charges,3645,90,,2916,percent of total billed charges,90% of totl billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,3645,90,,2916,percent of total billed charges,90% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2470.5,61,,1976.4,percent of total billed charges,61% of total billed charges,2106,52,,1684.8,percent of total billed charges,52% of total billed charges,2106,3645,
BLUE PERC LEAD KIT,35030741,CDM,278,RC,C1778,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
LEAD KIT 50-90CM,35030760,CDM,278,RC,C1778,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
LEAD KIT INTERSTIM 28CM3889-28,35031302,CDM,278,RC,C1778,HCPCS,Outpatient,,,5332.5,4266,,4532.63,85,,3626.1,percent of total billed charges,85% of total billed charges,4532.63,85,,3626.1,percent of total billed charges,85% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,3960.98,74,,3168.78,percent of total billed charges,74.28% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,3960.98,74,,3168.78,percent of total billed charges,74.28% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,3960.98,74,,3168.78,percent of total billed charges,74.28% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of total billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,4649.94,87.2,,,percent of total billed charges,87.2% of total billed charges,3146.18,59,,2516.94,percent of total billed charges,59% of total billed charges,4649.94,87.2,,3719.95,percent of total billed charges,87.2% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,4334.79,81.29,,3467.83,percent of total billed charges,81.29% of total billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of totl billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of total billed charges,4799.25,90,,3839.4,percent of total billed charges,90% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,3252.83,61,,2602.26,percent of total billed charges,61% of total billed charges,2772.9,52,,2218.32,percent of total billed charges,52% of total billed charges,2772.9,4799.25,
STIMULATOR PADDLE 65CM 977C265,35031816,CDM,278,RC,C1778,HCPCS,Outpatient,,,9000,7200,,7650,85,,6120,percent of total billed charges,85% of total billed charges,7650,85,,6120,percent of total billed charges,85% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,6685.2,74,,5348.16,percent of total billed charges,74.28% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,6685.2,74,,5348.16,percent of total billed charges,74.28% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,6685.2,74,,5348.16,percent of total billed charges,74.28% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,8100,90,,6480,percent of total billed charges,90% of total billed charges,8100,90,,6480,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4680,52,,3744,percent of total billed charges,52% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,7848,87.2,,,percent of total billed charges,87.2% of total billed charges,5310,59,,4248,percent of total billed charges,59% of total billed charges,7848,87.2,,6278.4,percent of total billed charges,87.2% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,7316.1,81.29,,5852.88,percent of total billed charges,81.29% of total billed charges,8100,90,,6480,percent of total billed charges,90% of totl billed charges,8100,90,,6480,percent of total billed charges,90% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,8100,90,,6480,percent of total billed charges,90% of total billed charges,8100,90,,6480,percent of total billed charges,90% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,5490,61,,4392,percent of total billed charges,61% of total billed charges,4680,52,,3744,percent of total billed charges,52% of total billed charges,4680,8100,
TINED LEAD KIT 1201,35031851,CDM,278,RC,C1778,HCPCS,Outpatient,,,6000,4800,,5100,85,,4080,percent of total billed charges,85% of total billed charges,5100,85,,4080,percent of total billed charges,85% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,4456.8,74,,3565.44,percent of total billed charges,74.28% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,4456.8,74,,3565.44,percent of total billed charges,74.28% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,4456.8,74,,3565.44,percent of total billed charges,74.28% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,5400,90,,4320,percent of total billed charges,90% of total billed charges,5400,90,,4320,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3120,52,,2496,percent of total billed charges,52% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,5232,87.2,,,percent of total billed charges,87.2% of total billed charges,3540,59,,2832,percent of total billed charges,59% of total billed charges,5232,87.2,,4185.6,percent of total billed charges,87.2% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,4877.4,81.29,,3901.92,percent of total billed charges,81.29% of total billed charges,5400,90,,4320,percent of total billed charges,90% of totl billed charges,5400,90,,4320,percent of total billed charges,90% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,5400,90,,4320,percent of total billed charges,90% of total billed charges,5400,90,,4320,percent of total billed charges,90% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,3660,61,,2928,percent of total billed charges,61% of total billed charges,3120,52,,2496,percent of total billed charges,52% of total billed charges,3120,5400,
TINED LEAD KIT W PERC EXT 2201,35031852,CDM,278,RC,C1778,HCPCS,Outpatient,,,6750,5400,,5737.5,85,,4590,percent of total billed charges,85% of total billed charges,5737.5,85,,4590,percent of total billed charges,85% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,5013.9,74,,4011.12,percent of total billed charges,74.28% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,5013.9,74,,4011.12,percent of total billed charges,74.28% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,5013.9,74,,4011.12,percent of total billed charges,74.28% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,6075,90,,4860,percent of total billed charges,90% of total billed charges,6075,90,,4860,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3510,52,,2808,percent of total billed charges,52% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,5886,87.2,,,percent of total billed charges,87.2% of total billed charges,3982.5,59,,3186,percent of total billed charges,59% of total billed charges,5886,87.2,,4708.8,percent of total billed charges,87.2% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,5487.08,81.29,,4389.66,percent of total billed charges,81.29% of total billed charges,6075,90,,4860,percent of total billed charges,90% of totl billed charges,6075,90,,4860,percent of total billed charges,90% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,6075,90,,4860,percent of total billed charges,90% of total billed charges,6075,90,,4860,percent of total billed charges,90% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,4117.5,61,,3294,percent of total billed charges,61% of total billed charges,3510,52,,2808,percent of total billed charges,52% of total billed charges,3510,6075,
COVER EDGE 32,35031863,CDM,278,RC,C1778,HCPCS,Outpatient,,,16687.5,13350,,14184.38,85,,11347.5,percent of total billed charges,85% of total billed charges,14184.38,85,,11347.5,percent of total billed charges,85% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,12395.48,74,,9916.38,percent of total billed charges,74.28% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,12395.48,74,,9916.38,percent of total billed charges,74.28% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,12395.48,74,,9916.38,percent of total billed charges,74.28% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,15018.75,90,,12015,percent of total billed charges,90% of total billed charges,15018.75,90,,12015,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,14551.5,87.2,,,percent of total billed charges,87.2% of total billed charges,9845.63,59,,7876.5,percent of total billed charges,59% of total billed charges,14551.5,87.2,,11641.2,percent of total billed charges,87.2% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,13565.27,81.29,,10852.22,percent of total billed charges,81.29% of total billed charges,15018.75,90,,12015,percent of total billed charges,90% of totl billed charges,15018.75,90,,12015,percent of total billed charges,90% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,15018.75,90,,12015,percent of total billed charges,90% of total billed charges,15018.75,90,,12015,percent of total billed charges,90% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,10179.38,61,,8143.5,percent of total billed charges,61% of total billed charges,8677.5,52,,6942,percent of total billed charges,52% of total billed charges,8677.5,15018.75,
MICROSTIMULATOR RECHARGEABLE,35031947,CDM,278,RC,C1778,HCPCS,Outpatient,,,13837.5,11070,,11761.88,85,,9409.5,percent of total billed charges,85% of total billed charges,11761.88,85,,9409.5,percent of total billed charges,85% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,10278.5,74,,8222.8,percent of total billed charges,74.28% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,10278.5,74,,8222.8,percent of total billed charges,74.28% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,10278.5,74,,8222.8,percent of total billed charges,74.28% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,12453.75,90,,9963,percent of total billed charges,90% of total billed charges,12453.75,90,,9963,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,12066.3,87.2,,,percent of total billed charges,87.2% of total billed charges,8164.13,59,,6531.3,percent of total billed charges,59% of total billed charges,12066.3,87.2,,9653.04,percent of total billed charges,87.2% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,11248.5,81.29,,8998.8,percent of total billed charges,81.29% of total billed charges,12453.75,90,,9963,percent of total billed charges,90% of totl billed charges,12453.75,90,,9963,percent of total billed charges,90% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,12453.75,90,,9963,percent of total billed charges,90% of total billed charges,12453.75,90,,9963,percent of total billed charges,90% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,8440.88,61,,6752.7,percent of total billed charges,61% of total billed charges,7195.5,52,,5756.4,percent of total billed charges,52% of total billed charges,7195.5,12453.75,
MICRO 28CM SSMRI TINED,35031948,CDM,278,RC,C1778,HCPCS,Outpatient,,,4720.5,3776.4,,4012.43,85,,3209.94,percent of total billed charges,85% of total billed charges,4012.43,85,,3209.94,percent of total billed charges,85% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,4116.28,87.2,,,percent of total billed charges,87.2% of total billed charges,2785.1,59,,2228.08,percent of total billed charges,59% of total billed charges,4116.28,87.2,,3293.02,percent of total billed charges,87.2% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3837.29,81.29,,3069.83,percent of total billed charges,81.29% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of totl billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,2454.66,4248.45,
FULL IMPLANT NON-RECHARGE,35031992,CDM,278,RC,C1778,HCPCS,Outpatient,,,26715,21372,,22707.75,85,,18166.2,percent of total billed charges,85% of total billed charges,22707.75,85,,18166.2,percent of total billed charges,85% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,19843.9,74,,15875.12,percent of total billed charges,74.28% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,19843.9,74,,15875.12,percent of total billed charges,74.28% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,19843.9,74,,15875.12,percent of total billed charges,74.28% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of total billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,23295.48,87.2,,,percent of total billed charges,87.2% of total billed charges,15761.85,59,,12609.48,percent of total billed charges,59% of total billed charges,23295.48,87.2,,18636.38,percent of total billed charges,87.2% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,21716.62,81.29,,17373.3,percent of total billed charges,81.29% of total billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of totl billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of total billed charges,24043.5,90,,19234.8,percent of total billed charges,90% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,16296.15,61,,13036.92,percent of total billed charges,61% of total billed charges,13891.8,52,,11113.44,percent of total billed charges,52% of total billed charges,13891.8,24043.5,
ISTM II LEAD TINED,35032011,CDM,278,RC,C1778,HCPCS,Outpatient,,,4720.5,3776.4,,4012.43,85,,3209.94,percent of total billed charges,85% of total billed charges,4012.43,85,,3209.94,percent of total billed charges,85% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,3506.39,74,,2805.11,percent of total billed charges,74.28% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,4116.28,87.2,,,percent of total billed charges,87.2% of total billed charges,2785.1,59,,2228.08,percent of total billed charges,59% of total billed charges,4116.28,87.2,,3293.02,percent of total billed charges,87.2% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,3837.29,81.29,,3069.83,percent of total billed charges,81.29% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of totl billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,4248.45,90,,3398.76,percent of total billed charges,90% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2879.51,61,,2303.61,percent of total billed charges,61% of total billed charges,2454.66,52,,1963.73,percent of total billed charges,52% of total billed charges,2454.66,4248.45,
LEAD ISTIM TEST STIM,35032016,CDM,278,RC,C1778,HCPCS,Outpatient,,,300,240,,255,85,,204,percent of total billed charges,85% of total billed charges,255,85,,204,percent of total billed charges,85% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,261.6,87.2,,,percent of total billed charges,87.2% of total billed charges,177,59,,141.6,percent of total billed charges,59% of total billed charges,261.6,87.2,,209.28,percent of total billed charges,87.2% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,243.87,81.29,,195.1,percent of total billed charges,81.29% of total billed charges,270,90,,216,percent of total billed charges,90% of totl billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,270,
LEAD ISTIM PNE TEST STIM,35032017,CDM,278,RC,C1778,HCPCS,Outpatient,,,180,144,,153,85,,122.4,percent of total billed charges,85% of total billed charges,153,85,,122.4,percent of total billed charges,85% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,133.7,74,,106.96,percent of total billed charges,74.28% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,156.96,87.2,,,percent of total billed charges,87.2% of total billed charges,106.2,59,,84.96,percent of total billed charges,59% of total billed charges,156.96,87.2,,125.57,percent of total billed charges,87.2% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,146.32,81.29,,117.06,percent of total billed charges,81.29% of total billed charges,162,90,,129.6,percent of total billed charges,90% of totl billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,162,90,,129.6,percent of total billed charges,90% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,109.8,61,,87.84,percent of total billed charges,61% of total billed charges,93.6,52,,74.88,percent of total billed charges,52% of total billed charges,93.6,162,
COVEREDGE 32 LEAD KIT 50CM,35032253,CDM,278,RC,C1778,HCPCS,Outpatient,,,18360,14688,,15606,85,,12484.8,percent of total billed charges,85% of total billed charges,15606,85,,12484.8,percent of total billed charges,85% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,13637.81,74,,10910.25,percent of total billed charges,74.28% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,13637.81,74,,10910.25,percent of total billed charges,74.28% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,13637.81,74,,10910.25,percent of total billed charges,74.28% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,16524,90,,13219.2,percent of total billed charges,90% of total billed charges,16524,90,,13219.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,16009.92,87.2,,,percent of total billed charges,87.2% of total billed charges,10832.4,59,,8665.92,percent of total billed charges,59% of total billed charges,16009.92,87.2,,12807.94,percent of total billed charges,87.2% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,14924.84,81.29,,11939.87,percent of total billed charges,81.29% of total billed charges,16524,90,,13219.2,percent of total billed charges,90% of totl billed charges,16524,90,,13219.2,percent of total billed charges,90% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,16524,90,,13219.2,percent of total billed charges,90% of total billed charges,16524,90,,13219.2,percent of total billed charges,90% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,11199.6,61,,8959.68,percent of total billed charges,61% of total billed charges,9547.2,52,,7637.76,percent of total billed charges,52% of total billed charges,9547.2,16524,
CONTACT LEAD KIT 50 CM 16,35032548,CDM,278,RC,C1778,HCPCS,Outpatient,,,7377,5901.6,,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6432.74,87.2,,,percent of total billed charges,87.2% of total billed charges,4352.43,59,,3481.94,percent of total billed charges,59% of total billed charges,6432.74,87.2,,5146.19,percent of total billed charges,87.2% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5996.76,81.29,,4797.41,percent of total billed charges,81.29% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of totl billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,6639.3,
LEAD KIT 16 CONTACT 70CM,35032715,CDM,278,RC,C1778,HCPCS,Outpatient,,,7377,5901.6,,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,6270.45,85,,5016.36,percent of total billed charges,85% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,5479.64,74,,4383.71,percent of total billed charges,74.28% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,6432.74,87.2,,,percent of total billed charges,87.2% of total billed charges,4352.43,59,,3481.94,percent of total billed charges,59% of total billed charges,6432.74,87.2,,5146.19,percent of total billed charges,87.2% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,5996.76,81.29,,4797.41,percent of total billed charges,81.29% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of totl billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,6639.3,90,,5311.44,percent of total billed charges,90% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,4499.97,61,,3599.98,percent of total billed charges,61% of total billed charges,3836.04,52,,3068.83,percent of total billed charges,52% of total billed charges,3836.04,6639.3,
MED LEADS 3888,35033160,CDM,278,RC,C1778,HCPCS,Outpatient,,,2363.91,1891.13,,2009.32,85,,1607.46,percent of total billed charges,85% of total billed charges,2009.32,85,,1607.46,percent of total billed charges,85% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,1755.91,74,,1404.73,percent of total billed charges,74.28% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,1755.91,74,,1404.73,percent of total billed charges,74.28% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,1755.91,74,,1404.73,percent of total billed charges,74.28% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of total billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,2061.33,87.2,,,percent of total billed charges,87.2% of total billed charges,1394.71,59,,1115.77,percent of total billed charges,59% of total billed charges,2061.33,87.2,,1649.06,percent of total billed charges,87.2% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,1921.62,81.29,,1537.3,percent of total billed charges,81.29% of total billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of totl billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of total billed charges,2127.52,90,,1702.02,percent of total billed charges,90% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,1441.99,61,,1153.59,percent of total billed charges,61% of total billed charges,1229.23,52,,983.38,percent of total billed charges,52% of total billed charges,1229.23,2127.52,
MED LEADS 3986A,35033197,CDM,278,RC,C1778,HCPCS,Outpatient,,,2994.28,2395.42,,2545.14,85,,2036.11,percent of total billed charges,85% of total billed charges,2545.14,85,,2036.11,percent of total billed charges,85% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,2224.15,74,,1779.32,percent of total billed charges,74.28% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,2224.15,74,,1779.32,percent of total billed charges,74.28% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,2224.15,74,,1779.32,percent of total billed charges,74.28% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of total billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,2611.01,87.2,,,percent of total billed charges,87.2% of total billed charges,1766.63,59,,1413.3,percent of total billed charges,59% of total billed charges,2611.01,87.2,,2088.81,percent of total billed charges,87.2% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,2434.05,81.29,,1947.24,percent of total billed charges,81.29% of total billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of totl billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of total billed charges,2694.85,90,,2155.88,percent of total billed charges,90% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,1826.51,61,,1461.21,percent of total billed charges,61% of total billed charges,1557.03,52,,1245.62,percent of total billed charges,52% of total billed charges,1557.03,2694.85,
MED LEAD KT PSC 3487A/33/44/56,35039235,CDM,278,RC,C1778,HCPCS,Outpatient,,,2190.56,1752.45,,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1910.17,87.2,,,percent of total billed charges,87.2% of total billed charges,1292.43,59,,1033.94,percent of total billed charges,59% of total billed charges,1910.17,87.2,,1528.14,percent of total billed charges,87.2% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1780.71,81.29,,1424.57,percent of total billed charges,81.29% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of totl billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,1971.5,
STIM LEAD KIT OCTRODE 60cm 318,35039511,CDM,278,RC,C1778,HCPCS,Outpatient,,,4350,3480,,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,3697.5,85,,2958,percent of total billed charges,85% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3231.18,74,,2584.94,percent of total billed charges,74.28% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3793.2,87.2,,,percent of total billed charges,87.2% of total billed charges,2566.5,59,,2053.2,percent of total billed charges,59% of total billed charges,3793.2,87.2,,3034.56,percent of total billed charges,87.2% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,3536.12,81.29,,2828.9,percent of total billed charges,81.29% of total billed charges,3915,90,,3132,percent of total billed charges,90% of totl billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,3915,90,,3132,percent of total billed charges,90% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2653.5,61,,2122.8,percent of total billed charges,61% of total billed charges,2262,52,,1809.6,percent of total billed charges,52% of total billed charges,2262,3915,
NUGRIP SZ. 10s # NUG44310S,35030745,CDM,278,RC,C1779,HCPCS,Outpatient,,,4860,3888,,4131,85,,3304.8,percent of total billed charges,85% of total billed charges,4131,85,,3304.8,percent of total billed charges,85% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,3610.01,74,,2888.01,percent of total billed charges,74.28% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,3610.01,74,,2888.01,percent of total billed charges,74.28% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,3610.01,74,,2888.01,percent of total billed charges,74.28% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,4374,90,,3499.2,percent of total billed charges,90% of total billed charges,4374,90,,3499.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,4237.92,87.2,,,percent of total billed charges,87.2% of total billed charges,2867.4,59,,2293.92,percent of total billed charges,59% of total billed charges,4237.92,87.2,,3390.34,percent of total billed charges,87.2% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,3950.69,81.29,,3160.55,percent of total billed charges,81.29% of total billed charges,4374,90,,3499.2,percent of total billed charges,90% of totl billed charges,4374,90,,3499.2,percent of total billed charges,90% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,4374,90,,3499.2,percent of total billed charges,90% of total billed charges,4374,90,,3499.2,percent of total billed charges,90% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,2964.6,61,,2371.68,percent of total billed charges,61% of total billed charges,2527.2,52,,2021.76,percent of total billed charges,52% of total billed charges,2527.2,4374,
LENS INTROCULAR TORIC ALCON,35030304,CDM,276,RC,C1780,HCPCS,Outpatient,,,461.25,369,,392.06,85,,313.65,percent of total billed charges,85% of total billed charges,392.06,85,,313.65,percent of total billed charges,85% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,342.62,74,,274.1,percent of total billed charges,74.28% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,342.62,74,,274.1,percent of total billed charges,74.28% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,342.62,74,,274.1,percent of total billed charges,74.28% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,415.13,90,,332.1,percent of total billed charges,90% of total billed charges,415.13,90,,332.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,402.21,87.2,,,percent of total billed charges,87.2% of total billed charges,272.14,59,,217.71,percent of total billed charges,59% of total billed charges,402.21,87.2,,321.77,percent of total billed charges,87.2% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,374.95,81.29,,299.96,percent of total billed charges,81.29% of total billed charges,415.13,90,,332.1,percent of total billed charges,90% of totl billed charges,415.13,90,,332.1,percent of total billed charges,90% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,415.13,90,,332.1,percent of total billed charges,90% of total billed charges,415.13,90,,332.1,percent of total billed charges,90% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,281.36,61,,225.09,percent of total billed charges,61% of total billed charges,239.85,52,,191.88,percent of total billed charges,52% of total billed charges,239.85,415.13,
MESH ULTRAPRO 6X6 UMM3,35030038,CDM,278,RC,C1781,HCPCS,Outpatient,,,205.88,164.7,,175,85,,140,percent of total billed charges,85% of total billed charges,175,85,,140,percent of total billed charges,85% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,152.93,74,,122.34,percent of total billed charges,74.28% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,152.93,74,,122.34,percent of total billed charges,74.28% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,152.93,74,,122.34,percent of total billed charges,74.28% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,185.29,90,,148.23,percent of total billed charges,90% of total billed charges,185.29,90,,148.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,179.53,87.2,,,percent of total billed charges,87.2% of total billed charges,121.47,59,,97.18,percent of total billed charges,59% of total billed charges,179.53,87.2,,143.62,percent of total billed charges,87.2% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,167.36,81.29,,133.89,percent of total billed charges,81.29% of total billed charges,185.29,90,,148.23,percent of total billed charges,90% of totl billed charges,185.29,90,,148.23,percent of total billed charges,90% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,185.29,90,,148.23,percent of total billed charges,90% of total billed charges,185.29,90,,148.23,percent of total billed charges,90% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,125.59,61,,100.47,percent of total billed charges,61% of total billed charges,107.06,52,,85.65,percent of total billed charges,52% of total billed charges,107.06,185.29,
MESH PROGRIP GENERAL TEM1509G,35030298,CDM,278,RC,C1781,HCPCS,Outpatient,,,919.18,735.34,,781.3,85,,625.04,percent of total billed charges,85% of total billed charges,781.3,85,,625.04,percent of total billed charges,85% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,682.77,74,,546.22,percent of total billed charges,74.28% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,682.77,74,,546.22,percent of total billed charges,74.28% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,682.77,74,,546.22,percent of total billed charges,74.28% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,827.26,90,,661.81,percent of total billed charges,90% of total billed charges,827.26,90,,661.81,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,801.52,87.2,,,percent of total billed charges,87.2% of total billed charges,542.32,59,,433.86,percent of total billed charges,59% of total billed charges,801.52,87.2,,641.22,percent of total billed charges,87.2% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,747.2,81.29,,597.76,percent of total billed charges,81.29% of total billed charges,827.26,90,,661.81,percent of total billed charges,90% of totl billed charges,827.26,90,,661.81,percent of total billed charges,90% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,827.26,90,,661.81,percent of total billed charges,90% of total billed charges,827.26,90,,661.81,percent of total billed charges,90% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,560.7,61,,448.56,percent of total billed charges,61% of total billed charges,477.97,52,,382.38,percent of total billed charges,52% of total billed charges,477.97,827.26,
MESH PROGRIP LEFT TEM1208L,35030299,CDM,278,RC,C1781,HCPCS,Outpatient,,,1122.93,898.34,,954.49,85,,763.59,percent of total billed charges,85% of total billed charges,954.49,85,,763.59,percent of total billed charges,85% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,834.11,74,,667.29,percent of total billed charges,74.28% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,834.11,74,,667.29,percent of total billed charges,74.28% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,834.11,74,,667.29,percent of total billed charges,74.28% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,1010.64,90,,808.51,percent of total billed charges,90% of total billed charges,1010.64,90,,808.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,979.19,87.2,,,percent of total billed charges,87.2% of total billed charges,662.53,59,,530.02,percent of total billed charges,59% of total billed charges,979.19,87.2,,783.35,percent of total billed charges,87.2% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,912.83,81.29,,730.26,percent of total billed charges,81.29% of total billed charges,1010.64,90,,808.51,percent of total billed charges,90% of totl billed charges,1010.64,90,,808.51,percent of total billed charges,90% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,1010.64,90,,808.51,percent of total billed charges,90% of total billed charges,1010.64,90,,808.51,percent of total billed charges,90% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,684.99,61,,547.99,percent of total billed charges,61% of total billed charges,583.92,52,,467.14,percent of total billed charges,52% of total billed charges,583.92,1010.64,
MESH PROGRIP RIGHT TEM1208R,35030300,CDM,278,RC,C1781,HCPCS,Outpatient,,,675,540,,573.75,85,,459,percent of total billed charges,85% of total billed charges,573.75,85,,459,percent of total billed charges,85% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,501.39,74,,401.11,percent of total billed charges,74.28% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,588.6,87.2,,,percent of total billed charges,87.2% of total billed charges,398.25,59,,318.6,percent of total billed charges,59% of total billed charges,588.6,87.2,,470.88,percent of total billed charges,87.2% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,548.71,81.29,,438.97,percent of total billed charges,81.29% of total billed charges,607.5,90,,486,percent of total billed charges,90% of totl billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,607.5,90,,486,percent of total billed charges,90% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,411.75,61,,329.4,percent of total billed charges,61% of total billed charges,351,52,,280.8,percent of total billed charges,52% of total billed charges,351,607.5,
MESH VENTRALEX ST PATCH LG,35030384,CDM,278,RC,C1781,HCPCS,Outpatient,,,1313.17,1050.54,,1116.19,85,,892.95,percent of total billed charges,85% of total billed charges,1116.19,85,,892.95,percent of total billed charges,85% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,975.42,74,,780.34,percent of total billed charges,74.28% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,975.42,74,,780.34,percent of total billed charges,74.28% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,975.42,74,,780.34,percent of total billed charges,74.28% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,1181.85,90,,945.48,percent of total billed charges,90% of total billed charges,1181.85,90,,945.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,1145.08,87.2,,,percent of total billed charges,87.2% of total billed charges,774.77,59,,619.82,percent of total billed charges,59% of total billed charges,1145.08,87.2,,916.06,percent of total billed charges,87.2% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,1067.48,81.29,,853.98,percent of total billed charges,81.29% of total billed charges,1181.85,90,,945.48,percent of total billed charges,90% of totl billed charges,1181.85,90,,945.48,percent of total billed charges,90% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,1181.85,90,,945.48,percent of total billed charges,90% of total billed charges,1181.85,90,,945.48,percent of total billed charges,90% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,801.03,61,,640.82,percent of total billed charges,61% of total billed charges,682.85,52,,546.28,percent of total billed charges,52% of total billed charges,682.85,1181.85,
MESH VENTRALEX ST PATCH MED,35030386,CDM,278,RC,C1781,HCPCS,Outpatient,,,1357.62,1086.1,,1153.98,85,,923.18,percent of total billed charges,85% of total billed charges,1153.98,85,,923.18,percent of total billed charges,85% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,1008.44,74,,806.75,percent of total billed charges,74.28% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,1008.44,74,,806.75,percent of total billed charges,74.28% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,1008.44,74,,806.75,percent of total billed charges,74.28% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,1221.86,90,,977.49,percent of total billed charges,90% of total billed charges,1221.86,90,,977.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,1183.84,87.2,,,percent of total billed charges,87.2% of total billed charges,801,59,,640.8,percent of total billed charges,59% of total billed charges,1183.84,87.2,,947.07,percent of total billed charges,87.2% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,1103.61,81.29,,882.89,percent of total billed charges,81.29% of total billed charges,1221.86,90,,977.49,percent of total billed charges,90% of totl billed charges,1221.86,90,,977.49,percent of total billed charges,90% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,1221.86,90,,977.49,percent of total billed charges,90% of total billed charges,1221.86,90,,977.49,percent of total billed charges,90% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,828.15,61,,662.52,percent of total billed charges,61% of total billed charges,705.96,52,,564.77,percent of total billed charges,52% of total billed charges,705.96,1221.86,
MESH 3D MAX MEDIUM RT #0117320,35030461,CDM,278,RC,C1781,HCPCS,Outpatient,,,580,464,,493,85,,394.4,percent of total billed charges,85% of total billed charges,493,85,,394.4,percent of total billed charges,85% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,505.76,87.2,,,percent of total billed charges,87.2% of total billed charges,342.2,59,,273.76,percent of total billed charges,59% of total billed charges,505.76,87.2,,404.61,percent of total billed charges,87.2% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,471.48,81.29,,377.18,percent of total billed charges,81.29% of total billed charges,522,90,,417.6,percent of total billed charges,90% of totl billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,301.6,522,
MESH 3D MAX LARGE RT #0117321,35030462,CDM,278,RC,C1781,HCPCS,Outpatient,,,615,492,,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,536.28,87.2,,,percent of total billed charges,87.2% of total billed charges,362.85,59,,290.28,percent of total billed charges,59% of total billed charges,536.28,87.2,,429.02,percent of total billed charges,87.2% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,499.93,81.29,,399.94,percent of total billed charges,81.29% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of totl billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,553.5,
MESH 3D MAX MEDIUM LT #0117310,35030463,CDM,278,RC,C1781,HCPCS,Outpatient,,,580,464,,493,85,,394.4,percent of total billed charges,85% of total billed charges,493,85,,394.4,percent of total billed charges,85% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,430.82,74,,344.66,percent of total billed charges,74.28% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,505.76,87.2,,,percent of total billed charges,87.2% of total billed charges,342.2,59,,273.76,percent of total billed charges,59% of total billed charges,505.76,87.2,,404.61,percent of total billed charges,87.2% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,471.48,81.29,,377.18,percent of total billed charges,81.29% of total billed charges,522,90,,417.6,percent of total billed charges,90% of totl billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,522,90,,417.6,percent of total billed charges,90% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,353.8,61,,283.04,percent of total billed charges,61% of total billed charges,301.6,52,,241.28,percent of total billed charges,52% of total billed charges,301.6,522,
MESH 3D MAX LARGE LT #0117311,35030464,CDM,278,RC,C1781,HCPCS,Outpatient,,,615,492,,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,522.75,85,,418.2,percent of total billed charges,85% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,456.82,74,,365.46,percent of total billed charges,74.28% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,536.28,87.2,,,percent of total billed charges,87.2% of total billed charges,362.85,59,,290.28,percent of total billed charges,59% of total billed charges,536.28,87.2,,429.02,percent of total billed charges,87.2% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,499.93,81.29,,399.94,percent of total billed charges,81.29% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of totl billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,553.5,90,,442.8,percent of total billed charges,90% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,375.15,61,,300.12,percent of total billed charges,61% of total billed charges,319.8,52,,255.84,percent of total billed charges,52% of total billed charges,319.8,553.5,
SLING OBTRYX II URETHRAL M0068,35030552,CDM,278,RC,C1781,HCPCS,Outpatient,,,1937.81,1550.25,,1647.14,85,,1317.71,percent of total billed charges,85% of total billed charges,1647.14,85,,1317.71,percent of total billed charges,85% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1439.41,74,,1151.53,percent of total billed charges,74.28% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1439.41,74,,1151.53,percent of total billed charges,74.28% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1439.41,74,,1151.53,percent of total billed charges,74.28% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of total billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1689.77,87.2,,,percent of total billed charges,87.2% of total billed charges,1143.31,59,,914.65,percent of total billed charges,59% of total billed charges,1689.77,87.2,,1351.82,percent of total billed charges,87.2% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1575.25,81.29,,1260.2,percent of total billed charges,81.29% of total billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of totl billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of total billed charges,1744.03,90,,1395.22,percent of total billed charges,90% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1182.06,61,,945.65,percent of total billed charges,61% of total billed charges,1007.66,52,,806.13,percent of total billed charges,52% of total billed charges,1007.66,1744.03,
MESH 3D MAX HEAVY WEIGHT BARD,35030611,CDM,278,RC,C1781,HCPCS,Outpatient,,,608.1,486.48,,516.89,85,,413.51,percent of total billed charges,85% of total billed charges,516.89,85,,413.51,percent of total billed charges,85% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,451.7,74,,361.36,percent of total billed charges,74.28% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,451.7,74,,361.36,percent of total billed charges,74.28% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,451.7,74,,361.36,percent of total billed charges,74.28% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,547.29,90,,437.83,percent of total billed charges,90% of total billed charges,547.29,90,,437.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,530.26,87.2,,,percent of total billed charges,87.2% of total billed charges,358.78,59,,287.02,percent of total billed charges,59% of total billed charges,530.26,87.2,,424.21,percent of total billed charges,87.2% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,494.32,81.29,,395.46,percent of total billed charges,81.29% of total billed charges,547.29,90,,437.83,percent of total billed charges,90% of totl billed charges,547.29,90,,437.83,percent of total billed charges,90% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,547.29,90,,437.83,percent of total billed charges,90% of total billed charges,547.29,90,,437.83,percent of total billed charges,90% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,370.94,61,,296.75,percent of total billed charges,61% of total billed charges,316.21,52,,252.97,percent of total billed charges,52% of total billed charges,316.21,547.29,
BARD 3D HEAVY WEIGHT,35030656,CDM,278,RC,C1781,HCPCS,Outpatient,,,513,410.4,,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,447.34,87.2,,,percent of total billed charges,87.2% of total billed charges,302.67,59,,242.14,percent of total billed charges,59% of total billed charges,447.34,87.2,,357.87,percent of total billed charges,87.2% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,417.02,81.29,,333.62,percent of total billed charges,81.29% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of totl billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,461.7,
3D MAX MESH LEFT LARGE,35030658,CDM,278,RC,C1781,HCPCS,Outpatient,,,513,410.4,,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,436.05,85,,348.84,percent of total billed charges,85% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,381.06,74,,304.85,percent of total billed charges,74.28% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,447.34,87.2,,,percent of total billed charges,87.2% of total billed charges,302.67,59,,242.14,percent of total billed charges,59% of total billed charges,447.34,87.2,,357.87,percent of total billed charges,87.2% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,417.02,81.29,,333.62,percent of total billed charges,81.29% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of totl billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,461.7,90,,369.36,percent of total billed charges,90% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,312.93,61,,250.34,percent of total billed charges,61% of total billed charges,266.76,52,,213.41,percent of total billed charges,52% of total billed charges,266.76,461.7,
3D MAX MESH LEFT X-LARGE,35030659,CDM,278,RC,C1781,HCPCS,Outpatient,,,599.1,479.28,,509.24,85,,407.39,percent of total billed charges,85% of total billed charges,509.24,85,,407.39,percent of total billed charges,85% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,445.01,74,,356.01,percent of total billed charges,74.28% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,445.01,74,,356.01,percent of total billed charges,74.28% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,445.01,74,,356.01,percent of total billed charges,74.28% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,539.19,90,,431.35,percent of total billed charges,90% of total billed charges,539.19,90,,431.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,522.42,87.2,,,percent of total billed charges,87.2% of total billed charges,353.47,59,,282.78,percent of total billed charges,59% of total billed charges,522.42,87.2,,417.94,percent of total billed charges,87.2% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,487.01,81.29,,389.61,percent of total billed charges,81.29% of total billed charges,539.19,90,,431.35,percent of total billed charges,90% of totl billed charges,539.19,90,,431.35,percent of total billed charges,90% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,539.19,90,,431.35,percent of total billed charges,90% of total billed charges,539.19,90,,431.35,percent of total billed charges,90% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,365.45,61,,292.36,percent of total billed charges,61% of total billed charges,311.53,52,,249.22,percent of total billed charges,52% of total billed charges,311.53,539.19,
VENTRIO ST 11X14 HERNIA PATCH,35030948,CDM,278,RC,C1781,HCPCS,Outpatient,,,1873.22,1498.58,,1592.24,85,,1273.79,percent of total billed charges,85% of total billed charges,1592.24,85,,1273.79,percent of total billed charges,85% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,1391.43,74,,1113.14,percent of total billed charges,74.28% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,1391.43,74,,1113.14,percent of total billed charges,74.28% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,1391.43,74,,1113.14,percent of total billed charges,74.28% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of total billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,1633.45,87.2,,,percent of total billed charges,87.2% of total billed charges,1105.2,59,,884.16,percent of total billed charges,59% of total billed charges,1633.45,87.2,,1306.76,percent of total billed charges,87.2% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,1522.74,81.29,,1218.19,percent of total billed charges,81.29% of total billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of totl billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of total billed charges,1685.9,90,,1348.72,percent of total billed charges,90% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,1142.66,61,,914.13,percent of total billed charges,61% of total billed charges,974.07,52,,779.26,percent of total billed charges,52% of total billed charges,974.07,1685.9,
VENTRALIGHT MESH 4X6,35030972,CDM,278,RC,C1781,HCPCS,Outpatient,,,1091.22,872.98,,927.54,85,,742.03,percent of total billed charges,85% of total billed charges,927.54,85,,742.03,percent of total billed charges,85% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,810.56,74,,648.45,percent of total billed charges,74.28% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,810.56,74,,648.45,percent of total billed charges,74.28% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,810.56,74,,648.45,percent of total billed charges,74.28% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,982.1,90,,785.68,percent of total billed charges,90% of total billed charges,982.1,90,,785.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,951.54,87.2,,,percent of total billed charges,87.2% of total billed charges,643.82,59,,515.06,percent of total billed charges,59% of total billed charges,951.54,87.2,,761.23,percent of total billed charges,87.2% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,887.05,81.29,,709.64,percent of total billed charges,81.29% of total billed charges,982.1,90,,785.68,percent of total billed charges,90% of totl billed charges,982.1,90,,785.68,percent of total billed charges,90% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,982.1,90,,785.68,percent of total billed charges,90% of total billed charges,982.1,90,,785.68,percent of total billed charges,90% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,665.64,61,,532.51,percent of total billed charges,61% of total billed charges,567.43,52,,453.94,percent of total billed charges,52% of total billed charges,567.43,982.1,
VENTRALIGHT MESH 6X8,35030973,CDM,278,RC,C1781,HCPCS,Outpatient,,,933.75,747,,793.69,85,,634.95,percent of total billed charges,85% of total billed charges,793.69,85,,634.95,percent of total billed charges,85% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,693.59,74,,554.87,percent of total billed charges,74.28% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,814.23,87.2,,,percent of total billed charges,87.2% of total billed charges,550.91,59,,440.73,percent of total billed charges,59% of total billed charges,814.23,87.2,,651.38,percent of total billed charges,87.2% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,759.05,81.29,,607.24,percent of total billed charges,81.29% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of totl billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,840.38,90,,672.3,percent of total billed charges,90% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,569.59,61,,455.67,percent of total billed charges,61% of total billed charges,485.55,52,,388.44,percent of total billed charges,52% of total billed charges,485.55,840.38,
VENTRALIGHT MESH 8X10,35030974,CDM,278,RC,C1781,HCPCS,Outpatient,,,1350,1080,,1147.5,85,,918,percent of total billed charges,85% of total billed charges,1147.5,85,,918,percent of total billed charges,85% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1002.78,74,,802.22,percent of total billed charges,74.28% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1177.2,87.2,,,percent of total billed charges,87.2% of total billed charges,796.5,59,,637.2,percent of total billed charges,59% of total billed charges,1177.2,87.2,,941.76,percent of total billed charges,87.2% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,1097.42,81.29,,877.94,percent of total billed charges,81.29% of total billed charges,1215,90,,972,percent of total billed charges,90% of totl billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,1215,90,,972,percent of total billed charges,90% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,823.5,61,,658.8,percent of total billed charges,61% of total billed charges,702,52,,561.6,percent of total billed charges,52% of total billed charges,702,1215,
NEURO ABSORB MED US,35031950,CDM,278,RC,C1781,HCPCS,Outpatient,,,2013.75,1611,,1711.69,85,,1369.35,percent of total billed charges,85% of total billed charges,1711.69,85,,1369.35,percent of total billed charges,85% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1495.81,74,,1196.65,percent of total billed charges,74.28% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1495.81,74,,1196.65,percent of total billed charges,74.28% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1495.81,74,,1196.65,percent of total billed charges,74.28% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of total billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1755.99,87.2,,,percent of total billed charges,87.2% of total billed charges,1188.11,59,,950.49,percent of total billed charges,59% of total billed charges,1755.99,87.2,,1404.79,percent of total billed charges,87.2% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1636.98,81.29,,1309.58,percent of total billed charges,81.29% of total billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of totl billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of total billed charges,1812.38,90,,1449.9,percent of total billed charges,90% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1228.39,61,,982.71,percent of total billed charges,61% of total billed charges,1047.15,52,,837.72,percent of total billed charges,52% of total billed charges,1047.15,1812.38,
MESH PERFIX PLUG SMALL,35032560,CDM,278,RC,C1781,HCPCS,Outpatient,,,977.43,781.94,,830.82,85,,664.66,percent of total billed charges,85% of total billed charges,830.82,85,,664.66,percent of total billed charges,85% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,726.04,74,,580.83,percent of total billed charges,74.28% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,726.04,74,,580.83,percent of total billed charges,74.28% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,726.04,74,,580.83,percent of total billed charges,74.28% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,879.69,90,,703.75,percent of total billed charges,90% of total billed charges,879.69,90,,703.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,852.32,87.2,,,percent of total billed charges,87.2% of total billed charges,576.68,59,,461.34,percent of total billed charges,59% of total billed charges,852.32,87.2,,681.86,percent of total billed charges,87.2% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,794.55,81.29,,635.64,percent of total billed charges,81.29% of total billed charges,879.69,90,,703.75,percent of total billed charges,90% of totl billed charges,879.69,90,,703.75,percent of total billed charges,90% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,879.69,90,,703.75,percent of total billed charges,90% of total billed charges,879.69,90,,703.75,percent of total billed charges,90% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,596.23,61,,476.98,percent of total billed charges,61% of total billed charges,508.26,52,,406.61,percent of total billed charges,52% of total billed charges,508.26,879.69,
MESH PERFIX PLUG MEDIUM,35032561,CDM,278,RC,C1781,HCPCS,Outpatient,,,986.49,789.19,,838.52,85,,670.82,percent of total billed charges,85% of total billed charges,838.52,85,,670.82,percent of total billed charges,85% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,732.76,74,,586.21,percent of total billed charges,74.28% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,732.76,74,,586.21,percent of total billed charges,74.28% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,732.76,74,,586.21,percent of total billed charges,74.28% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,887.84,90,,710.27,percent of total billed charges,90% of total billed charges,887.84,90,,710.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,860.22,87.2,,,percent of total billed charges,87.2% of total billed charges,582.03,59,,465.62,percent of total billed charges,59% of total billed charges,860.22,87.2,,688.18,percent of total billed charges,87.2% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,801.92,81.29,,641.54,percent of total billed charges,81.29% of total billed charges,887.84,90,,710.27,percent of total billed charges,90% of totl billed charges,887.84,90,,710.27,percent of total billed charges,90% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,887.84,90,,710.27,percent of total billed charges,90% of total billed charges,887.84,90,,710.27,percent of total billed charges,90% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,601.76,61,,481.41,percent of total billed charges,61% of total billed charges,512.97,52,,410.38,percent of total billed charges,52% of total billed charges,512.97,887.84,
GRAFT ALLODERM 2X4,35033127,CDM,278,RC,C1781,HCPCS,Outpatient,,,1096.85,877.48,,932.32,85,,745.86,percent of total billed charges,85% of total billed charges,932.32,85,,745.86,percent of total billed charges,85% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,814.74,74,,651.79,percent of total billed charges,74.28% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,814.74,74,,651.79,percent of total billed charges,74.28% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,814.74,74,,651.79,percent of total billed charges,74.28% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,987.17,90,,789.74,percent of total billed charges,90% of total billed charges,987.17,90,,789.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,956.45,87.2,,,percent of total billed charges,87.2% of total billed charges,647.14,59,,517.71,percent of total billed charges,59% of total billed charges,956.45,87.2,,765.16,percent of total billed charges,87.2% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,891.63,81.29,,713.3,percent of total billed charges,81.29% of total billed charges,987.17,90,,789.74,percent of total billed charges,90% of totl billed charges,987.17,90,,789.74,percent of total billed charges,90% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,987.17,90,,789.74,percent of total billed charges,90% of total billed charges,987.17,90,,789.74,percent of total billed charges,90% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,669.08,61,,535.26,percent of total billed charges,61% of total billed charges,570.36,52,,456.29,percent of total billed charges,52% of total billed charges,570.36,987.17,
MESH BARD 3X6 0112680,35033207,CDM,278,RC,C1781,HCPCS,Outpatient,,,143.57,114.86,,122.03,85,,97.62,percent of total billed charges,85% of total billed charges,122.03,85,,97.62,percent of total billed charges,85% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,106.64,74,,85.31,percent of total billed charges,74.28% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,106.64,74,,85.31,percent of total billed charges,74.28% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,106.64,74,,85.31,percent of total billed charges,74.28% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,129.21,90,,103.37,percent of total billed charges,90% of total billed charges,129.21,90,,103.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,125.19,87.2,,,percent of total billed charges,87.2% of total billed charges,84.71,59,,67.77,percent of total billed charges,59% of total billed charges,125.19,87.2,,100.15,percent of total billed charges,87.2% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,116.71,81.29,,93.37,percent of total billed charges,81.29% of total billed charges,129.21,90,,103.37,percent of total billed charges,90% of totl billed charges,129.21,90,,103.37,percent of total billed charges,90% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,129.21,90,,103.37,percent of total billed charges,90% of total billed charges,129.21,90,,103.37,percent of total billed charges,90% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,87.58,61,,70.06,percent of total billed charges,61% of total billed charges,74.66,52,,59.73,percent of total billed charges,52% of total billed charges,74.66,129.21,
MESH ULTRAPRO 3X6,35033208,CDM,278,RC,C1781,HCPCS,Outpatient,,,279.54,223.63,,237.61,85,,190.09,percent of total billed charges,85% of total billed charges,237.61,85,,190.09,percent of total billed charges,85% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,207.64,74,,166.11,percent of total billed charges,74.28% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,207.64,74,,166.11,percent of total billed charges,74.28% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,207.64,74,,166.11,percent of total billed charges,74.28% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,251.59,90,,201.27,percent of total billed charges,90% of total billed charges,251.59,90,,201.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,243.76,87.2,,,percent of total billed charges,87.2% of total billed charges,164.93,59,,131.94,percent of total billed charges,59% of total billed charges,243.76,87.2,,195.01,percent of total billed charges,87.2% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,227.24,81.29,,181.79,percent of total billed charges,81.29% of total billed charges,251.59,90,,201.27,percent of total billed charges,90% of totl billed charges,251.59,90,,201.27,percent of total billed charges,90% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,251.59,90,,201.27,percent of total billed charges,90% of total billed charges,251.59,90,,201.27,percent of total billed charges,90% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,170.52,61,,136.42,percent of total billed charges,61% of total billed charges,145.36,52,,116.29,percent of total billed charges,52% of total billed charges,145.36,251.59,
MESH PROCEED VENTRAL (PVPS),35033209,CDM,278,RC,C1781,HCPCS,Outpatient,,,880.79,704.63,,748.67,85,,598.94,percent of total billed charges,85% of total billed charges,748.67,85,,598.94,percent of total billed charges,85% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,654.25,74,,523.4,percent of total billed charges,74.28% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,654.25,74,,523.4,percent of total billed charges,74.28% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,654.25,74,,523.4,percent of total billed charges,74.28% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,792.71,90,,634.17,percent of total billed charges,90% of total billed charges,792.71,90,,634.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,768.05,87.2,,,percent of total billed charges,87.2% of total billed charges,519.67,59,,415.74,percent of total billed charges,59% of total billed charges,768.05,87.2,,614.44,percent of total billed charges,87.2% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,715.99,81.29,,572.79,percent of total billed charges,81.29% of total billed charges,792.71,90,,634.17,percent of total billed charges,90% of totl billed charges,792.71,90,,634.17,percent of total billed charges,90% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,792.71,90,,634.17,percent of total billed charges,90% of total billed charges,792.71,90,,634.17,percent of total billed charges,90% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,537.28,61,,429.82,percent of total billed charges,61% of total billed charges,458.01,52,,366.41,percent of total billed charges,52% of total billed charges,458.01,792.71,
MESH PROCEED VENTRAL (PVPM),35033210,CDM,278,RC,C1781,HCPCS,Outpatient,,,1053.43,842.74,,895.42,85,,716.34,percent of total billed charges,85% of total billed charges,895.42,85,,716.34,percent of total billed charges,85% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,782.49,74,,625.99,percent of total billed charges,74.28% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,782.49,74,,625.99,percent of total billed charges,74.28% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,782.49,74,,625.99,percent of total billed charges,74.28% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,948.09,90,,758.47,percent of total billed charges,90% of total billed charges,948.09,90,,758.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,918.59,87.2,,,percent of total billed charges,87.2% of total billed charges,621.52,59,,497.22,percent of total billed charges,59% of total billed charges,918.59,87.2,,734.87,percent of total billed charges,87.2% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,856.33,81.29,,685.06,percent of total billed charges,81.29% of total billed charges,948.09,90,,758.47,percent of total billed charges,90% of totl billed charges,948.09,90,,758.47,percent of total billed charges,90% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,948.09,90,,758.47,percent of total billed charges,90% of total billed charges,948.09,90,,758.47,percent of total billed charges,90% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,642.59,61,,514.07,percent of total billed charges,61% of total billed charges,547.78,52,,438.22,percent of total billed charges,52% of total billed charges,547.78,948.09,
MESH PROCEED 4X8 PCDDI,35036050,CDM,278,RC,C1781,HCPCS,Outpatient,,,976.6,781.28,,830.11,85,,664.09,percent of total billed charges,85% of total billed charges,830.11,85,,664.09,percent of total billed charges,85% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,725.42,74,,580.34,percent of total billed charges,74.28% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,725.42,74,,580.34,percent of total billed charges,74.28% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,725.42,74,,580.34,percent of total billed charges,74.28% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,878.94,90,,703.15,percent of total billed charges,90% of total billed charges,878.94,90,,703.15,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,851.6,87.2,,,percent of total billed charges,87.2% of total billed charges,576.19,59,,460.95,percent of total billed charges,59% of total billed charges,851.6,87.2,,681.28,percent of total billed charges,87.2% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,793.88,81.29,,635.1,percent of total billed charges,81.29% of total billed charges,878.94,90,,703.15,percent of total billed charges,90% of totl billed charges,878.94,90,,703.15,percent of total billed charges,90% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,878.94,90,,703.15,percent of total billed charges,90% of total billed charges,878.94,90,,703.15,percent of total billed charges,90% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,595.73,61,,476.58,percent of total billed charges,61% of total billed charges,507.83,52,,406.26,percent of total billed charges,52% of total billed charges,507.83,878.94,
MESH PROCEED 6X8 PCDGI,35036051,CDM,278,RC,C1781,HCPCS,Outpatient,,,1821.16,1456.93,,1547.99,85,,1238.39,percent of total billed charges,85% of total billed charges,1547.99,85,,1238.39,percent of total billed charges,85% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,1352.76,74,,1082.21,percent of total billed charges,74.28% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,1352.76,74,,1082.21,percent of total billed charges,74.28% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,1352.76,74,,1082.21,percent of total billed charges,74.28% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of total billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,947,52,,757.6,percent of total billed charges,52% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,1588.05,87.2,,,percent of total billed charges,87.2% of total billed charges,1074.48,59,,859.58,percent of total billed charges,59% of total billed charges,1588.05,87.2,,1270.44,percent of total billed charges,87.2% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,1480.42,81.29,,1184.34,percent of total billed charges,81.29% of total billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of totl billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of total billed charges,1639.04,90,,1311.23,percent of total billed charges,90% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,1110.91,61,,888.73,percent of total billed charges,61% of total billed charges,947,52,,757.6,percent of total billed charges,52% of total billed charges,947,1639.04,
MESH PROCEED 8X10 PCDHI,35036052,CDM,278,RC,C1781,HCPCS,Outpatient,,,1963.81,1571.05,,1669.24,85,,1335.39,percent of total billed charges,85% of total billed charges,1669.24,85,,1335.39,percent of total billed charges,85% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1458.72,74,,1166.98,percent of total billed charges,74.28% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1458.72,74,,1166.98,percent of total billed charges,74.28% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1458.72,74,,1166.98,percent of total billed charges,74.28% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of total billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1712.44,87.2,,,percent of total billed charges,87.2% of total billed charges,1158.65,59,,926.92,percent of total billed charges,59% of total billed charges,1712.44,87.2,,1369.95,percent of total billed charges,87.2% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1596.38,81.29,,1277.1,percent of total billed charges,81.29% of total billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of totl billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of total billed charges,1767.43,90,,1413.94,percent of total billed charges,90% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1197.92,61,,958.34,percent of total billed charges,61% of total billed charges,1021.18,52,,816.94,percent of total billed charges,52% of total billed charges,1021.18,1767.43,
MESH PLUG PERFIX LG 0112770,35039317,CDM,278,RC,C1781,HCPCS,Outpatient,,,459.9,367.92,,390.92,85,,312.74,percent of total billed charges,85% of total billed charges,390.92,85,,312.74,percent of total billed charges,85% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,341.61,74,,273.29,percent of total billed charges,74.28% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,341.61,74,,273.29,percent of total billed charges,74.28% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,341.61,74,,273.29,percent of total billed charges,74.28% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,413.91,90,,331.13,percent of total billed charges,90% of total billed charges,413.91,90,,331.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,401.03,87.2,,,percent of total billed charges,87.2% of total billed charges,271.34,59,,217.07,percent of total billed charges,59% of total billed charges,401.03,87.2,,320.82,percent of total billed charges,87.2% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,373.85,81.29,,299.08,percent of total billed charges,81.29% of total billed charges,413.91,90,,331.13,percent of total billed charges,90% of totl billed charges,413.91,90,,331.13,percent of total billed charges,90% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,413.91,90,,331.13,percent of total billed charges,90% of total billed charges,413.91,90,,331.13,percent of total billed charges,90% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,280.54,61,,224.43,percent of total billed charges,61% of total billed charges,239.15,52,,191.32,percent of total billed charges,52% of total billed charges,239.15,413.91,
MESH PLUG PERFLEX XLG 0112780,35039318,CDM,278,RC,C1781,HCPCS,Outpatient,,,522.18,417.74,,443.85,85,,355.08,percent of total billed charges,85% of total billed charges,443.85,85,,355.08,percent of total billed charges,85% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,387.88,74,,310.3,percent of total billed charges,74.28% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,387.88,74,,310.3,percent of total billed charges,74.28% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,387.88,74,,310.3,percent of total billed charges,74.28% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,469.96,90,,375.97,percent of total billed charges,90% of total billed charges,469.96,90,,375.97,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,455.34,87.2,,,percent of total billed charges,87.2% of total billed charges,308.09,59,,246.47,percent of total billed charges,59% of total billed charges,455.34,87.2,,364.27,percent of total billed charges,87.2% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,424.48,81.29,,339.58,percent of total billed charges,81.29% of total billed charges,469.96,90,,375.97,percent of total billed charges,90% of totl billed charges,469.96,90,,375.97,percent of total billed charges,90% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,469.96,90,,375.97,percent of total billed charges,90% of total billed charges,469.96,90,,375.97,percent of total billed charges,90% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,318.53,61,,254.82,percent of total billed charges,61% of total billed charges,271.53,52,,217.22,percent of total billed charges,52% of total billed charges,271.53,469.96,
MESH MARLEX 2x4 0112650,35039642,CDM,278,RC,C1781,HCPCS,Outpatient,,,129.23,103.38,,109.85,85,,87.88,percent of total billed charges,85% of total billed charges,109.85,85,,87.88,percent of total billed charges,85% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,95.99,74,,76.79,percent of total billed charges,74.28% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,95.99,74,,76.79,percent of total billed charges,74.28% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,95.99,74,,76.79,percent of total billed charges,74.28% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,116.31,90,,93.05,percent of total billed charges,90% of total billed charges,116.31,90,,93.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,112.69,87.2,,,percent of total billed charges,87.2% of total billed charges,76.25,59,,61,percent of total billed charges,59% of total billed charges,112.69,87.2,,90.15,percent of total billed charges,87.2% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,105.05,81.29,,84.04,percent of total billed charges,81.29% of total billed charges,116.31,90,,93.05,percent of total billed charges,90% of totl billed charges,116.31,90,,93.05,percent of total billed charges,90% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,116.31,90,,93.05,percent of total billed charges,90% of total billed charges,116.31,90,,93.05,percent of total billed charges,90% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,78.83,61,,63.06,percent of total billed charges,61% of total billed charges,67.2,52,,53.76,percent of total billed charges,52% of total billed charges,67.2,116.31,
MESH PROCEED 4x6 PCDN1,35039853,CDM,278,RC,C1781,HCPCS,Outpatient,,,1051.11,840.89,,893.44,85,,714.75,percent of total billed charges,85% of total billed charges,893.44,85,,714.75,percent of total billed charges,85% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,780.76,74,,624.61,percent of total billed charges,74.28% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,780.76,74,,624.61,percent of total billed charges,74.28% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,780.76,74,,624.61,percent of total billed charges,74.28% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,946,90,,756.8,percent of total billed charges,90% of total billed charges,946,90,,756.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,916.57,87.2,,,percent of total billed charges,87.2% of total billed charges,620.15,59,,496.12,percent of total billed charges,59% of total billed charges,916.57,87.2,,733.26,percent of total billed charges,87.2% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,854.45,81.29,,683.56,percent of total billed charges,81.29% of total billed charges,946,90,,756.8,percent of total billed charges,90% of totl billed charges,946,90,,756.8,percent of total billed charges,90% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,946,90,,756.8,percent of total billed charges,90% of total billed charges,946,90,,756.8,percent of total billed charges,90% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,641.18,61,,512.94,percent of total billed charges,61% of total billed charges,546.58,52,,437.26,percent of total billed charges,52% of total billed charges,546.58,946,
PATIENT CONTROLLER,35030673,CDM,271,RC,C1787,HCPCS,Outpatient,,,1650,1320,,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,1402.5,85,,1122,percent of total billed charges,85% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1225.62,74,,980.5,percent of total billed charges,74.28% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1438.8,87.2,,,percent of total billed charges,87.2% of total billed charges,973.5,59,,778.8,percent of total billed charges,59% of total billed charges,1438.8,87.2,,1151.04,percent of total billed charges,87.2% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,1341.29,81.29,,1073.03,percent of total billed charges,81.29% of total billed charges,1485,90,,1188,percent of total billed charges,90% of totl billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1485,90,,1188,percent of total billed charges,90% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,1006.5,61,,805.2,percent of total billed charges,61% of total billed charges,858,52,,686.4,percent of total billed charges,52% of total billed charges,858,1485,
PATIENT REMOTE KIT,35030762,CDM,271,RC,C1787,HCPCS,Outpatient,,,2236.5,1789.2,,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1950.23,87.2,,,percent of total billed charges,87.2% of total billed charges,1319.54,59,,1055.63,percent of total billed charges,59% of total billed charges,1950.23,87.2,,1560.18,percent of total billed charges,87.2% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1818.05,81.29,,1454.44,percent of total billed charges,81.29% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of totl billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,2012.85,
SENZA OMNIA PATIENT REMOTE KIT,35031357,CDM,271,RC,C1787,HCPCS,Outpatient,,,2236.5,1789.2,,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1950.23,87.2,,,percent of total billed charges,87.2% of total billed charges,1319.54,59,,1055.63,percent of total billed charges,59% of total billed charges,1950.23,87.2,,1560.18,percent of total billed charges,87.2% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1818.05,81.29,,1454.44,percent of total billed charges,81.29% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of totl billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,2012.85,
MED PROGRAMMER 8832,35033188,CDM,279,RC,C1787,HCPCS,Outpatient,,,1300.15,1040.12,,1105.13,85,,884.1,percent of total billed charges,85% of total billed charges,1105.13,85,,884.1,percent of total billed charges,85% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,965.75,74,,772.6,percent of total billed charges,74.28% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,965.75,74,,772.6,percent of total billed charges,74.28% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,965.75,74,,772.6,percent of total billed charges,74.28% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,1170.14,90,,936.11,percent of total billed charges,90% of total billed charges,1170.14,90,,936.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,1133.73,87.2,,,percent of total billed charges,87.2% of total billed charges,767.09,59,,613.67,percent of total billed charges,59% of total billed charges,1133.73,87.2,,906.98,percent of total billed charges,87.2% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,1056.89,81.29,,845.51,percent of total billed charges,81.29% of total billed charges,1170.14,90,,936.11,percent of total billed charges,90% of totl billed charges,1170.14,90,,936.11,percent of total billed charges,90% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,1170.14,90,,936.11,percent of total billed charges,90% of total billed charges,1170.14,90,,936.11,percent of total billed charges,90% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,793.09,61,,634.47,percent of total billed charges,61% of total billed charges,676.08,52,,540.86,percent of total billed charges,52% of total billed charges,676.08,1170.14,
MED PATIENT PROGRAMMER 7434A,35039972,CDM,279,RC,C1787,HCPCS,Outpatient,,,2115.69,1692.55,,1798.34,85,,1438.67,percent of total billed charges,85% of total billed charges,1798.34,85,,1438.67,percent of total billed charges,85% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1571.53,74,,1257.22,percent of total billed charges,74.28% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1571.53,74,,1257.22,percent of total billed charges,74.28% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1571.53,74,,1257.22,percent of total billed charges,74.28% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of total billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1844.88,87.2,,,percent of total billed charges,87.2% of total billed charges,1248.26,59,,998.61,percent of total billed charges,59% of total billed charges,1844.88,87.2,,1475.9,percent of total billed charges,87.2% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1719.84,81.29,,1375.87,percent of total billed charges,81.29% of total billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of totl billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of total billed charges,1904.12,90,,1523.3,percent of total billed charges,90% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1290.57,61,,1032.46,percent of total billed charges,61% of total billed charges,1100.16,52,,880.13,percent of total billed charges,52% of total billed charges,1100.16,1904.12,
BIOFLO PORT,35030801,CDM,278,RC,C1788,HCPCS,Outpatient,,,879.06,703.25,,747.2,85,,597.76,percent of total billed charges,85% of total billed charges,747.2,85,,597.76,percent of total billed charges,85% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,652.97,74,,522.38,percent of total billed charges,74.28% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,652.97,74,,522.38,percent of total billed charges,74.28% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,652.97,74,,522.38,percent of total billed charges,74.28% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,791.15,90,,632.92,percent of total billed charges,90% of total billed charges,791.15,90,,632.92,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,766.54,87.2,,,percent of total billed charges,87.2% of total billed charges,518.65,59,,414.92,percent of total billed charges,59% of total billed charges,766.54,87.2,,613.23,percent of total billed charges,87.2% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,714.59,81.29,,571.67,percent of total billed charges,81.29% of total billed charges,791.15,90,,632.92,percent of total billed charges,90% of totl billed charges,791.15,90,,632.92,percent of total billed charges,90% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,791.15,90,,632.92,percent of total billed charges,90% of total billed charges,791.15,90,,632.92,percent of total billed charges,90% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,536.23,61,,428.98,percent of total billed charges,61% of total billed charges,457.11,52,,365.69,percent of total billed charges,52% of total billed charges,457.11,791.15,
INFUSAPORT BIOFLO PORT 8F,35031980,CDM,278,RC,C1788,HCPCS,Outpatient,,,672.75,538.2,,571.84,85,,457.47,percent of total billed charges,85% of total billed charges,571.84,85,,457.47,percent of total billed charges,85% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,499.72,74,,399.78,percent of total billed charges,74.28% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,499.72,74,,399.78,percent of total billed charges,74.28% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,499.72,74,,399.78,percent of total billed charges,74.28% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,605.48,90,,484.38,percent of total billed charges,90% of total billed charges,605.48,90,,484.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,586.64,87.2,,,percent of total billed charges,87.2% of total billed charges,396.92,59,,317.54,percent of total billed charges,59% of total billed charges,586.64,87.2,,469.31,percent of total billed charges,87.2% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,546.88,81.29,,437.5,percent of total billed charges,81.29% of total billed charges,605.48,90,,484.38,percent of total billed charges,90% of totl billed charges,605.48,90,,484.38,percent of total billed charges,90% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,605.48,90,,484.38,percent of total billed charges,90% of total billed charges,605.48,90,,484.38,percent of total billed charges,90% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,410.38,61,,328.3,percent of total billed charges,61% of total billed charges,349.83,52,,279.86,percent of total billed charges,52% of total billed charges,349.83,605.48,
INFUSE-A-PORT PASV #PRTA96A,35039709,CDM,278,RC,C1788,HCPCS,Outpatient,,,695.51,556.41,,591.18,85,,472.94,percent of total billed charges,85% of total billed charges,591.18,85,,472.94,percent of total billed charges,85% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,516.62,74,,413.3,percent of total billed charges,74.28% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,516.62,74,,413.3,percent of total billed charges,74.28% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,516.62,74,,413.3,percent of total billed charges,74.28% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,625.96,90,,500.77,percent of total billed charges,90% of total billed charges,625.96,90,,500.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,606.48,87.2,,,percent of total billed charges,87.2% of total billed charges,410.35,59,,328.28,percent of total billed charges,59% of total billed charges,606.48,87.2,,485.18,percent of total billed charges,87.2% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,565.38,81.29,,452.3,percent of total billed charges,81.29% of total billed charges,625.96,90,,500.77,percent of total billed charges,90% of totl billed charges,625.96,90,,500.77,percent of total billed charges,90% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,625.96,90,,500.77,percent of total billed charges,90% of total billed charges,625.96,90,,500.77,percent of total billed charges,90% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,424.26,61,,339.41,percent of total billed charges,61% of total billed charges,361.67,52,,289.34,percent of total billed charges,52% of total billed charges,361.67,625.96,
MENTOR TISS EXP 3547214,35031079,CDM,278,RC,C1789,HCPCS,Outpatient,,,2423.01,1938.41,,2059.56,85,,1647.65,percent of total billed charges,85% of total billed charges,2059.56,85,,1647.65,percent of total billed charges,85% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,1799.81,74,,1439.85,percent of total billed charges,74.28% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,1799.81,74,,1439.85,percent of total billed charges,74.28% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,1799.81,74,,1439.85,percent of total billed charges,74.28% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of total billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,2112.86,87.2,,,percent of total billed charges,87.2% of total billed charges,1429.58,59,,1143.66,percent of total billed charges,59% of total billed charges,2112.86,87.2,,1690.29,percent of total billed charges,87.2% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,1969.66,81.29,,1575.73,percent of total billed charges,81.29% of total billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of totl billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of total billed charges,2180.71,90,,1744.57,percent of total billed charges,90% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,1478.04,61,,1182.43,percent of total billed charges,61% of total billed charges,1259.97,52,,1007.98,percent of total billed charges,52% of total billed charges,1259.97,2180.71,
MENTOR GEL IMPLANT 3507501BC,35031082,CDM,278,RC,C1789,HCPCS,Outpatient,,,2127.52,1702.02,,1808.39,85,,1446.71,percent of total billed charges,85% of total billed charges,1808.39,85,,1446.71,percent of total billed charges,85% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1580.32,74,,1264.26,percent of total billed charges,74.28% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1580.32,74,,1264.26,percent of total billed charges,74.28% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1580.32,74,,1264.26,percent of total billed charges,74.28% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of total billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1855.2,87.2,,,percent of total billed charges,87.2% of total billed charges,1255.24,59,,1004.19,percent of total billed charges,59% of total billed charges,1855.2,87.2,,1484.16,percent of total billed charges,87.2% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1729.46,81.29,,1383.57,percent of total billed charges,81.29% of total billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of totl billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of total billed charges,1914.77,90,,1531.82,percent of total billed charges,90% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1297.79,61,,1038.23,percent of total billed charges,61% of total billed charges,1106.31,52,,885.05,percent of total billed charges,52% of total billed charges,1106.31,1914.77,
STIM PRECISION GENERATOR SC-11,35030241,CDM,278,RC,C1820,HCPCS,Outpatient,,,28290,22632,,24046.5,85,,19237.2,percent of total billed charges,85% of total billed charges,24046.5,85,,19237.2,percent of total billed charges,85% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,21013.81,74,,16811.05,percent of total billed charges,74.28% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,21013.81,74,,16811.05,percent of total billed charges,74.28% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,21013.81,74,,16811.05,percent of total billed charges,74.28% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,25461,90,,20368.8,percent of total billed charges,90% of total billed charges,25461,90,,20368.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,24668.88,87.2,,,percent of total billed charges,87.2% of total billed charges,16691.1,59,,13352.88,percent of total billed charges,59% of total billed charges,24668.88,87.2,,19735.1,percent of total billed charges,87.2% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,22996.94,81.29,,18397.55,percent of total billed charges,81.29% of total billed charges,25461,90,,20368.8,percent of total billed charges,90% of totl billed charges,25461,90,,20368.8,percent of total billed charges,90% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,25461,90,,20368.8,percent of total billed charges,90% of total billed charges,25461,90,,20368.8,percent of total billed charges,90% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,17256.9,61,,13805.52,percent of total billed charges,61% of total billed charges,14710.8,52,,11768.64,percent of total billed charges,52% of total billed charges,14710.8,25461,
STIM PRECISION GENERATOR MRI,35030430,CDM,278,RC,C1820,HCPCS,Outpatient,,,27735,22188,,23574.75,85,,18859.8,percent of total billed charges,85% of total billed charges,23574.75,85,,18859.8,percent of total billed charges,85% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,20601.56,74,,16481.25,percent of total billed charges,74.28% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,20601.56,74,,16481.25,percent of total billed charges,74.28% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,20601.56,74,,16481.25,percent of total billed charges,74.28% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of total billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,24184.92,87.2,,,percent of total billed charges,87.2% of total billed charges,16363.65,59,,13090.92,percent of total billed charges,59% of total billed charges,24184.92,87.2,,19347.94,percent of total billed charges,87.2% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,22545.78,81.29,,18036.62,percent of total billed charges,81.29% of total billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of totl billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of total billed charges,24961.5,90,,19969.2,percent of total billed charges,90% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,16918.35,61,,13534.68,percent of total billed charges,61% of total billed charges,14422.2,52,,11537.76,percent of total billed charges,52% of total billed charges,14422.2,24961.5,
STIM SPECTRA WAVE WRITER,35030625,CDM,278,RC,C1820,HCPCS,Outpatient,,,29235,23388,,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,25492.92,87.2,,,percent of total billed charges,87.2% of total billed charges,17248.65,59,,13798.92,percent of total billed charges,59% of total billed charges,25492.92,87.2,,20394.34,percent of total billed charges,87.2% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,23765.13,81.29,,19012.1,percent of total billed charges,81.29% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of totl billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,26311.5,
INTELLIS IPG,35030671,CDM,278,RC,C1820,HCPCS,Outpatient,,,28278,22622.4,,24036.3,85,,19229.04,percent of total billed charges,85% of total billed charges,24036.3,85,,19229.04,percent of total billed charges,85% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,21004.9,74,,16803.92,percent of total billed charges,74.28% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,21004.9,74,,16803.92,percent of total billed charges,74.28% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,21004.9,74,,16803.92,percent of total billed charges,74.28% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of total billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,24658.42,87.2,,,percent of total billed charges,87.2% of total billed charges,16684.02,59,,13347.22,percent of total billed charges,59% of total billed charges,24658.42,87.2,,19726.74,percent of total billed charges,87.2% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,22987.19,81.29,,18389.75,percent of total billed charges,81.29% of total billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of totl billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of total billed charges,25450.2,90,,20360.16,percent of total billed charges,90% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,17249.58,61,,13799.66,percent of total billed charges,61% of total billed charges,14704.56,52,,11763.65,percent of total billed charges,52% of total billed charges,14704.56,25450.2,
IPG KIT,35030740,CDM,278,RC,C1820,HCPCS,Outpatient,,,40785,32628,,34667.25,85,,27733.8,percent of total billed charges,85% of total billed charges,34667.25,85,,27733.8,percent of total billed charges,85% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,35564.52,87.2,,,percent of total billed charges,87.2% of total billed charges,24063.15,59,,19250.52,percent of total billed charges,59% of total billed charges,35564.52,87.2,,28451.62,percent of total billed charges,87.2% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,33154.13,81.29,,26523.3,percent of total billed charges,81.29% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of totl billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,21208.2,36706.5,
WAVEWRITER ALPHA GEN SC-1232,35031767,CDM,278,RC,C1820,HCPCS,Outpatient,,,29235,23388,,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,24849.75,85,,19879.8,percent of total billed charges,85% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,21715.76,74,,17372.61,percent of total billed charges,74.28% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,25492.92,87.2,,,percent of total billed charges,87.2% of total billed charges,17248.65,59,,13798.92,percent of total billed charges,59% of total billed charges,25492.92,87.2,,20394.34,percent of total billed charges,87.2% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,23765.13,81.29,,19012.1,percent of total billed charges,81.29% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of totl billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,26311.5,90,,21049.2,percent of total billed charges,90% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,17833.35,61,,14266.68,percent of total billed charges,61% of total billed charges,15202.2,52,,12161.76,percent of total billed charges,52% of total billed charges,15202.2,26311.5,
NEUROSTIMULATOR 1101,35031850,CDM,278,RC,C1820,HCPCS,Outpatient,,,17415,13932,,14802.75,85,,11842.2,percent of total billed charges,85% of total billed charges,14802.75,85,,11842.2,percent of total billed charges,85% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,12935.86,74,,10348.69,percent of total billed charges,74.28% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,12935.86,74,,10348.69,percent of total billed charges,74.28% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,12935.86,74,,10348.69,percent of total billed charges,74.28% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of total billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,15185.88,87.2,,,percent of total billed charges,87.2% of total billed charges,10274.85,59,,8219.88,percent of total billed charges,59% of total billed charges,15185.88,87.2,,12148.7,percent of total billed charges,87.2% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,14156.65,81.29,,11325.32,percent of total billed charges,81.29% of total billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of totl billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of total billed charges,15673.5,90,,12538.8,percent of total billed charges,90% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,10623.15,61,,8498.52,percent of total billed charges,61% of total billed charges,9055.8,52,,7244.64,percent of total billed charges,52% of total billed charges,9055.8,15673.5,
INTERSTIM X MICROSTIMULATOR,35032000,CDM,278,RC,C1820,HCPCS,Outpatient,,,15000,12000,,12750,85,,10200,percent of total billed charges,85% of total billed charges,12750,85,,10200,percent of total billed charges,85% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,11142,74,,8913.6,percent of total billed charges,74.28% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,13080,87.2,,,percent of total billed charges,87.2% of total billed charges,8850,59,,7080,percent of total billed charges,59% of total billed charges,13080,87.2,,10464,percent of total billed charges,87.2% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,12193.5,81.29,,9754.8,percent of total billed charges,81.29% of total billed charges,13500,90,,10800,percent of total billed charges,90% of totl billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,13500,90,,10800,percent of total billed charges,90% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,9150,61,,7320,percent of total billed charges,61% of total billed charges,7800,52,,6240,percent of total billed charges,52% of total billed charges,7800,13500,
MED RESTORE 37712,35033198,CDM,278,RC,C1820,HCPCS,Outpatient,,,23639.06,18911.25,,20093.2,85,,16074.56,percent of total billed charges,85% of total billed charges,20093.2,85,,16074.56,percent of total billed charges,85% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,17559.09,74,,14047.27,percent of total billed charges,74.28% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,17559.09,74,,14047.27,percent of total billed charges,74.28% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,17559.09,74,,14047.27,percent of total billed charges,74.28% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of total billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,20613.26,87.2,,,percent of total billed charges,87.2% of total billed charges,13947.05,59,,11157.64,percent of total billed charges,59% of total billed charges,20613.26,87.2,,16490.61,percent of total billed charges,87.2% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,19216.19,81.29,,15372.95,percent of total billed charges,81.29% of total billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of totl billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of total billed charges,21275.15,90,,17020.12,percent of total billed charges,90% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,14419.83,61,,11535.86,percent of total billed charges,61% of total billed charges,12292.31,52,,9833.85,percent of total billed charges,52% of total billed charges,12292.31,21275.15,
MED RESTORE GENERATOR (37713),35039813,CDM,278,RC,C1820,HCPCS,Outpatient,,,27972.9,22378.32,,23776.97,85,,19021.58,percent of total billed charges,85% of total billed charges,23776.97,85,,19021.58,percent of total billed charges,85% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,20778.27,74,,16622.62,percent of total billed charges,74.28% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,20778.27,74,,16622.62,percent of total billed charges,74.28% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,20778.27,74,,16622.62,percent of total billed charges,74.28% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of total billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,24392.37,87.2,,,percent of total billed charges,87.2% of total billed charges,16504.01,59,,13203.21,percent of total billed charges,59% of total billed charges,24392.37,87.2,,19513.9,percent of total billed charges,87.2% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,22739.17,81.29,,18191.34,percent of total billed charges,81.29% of total billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of totl billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of total billed charges,25175.61,90,,20140.49,percent of total billed charges,90% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,17063.47,61,,13650.78,percent of total billed charges,61% of total billed charges,14545.91,52,,11636.73,percent of total billed charges,52% of total billed charges,14545.91,25175.61,
INDIRECT DECOMPRESSION IMPLANT,35031125,CDM,278,RC,C1821,HCPCS,Outpatient,,,14250,11400,,12112.5,85,,9690,percent of total billed charges,85% of total billed charges,12112.5,85,,9690,percent of total billed charges,85% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,10584.9,74,,8467.92,percent of total billed charges,74.28% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,10584.9,74,,8467.92,percent of total billed charges,74.28% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,10584.9,74,,8467.92,percent of total billed charges,74.28% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,12825,90,,10260,percent of total billed charges,90% of total billed charges,12825,90,,10260,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7410,52,,5928,percent of total billed charges,52% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,12426,87.2,,,percent of total billed charges,87.2% of total billed charges,8407.5,59,,6726,percent of total billed charges,59% of total billed charges,12426,87.2,,9940.8,percent of total billed charges,87.2% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,11583.83,81.29,,9267.06,percent of total billed charges,81.29% of total billed charges,12825,90,,10260,percent of total billed charges,90% of totl billed charges,12825,90,,10260,percent of total billed charges,90% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,12825,90,,10260,percent of total billed charges,90% of total billed charges,12825,90,,10260,percent of total billed charges,90% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,8692.5,61,,6954,percent of total billed charges,61% of total billed charges,7410,52,,5928,percent of total billed charges,52% of total billed charges,7410,12825,
NERVO IPG KIT,35030759,CDM,278,RC,C1822,HCPCS,Outpatient,,,33285,26628,,28292.25,85,,22633.8,percent of total billed charges,85% of total billed charges,28292.25,85,,22633.8,percent of total billed charges,85% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,24724.1,74,,19779.28,percent of total billed charges,74.28% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,24724.1,74,,19779.28,percent of total billed charges,74.28% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,24724.1,74,,19779.28,percent of total billed charges,74.28% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of total billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,29024.52,87.2,,,percent of total billed charges,87.2% of total billed charges,19638.15,59,,15710.52,percent of total billed charges,59% of total billed charges,29024.52,87.2,,23219.62,percent of total billed charges,87.2% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,27057.38,81.29,,21645.9,percent of total billed charges,81.29% of total billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of totl billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of total billed charges,29956.5,90,,23965.2,percent of total billed charges,90% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,20303.85,61,,16243.08,percent of total billed charges,61% of total billed charges,17308.2,52,,13846.56,percent of total billed charges,52% of total billed charges,17308.2,29956.5,
IPG Kit NIPG2000,35031008,CDM,278,RC,C1822,HCPCS,Outpatient,,,41850,33480,,35572.5,85,,28458,percent of total billed charges,85% of total billed charges,35572.5,85,,28458,percent of total billed charges,85% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,31086.18,74,,24868.94,percent of total billed charges,74.28% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,31086.18,74,,24868.94,percent of total billed charges,74.28% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,31086.18,74,,24868.94,percent of total billed charges,74.28% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,37665,90,,30132,percent of total billed charges,90% of total billed charges,37665,90,,30132,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,36493.2,87.2,,,percent of total billed charges,87.2% of total billed charges,24691.5,59,,19753.2,percent of total billed charges,59% of total billed charges,36493.2,87.2,,29194.56,percent of total billed charges,87.2% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,34019.87,81.29,,27215.9,percent of total billed charges,81.29% of total billed charges,37665,90,,30132,percent of total billed charges,90% of totl billed charges,37665,90,,30132,percent of total billed charges,90% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,37665,90,,30132,percent of total billed charges,90% of total billed charges,37665,90,,30132,percent of total billed charges,90% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,25528.5,61,,20422.8,percent of total billed charges,61% of total billed charges,21762,52,,17409.6,percent of total billed charges,52% of total billed charges,21762,37665,
IPG KIT NIPG2500,35031355,CDM,278,RC,C1822,HCPCS,Outpatient,,,40785,32628,,34667.25,85,,27733.8,percent of total billed charges,85% of total billed charges,34667.25,85,,27733.8,percent of total billed charges,85% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,30295.1,74,,24236.08,percent of total billed charges,74.28% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,35564.52,87.2,,,percent of total billed charges,87.2% of total billed charges,24063.15,59,,19250.52,percent of total billed charges,59% of total billed charges,35564.52,87.2,,28451.62,percent of total billed charges,87.2% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,33154.13,81.29,,26523.3,percent of total billed charges,81.29% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of totl billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,36706.5,90,,29365.2,percent of total billed charges,90% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,24878.85,61,,19903.08,percent of total billed charges,61% of total billed charges,21208.2,52,,16966.56,percent of total billed charges,52% of total billed charges,21208.2,36706.5,
SENZA CHARGER KIT,35031356,CDM,278,RC,C1822,HCPCS,Outpatient,,,3106.5,2485.2,,2640.53,85,,2112.42,percent of total billed charges,85% of total billed charges,2640.53,85,,2112.42,percent of total billed charges,85% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,2307.51,74,,1846.01,percent of total billed charges,74.28% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,2307.51,74,,1846.01,percent of total billed charges,74.28% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,2307.51,74,,1846.01,percent of total billed charges,74.28% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of total billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,2708.87,87.2,,,percent of total billed charges,87.2% of total billed charges,1832.84,59,,1466.27,percent of total billed charges,59% of total billed charges,2708.87,87.2,,2167.1,percent of total billed charges,87.2% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,2525.27,81.29,,2020.22,percent of total billed charges,81.29% of total billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of totl billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of total billed charges,2795.85,90,,2236.68,percent of total billed charges,90% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,1894.97,61,,1515.98,percent of total billed charges,61% of total billed charges,1615.38,52,,1292.3,percent of total billed charges,52% of total billed charges,1615.38,2795.85,
STIM.SPLITTER KIT 30cm 2x8 SC-,35030270,CDM,278,RC,C1883,HCPCS,Outpatient,,,1691.25,1353,,1437.56,85,,1150.05,percent of total billed charges,85% of total billed charges,1437.56,85,,1150.05,percent of total billed charges,85% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1256.26,74,,1005.01,percent of total billed charges,74.28% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1474.77,87.2,,,percent of total billed charges,87.2% of total billed charges,997.84,59,,798.27,percent of total billed charges,59% of total billed charges,1474.77,87.2,,1179.82,percent of total billed charges,87.2% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,1374.82,81.29,,1099.86,percent of total billed charges,81.29% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of totl billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1522.13,90,,1217.7,percent of total billed charges,90% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,1031.66,61,,825.33,percent of total billed charges,61% of total billed charges,879.45,52,,703.56,percent of total billed charges,52% of total billed charges,879.45,1522.13,
STIM ADAPTER M8 15cm SC-9218-1,35030383,CDM,278,RC,C1883,HCPCS,Outpatient,,,1635,1308,,1389.75,85,,1111.8,percent of total billed charges,85% of total billed charges,1389.75,85,,1111.8,percent of total billed charges,85% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1425.72,87.2,,,percent of total billed charges,87.2% of total billed charges,964.65,59,,771.72,percent of total billed charges,59% of total billed charges,1425.72,87.2,,1140.58,percent of total billed charges,87.2% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1329.09,81.29,,1063.27,percent of total billed charges,81.29% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of totl billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,850.2,1471.5,
STIM ANCHOR CLIK SC-4316,35030411,CDM,278,RC,C1883,HCPCS,Outpatient,,,1185,948,,1007.25,85,,805.8,percent of total billed charges,85% of total billed charges,1007.25,85,,805.8,percent of total billed charges,85% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,1033.32,87.2,,,percent of total billed charges,87.2% of total billed charges,699.15,59,,559.32,percent of total billed charges,59% of total billed charges,1033.32,87.2,,826.66,percent of total billed charges,87.2% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,963.29,81.29,,770.63,percent of total billed charges,81.29% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of totl billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,616.2,1066.5,
STIM ANCHOR CLIK MRI,35030432,CDM,278,RC,C1883,HCPCS,Outpatient,,,889,711.2,,755.65,85,,604.52,percent of total billed charges,85% of total billed charges,755.65,85,,604.52,percent of total billed charges,85% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,660.35,74,,528.28,percent of total billed charges,74.28% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,660.35,74,,528.28,percent of total billed charges,74.28% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,660.35,74,,528.28,percent of total billed charges,74.28% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,800.1,90,,640.08,percent of total billed charges,90% of total billed charges,800.1,90,,640.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,775.21,87.2,,,percent of total billed charges,87.2% of total billed charges,524.51,59,,419.61,percent of total billed charges,59% of total billed charges,775.21,87.2,,620.17,percent of total billed charges,87.2% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,722.67,81.29,,578.14,percent of total billed charges,81.29% of total billed charges,800.1,90,,640.08,percent of total billed charges,90% of totl billed charges,800.1,90,,640.08,percent of total billed charges,90% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,800.1,90,,640.08,percent of total billed charges,90% of total billed charges,800.1,90,,640.08,percent of total billed charges,90% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,542.29,61,,433.83,percent of total billed charges,61% of total billed charges,462.28,52,,369.82,percent of total billed charges,52% of total billed charges,462.28,800.1,
55cm 8 CONTACT EXTENSION KIT,35030693,CDM,278,RC,C1883,HCPCS,Outpatient,,,2385,1908,,2027.25,85,,1621.8,percent of total billed charges,85% of total billed charges,2027.25,85,,1621.8,percent of total billed charges,85% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,1771.58,74,,1417.26,percent of total billed charges,74.28% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,1771.58,74,,1417.26,percent of total billed charges,74.28% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,1771.58,74,,1417.26,percent of total billed charges,74.28% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of total billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,2079.72,87.2,,,percent of total billed charges,87.2% of total billed charges,1407.15,59,,1125.72,percent of total billed charges,59% of total billed charges,2079.72,87.2,,1663.78,percent of total billed charges,87.2% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,1938.77,81.29,,1551.02,percent of total billed charges,81.29% of total billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of totl billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of total billed charges,2146.5,90,,1717.2,percent of total billed charges,90% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,1454.85,61,,1163.88,percent of total billed charges,61% of total billed charges,1240.2,52,,992.16,percent of total billed charges,52% of total billed charges,1240.2,2146.5,
LEAD EXTENSION KIT 25-60CM,35030761,CDM,278,RC,C1883,HCPCS,Outpatient,,,2236.5,1789.2,,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1950.23,87.2,,,percent of total billed charges,87.2% of total billed charges,1319.54,59,,1055.63,percent of total billed charges,59% of total billed charges,1950.23,87.2,,1560.18,percent of total billed charges,87.2% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1818.05,81.29,,1454.44,percent of total billed charges,81.29% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of totl billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,2012.85,
S8 LEAD ADAPTER KIT,35030770,CDM,278,RC,C1883,HCPCS,Outpatient,,,1491.75,1193.4,,1267.99,85,,1014.39,percent of total billed charges,85% of total billed charges,1267.99,85,,1014.39,percent of total billed charges,85% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,1108.07,74,,886.46,percent of total billed charges,74.28% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,1108.07,74,,886.46,percent of total billed charges,74.28% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,1108.07,74,,886.46,percent of total billed charges,74.28% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of total billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,1300.81,87.2,,,percent of total billed charges,87.2% of total billed charges,880.13,59,,704.1,percent of total billed charges,59% of total billed charges,1300.81,87.2,,1040.65,percent of total billed charges,87.2% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,1212.64,81.29,,970.11,percent of total billed charges,81.29% of total billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of totl billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of total billed charges,1342.58,90,,1074.06,percent of total billed charges,90% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,909.97,61,,727.98,percent of total billed charges,61% of total billed charges,775.71,52,,620.57,percent of total billed charges,52% of total billed charges,775.71,1342.58,
M8 LEAD ADAPTER KIT,35030771,CDM,278,RC,C1883,HCPCS,Outpatient,,,498,398.4,,423.3,85,,338.64,percent of total billed charges,85% of total billed charges,423.3,85,,338.64,percent of total billed charges,85% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,434.26,87.2,,,percent of total billed charges,87.2% of total billed charges,293.82,59,,235.06,percent of total billed charges,59% of total billed charges,434.26,87.2,,347.41,percent of total billed charges,87.2% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,404.82,81.29,,323.86,percent of total billed charges,81.29% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of totl billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,258.96,448.2,
STIM ANCHOR CLIK SC-4318,35030915,CDM,278,RC,C1883,HCPCS,Outpatient,,,1185,948,,1007.25,85,,805.8,percent of total billed charges,85% of total billed charges,1007.25,85,,805.8,percent of total billed charges,85% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,880.22,74,,704.18,percent of total billed charges,74.28% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,1033.32,87.2,,,percent of total billed charges,87.2% of total billed charges,699.15,59,,559.32,percent of total billed charges,59% of total billed charges,1033.32,87.2,,826.66,percent of total billed charges,87.2% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,963.29,81.29,,770.63,percent of total billed charges,81.29% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of totl billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,1066.5,90,,853.2,percent of total billed charges,90% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,722.85,61,,578.28,percent of total billed charges,61% of total billed charges,616.2,52,,492.96,percent of total billed charges,52% of total billed charges,616.2,1066.5,
STIM ACC KIT EXTEN SC-3138-xx,35031116,CDM,278,RC,C1883,HCPCS,Outpatient,,,1590,1272,,1351.5,85,,1081.2,percent of total billed charges,85% of total billed charges,1351.5,85,,1081.2,percent of total billed charges,85% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,1181.05,74,,944.84,percent of total billed charges,74.28% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,1181.05,74,,944.84,percent of total billed charges,74.28% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,1181.05,74,,944.84,percent of total billed charges,74.28% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,1431,90,,1144.8,percent of total billed charges,90% of total billed charges,1431,90,,1144.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,1386.48,87.2,,,percent of total billed charges,87.2% of total billed charges,938.1,59,,750.48,percent of total billed charges,59% of total billed charges,1386.48,87.2,,1109.18,percent of total billed charges,87.2% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,1292.51,81.29,,1034.01,percent of total billed charges,81.29% of total billed charges,1431,90,,1144.8,percent of total billed charges,90% of totl billed charges,1431,90,,1144.8,percent of total billed charges,90% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,1431,90,,1144.8,percent of total billed charges,90% of total billed charges,1431,90,,1144.8,percent of total billed charges,90% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,969.9,61,,775.92,percent of total billed charges,61% of total billed charges,826.8,52,,661.44,percent of total billed charges,52% of total billed charges,826.8,1431,
"PRECISION S8ADAPTER, 15CM",35031393,CDM,278,RC,C1883,HCPCS,Outpatient,,,1635,1308,,1389.75,85,,1111.8,percent of total billed charges,85% of total billed charges,1389.75,85,,1111.8,percent of total billed charges,85% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,1214.48,74,,971.58,percent of total billed charges,74.28% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1425.72,87.2,,,percent of total billed charges,87.2% of total billed charges,964.65,59,,771.72,percent of total billed charges,59% of total billed charges,1425.72,87.2,,1140.58,percent of total billed charges,87.2% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,1329.09,81.29,,1063.27,percent of total billed charges,81.29% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of totl billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,1471.5,90,,1177.2,percent of total billed charges,90% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,997.35,61,,797.88,percent of total billed charges,61% of total billed charges,850.2,52,,680.16,percent of total billed charges,52% of total billed charges,850.2,1471.5,
PERCUTANEOUS EXTENSION 9009,35031858,CDM,278,RC,C1883,HCPCS,Outpatient,,,300,240,,255,85,,204,percent of total billed charges,85% of total billed charges,255,85,,204,percent of total billed charges,85% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,222.84,74,,178.27,percent of total billed charges,74.28% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,261.6,87.2,,,percent of total billed charges,87.2% of total billed charges,177,59,,141.6,percent of total billed charges,59% of total billed charges,261.6,87.2,,209.28,percent of total billed charges,87.2% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,243.87,81.29,,195.1,percent of total billed charges,81.29% of total billed charges,270,90,,216,percent of total billed charges,90% of totl billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,270,90,,216,percent of total billed charges,90% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,183,61,,146.4,percent of total billed charges,61% of total billed charges,156,52,,124.8,percent of total billed charges,52% of total billed charges,156,270,
MED EXTEN 3708220,35033161,CDM,278,RC,C1883,HCPCS,Outpatient,,,2190.56,1752.45,,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1910.17,87.2,,,percent of total billed charges,87.2% of total billed charges,1292.43,59,,1033.94,percent of total billed charges,59% of total billed charges,1910.17,87.2,,1528.14,percent of total billed charges,87.2% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1780.71,81.29,,1424.57,percent of total billed charges,81.29% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of totl billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,1971.5,
MED EXTEN 3708160 20,35039974,CDM,278,RC,C1883,HCPCS,Outpatient,,,1406.53,1125.22,,1195.55,85,,956.44,percent of total billed charges,85% of total billed charges,1195.55,85,,956.44,percent of total billed charges,85% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,1044.77,74,,835.82,percent of total billed charges,74.28% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1226.49,87.2,,,percent of total billed charges,87.2% of total billed charges,829.85,59,,663.88,percent of total billed charges,59% of total billed charges,1226.49,87.2,,981.19,percent of total billed charges,87.2% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,1143.37,81.29,,914.7,percent of total billed charges,81.29% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of totl billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,1265.88,90,,1012.7,percent of total billed charges,90% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,857.98,61,,686.38,percent of total billed charges,61% of total billed charges,731.4,52,,585.12,percent of total billed charges,52% of total billed charges,731.4,1265.88,
PUMP CATHETER SEGMENT REV.8782,35030264,CDM,278,RC,C1887,HCPCS,Outpatient,,,1237.5,990,,1051.88,85,,841.5,percent of total billed charges,85% of total billed charges,1051.88,85,,841.5,percent of total billed charges,85% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,919.22,74,,735.38,percent of total billed charges,74.28% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,919.22,74,,735.38,percent of total billed charges,74.28% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,919.22,74,,735.38,percent of total billed charges,74.28% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,1113.75,90,,891,percent of total billed charges,90% of total billed charges,1113.75,90,,891,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,1079.1,87.2,,,percent of total billed charges,87.2% of total billed charges,730.13,59,,584.1,percent of total billed charges,59% of total billed charges,1079.1,87.2,,863.28,percent of total billed charges,87.2% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,1005.96,81.29,,804.77,percent of total billed charges,81.29% of total billed charges,1113.75,90,,891,percent of total billed charges,90% of totl billed charges,1113.75,90,,891,percent of total billed charges,90% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,1113.75,90,,891,percent of total billed charges,90% of total billed charges,1113.75,90,,891,percent of total billed charges,90% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,754.88,61,,603.9,percent of total billed charges,61% of total billed charges,643.5,52,,514.8,percent of total billed charges,52% of total billed charges,643.5,1113.75,
ITIND SYSTEM WA21TA00,35031953,CDM,278,RC,C1889,HCPCS,Outpatient,,,3742.5,2994,,3181.13,85,,2544.9,percent of total billed charges,85% of total billed charges,3181.13,85,,2544.9,percent of total billed charges,85% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,2779.93,74,,2223.94,percent of total billed charges,74.28% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,2779.93,74,,2223.94,percent of total billed charges,74.28% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,2779.93,74,,2223.94,percent of total billed charges,74.28% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of total billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,3263.46,87.2,,,percent of total billed charges,87.2% of total billed charges,2208.08,59,,1766.46,percent of total billed charges,59% of total billed charges,3263.46,87.2,,2610.77,percent of total billed charges,87.2% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,3042.28,81.29,,2433.82,percent of total billed charges,81.29% of total billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of totl billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of total billed charges,3368.25,90,,2694.6,percent of total billed charges,90% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,2282.93,61,,1826.34,percent of total billed charges,61% of total billed charges,1946.1,52,,1556.88,percent of total billed charges,52% of total billed charges,1946.1,3368.25,
FIBULA ROD 36X110MM,35031960,CDM,278,RC,C1889,HCPCS,Outpatient,,,4545,3636,,3863.25,85,,3090.6,percent of total billed charges,85% of total billed charges,3863.25,85,,3090.6,percent of total billed charges,85% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,3376.03,74,,2700.82,percent of total billed charges,74.28% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,3376.03,74,,2700.82,percent of total billed charges,74.28% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,3376.03,74,,2700.82,percent of total billed charges,74.28% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of total billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,3963.24,87.2,,,percent of total billed charges,87.2% of total billed charges,2681.55,59,,2145.24,percent of total billed charges,59% of total billed charges,3963.24,87.2,,3170.59,percent of total billed charges,87.2% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,3694.63,81.29,,2955.7,percent of total billed charges,81.29% of total billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of totl billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of total billed charges,4090.5,90,,3272.4,percent of total billed charges,90% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,2772.45,61,,2217.96,percent of total billed charges,61% of total billed charges,2363.4,52,,1890.72,percent of total billed charges,52% of total billed charges,2363.4,4090.5,
ROD 5.5CCM PERC ROD 35MM,35032032,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
SPACER CATALYFT PL LONG 7MM,35032033,CDM,278,RC,C1889,HCPCS,Outpatient,,,10155,8124,,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8855.16,87.2,,,percent of total billed charges,87.2% of total billed charges,5991.45,59,,4793.16,percent of total billed charges,59% of total billed charges,8855.16,87.2,,7084.13,percent of total billed charges,87.2% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8255,81.29,,6604,percent of total billed charges,81.29% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of totl billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,9139.5,
ROD 5.5CCM PERC ROD 40MM,35032042,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
STRUT ANATOMIC 14X11X24MM,35032043,CDM,278,RC,C1889,HCPCS,Outpatient,,,4125,3300,,3506.25,85,,2805,percent of total billed charges,85% of total billed charges,3506.25,85,,2805,percent of total billed charges,85% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,3064.05,74,,2451.24,percent of total billed charges,74.28% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,3064.05,74,,2451.24,percent of total billed charges,74.28% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,3064.05,74,,2451.24,percent of total billed charges,74.28% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,3712.5,90,,2970,percent of total billed charges,90% of total billed charges,3712.5,90,,2970,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2145,52,,1716,percent of total billed charges,52% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,3597,87.2,,,percent of total billed charges,87.2% of total billed charges,2433.75,59,,1947,percent of total billed charges,59% of total billed charges,3597,87.2,,2877.6,percent of total billed charges,87.2% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,3353.21,81.29,,2682.57,percent of total billed charges,81.29% of total billed charges,3712.5,90,,2970,percent of total billed charges,90% of totl billed charges,3712.5,90,,2970,percent of total billed charges,90% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,3712.5,90,,2970,percent of total billed charges,90% of total billed charges,3712.5,90,,2970,percent of total billed charges,90% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,2516.25,61,,2013,percent of total billed charges,61% of total billed charges,2145,52,,1716,percent of total billed charges,52% of total billed charges,2145,3712.5,
ANATOMIC IMPLANT 14X11X6MM,35032044,CDM,278,RC,C1889,HCPCS,Outpatient,,,2062.5,1650,,1753.13,85,,1402.5,percent of total billed charges,85% of total billed charges,1753.13,85,,1402.5,percent of total billed charges,85% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1798.5,87.2,,,percent of total billed charges,87.2% of total billed charges,1216.88,59,,973.5,percent of total billed charges,59% of total billed charges,1798.5,87.2,,1438.8,percent of total billed charges,87.2% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1676.61,81.29,,1341.29,percent of total billed charges,81.29% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of totl billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1072.5,1856.25,
ANATOMIC IMPLANT 14X11X7MM,35032045,CDM,278,RC,C1889,HCPCS,Outpatient,,,2062.5,1650,,1753.13,85,,1402.5,percent of total billed charges,85% of total billed charges,1753.13,85,,1402.5,percent of total billed charges,85% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1532.03,74,,1225.62,percent of total billed charges,74.28% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1798.5,87.2,,,percent of total billed charges,87.2% of total billed charges,1216.88,59,,973.5,percent of total billed charges,59% of total billed charges,1798.5,87.2,,1438.8,percent of total billed charges,87.2% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1676.61,81.29,,1341.29,percent of total billed charges,81.29% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of totl billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1856.25,90,,1485,percent of total billed charges,90% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1258.13,61,,1006.5,percent of total billed charges,61% of total billed charges,1072.5,52,,858,percent of total billed charges,52% of total billed charges,1072.5,1856.25,
SCREW ZEVO VAR ST 3.5X15MM,35032052,CDM,278,RC,C1889,HCPCS,Outpatient,,,720,576,,612,85,,489.6,percent of total billed charges,85% of total billed charges,612,85,,489.6,percent of total billed charges,85% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,534.82,74,,427.86,percent of total billed charges,74.28% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,627.84,87.2,,,percent of total billed charges,87.2% of total billed charges,424.8,59,,339.84,percent of total billed charges,59% of total billed charges,627.84,87.2,,502.27,percent of total billed charges,87.2% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,585.29,81.29,,468.23,percent of total billed charges,81.29% of total billed charges,648,90,,518.4,percent of total billed charges,90% of totl billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,648,90,,518.4,percent of total billed charges,90% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,439.2,61,,351.36,percent of total billed charges,61% of total billed charges,374.4,52,,299.52,percent of total billed charges,52% of total billed charges,374.4,648,
DISTRACTION SCREW 14MM,35032073,CDM,278,RC,C1889,HCPCS,Outpatient,,,1125,900,,956.25,85,,765,percent of total billed charges,85% of total billed charges,956.25,85,,765,percent of total billed charges,85% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,835.65,74,,668.52,percent of total billed charges,74.28% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,585,52,,468,percent of total billed charges,52% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,981,87.2,,,percent of total billed charges,87.2% of total billed charges,663.75,59,,531,percent of total billed charges,59% of total billed charges,981,87.2,,784.8,percent of total billed charges,87.2% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,914.51,81.29,,731.61,percent of total billed charges,81.29% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of totl billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,1012.5,90,,810,percent of total billed charges,90% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,686.25,61,,549,percent of total billed charges,61% of total billed charges,585,52,,468,percent of total billed charges,52% of total billed charges,585,1012.5,
CERVICAL DISC PROSTHESIS,35032074,CDM,278,RC,C1889,HCPCS,Outpatient,,,7500,6000,,6375,85,,5100,percent of total billed charges,85% of total billed charges,6375,85,,5100,percent of total billed charges,85% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,5571,74,,4456.8,percent of total billed charges,74.28% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,5571,74,,4456.8,percent of total billed charges,74.28% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,5571,74,,4456.8,percent of total billed charges,74.28% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,6750,90,,5400,percent of total billed charges,90% of total billed charges,6750,90,,5400,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3900,52,,3120,percent of total billed charges,52% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,6540,87.2,,,percent of total billed charges,87.2% of total billed charges,4425,59,,3540,percent of total billed charges,59% of total billed charges,6540,87.2,,5232,percent of total billed charges,87.2% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,6096.75,81.29,,4877.4,percent of total billed charges,81.29% of total billed charges,6750,90,,5400,percent of total billed charges,90% of totl billed charges,6750,90,,5400,percent of total billed charges,90% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,6750,90,,5400,percent of total billed charges,90% of total billed charges,6750,90,,5400,percent of total billed charges,90% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,4575,61,,3660,percent of total billed charges,61% of total billed charges,3900,52,,3120,percent of total billed charges,52% of total billed charges,3900,6750,
ROD 5.5 CCM PERC 65MM,35032107,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
ROD 5.5 CCM PERC 70MM,35032108,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
INCITE CORTICAL FIBERS - MED,35032158,CDM,278,RC,C1889,HCPCS,Outpatient,,,2175,1740,,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1848.75,85,,1479,percent of total billed charges,85% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1615.59,74,,1292.47,percent of total billed charges,74.28% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1896.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1283.25,59,,1026.6,percent of total billed charges,59% of total billed charges,1896.6,87.2,,1517.28,percent of total billed charges,87.2% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1768.06,81.29,,1414.45,percent of total billed charges,81.29% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of totl billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1957.5,90,,1566,percent of total billed charges,90% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1326.75,61,,1061.4,percent of total billed charges,61% of total billed charges,1131,52,,904.8,percent of total billed charges,52% of total billed charges,1131,1957.5,
SCREW 5.5/6.0 SV ATS 6.5X40,35032159,CDM,272,RC,C1889,HCPCS,Outpatient,,,2686.13,2148.9,,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,2283.21,85,,1826.57,percent of total billed charges,85% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1995.26,74,,1596.21,percent of total billed charges,74.28% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2342.31,87.2,,,percent of total billed charges,87.2% of total billed charges,1584.82,59,,1267.86,percent of total billed charges,59% of total billed charges,2342.31,87.2,,1873.85,percent of total billed charges,87.2% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,2183.56,81.29,,1746.85,percent of total billed charges,81.29% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of totl billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,2417.52,90,,1934.02,percent of total billed charges,90% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1638.54,61,,1310.83,percent of total billed charges,61% of total billed charges,1396.79,52,,1117.43,percent of total billed charges,52% of total billed charges,1396.79,2417.52,
SPACER CATLYFT PL SHORT 7MM,35032178,CDM,278,RC,C1889,HCPCS,Outpatient,,,10155,8124,,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8855.16,87.2,,,percent of total billed charges,87.2% of total billed charges,5991.45,59,,4793.16,percent of total billed charges,59% of total billed charges,8855.16,87.2,,7084.13,percent of total billed charges,87.2% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8255,81.29,,6604,percent of total billed charges,81.29% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of totl billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,9139.5,
ROD 5.5CCM PERC ROD 30MM,35032192,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
INFUSE BONE GRAFT KIT,35032227,CDM,278,RC,C1889,HCPCS,Outpatient,,,6465,5172,,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5637.48,87.2,,,percent of total billed charges,87.2% of total billed charges,3814.35,59,,3051.48,percent of total billed charges,59% of total billed charges,5637.48,87.2,,4509.98,percent of total billed charges,87.2% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5255.4,81.29,,4204.32,percent of total billed charges,81.29% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of totl billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,5818.5,
INFUSE BONE GRAFT KIT,35032227,CDM,278,RC,C1889,HCPCS,Outpatient,,,6465,5172,,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,5495.25,85,,4396.2,percent of total billed charges,85% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,4802.2,74,,3841.76,percent of total billed charges,74.28% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5637.48,87.2,,,percent of total billed charges,87.2% of total billed charges,3814.35,59,,3051.48,percent of total billed charges,59% of total billed charges,5637.48,87.2,,4509.98,percent of total billed charges,87.2% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,5255.4,81.29,,4204.32,percent of total billed charges,81.29% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of totl billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,5818.5,90,,4654.8,percent of total billed charges,90% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3943.65,61,,3154.92,percent of total billed charges,61% of total billed charges,3361.8,52,,2689.44,percent of total billed charges,52% of total billed charges,3361.8,5818.5,
DURAMATRIX SUTURABLE 2X2,35032278,CDM,278,RC,C1889,HCPCS,Outpatient,,,1173.78,939.02,,997.71,85,,798.17,percent of total billed charges,85% of total billed charges,997.71,85,,798.17,percent of total billed charges,85% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,871.88,74,,697.5,percent of total billed charges,74.28% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,871.88,74,,697.5,percent of total billed charges,74.28% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,871.88,74,,697.5,percent of total billed charges,74.28% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,1056.4,90,,845.12,percent of total billed charges,90% of total billed charges,1056.4,90,,845.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,1023.54,87.2,,,percent of total billed charges,87.2% of total billed charges,692.53,59,,554.02,percent of total billed charges,59% of total billed charges,1023.54,87.2,,818.83,percent of total billed charges,87.2% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,954.17,81.29,,763.34,percent of total billed charges,81.29% of total billed charges,1056.4,90,,845.12,percent of total billed charges,90% of totl billed charges,1056.4,90,,845.12,percent of total billed charges,90% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,1056.4,90,,845.12,percent of total billed charges,90% of total billed charges,1056.4,90,,845.12,percent of total billed charges,90% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,716.01,61,,572.81,percent of total billed charges,61% of total billed charges,610.37,52,,488.3,percent of total billed charges,52% of total billed charges,610.37,1056.4,
PERC ROD 55MM,35032314,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
ANNEX HALF JOG 5.5X40MM,35032316,CDM,278,RC,C1889,HCPCS,Outpatient,,,7275,5820,,6183.75,85,,4947,percent of total billed charges,85% of total billed charges,6183.75,85,,4947,percent of total billed charges,85% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,5403.87,74,,4323.1,percent of total billed charges,74.28% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,5403.87,74,,4323.1,percent of total billed charges,74.28% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,5403.87,74,,4323.1,percent of total billed charges,74.28% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,6547.5,90,,5238,percent of total billed charges,90% of total billed charges,6547.5,90,,5238,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,6343.8,87.2,,,percent of total billed charges,87.2% of total billed charges,4292.25,59,,3433.8,percent of total billed charges,59% of total billed charges,6343.8,87.2,,5075.04,percent of total billed charges,87.2% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,5913.85,81.29,,4731.08,percent of total billed charges,81.29% of total billed charges,6547.5,90,,5238,percent of total billed charges,90% of totl billed charges,6547.5,90,,5238,percent of total billed charges,90% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,6547.5,90,,5238,percent of total billed charges,90% of total billed charges,6547.5,90,,5238,percent of total billed charges,90% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,4437.75,61,,3550.2,percent of total billed charges,61% of total billed charges,3783,52,,3026.4,percent of total billed charges,52% of total billed charges,3783,6547.5,
"ANNEX LOCKING SCW, T30",35032317,CDM,278,RC,C1889,HCPCS,Outpatient,,,450,360,,382.5,85,,306,percent of total billed charges,85% of total billed charges,382.5,85,,306,percent of total billed charges,85% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,392.4,87.2,,,percent of total billed charges,87.2% of total billed charges,265.5,59,,212.4,percent of total billed charges,59% of total billed charges,392.4,87.2,,313.92,percent of total billed charges,87.2% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,365.81,81.29,,292.65,percent of total billed charges,81.29% of total billed charges,405,90,,324,percent of total billed charges,90% of totl billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,405,
ROD 5.5CCM PERC 45MM,35032354,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
ROD 5.5CCM PERC 80MM,35032516,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
REDAPT HOLE COVER KIT,35032518,CDM,278,RC,C1889,HCPCS,Outpatient,,,267.84,214.27,,227.66,85,,182.13,percent of total billed charges,85% of total billed charges,227.66,85,,182.13,percent of total billed charges,85% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,198.95,74,,159.16,percent of total billed charges,74.28% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,198.95,74,,159.16,percent of total billed charges,74.28% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,198.95,74,,159.16,percent of total billed charges,74.28% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,241.06,90,,192.85,percent of total billed charges,90% of total billed charges,241.06,90,,192.85,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,233.56,87.2,,,percent of total billed charges,87.2% of total billed charges,158.03,59,,126.42,percent of total billed charges,59% of total billed charges,233.56,87.2,,186.85,percent of total billed charges,87.2% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,217.73,81.29,,174.18,percent of total billed charges,81.29% of total billed charges,241.06,90,,192.85,percent of total billed charges,90% of totl billed charges,241.06,90,,192.85,percent of total billed charges,90% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,241.06,90,,192.85,percent of total billed charges,90% of total billed charges,241.06,90,,192.85,percent of total billed charges,90% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,163.38,61,,130.7,percent of total billed charges,61% of total billed charges,139.28,52,,111.42,percent of total billed charges,52% of total billed charges,139.28,241.06,
NGRC-ECAPS MRI,35032601,CDM,278,RC,C1889,HCPCS,Outpatient,,,37326,29860.8,,31727.1,85,,25381.68,percent of total billed charges,85% of total billed charges,31727.1,85,,25381.68,percent of total billed charges,85% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,27725.75,74,,22180.6,percent of total billed charges,74.28% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,27725.75,74,,22180.6,percent of total billed charges,74.28% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,27725.75,74,,22180.6,percent of total billed charges,74.28% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of total billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,32548.27,87.2,,,percent of total billed charges,87.2% of total billed charges,22022.34,59,,17617.87,percent of total billed charges,59% of total billed charges,32548.27,87.2,,26038.62,percent of total billed charges,87.2% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,30342.31,81.29,,24273.85,percent of total billed charges,81.29% of total billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of totl billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of total billed charges,33593.4,90,,26874.72,percent of total billed charges,90% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,22768.86,61,,18215.09,percent of total billed charges,61% of total billed charges,19409.52,52,,15527.62,percent of total billed charges,52% of total billed charges,19409.52,33593.4,
ROD 5.5CCM PERC 60MM,35032643,CDM,278,RC,C1889,HCPCS,Outpatient,,,1903.46,1522.77,,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,1617.94,85,,1294.35,percent of total billed charges,85% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1413.89,74,,1131.11,percent of total billed charges,74.28% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1659.82,87.2,,,percent of total billed charges,87.2% of total billed charges,1123.04,59,,898.43,percent of total billed charges,59% of total billed charges,1659.82,87.2,,1327.86,percent of total billed charges,87.2% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,1547.32,81.29,,1237.86,percent of total billed charges,81.29% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of totl billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1713.11,90,,1370.49,percent of total billed charges,90% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,1161.11,61,,928.89,percent of total billed charges,61% of total billed charges,989.8,52,,791.84,percent of total billed charges,52% of total billed charges,989.8,1713.11,
SPACER CATALYFT PL40L 7MM,35032749,CDM,278,RC,C1889,HCPCS,Outpatient,,,10155,8124,,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,8631.75,85,,6905.4,percent of total billed charges,85% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,7543.13,74,,6034.5,percent of total billed charges,74.28% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8855.16,87.2,,,percent of total billed charges,87.2% of total billed charges,5991.45,59,,4793.16,percent of total billed charges,59% of total billed charges,8855.16,87.2,,7084.13,percent of total billed charges,87.2% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,8255,81.29,,6604,percent of total billed charges,81.29% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of totl billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,9139.5,90,,7311.6,percent of total billed charges,90% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,6194.55,61,,4955.64,percent of total billed charges,61% of total billed charges,5280.6,52,,4224.48,percent of total billed charges,52% of total billed charges,5280.6,9139.5,
LEAD INTROD KIT ISTIM355018,35031303,CDM,272,RC,C1894,HCPCS,Outpatient,,,630,504,,535.5,85,,428.4,percent of total billed charges,85% of total billed charges,535.5,85,,428.4,percent of total billed charges,85% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,467.96,74,,374.37,percent of total billed charges,74.28% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,549.36,87.2,,,percent of total billed charges,87.2% of total billed charges,371.7,59,,297.36,percent of total billed charges,59% of total billed charges,549.36,87.2,,439.49,percent of total billed charges,87.2% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,512.13,81.29,,409.7,percent of total billed charges,81.29% of total billed charges,567,90,,453.6,percent of total billed charges,90% of totl billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,567,90,,453.6,percent of total billed charges,90% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,384.3,61,,307.44,percent of total billed charges,61% of total billed charges,327.6,52,,262.08,percent of total billed charges,52% of total billed charges,327.6,567,
STIM LEAD TRIAL CABLE SC-4116,35030271,CDM,278,RC,C1897,HCPCS,Outpatient,,,450,360,,382.5,85,,306,percent of total billed charges,85% of total billed charges,382.5,85,,306,percent of total billed charges,85% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,334.26,74,,267.41,percent of total billed charges,74.28% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,392.4,87.2,,,percent of total billed charges,87.2% of total billed charges,265.5,59,,212.4,percent of total billed charges,59% of total billed charges,392.4,87.2,,313.92,percent of total billed charges,87.2% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,365.81,81.29,,292.65,percent of total billed charges,81.29% of total billed charges,405,90,,324,percent of total billed charges,90% of totl billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,405,90,,324,percent of total billed charges,90% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,274.5,61,,219.6,percent of total billed charges,61% of total billed charges,234,52,,187.2,percent of total billed charges,52% of total billed charges,234,405,
TRIAL LEAD,35030773,CDM,278,RC,C1897,HCPCS,Outpatient,,,1800,1440,,1530,85,,1224,percent of total billed charges,85% of total billed charges,1530,85,,1224,percent of total billed charges,85% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1337.04,74,,1069.63,percent of total billed charges,74.28% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1569.6,87.2,,,percent of total billed charges,87.2% of total billed charges,1062,59,,849.6,percent of total billed charges,59% of total billed charges,1569.6,87.2,,1255.68,percent of total billed charges,87.2% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,1463.22,81.29,,1170.58,percent of total billed charges,81.29% of total billed charges,1620,90,,1296,percent of total billed charges,90% of totl billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1620,90,,1296,percent of total billed charges,90% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,1098,61,,878.4,percent of total billed charges,61% of total billed charges,936,52,,748.8,percent of total billed charges,52% of total billed charges,936,1620,
PNE LEAD 1901,35031853,CDM,278,RC,C1897,HCPCS,Outpatient,,,120,96,,102,85,,81.6,percent of total billed charges,85% of total billed charges,102,85,,81.6,percent of total billed charges,85% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,89.14,74,,71.31,percent of total billed charges,74.28% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,104.64,87.2,,,percent of total billed charges,87.2% of total billed charges,70.8,59,,56.64,percent of total billed charges,59% of total billed charges,104.64,87.2,,83.71,percent of total billed charges,87.2% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,97.55,81.29,,78.04,percent of total billed charges,81.29% of total billed charges,108,90,,86.4,percent of total billed charges,90% of totl billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,108,90,,86.4,percent of total billed charges,90% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,73.2,61,,58.56,percent of total billed charges,61% of total billed charges,62.4,52,,49.92,percent of total billed charges,52% of total billed charges,62.4,108,
MED LEADS TRIAL 3873-60,35033143,CDM,278,RC,C1897,HCPCS,Outpatient,,,1418.34,1134.67,,1205.59,85,,964.47,percent of total billed charges,85% of total billed charges,1205.59,85,,964.47,percent of total billed charges,85% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,1053.54,74,,842.83,percent of total billed charges,74.28% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,1053.54,74,,842.83,percent of total billed charges,74.28% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,1053.54,74,,842.83,percent of total billed charges,74.28% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of total billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,1236.79,87.2,,,percent of total billed charges,87.2% of total billed charges,836.82,59,,669.46,percent of total billed charges,59% of total billed charges,1236.79,87.2,,989.43,percent of total billed charges,87.2% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,1152.97,81.29,,922.38,percent of total billed charges,81.29% of total billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of totl billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of total billed charges,1276.51,90,,1021.21,percent of total billed charges,90% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,865.19,61,,692.15,percent of total billed charges,61% of total billed charges,737.54,52,,590.03,percent of total billed charges,52% of total billed charges,737.54,1276.51,
MED LEAD KIT TRIAL 3874-60,35039708,CDM,278,RC,C1897,HCPCS,Outpatient,,,2190.56,1752.45,,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1861.98,85,,1489.58,percent of total billed charges,85% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1627.15,74,,1301.72,percent of total billed charges,74.28% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1910.17,87.2,,,percent of total billed charges,87.2% of total billed charges,1292.43,59,,1033.94,percent of total billed charges,59% of total billed charges,1910.17,87.2,,1528.14,percent of total billed charges,87.2% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1780.71,81.29,,1424.57,percent of total billed charges,81.29% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of totl billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1971.5,90,,1577.2,percent of total billed charges,90% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1336.24,61,,1068.99,percent of total billed charges,61% of total billed charges,1139.09,52,,911.27,percent of total billed charges,52% of total billed charges,1139.09,1971.5,
STENT URETHERAL ASCERTA 6FR x,35030404,CDM,278,RC,C2617,HCPCS,Outpatient,,,975,780,,828.75,85,,663,percent of total billed charges,85% of total billed charges,828.75,85,,663,percent of total billed charges,85% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,850.2,87.2,,,percent of total billed charges,87.2% of total billed charges,575.25,59,,460.2,percent of total billed charges,59% of total billed charges,850.2,87.2,,680.16,percent of total billed charges,87.2% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,792.58,81.29,,634.06,percent of total billed charges,81.29% of total billed charges,877.5,90,,702,percent of total billed charges,90% of totl billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,877.5,
STENT URETHERAL ASCERTA 6X26,35030450,CDM,278,RC,C2617,HCPCS,Outpatient,,,975,780,,828.75,85,,663,percent of total billed charges,85% of total billed charges,828.75,85,,663,percent of total billed charges,85% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,850.2,87.2,,,percent of total billed charges,87.2% of total billed charges,575.25,59,,460.2,percent of total billed charges,59% of total billed charges,850.2,87.2,,680.16,percent of total billed charges,87.2% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,792.58,81.29,,634.06,percent of total billed charges,81.29% of total billed charges,877.5,90,,702,percent of total billed charges,90% of totl billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,877.5,
STENT URETHERAL ASCERTA 6X28,35030460,CDM,278,RC,C2617,HCPCS,Outpatient,,,975,780,,828.75,85,,663,percent of total billed charges,85% of total billed charges,828.75,85,,663,percent of total billed charges,85% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,724.23,74,,579.38,percent of total billed charges,74.28% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,850.2,87.2,,,percent of total billed charges,87.2% of total billed charges,575.25,59,,460.2,percent of total billed charges,59% of total billed charges,850.2,87.2,,680.16,percent of total billed charges,87.2% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,792.58,81.29,,634.06,percent of total billed charges,81.29% of total billed charges,877.5,90,,702,percent of total billed charges,90% of totl billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,877.5,90,,702,percent of total billed charges,90% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,594.75,61,,475.8,percent of total billed charges,61% of total billed charges,507,52,,405.6,percent of total billed charges,52% of total billed charges,507,877.5,
004621 6X22ASCERTA STENT,35030842,CDM,278,RC,C2617,HCPCS,Outpatient,,,607.05,485.64,,515.99,85,,412.79,percent of total billed charges,85% of total billed charges,515.99,85,,412.79,percent of total billed charges,85% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,450.92,74,,360.74,percent of total billed charges,74.28% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,450.92,74,,360.74,percent of total billed charges,74.28% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,450.92,74,,360.74,percent of total billed charges,74.28% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,546.35,90,,437.08,percent of total billed charges,90% of total billed charges,546.35,90,,437.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,529.35,87.2,,,percent of total billed charges,87.2% of total billed charges,358.16,59,,286.53,percent of total billed charges,59% of total billed charges,529.35,87.2,,423.48,percent of total billed charges,87.2% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,493.47,81.29,,394.78,percent of total billed charges,81.29% of total billed charges,546.35,90,,437.08,percent of total billed charges,90% of totl billed charges,546.35,90,,437.08,percent of total billed charges,90% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,546.35,90,,437.08,percent of total billed charges,90% of total billed charges,546.35,90,,437.08,percent of total billed charges,90% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,370.3,61,,296.24,percent of total billed charges,61% of total billed charges,315.67,52,,252.54,percent of total billed charges,52% of total billed charges,315.67,546.35,
IMAJIN HYDROSTENT 6 FR X 16 CM,35031320,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 20 CM,35031321,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 24 CM,35031322,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 26 CM,35031323,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 22 CM,35031324,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 28 CM,35031325,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 6 FR X 30 CM,35031326,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 16 CM,35031327,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 20 CM,35031328,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 22 CM,35031329,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 24 CM,35031330,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 26 CM,35031331,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 28 CM,35031332,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 7 FR X 30 CM,35031333,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 16 CM,35031334,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 20 CM,35031335,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 24 CM,35031336,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 26 CM,35031337,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 28 CM,35031338,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
IMAJIN HYDROSTENT 8 FR X 30 CM,35031339,CDM,278,RC,C2617,HCPCS,Outpatient,,,339,271.2,,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,288.15,85,,230.52,percent of total billed charges,85% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,251.81,74,,201.45,percent of total billed charges,74.28% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,295.61,87.2,,,percent of total billed charges,87.2% of total billed charges,200.01,59,,160.01,percent of total billed charges,59% of total billed charges,295.61,87.2,,236.49,percent of total billed charges,87.2% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,275.57,81.29,,220.46,percent of total billed charges,81.29% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of totl billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,305.1,90,,244.08,percent of total billed charges,90% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,206.79,61,,165.43,percent of total billed charges,61% of total billed charges,176.28,52,,141.02,percent of total billed charges,52% of total billed charges,176.28,305.1,
COAPTITE INJECTION (IMPLANT),35033117,CDM,278,RC,C2631,HCPCS,Outpatient,,,756.45,605.16,,642.98,85,,514.38,percent of total billed charges,85% of total billed charges,642.98,85,,514.38,percent of total billed charges,85% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,561.89,74,,449.51,percent of total billed charges,74.28% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,561.89,74,,449.51,percent of total billed charges,74.28% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,561.89,74,,449.51,percent of total billed charges,74.28% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,680.81,90,,544.65,percent of total billed charges,90% of total billed charges,680.81,90,,544.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,659.62,87.2,,,percent of total billed charges,87.2% of total billed charges,446.31,59,,357.05,percent of total billed charges,59% of total billed charges,659.62,87.2,,527.7,percent of total billed charges,87.2% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,614.92,81.29,,491.94,percent of total billed charges,81.29% of total billed charges,680.81,90,,544.65,percent of total billed charges,90% of totl billed charges,680.81,90,,544.65,percent of total billed charges,90% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,680.81,90,,544.65,percent of total billed charges,90% of total billed charges,680.81,90,,544.65,percent of total billed charges,90% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,461.43,61,,369.14,percent of total billed charges,61% of total billed charges,393.35,52,,314.68,percent of total billed charges,52% of total billed charges,393.35,680.81,
SKN SUB GRFT LC T/A/L <100 F25,44500059,CDM,761,RC,C5271,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
SKN SUB GRFT LC T/A/L <100 F25,44510059,CDM,983,RC,C5271,HCPCS,Outpatient,,,720.95,576.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRT LC T/A/L >100 F100,44500061,CDM,761,RC,C5273,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
SKN SUB GRT LC T/A/L >100 F100,44510061,CDM,983,RC,C5273,HCPCS,Outpatient,,,2357.72,1886.18,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB GRT LC T/A/L >100 ADD,44510062,CDM,983,RC,C5274,HCPCS,Outpatient,,,720.95,576.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
SKN SUB G LC F/N/HF/G <100 F25,44500063,CDM,761,RC,C5275,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
SKN SUB LC F/N/HF/G >100 F100,44500065,CDM,761,RC,C5277,HCPCS,Outpatient,,,720.95,576.76,,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,612.81,85,,490.25,percent of total billed charges,85% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,535.52,74,,428.42,percent of total billed charges,74.28% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,628.67,87.2,,,percent of total billed charges,87.2% of total billed charges,425.36,59,,340.29,percent of total billed charges,59% of total billed charges,628.67,87.2,,502.94,percent of total billed charges,87.2% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,586.06,81.29,,468.85,percent of total billed charges,81.29% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of totl billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,648.86,90,,519.09,percent of total billed charges,90% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,439.78,61,,351.82,percent of total billed charges,61% of total billed charges,374.89,52,,299.91,percent of total billed charges,52% of total billed charges,374.89,648.86,
SKN SUB LC F/N/HF/G >100 F100,44510065,CDM,983,RC,C5277,HCPCS,Outpatient,,,720.95,576.76,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
ECHO CONTRAST 2D &M-MODE ONLY,43509052,CDM,483,RC,C8923,HCPCS,Outpatient,,,956.28,765.02,,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,833.88,87.2,,,percent of total billed charges,87.2% of total billed charges,564.21,59,,451.37,percent of total billed charges,59% of total billed charges,833.88,87.2,,667.1,percent of total billed charges,87.2% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,777.36,81.29,,621.89,percent of total billed charges,81.29% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of totl billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,860.65,
ECHO CONTRAST 2D &M-MOD W/SI,43509053,CDM,483,RC,C8923,HCPCS,Outpatient,,,956.28,765.02,,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,833.88,87.2,,,percent of total billed charges,87.2% of total billed charges,564.21,59,,451.37,percent of total billed charges,59% of total billed charges,833.88,87.2,,667.1,percent of total billed charges,87.2% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,777.36,81.29,,621.89,percent of total billed charges,81.29% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of totl billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,860.65,
ECHO CONTRAST 2D LIMITED,43509055,CDM,483,RC,C8924,HCPCS,Outpatient,,,640.03,512.02,,544.03,85,,435.22,percent of total billed charges,85% of total billed charges,544.03,85,,435.22,percent of total billed charges,85% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,558.11,87.2,,,percent of total billed charges,87.2% of total billed charges,377.62,59,,302.1,percent of total billed charges,59% of total billed charges,558.11,87.2,,446.49,percent of total billed charges,87.2% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,520.28,81.29,,416.22,percent of total billed charges,81.29% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of totl billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,332.82,576.03,
ECHO CONTRAST 2D LIMITED W/SI,43509056,CDM,483,RC,C8924,HCPCS,Outpatient,,,640.03,512.02,,544.03,85,,435.22,percent of total billed charges,85% of total billed charges,544.03,85,,435.22,percent of total billed charges,85% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,475.41,74,,380.33,percent of total billed charges,74.28% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,558.11,87.2,,,percent of total billed charges,87.2% of total billed charges,377.62,59,,302.1,percent of total billed charges,59% of total billed charges,558.11,87.2,,446.49,percent of total billed charges,87.2% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,520.28,81.29,,416.22,percent of total billed charges,81.29% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of totl billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,576.03,90,,460.82,percent of total billed charges,90% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,390.42,61,,312.34,percent of total billed charges,61% of total billed charges,332.82,52,,266.26,percent of total billed charges,52% of total billed charges,332.82,576.03,
ECHO CONTRAST COMPLETE,43509049,CDM,483,RC,C8929,HCPCS,Outpatient,,,956.28,765.02,,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,833.88,87.2,,,percent of total billed charges,87.2% of total billed charges,564.21,59,,451.37,percent of total billed charges,59% of total billed charges,833.88,87.2,,667.1,percent of total billed charges,87.2% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,777.36,81.29,,621.89,percent of total billed charges,81.29% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of totl billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,860.65,
ECHO CONTRAST COMPLETE W/SI,43509050,CDM,483,RC,C8929,HCPCS,Outpatient,,,956.28,765.02,,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,812.84,85,,650.27,percent of total billed charges,85% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,710.32,74,,568.26,percent of total billed charges,74.28% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,833.88,87.2,,,percent of total billed charges,87.2% of total billed charges,564.21,59,,451.37,percent of total billed charges,59% of total billed charges,833.88,87.2,,667.1,percent of total billed charges,87.2% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,777.36,81.29,,621.89,percent of total billed charges,81.29% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of totl billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,860.65,90,,688.52,percent of total billed charges,90% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,583.33,61,,466.66,percent of total billed charges,61% of total billed charges,497.27,52,,397.82,percent of total billed charges,52% of total billed charges,497.27,860.65,
INTEGRA NEVRA WRAP NW 740,35030050,CDM,278,RC,C9352,HCPCS,Outpatient,,,2939.13,2351.3,,2498.26,85,,1998.61,percent of total billed charges,85% of total billed charges,2498.26,85,,1998.61,percent of total billed charges,85% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,2183.19,74,,1746.55,percent of total billed charges,74.28% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,2183.19,74,,1746.55,percent of total billed charges,74.28% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,2183.19,74,,1746.55,percent of total billed charges,74.28% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of total billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,2562.92,87.2,,,percent of total billed charges,87.2% of total billed charges,1734.09,59,,1387.27,percent of total billed charges,59% of total billed charges,2562.92,87.2,,2050.34,percent of total billed charges,87.2% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,2389.22,81.29,,1911.38,percent of total billed charges,81.29% of total billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of totl billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of total billed charges,2645.22,90,,2116.18,percent of total billed charges,90% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,1792.87,61,,1434.3,percent of total billed charges,61% of total billed charges,1528.35,52,,1222.68,percent of total billed charges,52% of total billed charges,1528.35,2645.22,
VERITAS COLLAGEN MATRIX RM1016,35030067,CDM,278,RC,C9354,HCPCS,Outpatient,,,6694.58,5355.66,,5690.39,85,,4552.31,percent of total billed charges,85% of total billed charges,5690.39,85,,4552.31,percent of total billed charges,85% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,4972.73,74,,3978.18,percent of total billed charges,74.28% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,4972.73,74,,3978.18,percent of total billed charges,74.28% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,4972.73,74,,3978.18,percent of total billed charges,74.28% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of total billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,5837.67,87.2,,,percent of total billed charges,87.2% of total billed charges,3949.8,59,,3159.84,percent of total billed charges,59% of total billed charges,5837.67,87.2,,4670.14,percent of total billed charges,87.2% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,5442.02,81.29,,4353.62,percent of total billed charges,81.29% of total billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of totl billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of total billed charges,6025.12,90,,4820.1,percent of total billed charges,90% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,4083.69,61,,3266.95,percent of total billed charges,61% of total billed charges,3481.18,52,,2784.94,percent of total billed charges,52% of total billed charges,3481.18,6025.12,
BAXTER DERMAL MATRIX RM0818,35030051,CDM,278,RC,C9363,HCPCS,Outpatient,,,6018.82,4815.06,,5116,85,,4092.8,percent of total billed charges,85% of total billed charges,5116,85,,4092.8,percent of total billed charges,85% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,4470.78,74,,3576.62,percent of total billed charges,74.28% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,4470.78,74,,3576.62,percent of total billed charges,74.28% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,4470.78,74,,3576.62,percent of total billed charges,74.28% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of total billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,5248.41,87.2,,,percent of total billed charges,87.2% of total billed charges,3551.1,59,,2840.88,percent of total billed charges,59% of total billed charges,5248.41,87.2,,4198.73,percent of total billed charges,87.2% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,4892.7,81.29,,3914.16,percent of total billed charges,81.29% of total billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of totl billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of total billed charges,5416.94,90,,4333.55,percent of total billed charges,90% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,3671.48,61,,2937.18,percent of total billed charges,61% of total billed charges,3129.79,52,,2503.83,percent of total billed charges,52% of total billed charges,3129.79,5416.94,
MATRISTEM MATRIX 200mg MM0200,35030260,CDM,278,RC,C9363,HCPCS,Outpatient,,,1665.11,1332.09,,1415.34,85,,1132.27,percent of total billed charges,85% of total billed charges,1415.34,85,,1132.27,percent of total billed charges,85% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,1236.84,74,,989.47,percent of total billed charges,74.28% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,1236.84,74,,989.47,percent of total billed charges,74.28% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,1236.84,74,,989.47,percent of total billed charges,74.28% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of total billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,1451.98,87.2,,,percent of total billed charges,87.2% of total billed charges,982.41,59,,785.93,percent of total billed charges,59% of total billed charges,1451.98,87.2,,1161.58,percent of total billed charges,87.2% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,1353.57,81.29,,1082.86,percent of total billed charges,81.29% of total billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of totl billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of total billed charges,1498.6,90,,1198.88,percent of total billed charges,90% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,1015.72,61,,812.58,percent of total billed charges,61% of total billed charges,865.86,52,,692.69,percent of total billed charges,52% of total billed charges,865.86,1498.6,
UROLIFT 2 IMPLANT CRTRDG 4+,35032450,CDM,278,RC,C9740,HCPCS,Outpatient,,,1612.5,1290,,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1406.1,87.2,,,percent of total billed charges,87.2% of total billed charges,951.38,59,,761.1,percent of total billed charges,59% of total billed charges,1406.1,87.2,,1124.88,percent of total billed charges,87.2% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1310.8,81.29,,1048.64,percent of total billed charges,81.29% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of totl billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,1451.25,
UROLIFT 2 IMPLANT CARTIDGE KIT,35032451,CDM,278,RC,C9740,HCPCS,Outpatient,,,1612.5,1290,,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1406.1,87.2,,,percent of total billed charges,87.2% of total billed charges,951.38,59,,761.1,percent of total billed charges,59% of total billed charges,1406.1,87.2,,1124.88,percent of total billed charges,87.2% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1310.8,81.29,,1048.64,percent of total billed charges,81.29% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of totl billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,1451.25,
"COLLECTION, COVID-19",41001233,CDM,309,RC,C9803,HCPCS,Outpatient,,,34.28,27.42,,29.14,85,,23.31,percent of total billed charges,85% of total billed charges,29.14,85,,23.31,percent of total billed charges,85% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,30.85,90,,24.68,percent of total billed charges,90% of total billed charges,30.85,90,,24.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,29.89,87.2,,,percent of total billed charges,87.2% of total billed charges,20.23,59,,16.18,percent of total billed charges,59% of total billed charges,29.89,87.2,,23.91,percent of total billed charges,87.2% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,27.87,81.29,,22.3,percent of total billed charges,81.29% of total billed charges,30.85,90,,24.68,percent of total billed charges,90% of totl billed charges,30.85,90,,24.68,percent of total billed charges,90% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,30.85,90,,24.68,percent of total billed charges,90% of total billed charges,30.85,90,,24.68,percent of total billed charges,90% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,20.91,61,,16.73,percent of total billed charges,61% of total billed charges,17.83,52,,14.26,percent of total billed charges,52% of total billed charges,17.83,30.85,
CRUTCHES - PHP,36039192,CDM,290,RC,E0114,HCPCS,Outpatient,,,34.56,27.65,,29.38,85,,23.5,percent of total billed charges,85% of total billed charges,29.38,85,,23.5,percent of total billed charges,85% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,25.67,74,,20.54,percent of total billed charges,74.28% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,25.67,74,,20.54,percent of total billed charges,74.28% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,25.67,74,,20.54,percent of total billed charges,74.28% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,31.1,90,,24.88,percent of total billed charges,90% of total billed charges,31.1,90,,24.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,30.14,87.2,,,percent of total billed charges,87.2% of total billed charges,20.39,59,,16.31,percent of total billed charges,59% of total billed charges,30.14,87.2,,24.11,percent of total billed charges,87.2% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,28.09,81.29,,22.47,percent of total billed charges,81.29% of total billed charges,31.1,90,,24.88,percent of total billed charges,90% of totl billed charges,31.1,90,,24.88,percent of total billed charges,90% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,31.1,90,,24.88,percent of total billed charges,90% of total billed charges,31.1,90,,24.88,percent of total billed charges,90% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,21.08,61,,16.86,percent of total billed charges,61% of total billed charges,17.97,52,,14.38,percent of total billed charges,52% of total billed charges,17.97,31.1,
ADMIN FLU VACCINE (FLOOR),32009069,CDM,771,RC,G0008,HCPCS,Outpatient,,,19.53,15.62,,16.6,85,,13.28,percent of total billed charges,85% of total billed charges,16.6,85,,13.28,percent of total billed charges,85% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,14.51,74,,11.61,percent of total billed charges,74.28% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,14.51,74,,11.61,percent of total billed charges,74.28% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,14.51,74,,11.61,percent of total billed charges,74.28% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,17.58,90,,14.06,percent of total billed charges,90% of total billed charges,17.58,90,,14.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,17.03,87.2,,,percent of total billed charges,87.2% of total billed charges,11.52,59,,9.22,percent of total billed charges,59% of total billed charges,17.03,87.2,,13.62,percent of total billed charges,87.2% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,15.88,81.29,,12.7,percent of total billed charges,81.29% of total billed charges,17.58,90,,14.06,percent of total billed charges,90% of totl billed charges,17.58,90,,14.06,percent of total billed charges,90% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,17.58,90,,14.06,percent of total billed charges,90% of total billed charges,17.58,90,,14.06,percent of total billed charges,90% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,11.91,61,,9.53,percent of total billed charges,61% of total billed charges,10.16,52,,8.13,percent of total billed charges,52% of total billed charges,10.16,17.58,
FLU ADMIN FEE (ED),36000047,CDM,771,RC,G0008,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
FLU ADMIN FEE 24-25,43601807,CDM,771,RC,G0008,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
FLU ADMIN FEE 24-25,43701807,CDM,771,RC,G0008,HCPCS,Outpatient,,,20,16,,17,85,,13.6,percent of total billed charges,85% of total billed charges,17,85,,13.6,percent of total billed charges,85% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,14.86,74,,11.89,percent of total billed charges,74.28% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,17.44,87.2,,,percent of total billed charges,87.2% of total billed charges,11.8,59,,9.44,percent of total billed charges,59% of total billed charges,17.44,87.2,,13.95,percent of total billed charges,87.2% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,16.26,81.29,,13.01,percent of total billed charges,81.29% of total billed charges,18,90,,14.4,percent of total billed charges,90% of totl billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,18,90,,14.4,percent of total billed charges,90% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,12.2,61,,9.76,percent of total billed charges,61% of total billed charges,10.4,52,,8.32,percent of total billed charges,52% of total billed charges,10.4,18,
ADMIN PNEUMO VAC-OUTPT,36009195,CDM,771,RC,G0009,HCPCS,Outpatient,,,31.32,25.06,,26.62,85,,21.3,percent of total billed charges,85% of total billed charges,26.62,85,,21.3,percent of total billed charges,85% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,23.26,74,,18.61,percent of total billed charges,74.28% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,23.26,74,,18.61,percent of total billed charges,74.28% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,23.26,74,,18.61,percent of total billed charges,74.28% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,28.19,90,,22.55,percent of total billed charges,90% of total billed charges,28.19,90,,22.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,27.31,87.2,,,percent of total billed charges,87.2% of total billed charges,18.48,59,,14.78,percent of total billed charges,59% of total billed charges,27.31,87.2,,21.85,percent of total billed charges,87.2% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,25.46,81.29,,20.37,percent of total billed charges,81.29% of total billed charges,28.19,90,,22.55,percent of total billed charges,90% of totl billed charges,28.19,90,,22.55,percent of total billed charges,90% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,28.19,90,,22.55,percent of total billed charges,90% of total billed charges,28.19,90,,22.55,percent of total billed charges,90% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,19.11,61,,15.29,percent of total billed charges,61% of total billed charges,16.29,52,,13.03,percent of total billed charges,52% of total billed charges,16.29,28.19,
INJECTION ADMIN- PNEUMOVAX,43600158,CDM,521,RC,G0009,HCPCS,Outpatient,,,21.82,17.46,,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,18.55,85,,14.84,percent of total billed charges,85% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,16.21,74,,12.97,percent of total billed charges,74.28% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,19.03,87.2,,,percent of total billed charges,87.2% of total billed charges,12.87,59,,10.3,percent of total billed charges,59% of total billed charges,19.03,87.2,,15.22,percent of total billed charges,87.2% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,17.74,81.29,,14.19,percent of total billed charges,81.29% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of totl billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,19.64,90,,15.71,percent of total billed charges,90% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,13.31,61,,10.65,percent of total billed charges,61% of total billed charges,11.35,52,,9.08,percent of total billed charges,52% of total billed charges,11.35,19.64,
Injection Admin-Pneumovax,43601372,CDM,521,RC,G0009,HCPCS,Outpatient,,,27.27,21.82,,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,23.18,85,,18.54,percent of total billed charges,85% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,20.26,74,,16.21,percent of total billed charges,74.28% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,23.78,87.2,,,percent of total billed charges,87.2% of total billed charges,16.09,59,,12.87,percent of total billed charges,59% of total billed charges,23.78,87.2,,19.02,percent of total billed charges,87.2% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,22.17,81.29,,17.74,percent of total billed charges,81.29% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of totl billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,24.54,90,,19.63,percent of total billed charges,90% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,16.63,61,,13.3,percent of total billed charges,61% of total billed charges,14.18,52,,11.34,percent of total billed charges,52% of total billed charges,14.18,24.54,
INJECTION ADMIN-PNEUMOVAX,43701277,CDM,521,RC,G0009,HCPCS,Outpatient,,,25,20,,21.25,85,,17,percent of total billed charges,85% of total billed charges,21.25,85,,17,percent of total billed charges,85% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,18.57,74,,14.86,percent of total billed charges,74.28% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,18.57,74,,14.86,percent of total billed charges,74.28% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,18.57,74,,14.86,percent of total billed charges,74.28% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,22.5,90,,18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13,52,,10.4,percent of total billed charges,52% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,21.8,87.2,,,percent of total billed charges,87.2% of total billed charges,14.75,59,,11.8,percent of total billed charges,59% of total billed charges,21.8,87.2,,17.44,percent of total billed charges,87.2% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,20.32,81.29,,16.26,percent of total billed charges,81.29% of total billed charges,22.5,90,,18,percent of total billed charges,90% of totl billed charges,22.5,90,,18,percent of total billed charges,90% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,22.5,90,,18,percent of total billed charges,90% of total billed charges,22.5,90,,18,percent of total billed charges,90% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,15.25,61,,12.2,percent of total billed charges,61% of total billed charges,13,52,,10.4,percent of total billed charges,52% of total billed charges,13,22.5,
ADMIN HEPATITIS B VACCINE (SC),43301103,CDM,771,RC,G0010,HCPCS,Outpatient,,,47.58,38.06,,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,40.44,85,,32.35,percent of total billed charges,85% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,35.34,74,,28.27,percent of total billed charges,74.28% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,41.49,87.2,,,percent of total billed charges,87.2% of total billed charges,28.07,59,,22.46,percent of total billed charges,59% of total billed charges,41.49,87.2,,33.19,percent of total billed charges,87.2% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,38.68,81.29,,30.94,percent of total billed charges,81.29% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of totl billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,42.82,90,,34.26,percent of total billed charges,90% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,29.02,61,,23.22,percent of total billed charges,61% of total billed charges,24.74,52,,19.79,percent of total billed charges,52% of total billed charges,24.74,42.82,
Admin Hep B Vaccine,43601496,CDM,521,RC,G0010,HCPCS,Outpatient,,,30.54,24.43,,25.96,85,,20.77,percent of total billed charges,85% of total billed charges,25.96,85,,20.77,percent of total billed charges,85% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,26.63,87.2,,,percent of total billed charges,87.2% of total billed charges,18.02,59,,14.42,percent of total billed charges,59% of total billed charges,26.63,87.2,,21.3,percent of total billed charges,87.2% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,24.83,81.29,,19.86,percent of total billed charges,81.29% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of totl billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,15.88,27.49,
Admin Hep B Vaccine,43701496,CDM,521,RC,G0010,HCPCS,Outpatient,,,30.54,24.43,,25.96,85,,20.77,percent of total billed charges,85% of total billed charges,25.96,85,,20.77,percent of total billed charges,85% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,22.69,74,,18.15,percent of total billed charges,74.28% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,26.63,87.2,,,percent of total billed charges,87.2% of total billed charges,18.02,59,,14.42,percent of total billed charges,59% of total billed charges,26.63,87.2,,21.3,percent of total billed charges,87.2% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,24.83,81.29,,19.86,percent of total billed charges,81.29% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of totl billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,27.49,90,,21.99,percent of total billed charges,90% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,18.63,61,,14.9,percent of total billed charges,61% of total billed charges,15.88,52,,12.7,percent of total billed charges,52% of total billed charges,15.88,27.49,
CERVICAL/VAGINAL CANCER SCREEN,43601157,CDM,521,RC,G0101,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
CERVICAL/VAGINAL CANCER SCREEN,43701306,CDM,521,RC,G0101,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
"PSA,SCREENING",41000482,CDM,301,RC,G0103,HCPCS,Outpatient,,,110.41,88.33,,93.85,85,,75.08,percent of total billed charges,85% of total billed charges,93.85,85,,75.08,percent of total billed charges,85% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,82.01,74,,65.61,percent of total billed charges,74.28% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,19.31,100,,,fee schedule,100% of CMS fee schedule,19.31,100,,,fee schedule,100% of CMS fee schedule,96.28,87.2,,,percent of total billed charges,87.2% of total billed charges,65.14,59,,52.11,percent of total billed charges,59% of total billed charges,96.28,87.2,,77.02,percent of total billed charges,87.2% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,89.75,81.29,,71.8,percent of total billed charges,81.29% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of totl billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,99.37,90,,79.5,percent of total billed charges,90% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,53.88,percent of total billed charges,61% of total billed charges,67.35,61,,,percent of total billed charges,61% of total billed charges,19.31,100,,,fee schedule,100% of CMS fee schedule,19.31,99.37,
MNT DIABETES OP TRN PER 30 MIN,58450134,CDM,942,RC,G0108,HCPCS,Outpatient,,,55.72,44.58,,47.36,85,,37.89,percent of total billed charges,85% of total billed charges,47.36,85,,37.89,percent of total billed charges,85% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,41.39,74,,33.11,percent of total billed charges,74.28% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,41.39,74,,33.11,percent of total billed charges,74.28% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,41.39,74,,33.11,percent of total billed charges,74.28% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,50.15,90,,40.12,percent of total billed charges,90% of total billed charges,50.15,90,,40.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,48.59,87.2,,,percent of total billed charges,87.2% of total billed charges,32.87,59,,26.3,percent of total billed charges,59% of total billed charges,48.59,87.2,,38.87,percent of total billed charges,87.2% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,45.29,81.29,,36.23,percent of total billed charges,81.29% of total billed charges,50.15,90,,40.12,percent of total billed charges,90% of totl billed charges,50.15,90,,40.12,percent of total billed charges,90% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,50.15,90,,40.12,percent of total billed charges,90% of total billed charges,50.15,90,,40.12,percent of total billed charges,90% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,33.99,61,,27.19,percent of total billed charges,61% of total billed charges,28.97,52,,23.18,percent of total billed charges,52% of total billed charges,28.97,50.15,
Trimming Dystrophic Nail(s),43601497,CDM,521,RC,G0127,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,44.18,
Trimming Dystrophic Nail(s),43701497,CDM,521,RC,G0127,HCPCS,Outpatient,,,49.09,39.27,,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,41.73,85,,33.38,percent of total billed charges,85% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,36.46,74,,29.17,percent of total billed charges,74.28% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,42.81,87.2,,,percent of total billed charges,87.2% of total billed charges,28.96,59,,23.17,percent of total billed charges,59% of total billed charges,42.81,87.2,,34.25,percent of total billed charges,87.2% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,39.91,81.29,,31.93,percent of total billed charges,81.29% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of totl billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,44.18,90,,35.34,percent of total billed charges,90% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,29.94,61,,23.95,percent of total billed charges,61% of total billed charges,25.53,52,,20.42,percent of total billed charges,52% of total billed charges,25.53,44.18,
TRIM NAIL(S),44500023,CDM,761,RC,G0127,HCPCS,Outpatient,,,188.95,151.16,,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,160.61,85,,128.49,percent of total billed charges,85% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,140.35,74,,112.28,percent of total billed charges,74.28% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,164.76,87.2,,,percent of total billed charges,87.2% of total billed charges,111.48,59,,89.18,percent of total billed charges,59% of total billed charges,164.76,87.2,,131.81,percent of total billed charges,87.2% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,153.6,81.29,,122.88,percent of total billed charges,81.29% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of totl billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,170.06,90,,136.05,percent of total billed charges,90% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,115.26,61,,92.21,percent of total billed charges,61% of total billed charges,98.25,52,,78.6,percent of total billed charges,52% of total billed charges,98.25,170.06,
TRIM NAIL(S),44510023,CDM,983,RC,G0127,HCPCS,Outpatient,,,15.43,12.34,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
TOPICAL SKIN ADHESIVE (DERMABO,36039135,CDM,272,RC,G0168,HCPCS,Outpatient,,,97.9,78.32,,83.22,85,,66.58,percent of total billed charges,85% of total billed charges,83.22,85,,66.58,percent of total billed charges,85% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,85.37,87.2,,,percent of total billed charges,87.2% of total billed charges,57.76,59,,46.21,percent of total billed charges,59% of total billed charges,85.37,87.2,,68.3,percent of total billed charges,87.2% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,79.58,81.29,,63.66,percent of total billed charges,81.29% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of totl billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,50.91,88.11,
ADHHESIVE DERMABOND,43431074,CDM,272,RC,G0168,HCPCS,Outpatient,,,97.9,78.32,,83.22,85,,66.58,percent of total billed charges,85% of total billed charges,83.22,85,,66.58,percent of total billed charges,85% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,72.72,74,,58.18,percent of total billed charges,74.28% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,85.37,87.2,,,percent of total billed charges,87.2% of total billed charges,57.76,59,,46.21,percent of total billed charges,59% of total billed charges,85.37,87.2,,68.3,percent of total billed charges,87.2% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,79.58,81.29,,63.66,percent of total billed charges,81.29% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of totl billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,88.11,90,,70.49,percent of total billed charges,90% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,59.72,61,,47.78,percent of total billed charges,61% of total billed charges,50.91,52,,40.73,percent of total billed charges,52% of total billed charges,50.91,88.11,
MNT CHANGE REASSESS PER 15 MIN,58450132,CDM,942,RC,G0270,HCPCS,Outpatient,,,43.22,34.58,,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,36.74,85,,29.39,percent of total billed charges,85% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,32.1,74,,25.68,percent of total billed charges,74.28% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,37.69,87.2,,,percent of total billed charges,87.2% of total billed charges,25.5,59,,20.4,percent of total billed charges,59% of total billed charges,37.69,87.2,,30.15,percent of total billed charges,87.2% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,35.13,81.29,,28.1,percent of total billed charges,81.29% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of totl billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,38.9,90,,31.12,percent of total billed charges,90% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,26.36,61,,21.09,percent of total billed charges,61% of total billed charges,22.47,52,,17.98,percent of total billed charges,52% of total billed charges,22.47,38.9,
TOMOSYNTHESIS-DIG 3D MAMM,42008018,CDM,401,RC,G0279,HCPCS,Outpatient,,,117.8,94.24,,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,100.13,85,,80.1,percent of total billed charges,85% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,87.5,74,,70,percent of total billed charges,74.28% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,102.72,87.2,,,percent of total billed charges,87.2% of total billed charges,69.5,59,,55.6,percent of total billed charges,59% of total billed charges,102.72,87.2,,82.18,percent of total billed charges,87.2% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,95.76,81.29,,76.61,percent of total billed charges,81.29% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of totl billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,106.02,90,,84.82,percent of total billed charges,90% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,71.86,61,,57.49,percent of total billed charges,61% of total billed charges,61.26,52,,49.01,percent of total billed charges,52% of total billed charges,61.26,106.02,
ELECTRIC MUSCULAR STIM-UNATTEN,48105170,CDM,421,RC,G0283,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
EMS - MANUAL 15 - PT,48105171,CDM,421,RC,G0283,HCPCS,Outpatient,,,121.01,96.81,,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,102.86,85,,82.29,percent of total billed charges,85% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,89.89,74,,71.91,percent of total billed charges,74.28% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,105.52,87.2,,,percent of total billed charges,87.2% of total billed charges,71.4,59,,57.12,percent of total billed charges,59% of total billed charges,105.52,87.2,,84.42,percent of total billed charges,87.2% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,98.37,81.29,,78.7,percent of total billed charges,81.29% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of totl billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,108.91,90,,87.13,percent of total billed charges,90% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,73.82,61,,59.06,percent of total billed charges,61% of total billed charges,62.93,52,,50.34,percent of total billed charges,52% of total billed charges,62.93,108.91,
EMS-UNATTENDED,48207008,CDM,431,RC,G0283,HCPCS,Outpatient,,,82.35,65.88,,70,85,,56,percent of total billed charges,85% of total billed charges,70,85,,56,percent of total billed charges,85% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,61.17,74,,48.94,percent of total billed charges,74.28% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,71.81,87.2,,,percent of total billed charges,87.2% of total billed charges,48.59,59,,38.87,percent of total billed charges,59% of total billed charges,71.81,87.2,,57.45,percent of total billed charges,87.2% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,66.94,81.29,,53.55,percent of total billed charges,81.29% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of totl billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,74.12,90,,59.3,percent of total billed charges,90% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,50.23,61,,40.18,percent of total billed charges,61% of total billed charges,42.82,52,,34.26,percent of total billed charges,52% of total billed charges,42.82,74.12,
PT E-STIM/UNATTENDED,73820115,CDM,510,RC,G0283,HCPCS,Outpatient,,,15.24,12.19,,12.95,85,,10.36,percent of total billed charges,85% of total billed charges,12.95,85,,10.36,percent of total billed charges,85% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,11.32,74,,9.06,percent of total billed charges,74.28% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,11.32,74,,9.06,percent of total billed charges,74.28% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,11.32,74,,9.06,percent of total billed charges,74.28% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,13.72,90,,10.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,13.29,87.2,,,percent of total billed charges,87.2% of total billed charges,8.99,59,,7.19,percent of total billed charges,59% of total billed charges,13.29,87.2,,10.63,percent of total billed charges,87.2% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,12.39,81.29,,9.91,percent of total billed charges,81.29% of total billed charges,13.72,90,,10.98,percent of total billed charges,90% of totl billed charges,13.72,90,,10.98,percent of total billed charges,90% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,13.72,90,,10.98,percent of total billed charges,90% of total billed charges,13.72,90,,10.98,percent of total billed charges,90% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,9.3,61,,7.44,percent of total billed charges,61% of total billed charges,7.92,52,,6.34,percent of total billed charges,52% of total billed charges,7.92,13.72,
COLORECTAL CA SCR/FECAL OCCULT,41001204,CDM,301,RC,G0328,HCPCS,Outpatient,,,36.49,29.19,,31.02,85,,24.82,percent of total billed charges,85% of total billed charges,31.02,85,,24.82,percent of total billed charges,85% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,27.1,74,,21.68,percent of total billed charges,74.28% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,27.1,74,,21.68,percent of total billed charges,74.28% of total billed charges,22.26,61,,17.81,percent of total billed charges,61% of total billed charges,27.1,74,,21.68,percent of total billed charges,74.28% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,32.84,90,,26.27,percent of total billed charges,90% of total billed charges,32.84,90,,26.27,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.05,100,,,fee schedule,100% of CMS fee schedule,18.05,100,,,fee schedule,100% of CMS fee schedule,31.82,87.2,,,percent of total billed charges,87.2% of total billed charges,21.53,59,,17.22,percent of total billed charges,59% of total billed charges,31.82,87.2,,25.46,percent of total billed charges,87.2% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,29.66,81.29,,23.73,percent of total billed charges,81.29% of total billed charges,32.84,90,,26.27,percent of total billed charges,90% of totl billed charges,32.84,90,,26.27,percent of total billed charges,90% of total billed charges,22.26,61,,17.81,percent of total billed charges,61% of total billed charges,22.26,61,,17.81,percent of total billed charges,61% of total billed charges,32.84,90,,26.27,percent of total billed charges,90% of total billed charges,32.84,90,,26.27,percent of total billed charges,90% of total billed charges,22.26,61,,17.81,percent of total billed charges,61% of total billed charges,22.26,61,,17.81,percent of total billed charges,61% of total billed charges,22.26,61,,,percent of total billed charges,61% of total billed charges,18.05,100,,,fee schedule,100% of CMS fee schedule,18.05,32.84,
OBSERVATION PER HR MCR/MCD,32009036,CDM,762,RC,G0378,HCPCS,Outpatient,,,35.74,28.59,,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,31.17,87.2,,,percent of total billed charges,87.2% of total billed charges,21.09,59,,16.87,percent of total billed charges,59% of total billed charges,31.17,87.2,,24.94,percent of total billed charges,87.2% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,29.05,81.29,,23.24,percent of total billed charges,81.29% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of totl billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,32.17,
OBSERVATION MOD LEVEL PER HOUR,32009058,CDM,762,RC,G0378,HCPCS,Outpatient,,,35.74,28.59,,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,30.38,85,,24.3,percent of total billed charges,85% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,26.55,74,,21.24,percent of total billed charges,74.28% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,31.17,87.2,,,percent of total billed charges,87.2% of total billed charges,21.09,59,,16.87,percent of total billed charges,59% of total billed charges,31.17,87.2,,24.94,percent of total billed charges,87.2% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,29.05,81.29,,23.24,percent of total billed charges,81.29% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of totl billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,32.17,90,,25.74,percent of total billed charges,90% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,21.8,61,,17.44,percent of total billed charges,61% of total billed charges,18.58,52,,14.86,percent of total billed charges,52% of total billed charges,18.58,32.17,
TRAUMA RESPONSE TEAM 30 + MIN,36000043,CDM,684,RC,G0390,HCPCS,Outpatient,,,1346.49,1077.19,,1144.52,85,,915.62,percent of total billed charges,85% of total billed charges,1144.52,85,,915.62,percent of total billed charges,85% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,1000.17,74,,800.14,percent of total billed charges,74.28% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,1000.17,74,,800.14,percent of total billed charges,74.28% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,1000.17,74,,800.14,percent of total billed charges,74.28% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,1211.84,90,,969.47,percent of total billed charges,90% of total billed charges,1211.84,90,,969.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,1174.14,87.2,,,percent of total billed charges,87.2% of total billed charges,794.43,59,,635.54,percent of total billed charges,59% of total billed charges,1174.14,87.2,,939.31,percent of total billed charges,87.2% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,1094.56,81.29,,875.65,percent of total billed charges,81.29% of total billed charges,1211.84,90,,969.47,percent of total billed charges,90% of totl billed charges,1211.84,90,,969.47,percent of total billed charges,90% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,1211.84,90,,969.47,percent of total billed charges,90% of total billed charges,1211.84,90,,969.47,percent of total billed charges,90% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,821.36,61,,657.09,percent of total billed charges,61% of total billed charges,700.17,52,,560.14,percent of total billed charges,52% of total billed charges,700.17,1211.84,
NPSG HOME,43152069,CDM,920,RC,G0399,HCPCS,Outpatient,,,445.31,356.25,,378.51,85,,302.81,percent of total billed charges,85% of total billed charges,378.51,85,,302.81,percent of total billed charges,85% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,330.78,74,,264.62,percent of total billed charges,74.28% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,330.78,74,,264.62,percent of total billed charges,74.28% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,330.78,74,,264.62,percent of total billed charges,74.28% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,400.78,90,,320.62,percent of total billed charges,90% of total billed charges,400.78,90,,320.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,388.31,87.2,,,percent of total billed charges,87.2% of total billed charges,262.73,59,,210.18,percent of total billed charges,59% of total billed charges,388.31,87.2,,310.65,percent of total billed charges,87.2% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,361.99,81.29,,289.59,percent of total billed charges,81.29% of total billed charges,400.78,90,,320.62,percent of total billed charges,90% of totl billed charges,400.78,90,,320.62,percent of total billed charges,90% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,400.78,90,,320.62,percent of total billed charges,90% of total billed charges,400.78,90,,320.62,percent of total billed charges,90% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,271.64,61,,217.31,percent of total billed charges,61% of total billed charges,231.56,52,,185.25,percent of total billed charges,52% of total billed charges,231.56,400.78,
INITL PREVENTIVE PHYSICAL EXAM,43601155,CDM,521,RC,G0402,HCPCS,Outpatient,,,298.75,239,,253.94,85,,203.15,percent of total billed charges,85% of total billed charges,253.94,85,,203.15,percent of total billed charges,85% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,260.51,87.2,,,percent of total billed charges,87.2% of total billed charges,176.26,59,,141.01,percent of total billed charges,59% of total billed charges,260.51,87.2,,208.41,percent of total billed charges,87.2% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,242.85,81.29,,194.28,percent of total billed charges,81.29% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of totl billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,155.35,268.88,
INITL PREVENTIVE PHYSICAL EXAM,43701304,CDM,521,RC,G0402,HCPCS,Outpatient,,,298.75,239,,253.94,85,,203.15,percent of total billed charges,85% of total billed charges,253.94,85,,203.15,percent of total billed charges,85% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,221.91,74,,177.53,percent of total billed charges,74.28% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,260.51,87.2,,,percent of total billed charges,87.2% of total billed charges,176.26,59,,141.01,percent of total billed charges,59% of total billed charges,260.51,87.2,,208.41,percent of total billed charges,87.2% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,242.85,81.29,,194.28,percent of total billed charges,81.29% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of totl billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,268.88,90,,215.1,percent of total billed charges,90% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,182.24,61,,145.79,percent of total billed charges,61% of total billed charges,155.35,52,,124.28,percent of total billed charges,52% of total billed charges,155.35,268.88,
ECG FOR IPPE INTERP & REPORT,43601156,CDM,521,RC,G0403,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
ECG FOR IPPE INTERP & REPORT,43701305,CDM,521,RC,G0403,HCPCS,Outpatient,,,125.44,100.35,,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,106.62,85,,85.3,percent of total billed charges,85% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,93.18,74,,74.54,percent of total billed charges,74.28% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,109.38,87.2,,,percent of total billed charges,87.2% of total billed charges,74.01,59,,59.21,percent of total billed charges,59% of total billed charges,109.38,87.2,,87.5,percent of total billed charges,87.2% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,101.97,81.29,,81.58,percent of total billed charges,81.29% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of totl billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,112.9,90,,90.32,percent of total billed charges,90% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,76.52,61,,61.22,percent of total billed charges,61% of total billed charges,65.23,52,,52.18,percent of total billed charges,52% of total billed charges,65.23,112.9,
INITIAL ANNUAL WELLNESS VISIT,43601153,CDM,521,RC,G0438,HCPCS,Outpatient,,,306.42,245.14,,260.46,85,,208.37,percent of total billed charges,85% of total billed charges,260.46,85,,208.37,percent of total billed charges,85% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,267.2,87.2,,,percent of total billed charges,87.2% of total billed charges,180.79,59,,144.63,percent of total billed charges,59% of total billed charges,267.2,87.2,,213.76,percent of total billed charges,87.2% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,249.09,81.29,,199.27,percent of total billed charges,81.29% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of totl billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,159.34,275.78,
INITIAL ANNUAL WELLNESS VISIT,43701302,CDM,521,RC,G0438,HCPCS,Outpatient,,,306.42,245.14,,260.46,85,,208.37,percent of total billed charges,85% of total billed charges,260.46,85,,208.37,percent of total billed charges,85% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,227.61,74,,182.09,percent of total billed charges,74.28% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,267.2,87.2,,,percent of total billed charges,87.2% of total billed charges,180.79,59,,144.63,percent of total billed charges,59% of total billed charges,267.2,87.2,,213.76,percent of total billed charges,87.2% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,249.09,81.29,,199.27,percent of total billed charges,81.29% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of totl billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,275.78,90,,220.62,percent of total billed charges,90% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,186.92,61,,149.54,percent of total billed charges,61% of total billed charges,159.34,52,,127.47,percent of total billed charges,52% of total billed charges,159.34,275.78,
SUBSEQUENT ANNUAL WELLNESS VIS,43601154,CDM,521,RC,G0439,HCPCS,Outpatient,,,207.91,166.33,,176.72,85,,141.38,percent of total billed charges,85% of total billed charges,176.72,85,,141.38,percent of total billed charges,85% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,181.3,87.2,,,percent of total billed charges,87.2% of total billed charges,122.67,59,,98.14,percent of total billed charges,59% of total billed charges,181.3,87.2,,145.04,percent of total billed charges,87.2% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,169.01,81.29,,135.21,percent of total billed charges,81.29% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of totl billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,108.11,187.12,
SUBSEQUENT ANNUAL WELLNESS VIS,43701303,CDM,521,RC,G0439,HCPCS,Outpatient,,,207.91,166.33,,176.72,85,,141.38,percent of total billed charges,85% of total billed charges,176.72,85,,141.38,percent of total billed charges,85% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,154.44,74,,123.55,percent of total billed charges,74.28% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,181.3,87.2,,,percent of total billed charges,87.2% of total billed charges,122.67,59,,98.14,percent of total billed charges,59% of total billed charges,181.3,87.2,,145.04,percent of total billed charges,87.2% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,169.01,81.29,,135.21,percent of total billed charges,81.29% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of totl billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,187.12,90,,149.7,percent of total billed charges,90% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,126.83,61,,101.46,percent of total billed charges,61% of total billed charges,108.11,52,,86.49,percent of total billed charges,52% of total billed charges,108.11,187.12,
AUTOLOGOUS PRP F ULCR (AURIX),44500044,CDM,761,RC,G0460,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
AUTOLOGOUS PRP F ULCR (AURIX),44510044,CDM,983,RC,G0460,HCPCS,Outpatient,,,259.4,207.52,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
HOSPITAL OUTPT CLINIC VISIT,44500081,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L2,44500083,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L3,44500084,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L4,44500085,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT NEW L5,44500086,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L1,44500087,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L2,44500088,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L3,44500089,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L4,44500090,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
OFFICE/OUTPATIENT VISIT EST L5,44500091,CDM,761,RC,G0463,HCPCS,Outpatient,,,163.56,130.85,,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,139.03,85,,111.22,percent of total billed charges,85% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,121.49,74,,97.19,percent of total billed charges,74.28% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,142.62,87.2,,,percent of total billed charges,87.2% of total billed charges,96.5,59,,77.2,percent of total billed charges,59% of total billed charges,142.62,87.2,,114.1,percent of total billed charges,87.2% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,132.96,81.29,,106.37,percent of total billed charges,81.29% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of totl billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,147.2,90,,117.76,percent of total billed charges,90% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,99.77,61,,79.82,percent of total billed charges,61% of total billed charges,85.05,52,,68.04,percent of total billed charges,52% of total billed charges,85.05,147.2,
HOSPITAL OUTPT CLINIC VISIT,44510081,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT NEW L2,44510083,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT NEW L3,44510084,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT NEW L4,44510085,CDM,983,RC,G0463,HCPCS,Outpatient,,,238.14,190.51,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT NEW L5,44510086,CDM,983,RC,G0463,HCPCS,Outpatient,,,300.89,240.71,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT EST L1,44510087,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT EST L2,44510088,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT EST L3,44510089,CDM,983,RC,G0463,HCPCS,Outpatient,,,162.9,130.32,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
OFFICE/OUTPATIENT VISIT EST L5,44510091,CDM,983,RC,G0463,HCPCS,Outpatient,,,211.36,169.09,,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,,,other ,not seperately reimbursable,,,
AUTOLOG PRP DIAB WOUND ULCR,44500082,CDM,761,RC,G0465,HCPCS,Outpatient,,,2357.72,1886.18,,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,2004.06,85,,1603.25,percent of total billed charges,85% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1751.31,74,,1401.05,percent of total billed charges,74.28% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,2055.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1391.05,59,,1112.84,percent of total billed charges,59% of total billed charges,2055.93,87.2,,1644.74,percent of total billed charges,87.2% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1916.59,81.29,,1533.27,percent of total billed charges,81.29% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of totl billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,2121.95,90,,1697.56,percent of total billed charges,90% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1438.21,61,,1150.57,percent of total billed charges,61% of total billed charges,1226.01,52,,980.81,percent of total billed charges,52% of total billed charges,1226.01,2121.95,
"OPIATES SCREEN, URINE",41000368,CDM,301,RC,G0477,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,22.83,
"OPIATES SCREEN, URINE",41000368,CDM,301,RC,G0477,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,22.83,
"METHADONE SCREEN, URINE",41001103,CDM,301,RC,G0477,HCPCS,Outpatient,,,25.37,20.3,,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,21.56,85,,17.25,percent of total billed charges,85% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,18.84,74,,15.07,percent of total billed charges,74.28% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,22.12,87.2,,,percent of total billed charges,87.2% of total billed charges,14.97,59,,11.98,percent of total billed charges,59% of total billed charges,22.12,87.2,,17.7,percent of total billed charges,87.2% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,20.62,81.29,,16.5,percent of total billed charges,81.29% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of totl billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,22.83,90,,18.26,percent of total billed charges,90% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,15.48,61,,12.38,percent of total billed charges,61% of total billed charges,13.19,52,,10.55,percent of total billed charges,52% of total billed charges,13.19,22.83,
ALCOHOL BLOOD ETHANOL,41000002,CDM,301,RC,G0480,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,,percent of total billed charges,61% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,47.38,114.43,
ALCOHOL BLOOD ETHANOL,41000002,CDM,301,RC,G0480,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,,percent of total billed charges,61% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,47.38,114.43,
"ALCOHOL, URINE",41000579,CDM,301,RC,G0480,HCPCS,Outpatient,,,80.31,64.25,,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,68.26,85,,54.61,percent of total billed charges,85% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,59.65,74,,47.72,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,70.03,87.2,,,percent of total billed charges,87.2% of total billed charges,47.38,59,,37.9,percent of total billed charges,59% of total billed charges,70.03,87.2,,56.02,percent of total billed charges,87.2% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,65.28,81.29,,52.22,percent of total billed charges,81.29% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of totl billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,72.28,90,,57.82,percent of total billed charges,90% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,39.19,percent of total billed charges,61% of total billed charges,48.99,61,,,percent of total billed charges,61% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,47.38,114.43,
SALICYLATE,41009033,CDM,301,RC,G0480,HCPCS,Outpatient,,,178.68,142.94,,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,151.88,85,,121.5,percent of total billed charges,85% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,132.72,74,,106.18,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,155.81,87.2,,,percent of total billed charges,87.2% of total billed charges,105.42,59,,84.34,percent of total billed charges,59% of total billed charges,155.81,87.2,,124.65,percent of total billed charges,87.2% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,145.25,81.29,,116.2,percent of total billed charges,81.29% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of totl billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,160.81,90,,128.65,percent of total billed charges,90% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,87.19,percent of total billed charges,61% of total billed charges,108.99,61,,,percent of total billed charges,61% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,105.42,160.81,
ACETAMINOPHEN,41009034,CDM,301,RC,G0480,HCPCS,Outpatient,,,178.93,143.14,,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,152.09,85,,121.67,percent of total billed charges,85% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,132.91,74,,106.33,percent of total billed charges,74.28% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,114.43,100,,,fee schedule,100% of CMS fee schedule,114.43,100,,,fee schedule,100% of CMS fee schedule,156.03,87.2,,,percent of total billed charges,87.2% of total billed charges,105.57,59,,84.46,percent of total billed charges,59% of total billed charges,156.03,87.2,,124.82,percent of total billed charges,87.2% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,145.45,81.29,,116.36,percent of total billed charges,81.29% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of totl billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,161.04,90,,128.83,percent of total billed charges,90% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,87.32,percent of total billed charges,61% of total billed charges,109.15,61,,,percent of total billed charges,61% of total billed charges,114.43,100,,,fee schedule,100% of CMS fee schedule,105.57,161.04,
"General Care Mgmt, 20+ Min",43601498,CDM,521,RC,G0511,HCPCS,Outpatient,,,82.08,65.66,,69.77,85,,55.82,percent of total billed charges,85% of total billed charges,69.77,85,,55.82,percent of total billed charges,85% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,60.97,74,,48.78,percent of total billed charges,74.28% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,60.97,74,,48.78,percent of total billed charges,74.28% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,60.97,74,,48.78,percent of total billed charges,74.28% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,73.87,90,,59.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,71.57,87.2,,,percent of total billed charges,87.2% of total billed charges,48.43,59,,38.74,percent of total billed charges,59% of total billed charges,71.57,87.2,,57.26,percent of total billed charges,87.2% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,66.72,81.29,,53.38,percent of total billed charges,81.29% of total billed charges,73.87,90,,59.1,percent of total billed charges,90% of totl billed charges,73.87,90,,59.1,percent of total billed charges,90% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,73.87,90,,59.1,percent of total billed charges,90% of total billed charges,73.87,90,,59.1,percent of total billed charges,90% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,50.07,61,,40.06,percent of total billed charges,61% of total billed charges,42.68,52,,34.14,percent of total billed charges,52% of total billed charges,42.68,73.87,
"General Care Mgmt, 20+ Min",43701498,CDM,521,RC,G0511,HCPCS,Outpatient,,,75.25,60.2,,63.96,85,,51.17,percent of total billed charges,85% of total billed charges,63.96,85,,51.17,percent of total billed charges,85% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,55.9,74,,44.72,percent of total billed charges,74.28% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,55.9,74,,44.72,percent of total billed charges,74.28% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,55.9,74,,44.72,percent of total billed charges,74.28% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,67.73,90,,54.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,65.62,87.2,,,percent of total billed charges,87.2% of total billed charges,44.4,59,,35.52,percent of total billed charges,59% of total billed charges,65.62,87.2,,52.5,percent of total billed charges,87.2% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,61.17,81.29,,48.94,percent of total billed charges,81.29% of total billed charges,67.73,90,,54.18,percent of total billed charges,90% of totl billed charges,67.73,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,67.73,90,,54.18,percent of total billed charges,90% of total billed charges,67.73,90,,54.18,percent of total billed charges,90% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,45.9,61,,36.72,percent of total billed charges,61% of total billed charges,39.13,52,,31.3,percent of total billed charges,52% of total billed charges,39.13,67.73,
Telehealth Covid-19,43601612,CDM,521,RC,G2025,HCPCS,Outpatient,,,121.78,97.42,,103.51,85,,82.81,percent of total billed charges,85% of total billed charges,103.51,85,,82.81,percent of total billed charges,85% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,90.46,74,,72.37,percent of total billed charges,74.28% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,90.46,74,,72.37,percent of total billed charges,74.28% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,90.46,74,,72.37,percent of total billed charges,74.28% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,109.6,90,,87.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,106.19,87.2,,,percent of total billed charges,87.2% of total billed charges,71.85,59,,57.48,percent of total billed charges,59% of total billed charges,106.19,87.2,,84.95,percent of total billed charges,87.2% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,98.99,81.29,,79.19,percent of total billed charges,81.29% of total billed charges,109.6,90,,87.68,percent of total billed charges,90% of totl billed charges,109.6,90,,87.68,percent of total billed charges,90% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,109.6,90,,87.68,percent of total billed charges,90% of total billed charges,109.6,90,,87.68,percent of total billed charges,90% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,74.29,61,,59.43,percent of total billed charges,61% of total billed charges,63.33,52,,50.66,percent of total billed charges,52% of total billed charges,63.33,109.6,
Telehealth Covid-19,43701612,CDM,521,RC,G2025,HCPCS,Outpatient,,,111.64,89.31,,94.89,85,,75.91,percent of total billed charges,85% of total billed charges,94.89,85,,75.91,percent of total billed charges,85% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,82.93,74,,66.34,percent of total billed charges,74.28% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,82.93,74,,66.34,percent of total billed charges,74.28% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,82.93,74,,66.34,percent of total billed charges,74.28% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,100.48,90,,80.38,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,97.35,87.2,,,percent of total billed charges,87.2% of total billed charges,65.87,59,,52.7,percent of total billed charges,59% of total billed charges,97.35,87.2,,77.88,percent of total billed charges,87.2% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,90.75,81.29,,72.6,percent of total billed charges,81.29% of total billed charges,100.48,90,,80.38,percent of total billed charges,90% of totl billed charges,100.48,90,,80.38,percent of total billed charges,90% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,100.48,90,,80.38,percent of total billed charges,90% of total billed charges,100.48,90,,80.38,percent of total billed charges,90% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,68.1,61,,54.48,percent of total billed charges,61% of total billed charges,58.05,52,,46.44,percent of total billed charges,52% of total billed charges,58.05,100.48,
COORD CARE TEAM CONFERENCE,43601676,CDM,521,RC,G9007,HCPCS,Outpatient,,,41.12,32.9,,34.95,85,,27.96,percent of total billed charges,85% of total billed charges,34.95,85,,27.96,percent of total billed charges,85% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,35.86,87.2,,,percent of total billed charges,87.2% of total billed charges,24.26,59,,19.41,percent of total billed charges,59% of total billed charges,35.86,87.2,,28.69,percent of total billed charges,87.2% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,33.43,81.29,,26.74,percent of total billed charges,81.29% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of totl billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,21.38,37.01,
COORD CARE TEAM CONFERENCE,43701676,CDM,521,RC,G9007,HCPCS,Outpatient,,,41.12,32.9,,34.95,85,,27.96,percent of total billed charges,85% of total billed charges,34.95,85,,27.96,percent of total billed charges,85% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,30.54,74,,24.43,percent of total billed charges,74.28% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,35.86,87.2,,,percent of total billed charges,87.2% of total billed charges,24.26,59,,19.41,percent of total billed charges,59% of total billed charges,35.86,87.2,,28.69,percent of total billed charges,87.2% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,33.43,81.29,,26.74,percent of total billed charges,81.29% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of totl billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,37.01,90,,29.61,percent of total billed charges,90% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,25.08,61,,20.06,percent of total billed charges,61% of total billed charges,21.38,52,,17.1,percent of total billed charges,52% of total billed charges,21.38,37.01,
COORD CARE PHYS OVERSIGHT,43601677,CDM,521,RC,G9008,HCPCS,Outpatient,,,112.54,90.03,,95.66,85,,76.53,percent of total billed charges,85% of total billed charges,95.66,85,,76.53,percent of total billed charges,85% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,98.13,87.2,,,percent of total billed charges,87.2% of total billed charges,66.4,59,,53.12,percent of total billed charges,59% of total billed charges,98.13,87.2,,78.5,percent of total billed charges,87.2% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,91.48,81.29,,73.18,percent of total billed charges,81.29% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of totl billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,58.52,101.29,
COORD CARE PHYS OVERSIGHT,43701677,CDM,521,RC,G9008,HCPCS,Outpatient,,,112.54,90.03,,95.66,85,,76.53,percent of total billed charges,85% of total billed charges,95.66,85,,76.53,percent of total billed charges,85% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,83.59,74,,66.87,percent of total billed charges,74.28% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,98.13,87.2,,,percent of total billed charges,87.2% of total billed charges,66.4,59,,53.12,percent of total billed charges,59% of total billed charges,98.13,87.2,,78.5,percent of total billed charges,87.2% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,91.48,81.29,,73.18,percent of total billed charges,81.29% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of totl billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,101.29,90,,81.03,percent of total billed charges,90% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,68.65,61,,54.92,percent of total billed charges,61% of total billed charges,58.52,52,,46.82,percent of total billed charges,52% of total billed charges,58.52,101.29,
BH COUNSELING & THERAPY 15MIN,43701371,CDM,900,RC,H0004,HCPCS,Outpatient,,,39.66,31.73,,33.71,85,,26.97,percent of total billed charges,85% of total billed charges,33.71,85,,26.97,percent of total billed charges,85% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,29.46,74,,23.57,percent of total billed charges,74.28% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,29.46,74,,23.57,percent of total billed charges,74.28% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,29.46,74,,23.57,percent of total billed charges,74.28% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,35.69,90,,28.55,percent of total billed charges,90% of total billed charges,35.69,90,,28.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,34.58,87.2,,,percent of total billed charges,87.2% of total billed charges,23.4,59,,18.72,percent of total billed charges,59% of total billed charges,34.58,87.2,,27.66,percent of total billed charges,87.2% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,32.24,81.29,,25.79,percent of total billed charges,81.29% of total billed charges,35.69,90,,28.55,percent of total billed charges,90% of totl billed charges,35.69,90,,28.55,percent of total billed charges,90% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,35.69,90,,28.55,percent of total billed charges,90% of total billed charges,35.69,90,,28.55,percent of total billed charges,90% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,24.19,61,,19.35,percent of total billed charges,61% of total billed charges,20.62,52,,16.5,percent of total billed charges,52% of total billed charges,20.62,35.69,
BH ASSESSMENT BY NON-PHYS,43701372,CDM,900,RC,H0031,HCPCS,Outpatient,,,275.43,220.34,,234.12,85,,187.3,percent of total billed charges,85% of total billed charges,234.12,85,,187.3,percent of total billed charges,85% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,204.59,74,,163.67,percent of total billed charges,74.28% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,204.59,74,,163.67,percent of total billed charges,74.28% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,204.59,74,,163.67,percent of total billed charges,74.28% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,247.89,90,,198.31,percent of total billed charges,90% of total billed charges,247.89,90,,198.31,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,240.17,87.2,,,percent of total billed charges,87.2% of total billed charges,162.5,59,,130,percent of total billed charges,59% of total billed charges,240.17,87.2,,192.14,percent of total billed charges,87.2% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,223.9,81.29,,179.12,percent of total billed charges,81.29% of total billed charges,247.89,90,,198.31,percent of total billed charges,90% of totl billed charges,247.89,90,,198.31,percent of total billed charges,90% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,247.89,90,,198.31,percent of total billed charges,90% of total billed charges,247.89,90,,198.31,percent of total billed charges,90% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,168.01,61,,134.41,percent of total billed charges,61% of total billed charges,143.22,52,,114.58,percent of total billed charges,52% of total billed charges,143.22,247.89,
Epi-pen Adult,43601500,CDM,521,RC,J0171,HCPCS,Outpatient,10,ML,318.89,255.11,,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,287,90,,229.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,278.07,87.2,,,percent of total billed charges,87.2% of total billed charges,188.15,59,,150.52,percent of total billed charges,59% of total billed charges,278.07,87.2,,222.46,percent of total billed charges,87.2% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,259.23,81.29,,207.38,percent of total billed charges,81.29% of total billed charges,287,90,,229.6,percent of total billed charges,90% of totl billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,287,
Epi-pen Peds,43601501,CDM,521,RC,J0171,HCPCS,Outpatient,10,ML,318.89,255.11,,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,287,90,,229.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,278.07,87.2,,,percent of total billed charges,87.2% of total billed charges,188.15,59,,150.52,percent of total billed charges,59% of total billed charges,278.07,87.2,,222.46,percent of total billed charges,87.2% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,259.23,81.29,,207.38,percent of total billed charges,81.29% of total billed charges,287,90,,229.6,percent of total billed charges,90% of totl billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,287,
Epi-pen Adult,43701500,CDM,521,RC,J0171,HCPCS,Outpatient,10,ML,318.89,255.11,,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,287,90,,229.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,278.07,87.2,,,percent of total billed charges,87.2% of total billed charges,188.15,59,,150.52,percent of total billed charges,59% of total billed charges,278.07,87.2,,222.46,percent of total billed charges,87.2% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,259.23,81.29,,207.38,percent of total billed charges,81.29% of total billed charges,287,90,,229.6,percent of total billed charges,90% of totl billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,287,
Epi-pen Peds,43701501,CDM,521,RC,J0171,HCPCS,Outpatient,10,ML,318.89,255.11,,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,271.06,85,,216.85,percent of total billed charges,85% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,236.87,74,,189.5,percent of total billed charges,74.28% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,287,90,,229.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,278.07,87.2,,,percent of total billed charges,87.2% of total billed charges,188.15,59,,150.52,percent of total billed charges,59% of total billed charges,278.07,87.2,,222.46,percent of total billed charges,87.2% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,259.23,81.29,,207.38,percent of total billed charges,81.29% of total billed charges,287,90,,229.6,percent of total billed charges,90% of totl billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,287,90,,229.6,percent of total billed charges,90% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,194.52,61,,155.62,percent of total billed charges,61% of total billed charges,165.82,52,,132.66,percent of total billed charges,52% of total billed charges,165.82,287,
BOTOX THERAPEUTIC 100 UNITS,35030458,CDM,636,RC,J0585,HCPCS,Outpatient,100,UN,1302.75,1042.2,,1107.34,85,,885.87,percent of total billed charges,85% of total billed charges,1107.34,85,,885.87,percent of total billed charges,85% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,967.68,74,,774.14,percent of total billed charges,74.28% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,967.68,74,,774.14,percent of total billed charges,74.28% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,967.68,74,,774.14,percent of total billed charges,74.28% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,1172.48,90,,937.98,percent of total billed charges,90% of total billed charges,1172.48,90,,937.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,1136,87.2,,,percent of total billed charges,87.2% of total billed charges,768.62,59,,614.9,percent of total billed charges,59% of total billed charges,1136,87.2,,908.8,percent of total billed charges,87.2% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,1059.01,81.29,,847.21,percent of total billed charges,81.29% of total billed charges,1172.48,90,,937.98,percent of total billed charges,90% of totl billed charges,1172.48,90,,937.98,percent of total billed charges,90% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,1172.48,90,,937.98,percent of total billed charges,90% of total billed charges,1172.48,90,,937.98,percent of total billed charges,90% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,794.68,61,,635.74,percent of total billed charges,61% of total billed charges,677.43,52,,541.94,percent of total billed charges,52% of total billed charges,677.43,1172.48,
BOTOX THERAPEUTIC 200 UNITS,35031662,CDM,636,RC,J0585,HCPCS,Outpatient,200,UN,1848,1478.4,,1570.8,85,,1256.64,percent of total billed charges,85% of total billed charges,1570.8,85,,1256.64,percent of total billed charges,85% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,1372.69,74,,1098.15,percent of total billed charges,74.28% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,1372.69,74,,1098.15,percent of total billed charges,74.28% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,1372.69,74,,1098.15,percent of total billed charges,74.28% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of total billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,1611.46,87.2,,,percent of total billed charges,87.2% of total billed charges,1090.32,59,,872.26,percent of total billed charges,59% of total billed charges,1611.46,87.2,,1289.17,percent of total billed charges,87.2% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,1502.24,81.29,,1201.79,percent of total billed charges,81.29% of total billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of totl billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of total billed charges,1663.2,90,,1330.56,percent of total billed charges,90% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,1127.28,61,,901.82,percent of total billed charges,61% of total billed charges,960.96,52,,768.77,percent of total billed charges,52% of total billed charges,960.96,1663.2,
"Inj Onabotulinumtoxin-A,1 Unit",43601502,CDM,636,RC,J0585,HCPCS,Outpatient,100,UN,1515.78,1212.62,,1288.41,85,,1030.73,percent of total billed charges,85% of total billed charges,1288.41,85,,1030.73,percent of total billed charges,85% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1321.76,87.2,,,percent of total billed charges,87.2% of total billed charges,894.31,59,,715.45,percent of total billed charges,59% of total billed charges,1321.76,87.2,,1057.41,percent of total billed charges,87.2% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1232.18,81.29,,985.74,percent of total billed charges,81.29% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of totl billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,788.21,1364.2,
"Inj Onabotulinumtoxin-A,1 Unit",43701502,CDM,636,RC,J0585,HCPCS,Outpatient,100,UN,1515.78,1212.62,,1288.41,85,,1030.73,percent of total billed charges,85% of total billed charges,1288.41,85,,1030.73,percent of total billed charges,85% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,1125.92,74,,900.74,percent of total billed charges,74.28% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1321.76,87.2,,,percent of total billed charges,87.2% of total billed charges,894.31,59,,715.45,percent of total billed charges,59% of total billed charges,1321.76,87.2,,1057.41,percent of total billed charges,87.2% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,1232.18,81.29,,985.74,percent of total billed charges,81.29% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of totl billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,1364.2,90,,1091.36,percent of total billed charges,90% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,924.63,61,,739.7,percent of total billed charges,61% of total billed charges,788.21,52,,630.57,percent of total billed charges,52% of total billed charges,788.21,1364.2,
Rocephin 250mg,43601503,CDM,636,RC,J0696,HCPCS,Outpatient,1,UN,33.36,26.69,,28.36,85,,22.69,percent of total billed charges,85% of total billed charges,28.36,85,,22.69,percent of total billed charges,85% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,29.09,87.2,,,percent of total billed charges,87.2% of total billed charges,19.68,59,,15.74,percent of total billed charges,59% of total billed charges,29.09,87.2,,23.27,percent of total billed charges,87.2% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,27.12,81.29,,21.7,percent of total billed charges,81.29% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of totl billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,17.35,30.02,
Rocephin 1gm,43601504,CDM,636,RC,J0696,HCPCS,Outpatient,4,UN,67.36,53.89,,57.26,85,,45.81,percent of total billed charges,85% of total billed charges,57.26,85,,45.81,percent of total billed charges,85% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,58.74,87.2,,,percent of total billed charges,87.2% of total billed charges,39.74,59,,31.79,percent of total billed charges,59% of total billed charges,58.74,87.2,,46.99,percent of total billed charges,87.2% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,54.76,81.29,,43.81,percent of total billed charges,81.29% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of totl billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,35.03,60.62,
ROCEPHIN 500MG/ML,43601646,CDM,636,RC,J0696,HCPCS,Outpatient,1,UN,20.06,16.05,,17.05,85,,13.64,percent of total billed charges,85% of total billed charges,17.05,85,,13.64,percent of total billed charges,85% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,17.49,87.2,,,percent of total billed charges,87.2% of total billed charges,11.84,59,,9.47,percent of total billed charges,59% of total billed charges,17.49,87.2,,13.99,percent of total billed charges,87.2% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,16.31,81.29,,13.05,percent of total billed charges,81.29% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of totl billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,10.43,18.05,
Rocephin 250mg,43701503,CDM,636,RC,J0696,HCPCS,Outpatient,1,UN,33.36,26.69,,28.36,85,,22.69,percent of total billed charges,85% of total billed charges,28.36,85,,22.69,percent of total billed charges,85% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,24.78,74,,19.82,percent of total billed charges,74.28% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,29.09,87.2,,,percent of total billed charges,87.2% of total billed charges,19.68,59,,15.74,percent of total billed charges,59% of total billed charges,29.09,87.2,,23.27,percent of total billed charges,87.2% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,27.12,81.29,,21.7,percent of total billed charges,81.29% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of totl billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,30.02,90,,24.02,percent of total billed charges,90% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,20.35,61,,16.28,percent of total billed charges,61% of total billed charges,17.35,52,,13.88,percent of total billed charges,52% of total billed charges,17.35,30.02,
Rocephin 1gm,43701504,CDM,636,RC,J0696,HCPCS,Outpatient,4,UN,67.36,53.89,,57.26,85,,45.81,percent of total billed charges,85% of total billed charges,57.26,85,,45.81,percent of total billed charges,85% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,50.04,74,,40.03,percent of total billed charges,74.28% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,58.74,87.2,,,percent of total billed charges,87.2% of total billed charges,39.74,59,,31.79,percent of total billed charges,59% of total billed charges,58.74,87.2,,46.99,percent of total billed charges,87.2% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,54.76,81.29,,43.81,percent of total billed charges,81.29% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of totl billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,60.62,90,,48.5,percent of total billed charges,90% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,41.09,61,,32.87,percent of total billed charges,61% of total billed charges,35.03,52,,28.02,percent of total billed charges,52% of total billed charges,35.03,60.62,
ROCEPHIN 500MG/ML,43701646,CDM,636,RC,J0696,HCPCS,Outpatient,1,UN,20.06,16.05,,17.05,85,,13.64,percent of total billed charges,85% of total billed charges,17.05,85,,13.64,percent of total billed charges,85% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,14.9,74,,11.92,percent of total billed charges,74.28% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,17.49,87.2,,,percent of total billed charges,87.2% of total billed charges,11.84,59,,9.47,percent of total billed charges,59% of total billed charges,17.49,87.2,,13.99,percent of total billed charges,87.2% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,16.31,81.29,,13.05,percent of total billed charges,81.29% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of totl billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,18.05,90,,14.44,percent of total billed charges,90% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,12.24,61,,9.79,percent of total billed charges,61% of total billed charges,10.43,52,,8.34,percent of total billed charges,52% of total billed charges,10.43,18.05,
CELESTONE 30MG/5ML (PER ML),43601688,CDM,636,RC,J0702,HCPCS,Outpatient,5,ML,15.73,12.58,,13.37,85,,10.7,percent of total billed charges,85% of total billed charges,13.37,85,,10.7,percent of total billed charges,85% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,13.72,87.2,,,percent of total billed charges,87.2% of total billed charges,9.28,59,,7.42,percent of total billed charges,59% of total billed charges,13.72,87.2,,10.98,percent of total billed charges,87.2% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,12.79,81.29,,10.23,percent of total billed charges,81.29% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of totl billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,8.18,14.16,
CELESTONE 30MG/5ML (PER ML),43701688,CDM,636,RC,J0702,HCPCS,Outpatient,5,ML,15.73,12.58,,13.37,85,,10.7,percent of total billed charges,85% of total billed charges,13.37,85,,10.7,percent of total billed charges,85% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,11.68,74,,9.34,percent of total billed charges,74.28% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,13.72,87.2,,,percent of total billed charges,87.2% of total billed charges,9.28,59,,7.42,percent of total billed charges,59% of total billed charges,13.72,87.2,,10.98,percent of total billed charges,87.2% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,12.79,81.29,,10.23,percent of total billed charges,81.29% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of totl billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,14.16,90,,11.33,percent of total billed charges,90% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,9.6,61,,7.68,percent of total billed charges,61% of total billed charges,8.18,52,,6.54,percent of total billed charges,52% of total billed charges,8.18,14.16,
Depomedrol 80mg/ml,43601506,CDM,636,RC,J1010,HCPCS,Outpatient,80,ML,34.27,27.42,,29.13,85,,23.3,percent of total billed charges,85% of total billed charges,29.13,85,,23.3,percent of total billed charges,85% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,29.88,87.2,,,percent of total billed charges,87.2% of total billed charges,20.22,59,,16.18,percent of total billed charges,59% of total billed charges,29.88,87.2,,23.9,percent of total billed charges,87.2% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,27.86,81.29,,22.29,percent of total billed charges,81.29% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of totl billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,17.82,30.84,
Depomedrol 80mg/ml,43701506,CDM,636,RC,J1010,HCPCS,Outpatient,80,ML,34.27,27.42,,29.13,85,,23.3,percent of total billed charges,85% of total billed charges,29.13,85,,23.3,percent of total billed charges,85% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,25.46,74,,20.37,percent of total billed charges,74.28% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,29.88,87.2,,,percent of total billed charges,87.2% of total billed charges,20.22,59,,16.18,percent of total billed charges,59% of total billed charges,29.88,87.2,,23.9,percent of total billed charges,87.2% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,27.86,81.29,,22.29,percent of total billed charges,81.29% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of totl billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,30.84,90,,24.67,percent of total billed charges,90% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,20.9,61,,16.72,percent of total billed charges,61% of total billed charges,17.82,52,,14.26,percent of total billed charges,52% of total billed charges,17.82,30.84,
DEPO-MEDROL 40MG/ML 1ML VIAL,73800113,CDM,250,RC,J1010,HCPCS,Outpatient,200,ML,46.46,37.17,,39.49,85,,31.59,percent of total billed charges,85% of total billed charges,39.49,85,,31.59,percent of total billed charges,85% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,34.51,74,,27.61,percent of total billed charges,74.28% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,34.51,74,,27.61,percent of total billed charges,74.28% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,34.51,74,,27.61,percent of total billed charges,74.28% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,41.81,90,,33.45,percent of total billed charges,90% of total billed charges,41.81,90,,33.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,40.51,87.2,,,percent of total billed charges,87.2% of total billed charges,27.41,59,,21.93,percent of total billed charges,59% of total billed charges,40.51,87.2,,32.41,percent of total billed charges,87.2% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,37.77,81.29,,30.22,percent of total billed charges,81.29% of total billed charges,41.81,90,,33.45,percent of total billed charges,90% of totl billed charges,41.81,90,,33.45,percent of total billed charges,90% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,41.81,90,,33.45,percent of total billed charges,90% of total billed charges,41.81,90,,33.45,percent of total billed charges,90% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,28.34,61,,22.67,percent of total billed charges,61% of total billed charges,24.16,52,,19.33,percent of total billed charges,52% of total billed charges,24.16,41.81,
Depo Provera,43601507,CDM,636,RC,J1050,HCPCS,Outpatient,1,ML,0.83,0.66,,0.71,85,,0.57,percent of total billed charges,85% of total billed charges,0.71,85,,0.57,percent of total billed charges,85% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.72,87.2,,,percent of total billed charges,87.2% of total billed charges,0.49,59,,0.39,percent of total billed charges,59% of total billed charges,0.72,87.2,,0.58,percent of total billed charges,87.2% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.67,81.29,,0.54,percent of total billed charges,81.29% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of totl billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.43,0.75,
Depo Provera,43701507,CDM,636,RC,J1050,HCPCS,Outpatient,1,ML,0.83,0.66,,0.71,85,,0.57,percent of total billed charges,85% of total billed charges,0.71,85,,0.57,percent of total billed charges,85% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.62,74,,0.5,percent of total billed charges,74.28% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.72,87.2,,,percent of total billed charges,87.2% of total billed charges,0.49,59,,0.39,percent of total billed charges,59% of total billed charges,0.72,87.2,,0.58,percent of total billed charges,87.2% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.67,81.29,,0.54,percent of total billed charges,81.29% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of totl billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.75,90,,0.6,percent of total billed charges,90% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.51,61,,0.41,percent of total billed charges,61% of total billed charges,0.43,52,,0.34,percent of total billed charges,52% of total billed charges,0.43,0.75,
Depo-Testosterone 1MG,43601508,CDM,636,RC,J1071,HCPCS,Outpatient,10,ML,0.02,0.02,,0.02,85,,0.02,percent of total billed charges,85% of total billed charges,0.02,85,,0.02,percent of total billed charges,85% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,87.2,,,percent of total billed charges,87.2% of total billed charges,0.01,59,,0.01,percent of total billed charges,59% of total billed charges,0.02,87.2,,0.02,percent of total billed charges,87.2% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,81.29,,0.02,percent of total billed charges,81.29% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of totl billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,0.02,
Depo-Testosterone 1MG,43701508,CDM,636,RC,J1071,HCPCS,Outpatient,10,ML,0.02,0.02,,0.02,85,,0.02,percent of total billed charges,85% of total billed charges,0.02,85,,0.02,percent of total billed charges,85% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,74,,0.01,percent of total billed charges,74.28% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,87.2,,,percent of total billed charges,87.2% of total billed charges,0.01,59,,0.01,percent of total billed charges,59% of total billed charges,0.02,87.2,,0.02,percent of total billed charges,87.2% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.02,81.29,,0.02,percent of total billed charges,81.29% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of totl billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.02,90,,0.02,percent of total billed charges,90% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,61,,0.01,percent of total billed charges,61% of total billed charges,0.01,52,,0.01,percent of total billed charges,52% of total billed charges,0.01,0.02,
Dexamethasone 10mg/ml,43601509,CDM,636,RC,J1100,HCPCS,Outpatient,10,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(2mg Admin,43601510,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(3mg Admin,43601511,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(4mg Admin,43601512,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,18.94,15.15,,16.1,85,,12.88,percent of total billed charges,85% of total billed charges,16.1,85,,12.88,percent of total billed charges,85% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,16.52,87.2,,,percent of total billed charges,87.2% of total billed charges,11.17,59,,8.94,percent of total billed charges,59% of total billed charges,16.52,87.2,,13.22,percent of total billed charges,87.2% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,15.4,81.29,,12.32,percent of total billed charges,81.29% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of totl billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,9.85,17.05,
Dexamethasone 10mg/ml,43701509,CDM,636,RC,J1100,HCPCS,Outpatient,10,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(2mg Admin,43701510,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(3mg Admin,43701511,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,21.42,17.14,,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,18.21,85,,14.57,percent of total billed charges,85% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,15.91,74,,12.73,percent of total billed charges,74.28% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,18.68,87.2,,,percent of total billed charges,87.2% of total billed charges,12.64,59,,10.11,percent of total billed charges,59% of total billed charges,18.68,87.2,,14.94,percent of total billed charges,87.2% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,17.41,81.29,,13.93,percent of total billed charges,81.29% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of totl billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,19.28,90,,15.42,percent of total billed charges,90% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,13.07,61,,10.46,percent of total billed charges,61% of total billed charges,11.14,52,,8.91,percent of total billed charges,52% of total billed charges,11.14,19.28,
Dexamethasone 4mg/ml(4mg Admin,43701512,CDM,636,RC,J1100,HCPCS,Outpatient,4,ML,18.94,15.15,,16.1,85,,12.88,percent of total billed charges,85% of total billed charges,16.1,85,,12.88,percent of total billed charges,85% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,14.07,74,,11.26,percent of total billed charges,74.28% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,16.52,87.2,,,percent of total billed charges,87.2% of total billed charges,11.17,59,,8.94,percent of total billed charges,59% of total billed charges,16.52,87.2,,13.22,percent of total billed charges,87.2% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,15.4,81.29,,12.32,percent of total billed charges,81.29% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of totl billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,17.05,90,,13.64,percent of total billed charges,90% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,11.55,61,,9.24,percent of total billed charges,61% of total billed charges,9.85,52,,7.88,percent of total billed charges,52% of total billed charges,9.85,17.05,
Benadryl 50mg/ml,43601513,CDM,636,RC,J1200,HCPCS,Outpatient,1,ML,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
Benadryl 50mg/ml,43701513,CDM,636,RC,J1200,HCPCS,Outpatient,1,ML,20.78,16.62,,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,17.66,85,,14.13,percent of total billed charges,85% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,15.44,74,,12.35,percent of total billed charges,74.28% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,18.12,87.2,,,percent of total billed charges,87.2% of total billed charges,12.26,59,,9.81,percent of total billed charges,59% of total billed charges,18.12,87.2,,14.5,percent of total billed charges,87.2% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,16.89,81.29,,13.51,percent of total billed charges,81.29% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of totl billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,18.7,90,,14.96,percent of total billed charges,90% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,12.68,61,,10.14,percent of total billed charges,61% of total billed charges,10.81,52,,8.65,percent of total billed charges,52% of total billed charges,10.81,18.7,
PERSANTINE PER 10 MG,42109027,CDM,636,RC,J1245,HCPCS,Outpatient,5,ML,217.88,174.3,,185.2,85,,148.16,percent of total billed charges,85% of total billed charges,185.2,85,,148.16,percent of total billed charges,85% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,161.84,74,,129.47,percent of total billed charges,74.28% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,161.84,74,,129.47,percent of total billed charges,74.28% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,161.84,74,,129.47,percent of total billed charges,74.28% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,196.09,90,,156.87,percent of total billed charges,90% of total billed charges,196.09,90,,156.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,189.99,87.2,,,percent of total billed charges,87.2% of total billed charges,128.55,59,,102.84,percent of total billed charges,59% of total billed charges,189.99,87.2,,151.99,percent of total billed charges,87.2% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,177.11,81.29,,141.69,percent of total billed charges,81.29% of total billed charges,196.09,90,,156.87,percent of total billed charges,90% of totl billed charges,196.09,90,,156.87,percent of total billed charges,90% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,196.09,90,,156.87,percent of total billed charges,90% of total billed charges,196.09,90,,156.87,percent of total billed charges,90% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,132.91,61,,106.33,percent of total billed charges,61% of total billed charges,113.3,52,,90.64,percent of total billed charges,52% of total billed charges,113.3,196.09,
GENTAMYCIN 40MG/ML 2ML,43601682,CDM,636,RC,J1580,HCPCS,Outpatient,2,ML,19.63,15.7,,16.69,85,,13.35,percent of total billed charges,85% of total billed charges,16.69,85,,13.35,percent of total billed charges,85% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,17.12,87.2,,,percent of total billed charges,87.2% of total billed charges,11.58,59,,9.26,percent of total billed charges,59% of total billed charges,17.12,87.2,,13.7,percent of total billed charges,87.2% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,15.96,81.29,,12.77,percent of total billed charges,81.29% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of totl billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,10.21,17.67,
GENTAMYCIN 40MG/ML 2ML,43701682,CDM,636,RC,J1580,HCPCS,Outpatient,2,ML,19.63,15.7,,16.69,85,,13.35,percent of total billed charges,85% of total billed charges,16.69,85,,13.35,percent of total billed charges,85% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,14.58,74,,11.66,percent of total billed charges,74.28% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,17.12,87.2,,,percent of total billed charges,87.2% of total billed charges,11.58,59,,9.26,percent of total billed charges,59% of total billed charges,17.12,87.2,,13.7,percent of total billed charges,87.2% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,15.96,81.29,,12.77,percent of total billed charges,81.29% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of totl billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,17.67,90,,14.14,percent of total billed charges,90% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,11.97,61,,9.58,percent of total billed charges,61% of total billed charges,10.21,52,,8.17,percent of total billed charges,52% of total billed charges,10.21,17.67,
Toradol 60mg/2ml,43601515,CDM,636,RC,J1885,HCPCS,Outpatient,2,ML,20.33,16.26,,17.28,85,,13.82,percent of total billed charges,85% of total billed charges,17.28,85,,13.82,percent of total billed charges,85% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,17.73,87.2,,,percent of total billed charges,87.2% of total billed charges,11.99,59,,9.59,percent of total billed charges,59% of total billed charges,17.73,87.2,,14.18,percent of total billed charges,87.2% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,16.53,81.29,,13.22,percent of total billed charges,81.29% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of totl billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,10.57,18.3,
Toradol 60mg/2ml,43701515,CDM,636,RC,J1885,HCPCS,Outpatient,2,ML,20.33,16.26,,17.28,85,,13.82,percent of total billed charges,85% of total billed charges,17.28,85,,13.82,percent of total billed charges,85% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,15.1,74,,12.08,percent of total billed charges,74.28% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,17.73,87.2,,,percent of total billed charges,87.2% of total billed charges,11.99,59,,9.59,percent of total billed charges,59% of total billed charges,17.73,87.2,,14.18,percent of total billed charges,87.2% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,16.53,81.29,,13.22,percent of total billed charges,81.29% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of totl billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,18.3,90,,14.64,percent of total billed charges,90% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,12.4,61,,9.92,percent of total billed charges,61% of total billed charges,10.57,52,,8.46,percent of total billed charges,52% of total billed charges,10.57,18.3,
MORPHINE INJ 1-10MG,43420022,CDM,250,RC,J2270,HCPCS,Outpatient,1,ML,32.68,26.14,,27.78,85,,22.22,percent of total billed charges,85% of total billed charges,27.78,85,,22.22,percent of total billed charges,85% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,28.5,87.2,,,percent of total billed charges,87.2% of total billed charges,19.28,59,,15.42,percent of total billed charges,59% of total billed charges,28.5,87.2,,22.8,percent of total billed charges,87.2% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,26.57,81.29,,21.26,percent of total billed charges,81.29% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of totl billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,16.99,29.41,
Morphine up to 10mg,43601516,CDM,636,RC,J2270,HCPCS,Outpatient,1,ML,23.11,18.49,,19.64,85,,15.71,percent of total billed charges,85% of total billed charges,19.64,85,,15.71,percent of total billed charges,85% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,20.15,87.2,,,percent of total billed charges,87.2% of total billed charges,13.63,59,,10.9,percent of total billed charges,59% of total billed charges,20.15,87.2,,16.12,percent of total billed charges,87.2% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,18.79,81.29,,15.03,percent of total billed charges,81.29% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of totl billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,12.02,20.8,
Morphine up to 10mg,43701516,CDM,636,RC,J2270,HCPCS,Outpatient,1,ML,23.11,18.49,,19.64,85,,15.71,percent of total billed charges,85% of total billed charges,19.64,85,,15.71,percent of total billed charges,85% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,17.17,74,,13.74,percent of total billed charges,74.28% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,20.15,87.2,,,percent of total billed charges,87.2% of total billed charges,13.63,59,,10.9,percent of total billed charges,59% of total billed charges,20.15,87.2,,16.12,percent of total billed charges,87.2% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,18.79,81.29,,15.03,percent of total billed charges,81.29% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of totl billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,20.8,90,,16.64,percent of total billed charges,90% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,14.1,61,,11.28,percent of total billed charges,61% of total billed charges,12.02,52,,9.62,percent of total billed charges,52% of total billed charges,12.02,20.8,
MORPHINE INJ 1-10MG,43420022,CDM,250,RC,J2275,HCPCS,Outpatient,1,ML,32.68,26.14,,27.78,85,,22.22,percent of total billed charges,85% of total billed charges,27.78,85,,22.22,percent of total billed charges,85% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,24.27,74,,19.42,percent of total billed charges,74.28% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,28.5,87.2,,,percent of total billed charges,87.2% of total billed charges,19.28,59,,15.42,percent of total billed charges,59% of total billed charges,28.5,87.2,,22.8,percent of total billed charges,87.2% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,26.57,81.29,,21.26,percent of total billed charges,81.29% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of totl billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,29.41,90,,23.53,percent of total billed charges,90% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,19.93,61,,15.94,percent of total billed charges,61% of total billed charges,16.99,52,,13.59,percent of total billed charges,52% of total billed charges,16.99,29.41,
Narcan 1mg/ml,43601517,CDM,636,RC,J2310,HCPCS,Outpatient,2,ML,39.37,31.5,,33.46,85,,26.77,percent of total billed charges,85% of total billed charges,33.46,85,,26.77,percent of total billed charges,85% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,34.33,87.2,,,percent of total billed charges,87.2% of total billed charges,23.23,59,,18.58,percent of total billed charges,59% of total billed charges,34.33,87.2,,27.46,percent of total billed charges,87.2% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,32,81.29,,25.6,percent of total billed charges,81.29% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of totl billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,20.47,35.43,
Narcan 1mg/ml,43701517,CDM,636,RC,J2310,HCPCS,Outpatient,2,ML,39.37,31.5,,33.46,85,,26.77,percent of total billed charges,85% of total billed charges,33.46,85,,26.77,percent of total billed charges,85% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,29.24,74,,23.39,percent of total billed charges,74.28% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,34.33,87.2,,,percent of total billed charges,87.2% of total billed charges,23.23,59,,18.58,percent of total billed charges,59% of total billed charges,34.33,87.2,,27.46,percent of total billed charges,87.2% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,32,81.29,,25.6,percent of total billed charges,81.29% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of totl billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,35.43,90,,28.34,percent of total billed charges,90% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,24.02,61,,19.22,percent of total billed charges,61% of total billed charges,20.47,52,,16.38,percent of total billed charges,52% of total billed charges,20.47,35.43,
Inj Naltrexone 380mg/vial,43601518,CDM,636,RC,J2315,HCPCS,Outpatient,380,UN,4.56,3.65,,3.88,85,,3.1,percent of total billed charges,85% of total billed charges,3.88,85,,3.1,percent of total billed charges,85% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.98,87.2,,,percent of total billed charges,87.2% of total billed charges,2.69,59,,2.15,percent of total billed charges,59% of total billed charges,3.98,87.2,,3.18,percent of total billed charges,87.2% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.71,81.29,,2.97,percent of total billed charges,81.29% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of totl billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,2.37,4.1,
Inj Naltrexone 380mg/vial,43701518,CDM,636,RC,J2315,HCPCS,Outpatient,380,UN,4.56,3.65,,3.88,85,,3.1,percent of total billed charges,85% of total billed charges,3.88,85,,3.1,percent of total billed charges,85% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,3.39,74,,2.71,percent of total billed charges,74.28% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.98,87.2,,,percent of total billed charges,87.2% of total billed charges,2.69,59,,2.15,percent of total billed charges,59% of total billed charges,3.98,87.2,,3.18,percent of total billed charges,87.2% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,3.71,81.29,,2.97,percent of total billed charges,81.29% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of totl billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,4.1,90,,3.28,percent of total billed charges,90% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.78,61,,2.22,percent of total billed charges,61% of total billed charges,2.37,52,,1.9,percent of total billed charges,52% of total billed charges,2.37,4.1,
Norflex 60mg/2ml,43601519,CDM,636,RC,J2360,HCPCS,Outpatient,2,ML,32.89,26.31,,27.96,85,,22.37,percent of total billed charges,85% of total billed charges,27.96,85,,22.37,percent of total billed charges,85% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,28.68,87.2,,,percent of total billed charges,87.2% of total billed charges,19.41,59,,15.53,percent of total billed charges,59% of total billed charges,28.68,87.2,,22.94,percent of total billed charges,87.2% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,26.74,81.29,,21.39,percent of total billed charges,81.29% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of totl billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,17.1,29.6,
Norflex 60mg/2ml,43701519,CDM,636,RC,J2360,HCPCS,Outpatient,2,ML,32.89,26.31,,27.96,85,,22.37,percent of total billed charges,85% of total billed charges,27.96,85,,22.37,percent of total billed charges,85% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,24.43,74,,19.54,percent of total billed charges,74.28% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,28.68,87.2,,,percent of total billed charges,87.2% of total billed charges,19.41,59,,15.53,percent of total billed charges,59% of total billed charges,28.68,87.2,,22.94,percent of total billed charges,87.2% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,26.74,81.29,,21.39,percent of total billed charges,81.29% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of totl billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,29.6,90,,23.68,percent of total billed charges,90% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,20.06,61,,16.05,percent of total billed charges,61% of total billed charges,17.1,52,,13.68,percent of total billed charges,52% of total billed charges,17.1,29.6,
Phenergan 25mg/ml,43601520,CDM,636,RC,J2550,HCPCS,Outpatient,0.5,ML,20.08,16.06,,17.07,85,,13.66,percent of total billed charges,85% of total billed charges,17.07,85,,13.66,percent of total billed charges,85% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,17.51,87.2,,,percent of total billed charges,87.2% of total billed charges,11.85,59,,9.48,percent of total billed charges,59% of total billed charges,17.51,87.2,,14.01,percent of total billed charges,87.2% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,16.32,81.29,,13.06,percent of total billed charges,81.29% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of totl billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,10.44,18.07,
Phenergan 25mg/ml,43701520,CDM,636,RC,J2550,HCPCS,Outpatient,0.5,ML,20.08,16.06,,17.07,85,,13.66,percent of total billed charges,85% of total billed charges,17.07,85,,13.66,percent of total billed charges,85% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,14.92,74,,11.94,percent of total billed charges,74.28% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,17.51,87.2,,,percent of total billed charges,87.2% of total billed charges,11.85,59,,9.48,percent of total billed charges,59% of total billed charges,17.51,87.2,,14.01,percent of total billed charges,87.2% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,16.32,81.29,,13.06,percent of total billed charges,81.29% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of totl billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,18.07,90,,14.46,percent of total billed charges,90% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,12.25,61,,9.8,percent of total billed charges,61% of total billed charges,10.44,52,,8.35,percent of total billed charges,52% of total billed charges,10.44,18.07,
Metoclopramide 10mg/2ml,43601521,CDM,636,RC,J2765,HCPCS,Outpatient,1,ML,2.54,2.03,,2.16,85,,1.73,percent of total billed charges,85% of total billed charges,2.16,85,,1.73,percent of total billed charges,85% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.21,87.2,,,percent of total billed charges,87.2% of total billed charges,1.5,59,,1.2,percent of total billed charges,59% of total billed charges,2.21,87.2,,1.77,percent of total billed charges,87.2% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.06,81.29,,1.65,percent of total billed charges,81.29% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of totl billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,2.29,
Metoclopramide 10mg/2ml,43701521,CDM,636,RC,J2765,HCPCS,Outpatient,1,ML,2.54,2.03,,2.16,85,,1.73,percent of total billed charges,85% of total billed charges,2.16,85,,1.73,percent of total billed charges,85% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.89,74,,1.51,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.21,87.2,,,percent of total billed charges,87.2% of total billed charges,1.5,59,,1.2,percent of total billed charges,59% of total billed charges,2.21,87.2,,1.77,percent of total billed charges,87.2% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.06,81.29,,1.65,percent of total billed charges,81.29% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of totl billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,2.29,90,,1.83,percent of total billed charges,90% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.55,61,,1.24,percent of total billed charges,61% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,2.29,
LEXISCAN PER 0.1mg,42109042,CDM,636,RC,J2785,HCPCS,Outpatient,1,ML,365.63,292.5,,310.79,85,,248.63,percent of total billed charges,85% of total billed charges,310.79,85,,248.63,percent of total billed charges,85% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,271.59,74,,217.27,percent of total billed charges,74.28% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,271.59,74,,217.27,percent of total billed charges,74.28% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,271.59,74,,217.27,percent of total billed charges,74.28% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,329.07,90,,263.26,percent of total billed charges,90% of total billed charges,329.07,90,,263.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,318.83,87.2,,,percent of total billed charges,87.2% of total billed charges,215.72,59,,172.58,percent of total billed charges,59% of total billed charges,318.83,87.2,,255.06,percent of total billed charges,87.2% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,297.22,81.29,,237.78,percent of total billed charges,81.29% of total billed charges,329.07,90,,263.26,percent of total billed charges,90% of totl billed charges,329.07,90,,263.26,percent of total billed charges,90% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,329.07,90,,263.26,percent of total billed charges,90% of total billed charges,329.07,90,,263.26,percent of total billed charges,90% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,223.03,61,,178.42,percent of total billed charges,61% of total billed charges,190.13,52,,152.1,percent of total billed charges,52% of total billed charges,190.13,329.07,
RHOGAM VACCINE 300 MCG,41040208,CDM,636,RC,J2790,HCPCS,Outpatient,1,UN,272.77,218.22,,231.85,85,,185.48,percent of total billed charges,85% of total billed charges,231.85,85,,185.48,percent of total billed charges,85% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,202.61,74,,162.09,percent of total billed charges,74.28% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,202.61,74,,162.09,percent of total billed charges,74.28% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,202.61,74,,162.09,percent of total billed charges,74.28% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,245.49,90,,196.39,percent of total billed charges,90% of total billed charges,245.49,90,,196.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,237.86,87.2,,,percent of total billed charges,87.2% of total billed charges,160.93,59,,128.74,percent of total billed charges,59% of total billed charges,237.86,87.2,,190.29,percent of total billed charges,87.2% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,221.73,81.29,,177.38,percent of total billed charges,81.29% of total billed charges,245.49,90,,196.39,percent of total billed charges,90% of totl billed charges,245.49,90,,196.39,percent of total billed charges,90% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,245.49,90,,196.39,percent of total billed charges,90% of total billed charges,245.49,90,,196.39,percent of total billed charges,90% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,166.39,61,,133.11,percent of total billed charges,61% of total billed charges,141.84,52,,113.47,percent of total billed charges,52% of total billed charges,141.84,245.49,
KINEVAC (SINCALIDE) 5 MCG,42109038,CDM,636,RC,J2805,HCPCS,Outpatient,1,UN,176.49,141.19,,150.02,85,,120.02,percent of total billed charges,85% of total billed charges,150.02,85,,120.02,percent of total billed charges,85% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,131.1,74,,104.88,percent of total billed charges,74.28% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,131.1,74,,104.88,percent of total billed charges,74.28% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,131.1,74,,104.88,percent of total billed charges,74.28% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,158.84,90,,127.07,percent of total billed charges,90% of total billed charges,158.84,90,,127.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,153.9,87.2,,,percent of total billed charges,87.2% of total billed charges,104.13,59,,83.3,percent of total billed charges,59% of total billed charges,153.9,87.2,,123.12,percent of total billed charges,87.2% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,143.47,81.29,,114.78,percent of total billed charges,81.29% of total billed charges,158.84,90,,127.07,percent of total billed charges,90% of totl billed charges,158.84,90,,127.07,percent of total billed charges,90% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,158.84,90,,127.07,percent of total billed charges,90% of total billed charges,158.84,90,,127.07,percent of total billed charges,90% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,107.66,61,,86.13,percent of total billed charges,61% of total billed charges,91.77,52,,73.42,percent of total billed charges,52% of total billed charges,91.77,158.84,
Solumedrol 40mg/ml,43601522,CDM,636,RC,J2919,HCPCS,Outpatient,40,ML,21.11,16.89,,17.94,85,,14.35,percent of total billed charges,85% of total billed charges,17.94,85,,14.35,percent of total billed charges,85% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,18.41,87.2,,,percent of total billed charges,87.2% of total billed charges,12.45,59,,9.96,percent of total billed charges,59% of total billed charges,18.41,87.2,,14.73,percent of total billed charges,87.2% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,17.16,81.29,,13.73,percent of total billed charges,81.29% of total billed charges,19,90,,15.2,percent of total billed charges,90% of totl billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,10.98,19,
Solumedrol up to 125mg,43601523,CDM,636,RC,J2919,HCPCS,Outpatient,25,UN,23.54,18.83,,20.01,85,,16.01,percent of total billed charges,85% of total billed charges,20.01,85,,16.01,percent of total billed charges,85% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,20.53,87.2,,,percent of total billed charges,87.2% of total billed charges,13.89,59,,11.11,percent of total billed charges,59% of total billed charges,20.53,87.2,,16.42,percent of total billed charges,87.2% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,19.14,81.29,,15.31,percent of total billed charges,81.29% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of totl billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,12.24,21.19,
Solumedrol 40mg/ml,43701522,CDM,636,RC,J2919,HCPCS,Outpatient,40,ML,21.11,16.89,,17.94,85,,14.35,percent of total billed charges,85% of total billed charges,17.94,85,,14.35,percent of total billed charges,85% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,15.68,74,,12.54,percent of total billed charges,74.28% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,18.41,87.2,,,percent of total billed charges,87.2% of total billed charges,12.45,59,,9.96,percent of total billed charges,59% of total billed charges,18.41,87.2,,14.73,percent of total billed charges,87.2% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,17.16,81.29,,13.73,percent of total billed charges,81.29% of total billed charges,19,90,,15.2,percent of total billed charges,90% of totl billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,19,90,,15.2,percent of total billed charges,90% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,12.88,61,,10.3,percent of total billed charges,61% of total billed charges,10.98,52,,8.78,percent of total billed charges,52% of total billed charges,10.98,19,
Solumedrol up to 125mg,43701523,CDM,636,RC,J2919,HCPCS,Outpatient,25,UN,23.54,18.83,,20.01,85,,16.01,percent of total billed charges,85% of total billed charges,20.01,85,,16.01,percent of total billed charges,85% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,17.49,74,,13.99,percent of total billed charges,74.28% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,20.53,87.2,,,percent of total billed charges,87.2% of total billed charges,13.89,59,,11.11,percent of total billed charges,59% of total billed charges,20.53,87.2,,16.42,percent of total billed charges,87.2% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,19.14,81.29,,15.31,percent of total billed charges,81.29% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of totl billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,21.19,90,,16.95,percent of total billed charges,90% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,14.36,61,,11.49,percent of total billed charges,61% of total billed charges,12.24,52,,9.79,percent of total billed charges,52% of total billed charges,12.24,21.19,
Sumatriptan 6mg/0.5ml,43601524,CDM,636,RC,J3030,HCPCS,Outpatient,1,ML,31.42,25.14,,26.71,85,,21.37,percent of total billed charges,85% of total billed charges,26.71,85,,21.37,percent of total billed charges,85% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,27.4,87.2,,,percent of total billed charges,87.2% of total billed charges,18.54,59,,14.83,percent of total billed charges,59% of total billed charges,27.4,87.2,,21.92,percent of total billed charges,87.2% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,25.54,81.29,,20.43,percent of total billed charges,81.29% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of totl billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,16.34,28.28,
Sumatriptan 6mg/0.5ml,43701524,CDM,636,RC,J3030,HCPCS,Outpatient,1,ML,31.42,25.14,,26.71,85,,21.37,percent of total billed charges,85% of total billed charges,26.71,85,,21.37,percent of total billed charges,85% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,23.34,74,,18.67,percent of total billed charges,74.28% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,27.4,87.2,,,percent of total billed charges,87.2% of total billed charges,18.54,59,,14.83,percent of total billed charges,59% of total billed charges,27.4,87.2,,21.92,percent of total billed charges,87.2% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,25.54,81.29,,20.43,percent of total billed charges,81.29% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of totl billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,28.28,90,,22.62,percent of total billed charges,90% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,19.17,61,,15.34,percent of total billed charges,61% of total billed charges,16.34,52,,13.07,percent of total billed charges,52% of total billed charges,16.34,28.28,
Kenalog 40mg/ml,43601525,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,28.37,22.7,,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,24.74,87.2,,,percent of total billed charges,87.2% of total billed charges,16.74,59,,13.39,percent of total billed charges,59% of total billed charges,24.74,87.2,,19.79,percent of total billed charges,87.2% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,23.06,81.29,,18.45,percent of total billed charges,81.29% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of totl billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,25.53,
Kenalog 40mg/ml w/o Admin Chg,43601526,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,28.37,22.7,,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,24.74,87.2,,,percent of total billed charges,87.2% of total billed charges,16.74,59,,13.39,percent of total billed charges,59% of total billed charges,24.74,87.2,,19.79,percent of total billed charges,87.2% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,23.06,81.29,,18.45,percent of total billed charges,81.29% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of totl billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,25.53,
KENALOG 10MG/ML,43601640,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,31.63,25.3,,26.89,85,,21.51,percent of total billed charges,85% of total billed charges,26.89,85,,21.51,percent of total billed charges,85% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,27.58,87.2,,,percent of total billed charges,87.2% of total billed charges,18.66,59,,14.93,percent of total billed charges,59% of total billed charges,27.58,87.2,,22.06,percent of total billed charges,87.2% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,25.71,81.29,,20.57,percent of total billed charges,81.29% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of totl billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,16.45,28.47,
Kenalog 40mg/ml,43701525,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,28.37,22.7,,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,24.74,87.2,,,percent of total billed charges,87.2% of total billed charges,16.74,59,,13.39,percent of total billed charges,59% of total billed charges,24.74,87.2,,19.79,percent of total billed charges,87.2% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,23.06,81.29,,18.45,percent of total billed charges,81.29% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of totl billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,25.53,
Kenalog 40mg/ml w/o Admin Chg,43701526,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,28.37,22.7,,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,24.11,85,,19.29,percent of total billed charges,85% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,21.07,74,,16.86,percent of total billed charges,74.28% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,24.74,87.2,,,percent of total billed charges,87.2% of total billed charges,16.74,59,,13.39,percent of total billed charges,59% of total billed charges,24.74,87.2,,19.79,percent of total billed charges,87.2% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,23.06,81.29,,18.45,percent of total billed charges,81.29% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of totl billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,25.53,90,,20.42,percent of total billed charges,90% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,17.31,61,,13.85,percent of total billed charges,61% of total billed charges,14.75,52,,11.8,percent of total billed charges,52% of total billed charges,14.75,25.53,
KENALOG 10MG/ML,43701640,CDM,636,RC,J3301,HCPCS,Outpatient,5,ML,31.63,25.3,,26.89,85,,21.51,percent of total billed charges,85% of total billed charges,26.89,85,,21.51,percent of total billed charges,85% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,23.49,74,,18.79,percent of total billed charges,74.28% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,27.58,87.2,,,percent of total billed charges,87.2% of total billed charges,18.66,59,,14.93,percent of total billed charges,59% of total billed charges,27.58,87.2,,22.06,percent of total billed charges,87.2% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,25.71,81.29,,20.57,percent of total billed charges,81.29% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of totl billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,28.47,90,,22.78,percent of total billed charges,90% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,19.29,61,,15.43,percent of total billed charges,61% of total billed charges,16.45,52,,13.16,percent of total billed charges,52% of total billed charges,16.45,28.47,
Vitamin B-12,43601527,CDM,636,RC,J3420,HCPCS,Outpatient,1,ML,20.51,16.41,,17.43,85,,13.94,percent of total billed charges,85% of total billed charges,17.43,85,,13.94,percent of total billed charges,85% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,17.88,87.2,,,percent of total billed charges,87.2% of total billed charges,12.1,59,,9.68,percent of total billed charges,59% of total billed charges,17.88,87.2,,14.3,percent of total billed charges,87.2% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,16.67,81.29,,13.34,percent of total billed charges,81.29% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of totl billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,10.67,18.46,
Vitamin B-12,43701527,CDM,636,RC,J3420,HCPCS,Outpatient,1,ML,20.51,16.41,,17.43,85,,13.94,percent of total billed charges,85% of total billed charges,17.43,85,,13.94,percent of total billed charges,85% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,15.23,74,,12.18,percent of total billed charges,74.28% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,17.88,87.2,,,percent of total billed charges,87.2% of total billed charges,12.1,59,,9.68,percent of total billed charges,59% of total billed charges,17.88,87.2,,14.3,percent of total billed charges,87.2% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,16.67,81.29,,13.34,percent of total billed charges,81.29% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of totl billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,18.46,90,,14.77,percent of total billed charges,90% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,12.51,61,,10.01,percent of total billed charges,61% of total billed charges,10.67,52,,8.54,percent of total billed charges,52% of total billed charges,10.67,18.46,
IV NORMAL SALINE 1000ML,36000020,CDM,258,RC,J7030,HCPCS,Outpatient,1,ML,18,14.4,,15.3,85,,12.24,percent of total billed charges,85% of total billed charges,15.3,85,,12.24,percent of total billed charges,85% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,13.37,74,,10.7,percent of total billed charges,74.28% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,13.37,74,,10.7,percent of total billed charges,74.28% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,13.37,74,,10.7,percent of total billed charges,74.28% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,16.2,90,,12.96,percent of total billed charges,90% of total billed charges,16.2,90,,12.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,15.7,87.2,,,percent of total billed charges,87.2% of total billed charges,10.62,59,,8.5,percent of total billed charges,59% of total billed charges,15.7,87.2,,12.56,percent of total billed charges,87.2% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,14.63,81.29,,11.7,percent of total billed charges,81.29% of total billed charges,16.2,90,,12.96,percent of total billed charges,90% of totl billed charges,16.2,90,,12.96,percent of total billed charges,90% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,16.2,90,,12.96,percent of total billed charges,90% of total billed charges,16.2,90,,12.96,percent of total billed charges,90% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,10.98,61,,8.78,percent of total billed charges,61% of total billed charges,9.36,52,,7.49,percent of total billed charges,52% of total billed charges,9.36,16.2,
IV NORMAL SALINE 500 ML,36000019,CDM,258,RC,J7040,HCPCS,Outpatient,1,ML,9.03,7.22,,7.68,85,,6.14,percent of total billed charges,85% of total billed charges,7.68,85,,6.14,percent of total billed charges,85% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,6.71,74,,5.37,percent of total billed charges,74.28% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,6.71,74,,5.37,percent of total billed charges,74.28% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,6.71,74,,5.37,percent of total billed charges,74.28% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,8.13,90,,6.5,percent of total billed charges,90% of total billed charges,8.13,90,,6.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,7.87,87.2,,,percent of total billed charges,87.2% of total billed charges,5.33,59,,4.26,percent of total billed charges,59% of total billed charges,7.87,87.2,,6.3,percent of total billed charges,87.2% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,7.34,81.29,,5.87,percent of total billed charges,81.29% of total billed charges,8.13,90,,6.5,percent of total billed charges,90% of totl billed charges,8.13,90,,6.5,percent of total billed charges,90% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,8.13,90,,6.5,percent of total billed charges,90% of total billed charges,8.13,90,,6.5,percent of total billed charges,90% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,5.51,61,,4.41,percent of total billed charges,61% of total billed charges,4.7,52,,3.76,percent of total billed charges,52% of total billed charges,4.7,8.13,
HYPERTONIC SALINE 7% UNIT DOSE,43104057,CDM,250,RC,J7131,HCPCS,Outpatient,500,ML,8.24,6.59,,7,85,,5.6,percent of total billed charges,85% of total billed charges,7,85,,5.6,percent of total billed charges,85% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,6.12,74,,4.9,percent of total billed charges,74.28% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,6.12,74,,4.9,percent of total billed charges,74.28% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,6.12,74,,4.9,percent of total billed charges,74.28% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,7.42,90,,5.94,percent of total billed charges,90% of total billed charges,7.42,90,,5.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,7.19,87.2,,,percent of total billed charges,87.2% of total billed charges,4.86,59,,3.89,percent of total billed charges,59% of total billed charges,7.19,87.2,,5.75,percent of total billed charges,87.2% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,6.7,81.29,,5.36,percent of total billed charges,81.29% of total billed charges,7.42,90,,5.94,percent of total billed charges,90% of totl billed charges,7.42,90,,5.94,percent of total billed charges,90% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,7.42,90,,5.94,percent of total billed charges,90% of total billed charges,7.42,90,,5.94,percent of total billed charges,90% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,5.03,61,,4.02,percent of total billed charges,61% of total billed charges,4.28,52,,3.42,percent of total billed charges,52% of total billed charges,4.28,7.42,
Levonorgestrel (Kyleena),43601611,CDM,636,RC,J7296,HCPCS,Outpatient,1,UN,1253.83,1003.06,,1065.76,85,,852.61,percent of total billed charges,85% of total billed charges,1065.76,85,,852.61,percent of total billed charges,85% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1093.34,87.2,,,percent of total billed charges,87.2% of total billed charges,739.76,59,,591.81,percent of total billed charges,59% of total billed charges,1093.34,87.2,,874.67,percent of total billed charges,87.2% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1019.24,81.29,,815.39,percent of total billed charges,81.29% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of totl billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,651.99,1128.45,
Levonorgestrel (Kyleena),43701611,CDM,636,RC,J7296,HCPCS,Outpatient,1,UN,1253.83,1003.06,,1065.76,85,,852.61,percent of total billed charges,85% of total billed charges,1065.76,85,,852.61,percent of total billed charges,85% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,931.34,74,,745.07,percent of total billed charges,74.28% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1093.34,87.2,,,percent of total billed charges,87.2% of total billed charges,739.76,59,,591.81,percent of total billed charges,59% of total billed charges,1093.34,87.2,,874.67,percent of total billed charges,87.2% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,1019.24,81.29,,815.39,percent of total billed charges,81.29% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of totl billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,1128.45,90,,902.76,percent of total billed charges,90% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,764.84,61,,611.87,percent of total billed charges,61% of total billed charges,651.99,52,,521.59,percent of total billed charges,52% of total billed charges,651.99,1128.45,
Levonorgestrel (Mirena) 2016,43601530,CDM,636,RC,J7298,HCPCS,Outpatient,1,UN,1072.38,857.9,,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,935.12,87.2,,,percent of total billed charges,87.2% of total billed charges,632.7,59,,506.16,percent of total billed charges,59% of total billed charges,935.12,87.2,,748.1,percent of total billed charges,87.2% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,871.74,81.29,,697.39,percent of total billed charges,81.29% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of totl billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,965.14,
Levonorgestrel (Mirena) 2016,43701530,CDM,636,RC,J7298,HCPCS,Outpatient,1,UN,1072.38,857.9,,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,935.12,87.2,,,percent of total billed charges,87.2% of total billed charges,632.7,59,,506.16,percent of total billed charges,59% of total billed charges,935.12,87.2,,748.1,percent of total billed charges,87.2% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,871.74,81.29,,697.39,percent of total billed charges,81.29% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of totl billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,965.14,
Levonorgestrel (Mirena) 2015,43601531,CDM,636,RC,J7302,HCPCS,Outpatient,1,UN,1072.38,857.9,,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,935.12,87.2,,,percent of total billed charges,87.2% of total billed charges,632.7,59,,506.16,percent of total billed charges,59% of total billed charges,935.12,87.2,,748.1,percent of total billed charges,87.2% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,871.74,81.29,,697.39,percent of total billed charges,81.29% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of totl billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,965.14,
Levonorgestrel (Mirena) 2015,43701531,CDM,636,RC,J7302,HCPCS,Outpatient,1,UN,1072.38,857.9,,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,911.52,85,,729.22,percent of total billed charges,85% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,796.56,74,,637.25,percent of total billed charges,74.28% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,935.12,87.2,,,percent of total billed charges,87.2% of total billed charges,632.7,59,,506.16,percent of total billed charges,59% of total billed charges,935.12,87.2,,748.1,percent of total billed charges,87.2% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,871.74,81.29,,697.39,percent of total billed charges,81.29% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of totl billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,965.14,90,,772.11,percent of total billed charges,90% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,654.15,61,,523.32,percent of total billed charges,61% of total billed charges,557.64,52,,446.11,percent of total billed charges,52% of total billed charges,557.64,965.14,
SUPARTZ 10MG/ML 2.5ML,73800120,CDM,250,RC,J7321,HCPCS,Outpatient,1,ML,284.65,227.72,,241.95,85,,193.56,percent of total billed charges,85% of total billed charges,241.95,85,,193.56,percent of total billed charges,85% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,211.44,74,,169.15,percent of total billed charges,74.28% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,211.44,74,,169.15,percent of total billed charges,74.28% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,211.44,74,,169.15,percent of total billed charges,74.28% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,256.19,90,,204.95,percent of total billed charges,90% of total billed charges,256.19,90,,204.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,248.21,87.2,,,percent of total billed charges,87.2% of total billed charges,167.94,59,,134.35,percent of total billed charges,59% of total billed charges,248.21,87.2,,198.57,percent of total billed charges,87.2% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,231.39,81.29,,185.11,percent of total billed charges,81.29% of total billed charges,256.19,90,,204.95,percent of total billed charges,90% of totl billed charges,256.19,90,,204.95,percent of total billed charges,90% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,256.19,90,,204.95,percent of total billed charges,90% of total billed charges,256.19,90,,204.95,percent of total billed charges,90% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,173.64,61,,138.91,percent of total billed charges,61% of total billed charges,148.02,52,,118.42,percent of total billed charges,52% of total billed charges,148.02,256.19,
EUFLEXXA 20MG/2ML,73800109,CDM,250,RC,J7323,HCPCS,Outpatient,1,ML,420.15,336.12,,357.13,85,,285.7,percent of total billed charges,85% of total billed charges,357.13,85,,285.7,percent of total billed charges,85% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,312.09,74,,249.67,percent of total billed charges,74.28% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,312.09,74,,249.67,percent of total billed charges,74.28% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,312.09,74,,249.67,percent of total billed charges,74.28% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,378.14,90,,302.51,percent of total billed charges,90% of total billed charges,378.14,90,,302.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,366.37,87.2,,,percent of total billed charges,87.2% of total billed charges,247.89,59,,198.31,percent of total billed charges,59% of total billed charges,366.37,87.2,,293.1,percent of total billed charges,87.2% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,341.54,81.29,,273.23,percent of total billed charges,81.29% of total billed charges,378.14,90,,302.51,percent of total billed charges,90% of totl billed charges,378.14,90,,302.51,percent of total billed charges,90% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,378.14,90,,302.51,percent of total billed charges,90% of total billed charges,378.14,90,,302.51,percent of total billed charges,90% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,256.29,61,,205.03,percent of total billed charges,61% of total billed charges,218.48,52,,174.78,percent of total billed charges,52% of total billed charges,218.48,378.14,
SYNVISC-ONE (HYLAN),73800135,CDM,636,RC,J7325,HCPCS,Outpatient,48,ML,1643.54,1314.83,,1397.01,85,,1117.61,percent of total billed charges,85% of total billed charges,1397.01,85,,1117.61,percent of total billed charges,85% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,1220.82,74,,976.66,percent of total billed charges,74.28% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,1220.82,74,,976.66,percent of total billed charges,74.28% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,1220.82,74,,976.66,percent of total billed charges,74.28% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of total billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,1433.17,87.2,,,percent of total billed charges,87.2% of total billed charges,969.69,59,,775.75,percent of total billed charges,59% of total billed charges,1433.17,87.2,,1146.54,percent of total billed charges,87.2% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,1336.03,81.29,,1068.82,percent of total billed charges,81.29% of total billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of totl billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of total billed charges,1479.19,90,,1183.35,percent of total billed charges,90% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,1002.56,61,,802.05,percent of total billed charges,61% of total billed charges,854.64,52,,683.71,percent of total billed charges,52% of total billed charges,854.64,1479.19,
ACETYLCYSTIENE 3 ml OF 20%,43104056,CDM,250,RC,J7608,HCPCS,Outpatient,3,ML,11.75,9.4,,9.99,85,,7.99,percent of total billed charges,85% of total billed charges,9.99,85,,7.99,percent of total billed charges,85% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,8.73,74,,6.98,percent of total billed charges,74.28% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,8.73,74,,6.98,percent of total billed charges,74.28% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,8.73,74,,6.98,percent of total billed charges,74.28% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,10.58,90,,8.46,percent of total billed charges,90% of total billed charges,10.58,90,,8.46,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,10.25,87.2,,,percent of total billed charges,87.2% of total billed charges,6.93,59,,5.54,percent of total billed charges,59% of total billed charges,10.25,87.2,,8.2,percent of total billed charges,87.2% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,9.55,81.29,,7.64,percent of total billed charges,81.29% of total billed charges,10.58,90,,8.46,percent of total billed charges,90% of totl billed charges,10.58,90,,8.46,percent of total billed charges,90% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,10.58,90,,8.46,percent of total billed charges,90% of total billed charges,10.58,90,,8.46,percent of total billed charges,90% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,7.17,61,,5.74,percent of total billed charges,61% of total billed charges,6.11,52,,4.89,percent of total billed charges,52% of total billed charges,6.11,10.58,
ALBUTEROL 2.5 mg,43104049,CDM,250,RC,J7609,HCPCS,Outpatient,2.49,ML,7.92,6.34,,6.73,85,,5.38,percent of total billed charges,85% of total billed charges,6.73,85,,5.38,percent of total billed charges,85% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,6.91,87.2,,,percent of total billed charges,87.2% of total billed charges,4.67,59,,3.74,percent of total billed charges,59% of total billed charges,6.91,87.2,,5.53,percent of total billed charges,87.2% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,6.44,81.29,,5.15,percent of total billed charges,81.29% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of totl billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,4.12,7.13,
Albuterol 0.083% 2.5mg/3ml,43601532,CDM,636,RC,J7613,HCPCS,Outpatient,2.49,ML,12.32,9.86,,10.47,85,,8.38,percent of total billed charges,85% of total billed charges,10.47,85,,8.38,percent of total billed charges,85% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.74,87.2,,,percent of total billed charges,87.2% of total billed charges,7.27,59,,5.82,percent of total billed charges,59% of total billed charges,10.74,87.2,,8.59,percent of total billed charges,87.2% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.01,81.29,,8.01,percent of total billed charges,81.29% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of totl billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,11.09,
Albuterol 0.083% 2.5mg/3ml,43701532,CDM,636,RC,J7613,HCPCS,Outpatient,2.49,ML,12.32,9.86,,10.47,85,,8.38,percent of total billed charges,85% of total billed charges,10.47,85,,8.38,percent of total billed charges,85% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,9.15,74,,7.32,percent of total billed charges,74.28% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.74,87.2,,,percent of total billed charges,87.2% of total billed charges,7.27,59,,5.82,percent of total billed charges,59% of total billed charges,10.74,87.2,,8.59,percent of total billed charges,87.2% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,10.01,81.29,,8.01,percent of total billed charges,81.29% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of totl billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,11.09,90,,8.87,percent of total billed charges,90% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,7.52,61,,6.02,percent of total billed charges,61% of total billed charges,6.41,52,,5.13,percent of total billed charges,52% of total billed charges,6.41,11.09,
ALBUTEROL 2.5 mg with IPRATROP,43104050,CDM,250,RC,J7620,HCPCS,Outpatient,0.99999,ML,8.43,6.74,,7.17,85,,5.74,percent of total billed charges,85% of total billed charges,7.17,85,,5.74,percent of total billed charges,85% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,6.26,74,,5.01,percent of total billed charges,74.28% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,6.26,74,,5.01,percent of total billed charges,74.28% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,6.26,74,,5.01,percent of total billed charges,74.28% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,7.59,90,,6.07,percent of total billed charges,90% of total billed charges,7.59,90,,6.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,7.35,87.2,,,percent of total billed charges,87.2% of total billed charges,4.97,59,,3.98,percent of total billed charges,59% of total billed charges,7.35,87.2,,5.88,percent of total billed charges,87.2% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,6.85,81.29,,5.48,percent of total billed charges,81.29% of total billed charges,7.59,90,,6.07,percent of total billed charges,90% of totl billed charges,7.59,90,,6.07,percent of total billed charges,90% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,7.59,90,,6.07,percent of total billed charges,90% of total billed charges,7.59,90,,6.07,percent of total billed charges,90% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,5.14,61,,4.11,percent of total billed charges,61% of total billed charges,4.38,52,,3.5,percent of total billed charges,52% of total billed charges,4.38,7.59,
Duoneb,43601533,CDM,636,RC,J7620,HCPCS,Outpatient,0.99999,ML,13.85,11.08,,11.77,85,,9.42,percent of total billed charges,85% of total billed charges,11.77,85,,9.42,percent of total billed charges,85% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,12.08,87.2,,,percent of total billed charges,87.2% of total billed charges,8.17,59,,6.54,percent of total billed charges,59% of total billed charges,12.08,87.2,,9.66,percent of total billed charges,87.2% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,11.26,81.29,,9.01,percent of total billed charges,81.29% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of totl billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,7.2,12.47,
Duoneb,43701533,CDM,636,RC,J7620,HCPCS,Outpatient,0.99999,ML,13.85,11.08,,11.77,85,,9.42,percent of total billed charges,85% of total billed charges,11.77,85,,9.42,percent of total billed charges,85% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,10.29,74,,8.23,percent of total billed charges,74.28% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,12.08,87.2,,,percent of total billed charges,87.2% of total billed charges,8.17,59,,6.54,percent of total billed charges,59% of total billed charges,12.08,87.2,,9.66,percent of total billed charges,87.2% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,11.26,81.29,,9.01,percent of total billed charges,81.29% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of totl billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,12.47,90,,9.98,percent of total billed charges,90% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,8.45,61,,6.76,percent of total billed charges,61% of total billed charges,7.2,52,,5.76,percent of total billed charges,52% of total billed charges,7.2,12.47,
PULMICORT RESPULE,43104055,CDM,250,RC,J7627,HCPCS,Outpatient,,,18.05,14.44,,15.34,85,,12.27,percent of total billed charges,85% of total billed charges,15.34,85,,12.27,percent of total billed charges,85% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,13.41,74,,10.73,percent of total billed charges,74.28% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,13.41,74,,10.73,percent of total billed charges,74.28% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,13.41,74,,10.73,percent of total billed charges,74.28% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,16.25,90,,13,percent of total billed charges,90% of total billed charges,16.25,90,,13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,15.74,87.2,,,percent of total billed charges,87.2% of total billed charges,10.65,59,,8.52,percent of total billed charges,59% of total billed charges,15.74,87.2,,12.59,percent of total billed charges,87.2% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,14.67,81.29,,11.74,percent of total billed charges,81.29% of total billed charges,16.25,90,,13,percent of total billed charges,90% of totl billed charges,16.25,90,,13,percent of total billed charges,90% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,16.25,90,,13,percent of total billed charges,90% of total billed charges,16.25,90,,13,percent of total billed charges,90% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,11.01,61,,8.81,percent of total billed charges,61% of total billed charges,9.39,52,,7.51,percent of total billed charges,52% of total billed charges,9.39,16.25,
IPRATROPIUM BROMIDE (ATROVENT),43104051,CDM,250,RC,J7644,HCPCS,Outpatient,0.5,ML,7.92,6.34,,6.73,85,,5.38,percent of total billed charges,85% of total billed charges,6.73,85,,5.38,percent of total billed charges,85% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,5.88,74,,4.7,percent of total billed charges,74.28% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,6.91,87.2,,,percent of total billed charges,87.2% of total billed charges,4.67,59,,3.74,percent of total billed charges,59% of total billed charges,6.91,87.2,,5.53,percent of total billed charges,87.2% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,6.44,81.29,,5.15,percent of total billed charges,81.29% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of totl billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,7.13,90,,5.7,percent of total billed charges,90% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.83,61,,3.86,percent of total billed charges,61% of total billed charges,4.12,52,,3.3,percent of total billed charges,52% of total billed charges,4.12,7.13,
AEROSOL MEDICATION,43104044,CDM,250,RC,J7699,HCPCS,Outpatient,,,4.4,3.52,,3.74,85,,2.99,percent of total billed charges,85% of total billed charges,3.74,85,,2.99,percent of total billed charges,85% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,3.27,74,,2.62,percent of total billed charges,74.28% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,3.27,74,,2.62,percent of total billed charges,74.28% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,3.27,74,,2.62,percent of total billed charges,74.28% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,3.96,90,,3.17,percent of total billed charges,90% of total billed charges,3.96,90,,3.17,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,3.84,87.2,,,percent of total billed charges,87.2% of total billed charges,2.6,59,,2.08,percent of total billed charges,59% of total billed charges,3.84,87.2,,3.07,percent of total billed charges,87.2% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,3.58,81.29,,2.86,percent of total billed charges,81.29% of total billed charges,3.96,90,,3.17,percent of total billed charges,90% of totl billed charges,3.96,90,,3.17,percent of total billed charges,90% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,3.96,90,,3.17,percent of total billed charges,90% of total billed charges,3.96,90,,3.17,percent of total billed charges,90% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,2.68,61,,2.14,percent of total billed charges,61% of total billed charges,2.29,52,,1.83,percent of total billed charges,52% of total billed charges,2.29,3.96,
CERVICAL COLLAR (SOFT)-PHP,36039191,CDM,290,RC,L0120,HCPCS,Outpatient,,,11.28,9.02,,9.59,85,,7.67,percent of total billed charges,85% of total billed charges,9.59,85,,7.67,percent of total billed charges,85% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,8.38,74,,6.7,percent of total billed charges,74.28% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,8.38,74,,6.7,percent of total billed charges,74.28% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,8.38,74,,6.7,percent of total billed charges,74.28% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,10.15,90,,8.12,percent of total billed charges,90% of total billed charges,10.15,90,,8.12,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,9.84,87.2,,,percent of total billed charges,87.2% of total billed charges,6.66,59,,5.33,percent of total billed charges,59% of total billed charges,9.84,87.2,,7.87,percent of total billed charges,87.2% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,9.17,81.29,,7.34,percent of total billed charges,81.29% of total billed charges,10.15,90,,8.12,percent of total billed charges,90% of totl billed charges,10.15,90,,8.12,percent of total billed charges,90% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,10.15,90,,8.12,percent of total billed charges,90% of total billed charges,10.15,90,,8.12,percent of total billed charges,90% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,6.88,61,,5.5,percent of total billed charges,61% of total billed charges,5.87,52,,4.7,percent of total billed charges,52% of total billed charges,5.87,10.15,
KNEE-O-PRENE BRACE-PHP,36039199,CDM,290,RC,L1810,HCPCS,Outpatient,,,62.03,49.62,,52.73,85,,42.18,percent of total billed charges,85% of total billed charges,52.73,85,,42.18,percent of total billed charges,85% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,46.08,74,,36.86,percent of total billed charges,74.28% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,46.08,74,,36.86,percent of total billed charges,74.28% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,46.08,74,,36.86,percent of total billed charges,74.28% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,55.83,90,,44.66,percent of total billed charges,90% of total billed charges,55.83,90,,44.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,54.09,87.2,,,percent of total billed charges,87.2% of total billed charges,36.6,59,,29.28,percent of total billed charges,59% of total billed charges,54.09,87.2,,43.27,percent of total billed charges,87.2% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,50.42,81.29,,40.34,percent of total billed charges,81.29% of total billed charges,55.83,90,,44.66,percent of total billed charges,90% of totl billed charges,55.83,90,,44.66,percent of total billed charges,90% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,55.83,90,,44.66,percent of total billed charges,90% of total billed charges,55.83,90,,44.66,percent of total billed charges,90% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,37.84,61,,30.27,percent of total billed charges,61% of total billed charges,32.26,52,,25.81,percent of total billed charges,52% of total billed charges,32.26,55.83,
KNEE IMMOBILIZER-PHP,36039196,CDM,290,RC,L1830,HCPCS,Outpatient,,,78.94,63.15,,67.1,85,,53.68,percent of total billed charges,85% of total billed charges,67.1,85,,53.68,percent of total billed charges,85% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,58.64,74,,46.91,percent of total billed charges,74.28% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,58.64,74,,46.91,percent of total billed charges,74.28% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,58.64,74,,46.91,percent of total billed charges,74.28% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,71.05,90,,56.84,percent of total billed charges,90% of total billed charges,71.05,90,,56.84,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,68.84,87.2,,,percent of total billed charges,87.2% of total billed charges,46.57,59,,37.26,percent of total billed charges,59% of total billed charges,68.84,87.2,,55.07,percent of total billed charges,87.2% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,64.17,81.29,,51.34,percent of total billed charges,81.29% of total billed charges,71.05,90,,56.84,percent of total billed charges,90% of totl billed charges,71.05,90,,56.84,percent of total billed charges,90% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,71.05,90,,56.84,percent of total billed charges,90% of total billed charges,71.05,90,,56.84,percent of total billed charges,90% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,48.15,61,,38.52,percent of total billed charges,61% of total billed charges,41.05,52,,32.84,percent of total billed charges,52% of total billed charges,41.05,71.05,
POST-OP SHOE(PHP),36039201,CDM,290,RC,L3260,HCPCS,Outpatient,,,136.2,108.96,,115.77,85,,92.62,percent of total billed charges,85% of total billed charges,115.77,85,,92.62,percent of total billed charges,85% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,101.17,74,,80.94,percent of total billed charges,74.28% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,101.17,74,,80.94,percent of total billed charges,74.28% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,101.17,74,,80.94,percent of total billed charges,74.28% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,122.58,90,,98.06,percent of total billed charges,90% of total billed charges,122.58,90,,98.06,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,118.77,87.2,,,percent of total billed charges,87.2% of total billed charges,80.36,59,,64.29,percent of total billed charges,59% of total billed charges,118.77,87.2,,95.02,percent of total billed charges,87.2% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,110.72,81.29,,88.58,percent of total billed charges,81.29% of total billed charges,122.58,90,,98.06,percent of total billed charges,90% of totl billed charges,122.58,90,,98.06,percent of total billed charges,90% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,122.58,90,,98.06,percent of total billed charges,90% of total billed charges,122.58,90,,98.06,percent of total billed charges,90% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,83.08,61,,66.46,percent of total billed charges,61% of total billed charges,70.82,52,,56.66,percent of total billed charges,52% of total billed charges,70.82,122.58,
WRIST SPLINT-PHP,36039193,CDM,290,RC,L3908,HCPCS,Outpatient,,,58.64,46.91,,49.84,85,,39.87,percent of total billed charges,85% of total billed charges,49.84,85,,39.87,percent of total billed charges,85% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,43.56,74,,34.85,percent of total billed charges,74.28% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,43.56,74,,34.85,percent of total billed charges,74.28% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,43.56,74,,34.85,percent of total billed charges,74.28% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,52.78,90,,42.22,percent of total billed charges,90% of total billed charges,52.78,90,,42.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,51.13,87.2,,,percent of total billed charges,87.2% of total billed charges,34.6,59,,27.68,percent of total billed charges,59% of total billed charges,51.13,87.2,,40.9,percent of total billed charges,87.2% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,47.67,81.29,,38.14,percent of total billed charges,81.29% of total billed charges,52.78,90,,42.22,percent of total billed charges,90% of totl billed charges,52.78,90,,42.22,percent of total billed charges,90% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,52.78,90,,42.22,percent of total billed charges,90% of total billed charges,52.78,90,,42.22,percent of total billed charges,90% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,35.77,61,,28.62,percent of total billed charges,61% of total billed charges,30.49,52,,24.39,percent of total billed charges,52% of total billed charges,30.49,52.78,
AIR GEL ANKLE-PHP,36039195,CDM,290,RC,L4350,HCPCS,Outpatient,,,90.21,72.17,,76.68,85,,61.34,percent of total billed charges,85% of total billed charges,76.68,85,,61.34,percent of total billed charges,85% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,67.01,74,,53.61,percent of total billed charges,74.28% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,67.01,74,,53.61,percent of total billed charges,74.28% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,67.01,74,,53.61,percent of total billed charges,74.28% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,81.19,90,,64.95,percent of total billed charges,90% of total billed charges,81.19,90,,64.95,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,78.66,87.2,,,percent of total billed charges,87.2% of total billed charges,53.22,59,,42.58,percent of total billed charges,59% of total billed charges,78.66,87.2,,62.93,percent of total billed charges,87.2% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,73.33,81.29,,58.66,percent of total billed charges,81.29% of total billed charges,81.19,90,,64.95,percent of total billed charges,90% of totl billed charges,81.19,90,,64.95,percent of total billed charges,90% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,81.19,90,,64.95,percent of total billed charges,90% of total billed charges,81.19,90,,64.95,percent of total billed charges,90% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,55.03,61,,44.02,percent of total billed charges,61% of total billed charges,46.91,52,,37.53,percent of total billed charges,52% of total billed charges,46.91,81.19,
BREAST IMPL MEMORYGEL 350 3-6x,35030410,CDM,278,RC,L8600,HCPCS,Outpatient,,,2148.75,1719,,1826.44,85,,1461.15,percent of total billed charges,85% of total billed charges,1826.44,85,,1461.15,percent of total billed charges,85% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1596.09,74,,1276.87,percent of total billed charges,74.28% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1596.09,74,,1276.87,percent of total billed charges,74.28% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1596.09,74,,1276.87,percent of total billed charges,74.28% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of total billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1873.71,87.2,,,percent of total billed charges,87.2% of total billed charges,1267.76,59,,1014.21,percent of total billed charges,59% of total billed charges,1873.71,87.2,,1498.97,percent of total billed charges,87.2% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1746.72,81.29,,1397.38,percent of total billed charges,81.29% of total billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of totl billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of total billed charges,1933.88,90,,1547.1,percent of total billed charges,90% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1310.74,61,,1048.59,percent of total billed charges,61% of total billed charges,1117.35,52,,893.88,percent of total billed charges,52% of total billed charges,1117.35,1933.88,
MEM SHAPE BREAST IMPLANT 350ml,35030597,CDM,278,RC,L8600,HCPCS,Outpatient,,,2130,1704,,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1857.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1256.7,59,,1005.36,percent of total billed charges,59% of total billed charges,1857.36,87.2,,1485.89,percent of total billed charges,87.2% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1731.48,81.29,,1385.18,percent of total billed charges,81.29% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of totl billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,1917,
MEM SHAPE BREAST IMPLANT 305ml,35030598,CDM,278,RC,L8600,HCPCS,Outpatient,,,2130,1704,,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1857.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1256.7,59,,1005.36,percent of total billed charges,59% of total billed charges,1857.36,87.2,,1485.89,percent of total billed charges,87.2% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1731.48,81.29,,1385.18,percent of total billed charges,81.29% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of totl billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,1917,
MEM SHAPE BREAST IMPLANT 395ml,35030599,CDM,278,RC,L8600,HCPCS,Outpatient,,,2130,1704,,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1810.5,85,,1448.4,percent of total billed charges,85% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1582.16,74,,1265.73,percent of total billed charges,74.28% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1857.36,87.2,,,percent of total billed charges,87.2% of total billed charges,1256.7,59,,1005.36,percent of total billed charges,59% of total billed charges,1857.36,87.2,,1485.89,percent of total billed charges,87.2% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1731.48,81.29,,1385.18,percent of total billed charges,81.29% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of totl billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1917,90,,1533.6,percent of total billed charges,90% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1299.3,61,,1039.44,percent of total billed charges,61% of total billed charges,1107.6,52,,886.08,percent of total billed charges,52% of total billed charges,1107.6,1917,
MEMORY GEL BREAST IMPLANT 370,35030712,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 405,35030713,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 440,35030714,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 465,35030715,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 490,35030716,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 525,35030717,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 545,35030718,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 560,35030719,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 605,35030720,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 630,35030721,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
MEMORY GEL BREAST IMPLANT 645,35030722,CDM,278,RC,L8600,HCPCS,Outpatient,,,3684,2947.2,,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,3131.4,85,,2505.12,percent of total billed charges,85% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2736.48,74,,2189.18,percent of total billed charges,74.28% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,3212.45,87.2,,,percent of total billed charges,87.2% of total billed charges,2173.56,59,,1738.85,percent of total billed charges,59% of total billed charges,3212.45,87.2,,2569.96,percent of total billed charges,87.2% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,2994.72,81.29,,2395.78,percent of total billed charges,81.29% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of totl billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,3315.6,90,,2652.48,percent of total billed charges,90% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,2247.24,61,,1797.79,percent of total billed charges,61% of total billed charges,1915.68,52,,1532.54,percent of total billed charges,52% of total billed charges,1915.68,3315.6,
DRESSING XEROFORM 4X4,35030724,CDM,272,RC,L8600,HCPCS,Outpatient,,,3.39,2.71,,2.88,85,,2.3,percent of total billed charges,85% of total billed charges,2.88,85,,2.3,percent of total billed charges,85% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,2.52,74,,2.02,percent of total billed charges,74.28% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,2.52,74,,2.02,percent of total billed charges,74.28% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,2.52,74,,2.02,percent of total billed charges,74.28% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,3.05,90,,2.44,percent of total billed charges,90% of total billed charges,3.05,90,,2.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,2.96,87.2,,,percent of total billed charges,87.2% of total billed charges,2,59,,1.6,percent of total billed charges,59% of total billed charges,2.96,87.2,,2.37,percent of total billed charges,87.2% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,2.76,81.29,,2.21,percent of total billed charges,81.29% of total billed charges,3.05,90,,2.44,percent of total billed charges,90% of totl billed charges,3.05,90,,2.44,percent of total billed charges,90% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,3.05,90,,2.44,percent of total billed charges,90% of total billed charges,3.05,90,,2.44,percent of total billed charges,90% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,2.07,61,,1.66,percent of total billed charges,61% of total billed charges,1.76,52,,1.41,percent of total billed charges,52% of total billed charges,1.76,3.05,
SENZA OMNIA PATIENT REMOTE KIT,35031357,CDM,271,RC,L8681,HCPCS,Outpatient,,,2236.5,1789.2,,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1901.03,85,,1520.82,percent of total billed charges,85% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1661.27,74,,1329.02,percent of total billed charges,74.28% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1950.23,87.2,,,percent of total billed charges,87.2% of total billed charges,1319.54,59,,1055.63,percent of total billed charges,59% of total billed charges,1950.23,87.2,,1560.18,percent of total billed charges,87.2% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1818.05,81.29,,1454.44,percent of total billed charges,81.29% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of totl billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,2012.85,90,,1610.28,percent of total billed charges,90% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1364.27,61,,1091.42,percent of total billed charges,61% of total billed charges,1162.98,52,,930.38,percent of total billed charges,52% of total billed charges,1162.98,2012.85,
IPG PORT PLUG KIT,35030767,CDM,278,RC,L8699,HCPCS,Outpatient,,,498,398.4,,423.3,85,,338.64,percent of total billed charges,85% of total billed charges,423.3,85,,338.64,percent of total billed charges,85% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,369.91,74,,295.93,percent of total billed charges,74.28% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,434.26,87.2,,,percent of total billed charges,87.2% of total billed charges,293.82,59,,235.06,percent of total billed charges,59% of total billed charges,434.26,87.2,,347.41,percent of total billed charges,87.2% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,404.82,81.29,,323.86,percent of total billed charges,81.29% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of totl billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,448.2,90,,358.56,percent of total billed charges,90% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,303.78,61,,243.02,percent of total billed charges,61% of total billed charges,258.96,52,,207.17,percent of total billed charges,52% of total billed charges,258.96,448.2,
UROLIFT UL 400 DELIVERY DEVICE,35031859,CDM,278,RC,L8699,HCPCS,Outpatient,,,1612.5,1290,,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,1370.63,85,,1096.5,percent of total billed charges,85% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1197.77,74,,958.22,percent of total billed charges,74.28% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1406.1,87.2,,,percent of total billed charges,87.2% of total billed charges,951.38,59,,761.1,percent of total billed charges,59% of total billed charges,1406.1,87.2,,1124.88,percent of total billed charges,87.2% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,1310.8,81.29,,1048.64,percent of total billed charges,81.29% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of totl billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,1451.25,90,,1161,percent of total billed charges,90% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,983.63,61,,786.9,percent of total billed charges,61% of total billed charges,838.5,52,,670.8,percent of total billed charges,52% of total billed charges,838.5,1451.25,
BEBTELOBIMAB INJECTION MS,32000025,CDM,771,RC,M0222,HCPCS,Outpatient,,,481.86,385.49,,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,420.18,87.2,,,percent of total billed charges,87.2% of total billed charges,284.3,59,,227.44,percent of total billed charges,59% of total billed charges,420.18,87.2,,336.14,percent of total billed charges,87.2% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,391.7,81.29,,313.36,percent of total billed charges,81.29% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of totl billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,433.67,
BEBTELOBIMA INJECTION ER,36000046,CDM,771,RC,M0222,HCPCS,Outpatient,,,481.86,385.49,,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,420.18,87.2,,,percent of total billed charges,87.2% of total billed charges,284.3,59,,227.44,percent of total billed charges,59% of total billed charges,420.18,87.2,,336.14,percent of total billed charges,87.2% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,391.7,81.29,,313.36,percent of total billed charges,81.29% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of totl billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,433.67,
BEBTELOBIMAB INJECTION HOP,43301106,CDM,771,RC,M0222,HCPCS,Outpatient,,,481.86,385.49,,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,409.58,85,,327.66,percent of total billed charges,85% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,357.93,74,,286.34,percent of total billed charges,74.28% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,420.18,87.2,,,percent of total billed charges,87.2% of total billed charges,284.3,59,,227.44,percent of total billed charges,59% of total billed charges,420.18,87.2,,336.14,percent of total billed charges,87.2% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,391.7,81.29,,313.36,percent of total billed charges,81.29% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of totl billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,433.67,90,,346.94,percent of total billed charges,90% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,293.93,61,,235.14,percent of total billed charges,61% of total billed charges,250.57,52,,200.46,percent of total billed charges,52% of total billed charges,250.57,433.67,
CASIRI/IMDEVIMAB INFUSION MS,32009073,CDM,771,RC,M0243,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
CASIRI/IMDEVIMAB INFUSION ER,36009199,CDM,771,RC,M0243,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
CASIRI/IMDEVIMAB INFUISON HOP,43301104,CDM,771,RC,M0243,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
BAMLAN AND ETESEV INFUSION MS,32009070,CDM,771,RC,M0245,HCPCS,Outpatient,,,429.89,343.91,,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,374.86,87.2,,,percent of total billed charges,87.2% of total billed charges,253.64,59,,202.91,percent of total billed charges,59% of total billed charges,374.86,87.2,,299.89,percent of total billed charges,87.2% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,349.46,81.29,,279.57,percent of total billed charges,81.29% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of totl billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,386.9,
BAMLAN AND ETESEV INFUSION ER,36009196,CDM,771,RC,M0245,HCPCS,Outpatient,,,429.89,343.91,,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,374.86,87.2,,,percent of total billed charges,87.2% of total billed charges,253.64,59,,202.91,percent of total billed charges,59% of total billed charges,374.86,87.2,,299.89,percent of total billed charges,87.2% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,349.46,81.29,,279.57,percent of total billed charges,81.29% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of totl billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,386.9,
BAMLAN AND ETESEV INFUSION HOP,43301102,CDM,771,RC,M0245,HCPCS,Outpatient,,,429.89,343.91,,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,365.41,85,,292.33,percent of total billed charges,85% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,319.32,74,,255.46,percent of total billed charges,74.28% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,374.86,87.2,,,percent of total billed charges,87.2% of total billed charges,253.64,59,,202.91,percent of total billed charges,59% of total billed charges,374.86,87.2,,299.89,percent of total billed charges,87.2% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,349.46,81.29,,279.57,percent of total billed charges,81.29% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of totl billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,386.9,90,,309.52,percent of total billed charges,90% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,262.23,61,,209.78,percent of total billed charges,61% of total billed charges,223.54,52,,178.83,percent of total billed charges,52% of total billed charges,223.54,386.9,
SOTROVIMAB INFUSION MS,32004019,CDM,771,RC,M0247,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
SOTROVIMAB INFUSION ER,36000045,CDM,771,RC,M0247,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
SOTROVIMAB INFUSION HOP,43301105,CDM,771,RC,M0247,HCPCS,Outpatient,,,618.65,494.92,,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,525.85,85,,420.68,percent of total billed charges,85% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,459.53,74,,367.62,percent of total billed charges,74.28% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,539.46,87.2,,,percent of total billed charges,87.2% of total billed charges,365,59,,292,percent of total billed charges,59% of total billed charges,539.46,87.2,,431.57,percent of total billed charges,87.2% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,502.9,81.29,,402.32,percent of total billed charges,81.29% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of totl billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,556.79,90,,445.43,percent of total billed charges,90% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,377.38,61,,301.9,percent of total billed charges,61% of total billed charges,321.7,52,,257.36,percent of total billed charges,52% of total billed charges,321.7,556.79,
CRYOPRECIPITATE,41040210,CDM,390,RC,P9012,HCPCS,Outpatient,,,106.43,85.14,,90.47,85,,72.38,percent of total billed charges,85% of total billed charges,90.47,85,,72.38,percent of total billed charges,85% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,79.06,74,,63.25,percent of total billed charges,74.28% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,79.06,74,,63.25,percent of total billed charges,74.28% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,79.06,74,,63.25,percent of total billed charges,74.28% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,95.79,90,,76.63,percent of total billed charges,90% of total billed charges,95.79,90,,76.63,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,92.81,87.2,,,percent of total billed charges,87.2% of total billed charges,62.79,59,,50.23,percent of total billed charges,59% of total billed charges,92.81,87.2,,74.25,percent of total billed charges,87.2% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,86.52,81.29,,69.22,percent of total billed charges,81.29% of total billed charges,95.79,90,,76.63,percent of total billed charges,90% of totl billed charges,95.79,90,,76.63,percent of total billed charges,90% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,95.79,90,,76.63,percent of total billed charges,90% of total billed charges,95.79,90,,76.63,percent of total billed charges,90% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,64.92,61,,51.94,percent of total billed charges,61% of total billed charges,55.34,52,,44.27,percent of total billed charges,52% of total billed charges,55.34,95.79,
"PACKED CELLS, L/R",41040204,CDM,390,RC,P9016,HCPCS,Outpatient,,,469.13,375.3,,398.76,85,,319.01,percent of total billed charges,85% of total billed charges,398.76,85,,319.01,percent of total billed charges,85% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,348.47,74,,278.78,percent of total billed charges,74.28% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,348.47,74,,278.78,percent of total billed charges,74.28% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,348.47,74,,278.78,percent of total billed charges,74.28% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,422.22,90,,337.78,percent of total billed charges,90% of total billed charges,422.22,90,,337.78,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,409.08,87.2,,,percent of total billed charges,87.2% of total billed charges,276.79,59,,221.43,percent of total billed charges,59% of total billed charges,409.08,87.2,,327.26,percent of total billed charges,87.2% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,381.36,81.29,,305.09,percent of total billed charges,81.29% of total billed charges,422.22,90,,337.78,percent of total billed charges,90% of totl billed charges,422.22,90,,337.78,percent of total billed charges,90% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,422.22,90,,337.78,percent of total billed charges,90% of total billed charges,422.22,90,,337.78,percent of total billed charges,90% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,286.17,61,,228.94,percent of total billed charges,61% of total billed charges,243.95,52,,195.16,percent of total billed charges,52% of total billed charges,243.95,422.22,
"AUTOLOGOUS RBC'S PREP, L/R",41040212,CDM,390,RC,P9016,HCPCS,Outpatient,,,651.78,521.42,,554.01,85,,443.21,percent of total billed charges,85% of total billed charges,554.01,85,,443.21,percent of total billed charges,85% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,484.14,74,,387.31,percent of total billed charges,74.28% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,484.14,74,,387.31,percent of total billed charges,74.28% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,484.14,74,,387.31,percent of total billed charges,74.28% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,586.6,90,,469.28,percent of total billed charges,90% of total billed charges,586.6,90,,469.28,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,568.35,87.2,,,percent of total billed charges,87.2% of total billed charges,384.55,59,,307.64,percent of total billed charges,59% of total billed charges,568.35,87.2,,454.68,percent of total billed charges,87.2% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,529.83,81.29,,423.86,percent of total billed charges,81.29% of total billed charges,586.6,90,,469.28,percent of total billed charges,90% of totl billed charges,586.6,90,,469.28,percent of total billed charges,90% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,586.6,90,,469.28,percent of total billed charges,90% of total billed charges,586.6,90,,469.28,percent of total billed charges,90% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,397.59,61,,318.07,percent of total billed charges,61% of total billed charges,338.93,52,,271.14,percent of total billed charges,52% of total billed charges,338.93,586.6,
DIRECTED RBC'S L/R,41040309,CDM,390,RC,P9016,HCPCS,Outpatient,,,670.07,536.06,,569.56,85,,455.65,percent of total billed charges,85% of total billed charges,569.56,85,,455.65,percent of total billed charges,85% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,497.73,74,,398.18,percent of total billed charges,74.28% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,584.3,87.2,,,percent of total billed charges,87.2% of total billed charges,395.34,59,,316.27,percent of total billed charges,59% of total billed charges,584.3,87.2,,467.44,percent of total billed charges,87.2% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,544.7,81.29,,435.76,percent of total billed charges,81.29% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of totl billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,603.06,90,,482.45,percent of total billed charges,90% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,408.74,61,,326.99,percent of total billed charges,61% of total billed charges,348.44,52,,278.75,percent of total billed charges,52% of total billed charges,348.44,603.06,
PLATELET CONCENTRATE PER UNIT,41040211,CDM,390,RC,P9019,HCPCS,Outpatient,,,137.05,109.64,,116.49,85,,93.19,percent of total billed charges,85% of total billed charges,116.49,85,,93.19,percent of total billed charges,85% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,101.8,74,,81.44,percent of total billed charges,74.28% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,101.8,74,,81.44,percent of total billed charges,74.28% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,101.8,74,,81.44,percent of total billed charges,74.28% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,123.35,90,,98.68,percent of total billed charges,90% of total billed charges,123.35,90,,98.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,119.51,87.2,,,percent of total billed charges,87.2% of total billed charges,80.86,59,,64.69,percent of total billed charges,59% of total billed charges,119.51,87.2,,95.61,percent of total billed charges,87.2% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,111.41,81.29,,89.13,percent of total billed charges,81.29% of total billed charges,123.35,90,,98.68,percent of total billed charges,90% of totl billed charges,123.35,90,,98.68,percent of total billed charges,90% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,123.35,90,,98.68,percent of total billed charges,90% of total billed charges,123.35,90,,98.68,percent of total billed charges,90% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,83.6,61,,66.88,percent of total billed charges,61% of total billed charges,71.27,52,,57.02,percent of total billed charges,52% of total billed charges,71.27,123.35,
"WASHED RED CELLS, L/R",41040216,CDM,390,RC,P9022,HCPCS,Outpatient,,,615.19,492.15,,522.91,85,,418.33,percent of total billed charges,85% of total billed charges,522.91,85,,418.33,percent of total billed charges,85% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,456.96,74,,365.57,percent of total billed charges,74.28% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,456.96,74,,365.57,percent of total billed charges,74.28% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,456.96,74,,365.57,percent of total billed charges,74.28% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,553.67,90,,442.94,percent of total billed charges,90% of total billed charges,553.67,90,,442.94,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,536.45,87.2,,,percent of total billed charges,87.2% of total billed charges,362.96,59,,290.37,percent of total billed charges,59% of total billed charges,536.45,87.2,,429.16,percent of total billed charges,87.2% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,500.09,81.29,,400.07,percent of total billed charges,81.29% of total billed charges,553.67,90,,442.94,percent of total billed charges,90% of totl billed charges,553.67,90,,442.94,percent of total billed charges,90% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,553.67,90,,442.94,percent of total billed charges,90% of total billed charges,553.67,90,,442.94,percent of total billed charges,90% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,375.27,61,,300.22,percent of total billed charges,61% of total billed charges,319.9,52,,255.92,percent of total billed charges,52% of total billed charges,319.9,553.67,
PLATELETS BY PHERESIS,41040310,CDM,390,RC,P9034,HCPCS,Outpatient,,,918.34,734.67,,780.59,85,,624.47,percent of total billed charges,85% of total billed charges,780.59,85,,624.47,percent of total billed charges,85% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,682.14,74,,545.71,percent of total billed charges,74.28% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,682.14,74,,545.71,percent of total billed charges,74.28% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,682.14,74,,545.71,percent of total billed charges,74.28% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,826.51,90,,661.21,percent of total billed charges,90% of total billed charges,826.51,90,,661.21,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,800.79,87.2,,,percent of total billed charges,87.2% of total billed charges,541.82,59,,433.46,percent of total billed charges,59% of total billed charges,800.79,87.2,,640.63,percent of total billed charges,87.2% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,746.52,81.29,,597.22,percent of total billed charges,81.29% of total billed charges,826.51,90,,661.21,percent of total billed charges,90% of totl billed charges,826.51,90,,661.21,percent of total billed charges,90% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,826.51,90,,661.21,percent of total billed charges,90% of total billed charges,826.51,90,,661.21,percent of total billed charges,90% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,560.19,61,,448.15,percent of total billed charges,61% of total billed charges,477.54,52,,382.03,percent of total billed charges,52% of total billed charges,477.54,826.51,
DEGLYCEROLIZED RBC'S,41040306,CDM,390,RC,P9039,HCPCS,Outpatient,,,726.61,581.29,,617.62,85,,494.1,percent of total billed charges,85% of total billed charges,617.62,85,,494.1,percent of total billed charges,85% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,539.73,74,,431.78,percent of total billed charges,74.28% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,539.73,74,,431.78,percent of total billed charges,74.28% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,539.73,74,,431.78,percent of total billed charges,74.28% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,653.95,90,,523.16,percent of total billed charges,90% of total billed charges,653.95,90,,523.16,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,633.6,87.2,,,percent of total billed charges,87.2% of total billed charges,428.7,59,,342.96,percent of total billed charges,59% of total billed charges,633.6,87.2,,506.88,percent of total billed charges,87.2% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,590.66,81.29,,472.53,percent of total billed charges,81.29% of total billed charges,653.95,90,,523.16,percent of total billed charges,90% of totl billed charges,653.95,90,,523.16,percent of total billed charges,90% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,653.95,90,,523.16,percent of total billed charges,90% of total billed charges,653.95,90,,523.16,percent of total billed charges,90% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,443.23,61,,354.58,percent of total billed charges,61% of total billed charges,377.84,52,,302.27,percent of total billed charges,52% of total billed charges,377.84,653.95,
"PACKED CELLS L/R,IRR",41040223,CDM,390,RC,P9040,HCPCS,Outpatient,,,560.42,448.34,,476.36,85,,381.09,percent of total billed charges,85% of total billed charges,476.36,85,,381.09,percent of total billed charges,85% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,416.28,74,,333.02,percent of total billed charges,74.28% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,416.28,74,,333.02,percent of total billed charges,74.28% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,416.28,74,,333.02,percent of total billed charges,74.28% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,504.38,90,,403.5,percent of total billed charges,90% of total billed charges,504.38,90,,403.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,488.69,87.2,,,percent of total billed charges,87.2% of total billed charges,330.65,59,,264.52,percent of total billed charges,59% of total billed charges,488.69,87.2,,390.95,percent of total billed charges,87.2% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,455.57,81.29,,364.46,percent of total billed charges,81.29% of total billed charges,504.38,90,,403.5,percent of total billed charges,90% of totl billed charges,504.38,90,,403.5,percent of total billed charges,90% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,504.38,90,,403.5,percent of total billed charges,90% of total billed charges,504.38,90,,403.5,percent of total billed charges,90% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,341.86,61,,273.49,percent of total billed charges,61% of total billed charges,291.42,52,,233.14,percent of total billed charges,52% of total billed charges,291.42,504.38,
"ALBUMIN, 50ML 25%",41040220,CDM,390,RC,P9047,HCPCS,Outpatient,,,380.59,304.47,,323.5,85,,258.8,percent of total billed charges,85% of total billed charges,323.5,85,,258.8,percent of total billed charges,85% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,282.7,74,,226.16,percent of total billed charges,74.28% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,331.87,87.2,,,percent of total billed charges,87.2% of total billed charges,224.55,59,,179.64,percent of total billed charges,59% of total billed charges,331.87,87.2,,265.5,percent of total billed charges,87.2% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,309.38,81.29,,247.5,percent of total billed charges,81.29% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of totl billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,342.53,90,,274.02,percent of total billed charges,90% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,232.16,61,,185.73,percent of total billed charges,61% of total billed charges,197.91,52,,158.33,percent of total billed charges,52% of total billed charges,197.91,342.53,
FRESH FROZEN PLASMA,41040207,CDM,390,RC,P9060,HCPCS,Outpatient,,,142.7,114.16,,121.3,85,,97.04,percent of total billed charges,85% of total billed charges,121.3,85,,97.04,percent of total billed charges,85% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,106,74,,84.8,percent of total billed charges,74.28% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,106,74,,84.8,percent of total billed charges,74.28% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,106,74,,84.8,percent of total billed charges,74.28% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,128.43,90,,102.74,percent of total billed charges,90% of total billed charges,128.43,90,,102.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,124.43,87.2,,,percent of total billed charges,87.2% of total billed charges,84.19,59,,67.35,percent of total billed charges,59% of total billed charges,124.43,87.2,,99.54,percent of total billed charges,87.2% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,116,81.29,,92.8,percent of total billed charges,81.29% of total billed charges,128.43,90,,102.74,percent of total billed charges,90% of totl billed charges,128.43,90,,102.74,percent of total billed charges,90% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,128.43,90,,102.74,percent of total billed charges,90% of total billed charges,128.43,90,,102.74,percent of total billed charges,90% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,87.05,61,,69.64,percent of total billed charges,61% of total billed charges,74.2,52,,59.36,percent of total billed charges,52% of total billed charges,74.2,128.43,
TRAVEL SPECIMEN COLLECTION,41000033,CDM,309,RC,P9604,HCPCS,Outpatient,,,59.05,47.24,,50.19,85,,40.15,percent of total billed charges,85% of total billed charges,50.19,85,,40.15,percent of total billed charges,85% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,43.86,74,,35.09,percent of total billed charges,74.28% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,43.86,74,,35.09,percent of total billed charges,74.28% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,43.86,74,,35.09,percent of total billed charges,74.28% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,53.15,90,,42.52,percent of total billed charges,90% of total billed charges,53.15,90,,42.52,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,51.49,87.2,,,percent of total billed charges,87.2% of total billed charges,34.84,59,,27.87,percent of total billed charges,59% of total billed charges,51.49,87.2,,41.19,percent of total billed charges,87.2% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,48,81.29,,38.4,percent of total billed charges,81.29% of total billed charges,53.15,90,,42.52,percent of total billed charges,90% of totl billed charges,53.15,90,,42.52,percent of total billed charges,90% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,53.15,90,,42.52,percent of total billed charges,90% of total billed charges,53.15,90,,42.52,percent of total billed charges,90% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,36.02,61,,28.82,percent of total billed charges,61% of total billed charges,30.71,52,,24.57,percent of total billed charges,52% of total billed charges,30.71,53.15,
SCREENING PAP SMEAR,43601158,CDM,521,RC,Q0091,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
SCREENING PAP SMEAR,43701307,CDM,521,RC,Q0091,HCPCS,Outpatient,,,65.45,52.36,,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,55.63,85,,44.5,percent of total billed charges,85% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,48.62,74,,38.9,percent of total billed charges,74.28% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,57.07,87.2,,,percent of total billed charges,87.2% of total billed charges,38.62,59,,30.9,percent of total billed charges,59% of total billed charges,57.07,87.2,,45.66,percent of total billed charges,87.2% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,53.2,81.29,,42.56,percent of total billed charges,81.29% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of totl billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,58.91,90,,47.13,percent of total billed charges,90% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,39.92,61,,31.94,percent of total billed charges,61% of total billed charges,34.03,52,,27.22,percent of total billed charges,52% of total billed charges,34.03,58.91,
WET PREP,41000451,CDM,306,RC,Q0111,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.76,100,,,fee schedule,100% of CMS fee schedule,17.76,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,17.76,30.5,
WET PREP,41000451,CDM,306,RC,Q0111,HCPCS,Outpatient,,,33.89,27.11,,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,28.81,85,,23.05,percent of total billed charges,85% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,25.17,74,,20.14,percent of total billed charges,74.28% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,17.76,100,,,fee schedule,100% of CMS fee schedule,17.76,100,,,fee schedule,100% of CMS fee schedule,29.55,87.2,,,percent of total billed charges,87.2% of total billed charges,20,59,,16,percent of total billed charges,59% of total billed charges,29.55,87.2,,23.64,percent of total billed charges,87.2% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,27.55,81.29,,22.04,percent of total billed charges,81.29% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of totl billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,30.5,90,,24.4,percent of total billed charges,90% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,16.54,percent of total billed charges,61% of total billed charges,20.67,61,,,percent of total billed charges,61% of total billed charges,17.76,100,,,fee schedule,100% of CMS fee schedule,17.76,30.5,
PINWORM SMEAR,41000510,CDM,306,RC,Q0113,HCPCS,Outpatient,,,50.13,40.1,,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,42.61,85,,34.09,percent of total billed charges,85% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,37.24,74,,29.79,percent of total billed charges,74.28% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,100,,,fee schedule,100% of CMS fee schedule,43.71,87.2,,,percent of total billed charges,87.2% of total billed charges,29.58,59,,23.66,percent of total billed charges,59% of total billed charges,43.71,87.2,,34.97,percent of total billed charges,87.2% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,40.75,81.29,,32.6,percent of total billed charges,81.29% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of totl billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,45.12,90,,36.1,percent of total billed charges,90% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,24.46,percent of total billed charges,61% of total billed charges,30.58,61,,,percent of total billed charges,61% of total billed charges,4.27,100,,,fee schedule,100% of CMS fee schedule,4.27,45.12,
"Long Arm Splint Supply, Adult",43601534,CDM,521,RC,Q4018,HCPCS,Outpatient,,,17.32,13.86,,14.72,85,,11.78,percent of total billed charges,85% of total billed charges,14.72,85,,11.78,percent of total billed charges,85% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,15.1,87.2,,,percent of total billed charges,87.2% of total billed charges,10.22,59,,8.18,percent of total billed charges,59% of total billed charges,15.1,87.2,,12.08,percent of total billed charges,87.2% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,14.08,81.29,,11.26,percent of total billed charges,81.29% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of totl billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,9.01,15.59,
"Long Arm Splint Supply, Adult",43701534,CDM,521,RC,Q4018,HCPCS,Outpatient,,,17.32,13.86,,14.72,85,,11.78,percent of total billed charges,85% of total billed charges,14.72,85,,11.78,percent of total billed charges,85% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,12.87,74,,10.3,percent of total billed charges,74.28% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,15.1,87.2,,,percent of total billed charges,87.2% of total billed charges,10.22,59,,8.18,percent of total billed charges,59% of total billed charges,15.1,87.2,,12.08,percent of total billed charges,87.2% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,14.08,81.29,,11.26,percent of total billed charges,81.29% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of totl billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,15.59,90,,12.47,percent of total billed charges,90% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,10.57,61,,8.46,percent of total billed charges,61% of total billed charges,9.01,52,,7.21,percent of total billed charges,52% of total billed charges,9.01,15.59,
"Long Arm Splint Supply, Peds",43601535,CDM,521,RC,Q4020,HCPCS,Outpatient,,,8.66,6.93,,7.36,85,,5.89,percent of total billed charges,85% of total billed charges,7.36,85,,5.89,percent of total billed charges,85% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,7.55,87.2,,,percent of total billed charges,87.2% of total billed charges,5.11,59,,4.09,percent of total billed charges,59% of total billed charges,7.55,87.2,,6.04,percent of total billed charges,87.2% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,7.04,81.29,,5.63,percent of total billed charges,81.29% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of totl billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,4.5,7.79,
"Long Arm Splint Supply, Peds",43701535,CDM,521,RC,Q4020,HCPCS,Outpatient,,,8.66,6.93,,7.36,85,,5.89,percent of total billed charges,85% of total billed charges,7.36,85,,5.89,percent of total billed charges,85% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,6.43,74,,5.14,percent of total billed charges,74.28% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,7.55,87.2,,,percent of total billed charges,87.2% of total billed charges,5.11,59,,4.09,percent of total billed charges,59% of total billed charges,7.55,87.2,,6.04,percent of total billed charges,87.2% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,7.04,81.29,,5.63,percent of total billed charges,81.29% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of totl billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,7.79,90,,6.23,percent of total billed charges,90% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,5.28,61,,4.22,percent of total billed charges,61% of total billed charges,4.5,52,,3.6,percent of total billed charges,52% of total billed charges,4.5,7.79,
"Short Arm Splint Supply, Adult",43601536,CDM,521,RC,Q4022,HCPCS,Outpatient,,,14.5,11.6,,12.33,85,,9.86,percent of total billed charges,85% of total billed charges,12.33,85,,9.86,percent of total billed charges,85% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,12.64,87.2,,,percent of total billed charges,87.2% of total billed charges,8.56,59,,6.85,percent of total billed charges,59% of total billed charges,12.64,87.2,,10.11,percent of total billed charges,87.2% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,11.79,81.29,,9.43,percent of total billed charges,81.29% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of totl billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,7.54,13.05,
"Short Arm Splint Supply, Adult",43701536,CDM,521,RC,Q4022,HCPCS,Outpatient,,,14.5,11.6,,12.33,85,,9.86,percent of total billed charges,85% of total billed charges,12.33,85,,9.86,percent of total billed charges,85% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,10.77,74,,8.62,percent of total billed charges,74.28% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,12.64,87.2,,,percent of total billed charges,87.2% of total billed charges,8.56,59,,6.85,percent of total billed charges,59% of total billed charges,12.64,87.2,,10.11,percent of total billed charges,87.2% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,11.79,81.29,,9.43,percent of total billed charges,81.29% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of totl billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,13.05,90,,10.44,percent of total billed charges,90% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,8.85,61,,7.08,percent of total billed charges,61% of total billed charges,7.54,52,,6.03,percent of total billed charges,52% of total billed charges,7.54,13.05,
"Short Arm Splint Supply, Peds",43601537,CDM,521,RC,Q4024,HCPCS,Outpatient,,,7.26,5.81,,6.17,85,,4.94,percent of total billed charges,85% of total billed charges,6.17,85,,4.94,percent of total billed charges,85% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,6.33,87.2,,,percent of total billed charges,87.2% of total billed charges,4.28,59,,3.42,percent of total billed charges,59% of total billed charges,6.33,87.2,,5.06,percent of total billed charges,87.2% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.9,81.29,,4.72,percent of total billed charges,81.29% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of totl billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,3.78,6.53,
"Short Arm Splint Supply, Peds",43701537,CDM,521,RC,Q4024,HCPCS,Outpatient,,,7.26,5.81,,6.17,85,,4.94,percent of total billed charges,85% of total billed charges,6.17,85,,4.94,percent of total billed charges,85% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,5.39,74,,4.31,percent of total billed charges,74.28% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,6.33,87.2,,,percent of total billed charges,87.2% of total billed charges,4.28,59,,3.42,percent of total billed charges,59% of total billed charges,6.33,87.2,,5.06,percent of total billed charges,87.2% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,5.9,81.29,,4.72,percent of total billed charges,81.29% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of totl billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,6.53,90,,5.22,percent of total billed charges,90% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,4.43,61,,3.54,percent of total billed charges,61% of total billed charges,3.78,52,,3.02,percent of total billed charges,52% of total billed charges,3.78,6.53,
"Short Leg Splint, Adult",43601538,CDM,521,RC,Q4038,HCPCS,Outpatient,,,49.15,39.32,,41.78,85,,33.42,percent of total billed charges,85% of total billed charges,41.78,85,,33.42,percent of total billed charges,85% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,42.86,87.2,,,percent of total billed charges,87.2% of total billed charges,29,59,,23.2,percent of total billed charges,59% of total billed charges,42.86,87.2,,34.29,percent of total billed charges,87.2% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,39.95,81.29,,31.96,percent of total billed charges,81.29% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of totl billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,25.56,44.24,
SHORT LEG CAST (11 AND UP),43701327,CDM,521,RC,Q4038,HCPCS,Outpatient,,,132.6,106.08,,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,112.71,85,,90.17,percent of total billed charges,85% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,98.5,74,,78.8,percent of total billed charges,74.28% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,115.63,87.2,,,percent of total billed charges,87.2% of total billed charges,78.23,59,,62.58,percent of total billed charges,59% of total billed charges,115.63,87.2,,92.5,percent of total billed charges,87.2% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,107.79,81.29,,86.23,percent of total billed charges,81.29% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of totl billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,119.34,90,,95.47,percent of total billed charges,90% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,80.89,61,,64.71,percent of total billed charges,61% of total billed charges,68.95,52,,55.16,percent of total billed charges,52% of total billed charges,68.95,119.34,
"Short Leg Splint, Adult",43701538,CDM,521,RC,Q4038,HCPCS,Outpatient,,,49.15,39.32,,41.78,85,,33.42,percent of total billed charges,85% of total billed charges,41.78,85,,33.42,percent of total billed charges,85% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,36.51,74,,29.21,percent of total billed charges,74.28% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,42.86,87.2,,,percent of total billed charges,87.2% of total billed charges,29,59,,23.2,percent of total billed charges,59% of total billed charges,42.86,87.2,,34.29,percent of total billed charges,87.2% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,39.95,81.29,,31.96,percent of total billed charges,81.29% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of totl billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,44.24,90,,35.39,percent of total billed charges,90% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,29.98,61,,23.98,percent of total billed charges,61% of total billed charges,25.56,52,,20.45,percent of total billed charges,52% of total billed charges,25.56,44.24,
"Short Leg Splint, Peds",43601539,CDM,521,RC,Q4040,HCPCS,Outpatient,,,24.56,19.65,,20.88,85,,16.7,percent of total billed charges,85% of total billed charges,20.88,85,,16.7,percent of total billed charges,85% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,21.42,87.2,,,percent of total billed charges,87.2% of total billed charges,14.49,59,,11.59,percent of total billed charges,59% of total billed charges,21.42,87.2,,17.14,percent of total billed charges,87.2% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,19.96,81.29,,15.97,percent of total billed charges,81.29% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of totl billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,12.77,22.1,
"Short Leg Splint, Peds",43701539,CDM,521,RC,Q4040,HCPCS,Outpatient,,,24.56,19.65,,20.88,85,,16.7,percent of total billed charges,85% of total billed charges,20.88,85,,16.7,percent of total billed charges,85% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,18.24,74,,14.59,percent of total billed charges,74.28% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,21.42,87.2,,,percent of total billed charges,87.2% of total billed charges,14.49,59,,11.59,percent of total billed charges,59% of total billed charges,21.42,87.2,,17.14,percent of total billed charges,87.2% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,19.96,81.29,,15.97,percent of total billed charges,81.29% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of totl billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,22.1,90,,17.68,percent of total billed charges,90% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,14.98,61,,11.98,percent of total billed charges,61% of total billed charges,12.77,52,,10.22,percent of total billed charges,52% of total billed charges,12.77,22.1,
"Appl Long Leg Splint,Adult",43601449,CDM,521,RC,Q4042,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Long Leg Splint, Adult",43601540,CDM,521,RC,Q4042,HCPCS,Outpatient,,,40.72,32.58,,34.61,85,,27.69,percent of total billed charges,85% of total billed charges,34.61,85,,27.69,percent of total billed charges,85% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,35.51,87.2,,,percent of total billed charges,87.2% of total billed charges,24.02,59,,19.22,percent of total billed charges,59% of total billed charges,35.51,87.2,,28.41,percent of total billed charges,87.2% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,33.1,81.29,,26.48,percent of total billed charges,81.29% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of totl billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,21.17,36.65,
"Appl Long Leg Splint,Adult",43701449,CDM,521,RC,Q4042,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Long Leg Splint, Adult",43701540,CDM,521,RC,Q4042,HCPCS,Outpatient,,,40.72,32.58,,34.61,85,,27.69,percent of total billed charges,85% of total billed charges,34.61,85,,27.69,percent of total billed charges,85% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,30.25,74,,24.2,percent of total billed charges,74.28% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,35.51,87.2,,,percent of total billed charges,87.2% of total billed charges,24.02,59,,19.22,percent of total billed charges,59% of total billed charges,35.51,87.2,,28.41,percent of total billed charges,87.2% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,33.1,81.29,,26.48,percent of total billed charges,81.29% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of totl billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,36.65,90,,29.32,percent of total billed charges,90% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,24.84,61,,19.87,percent of total billed charges,61% of total billed charges,21.17,52,,16.94,percent of total billed charges,52% of total billed charges,21.17,36.65,
"Appl Long Leg Splint,Peds",43601450,CDM,521,RC,Q4044,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Long Leg Splint, Peds",43601541,CDM,521,RC,Q4044,HCPCS,Outpatient,,,20.37,16.3,,17.31,85,,13.85,percent of total billed charges,85% of total billed charges,17.31,85,,13.85,percent of total billed charges,85% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,17.76,87.2,,,percent of total billed charges,87.2% of total billed charges,12.02,59,,9.62,percent of total billed charges,59% of total billed charges,17.76,87.2,,14.21,percent of total billed charges,87.2% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,16.56,81.29,,13.25,percent of total billed charges,81.29% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of totl billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,10.59,18.33,
"Appl Long Leg Splint,Peds",43701450,CDM,521,RC,Q4044,HCPCS,Outpatient,,,98.17,78.54,,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,83.44,85,,66.75,percent of total billed charges,85% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,72.92,74,,58.34,percent of total billed charges,74.28% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,85.6,87.2,,,percent of total billed charges,87.2% of total billed charges,57.92,59,,46.34,percent of total billed charges,59% of total billed charges,85.6,87.2,,68.48,percent of total billed charges,87.2% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,79.8,81.29,,63.84,percent of total billed charges,81.29% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of totl billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,88.35,90,,70.68,percent of total billed charges,90% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,59.88,61,,47.9,percent of total billed charges,61% of total billed charges,51.05,52,,40.84,percent of total billed charges,52% of total billed charges,51.05,88.35,
"Long Leg Splint, Peds",43701541,CDM,521,RC,Q4044,HCPCS,Outpatient,,,20.37,16.3,,17.31,85,,13.85,percent of total billed charges,85% of total billed charges,17.31,85,,13.85,percent of total billed charges,85% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,15.13,74,,12.1,percent of total billed charges,74.28% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,17.76,87.2,,,percent of total billed charges,87.2% of total billed charges,12.02,59,,9.62,percent of total billed charges,59% of total billed charges,17.76,87.2,,14.21,percent of total billed charges,87.2% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,16.56,81.29,,13.25,percent of total billed charges,81.29% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of totl billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,18.33,90,,14.66,percent of total billed charges,90% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,12.43,61,,9.94,percent of total billed charges,61% of total billed charges,10.59,52,,8.47,percent of total billed charges,52% of total billed charges,10.59,18.33,
"Short Leg Splint Supply, Adult",43601627,CDM,521,RC,Q4046,HCPCS,Outpatient,,,21.88,17.5,,18.6,85,,14.88,percent of total billed charges,85% of total billed charges,18.6,85,,14.88,percent of total billed charges,85% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,19.08,87.2,,,percent of total billed charges,87.2% of total billed charges,12.91,59,,10.33,percent of total billed charges,59% of total billed charges,19.08,87.2,,15.26,percent of total billed charges,87.2% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,17.79,81.29,,14.23,percent of total billed charges,81.29% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of totl billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,11.38,19.69,
"Short Leg Splint Supply, Adult",43701631,CDM,521,RC,Q4046,HCPCS,Outpatient,,,21.88,17.5,,18.6,85,,14.88,percent of total billed charges,85% of total billed charges,18.6,85,,14.88,percent of total billed charges,85% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,16.25,74,,13,percent of total billed charges,74.28% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,19.08,87.2,,,percent of total billed charges,87.2% of total billed charges,12.91,59,,10.33,percent of total billed charges,59% of total billed charges,19.08,87.2,,15.26,percent of total billed charges,87.2% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,17.79,81.29,,14.23,percent of total billed charges,81.29% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of totl billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,19.69,90,,15.75,percent of total billed charges,90% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,13.35,61,,10.68,percent of total billed charges,61% of total billed charges,11.38,52,,9.1,percent of total billed charges,52% of total billed charges,11.38,19.69,
"Short Leg Splint Supply, Ped",43601629,CDM,521,RC,Q4048,HCPCS,Outpatient,,,10.94,8.75,,9.3,85,,7.44,percent of total billed charges,85% of total billed charges,9.3,85,,7.44,percent of total billed charges,85% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,9.54,87.2,,,percent of total billed charges,87.2% of total billed charges,6.45,59,,5.16,percent of total billed charges,59% of total billed charges,9.54,87.2,,7.63,percent of total billed charges,87.2% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.89,81.29,,7.11,percent of total billed charges,81.29% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of totl billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,5.69,9.85,
"Short Leg Splint Supply, Ped",43701633,CDM,521,RC,Q4048,HCPCS,Outpatient,,,10.94,8.75,,9.3,85,,7.44,percent of total billed charges,85% of total billed charges,9.3,85,,7.44,percent of total billed charges,85% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,8.13,74,,6.5,percent of total billed charges,74.28% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,9.54,87.2,,,percent of total billed charges,87.2% of total billed charges,6.45,59,,5.16,percent of total billed charges,59% of total billed charges,9.54,87.2,,7.63,percent of total billed charges,87.2% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,8.89,81.29,,7.11,percent of total billed charges,81.29% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of totl billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,9.85,90,,7.88,percent of total billed charges,90% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,6.67,61,,5.34,percent of total billed charges,61% of total billed charges,5.69,52,,4.55,percent of total billed charges,52% of total billed charges,5.69,9.85,
"Finger Splint Supply, Adult",43601542,CDM,521,RC,Q4049,HCPCS,Outpatient,,,2.53,2.02,,2.15,85,,1.72,percent of total billed charges,85% of total billed charges,2.15,85,,1.72,percent of total billed charges,85% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.21,87.2,,,percent of total billed charges,87.2% of total billed charges,1.49,59,,1.19,percent of total billed charges,59% of total billed charges,2.21,87.2,,1.77,percent of total billed charges,87.2% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.06,81.29,,1.65,percent of total billed charges,81.29% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of totl billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,2.28,
"Finger Splint Supply, Adult",43701542,CDM,521,RC,Q4049,HCPCS,Outpatient,,,2.53,2.02,,2.15,85,,1.72,percent of total billed charges,85% of total billed charges,2.15,85,,1.72,percent of total billed charges,85% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.88,74,,1.5,percent of total billed charges,74.28% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,,,,,other ,not seperately reimbursable,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.21,87.2,,,percent of total billed charges,87.2% of total billed charges,1.49,59,,1.19,percent of total billed charges,59% of total billed charges,2.21,87.2,,1.77,percent of total billed charges,87.2% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,2.06,81.29,,1.65,percent of total billed charges,81.29% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of totl billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,2.28,90,,1.82,percent of total billed charges,90% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.54,61,,1.23,percent of total billed charges,61% of total billed charges,1.32,52,,1.06,percent of total billed charges,52% of total billed charges,1.32,2.28,
LIFE CEL TISS. GRAFT 102196,35031080,CDM,278,RC,Q4100,HCPCS,Outpatient,,,5427.53,4342.02,,4613.4,85,,3690.72,percent of total billed charges,85% of total billed charges,4613.4,85,,3690.72,percent of total billed charges,85% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,4031.57,74,,3225.26,percent of total billed charges,74.28% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,4031.57,74,,3225.26,percent of total billed charges,74.28% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,4031.57,74,,3225.26,percent of total billed charges,74.28% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of total billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,4732.81,87.2,,,percent of total billed charges,87.2% of total billed charges,3202.24,59,,2561.79,percent of total billed charges,59% of total billed charges,4732.81,87.2,,3786.25,percent of total billed charges,87.2% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,4412.04,81.29,,3529.63,percent of total billed charges,81.29% of total billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of totl billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of total billed charges,4884.78,90,,3907.82,percent of total billed charges,90% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,3310.79,61,,2648.63,percent of total billed charges,61% of total billed charges,2822.32,52,,2257.86,percent of total billed charges,52% of total billed charges,2822.32,4884.78,
"DURAL MATRIX 1""X3""",35031692,CDM,278,RC,Q4100,HCPCS,Outpatient,,,1434.78,1147.82,,1219.56,85,,975.65,percent of total billed charges,85% of total billed charges,1219.56,85,,975.65,percent of total billed charges,85% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,1065.75,74,,852.6,percent of total billed charges,74.28% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,1065.75,74,,852.6,percent of total billed charges,74.28% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,1065.75,74,,852.6,percent of total billed charges,74.28% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of total billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,1251.13,87.2,,,percent of total billed charges,87.2% of total billed charges,846.52,59,,677.22,percent of total billed charges,59% of total billed charges,1251.13,87.2,,1000.9,percent of total billed charges,87.2% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,1166.33,81.29,,933.06,percent of total billed charges,81.29% of total billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of totl billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of total billed charges,1291.3,90,,1033.04,percent of total billed charges,90% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,875.22,61,,700.18,percent of total billed charges,61% of total billed charges,746.09,52,,596.87,percent of total billed charges,52% of total billed charges,746.09,1291.3,
DUREPAIR DURA REGEN. MATRIX,35031693,CDM,278,RC,Q4100,HCPCS,Outpatient,,,1442.93,1154.34,,1226.49,85,,981.19,percent of total billed charges,85% of total billed charges,1226.49,85,,981.19,percent of total billed charges,85% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,1071.81,74,,857.45,percent of total billed charges,74.28% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,1071.81,74,,857.45,percent of total billed charges,74.28% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,1071.81,74,,857.45,percent of total billed charges,74.28% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of total billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,1258.23,87.2,,,percent of total billed charges,87.2% of total billed charges,851.33,59,,681.06,percent of total billed charges,59% of total billed charges,1258.23,87.2,,1006.58,percent of total billed charges,87.2% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,1172.96,81.29,,938.37,percent of total billed charges,81.29% of total billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of totl billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of total billed charges,1298.64,90,,1038.91,percent of total billed charges,90% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,880.19,61,,704.15,percent of total billed charges,61% of total billed charges,750.32,52,,600.26,percent of total billed charges,52% of total billed charges,750.32,1298.64,
8cm x 16cm FLEX HD ACELLULAR,35030596,CDM,278,RC,Q4128,HCPCS,Outpatient,,,8915,7132,,7577.75,85,,6062.2,percent of total billed charges,85% of total billed charges,7577.75,85,,6062.2,percent of total billed charges,85% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,6622.06,74,,5297.65,percent of total billed charges,74.28% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,6622.06,74,,5297.65,percent of total billed charges,74.28% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,6622.06,74,,5297.65,percent of total billed charges,74.28% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of total billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,7773.88,87.2,,,percent of total billed charges,87.2% of total billed charges,5259.85,59,,4207.88,percent of total billed charges,59% of total billed charges,7773.88,87.2,,6219.1,percent of total billed charges,87.2% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,7247,81.29,,5797.6,percent of total billed charges,81.29% of total billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of totl billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of total billed charges,8023.5,90,,6418.8,percent of total billed charges,90% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,5438.15,61,,4350.52,percent of total billed charges,61% of total billed charges,4635.8,52,,3708.64,percent of total billed charges,52% of total billed charges,4635.8,8023.5,
EPIFIX MESH 3.5X3.5 PER CM,44500092,CDM,278,RC,Q4186,HCPCS,Outpatient,,,254.86,203.89,,216.63,85,,173.3,percent of total billed charges,85% of total billed charges,216.63,85,,173.3,percent of total billed charges,85% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,222.24,87.2,,,percent of total billed charges,87.2% of total billed charges,150.37,59,,120.3,percent of total billed charges,59% of total billed charges,222.24,87.2,,177.79,percent of total billed charges,87.2% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,207.18,81.29,,165.74,percent of total billed charges,81.29% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of totl billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,132.53,229.37,
EPIFIX MESH 3.5X3.5 W/MOD,44500093,CDM,278,RC,Q4186,HCPCS,Outpatient,,,254.86,203.89,,216.63,85,,173.3,percent of total billed charges,85% of total billed charges,216.63,85,,173.3,percent of total billed charges,85% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,189.31,74,,151.45,percent of total billed charges,74.28% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,222.24,87.2,,,percent of total billed charges,87.2% of total billed charges,150.37,59,,120.3,percent of total billed charges,59% of total billed charges,222.24,87.2,,177.79,percent of total billed charges,87.2% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,207.18,81.29,,165.74,percent of total billed charges,81.29% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of totl billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,229.37,90,,183.5,percent of total billed charges,90% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,155.46,61,,124.37,percent of total billed charges,61% of total billed charges,132.53,52,,106.02,percent of total billed charges,52% of total billed charges,132.53,229.37,
EPIFIX 14MM DISK PER CM,44500094,CDM,278,RC,Q4186,HCPCS,Outpatient,,,769.86,615.89,,654.38,85,,523.5,percent of total billed charges,85% of total billed charges,654.38,85,,523.5,percent of total billed charges,85% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,671.32,87.2,,,percent of total billed charges,87.2% of total billed charges,454.22,59,,363.38,percent of total billed charges,59% of total billed charges,671.32,87.2,,537.06,percent of total billed charges,87.2% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,625.82,81.29,,500.66,percent of total billed charges,81.29% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of totl billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,400.33,692.87,
EPIFIX 14MM DISK W/MOD,44500095,CDM,278,RC,Q4186,HCPCS,Outpatient,,,769.86,615.89,,654.38,85,,523.5,percent of total billed charges,85% of total billed charges,654.38,85,,523.5,percent of total billed charges,85% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,571.85,74,,457.48,percent of total billed charges,74.28% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,671.32,87.2,,,percent of total billed charges,87.2% of total billed charges,454.22,59,,363.38,percent of total billed charges,59% of total billed charges,671.32,87.2,,537.06,percent of total billed charges,87.2% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,625.82,81.29,,500.66,percent of total billed charges,81.29% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of totl billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,692.87,90,,554.3,percent of total billed charges,90% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,469.61,61,,375.69,percent of total billed charges,61% of total billed charges,400.33,52,,320.26,percent of total billed charges,52% of total billed charges,400.33,692.87,
EPIFIX 18MM DISK PER CM,44500096,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1829.88,1463.9,,1555.4,85,,1244.32,percent of total billed charges,85% of total billed charges,1555.4,85,,1244.32,percent of total billed charges,85% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1595.66,87.2,,,percent of total billed charges,87.2% of total billed charges,1079.63,59,,863.7,percent of total billed charges,59% of total billed charges,1595.66,87.2,,1276.53,percent of total billed charges,87.2% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1487.51,81.29,,1190.01,percent of total billed charges,81.29% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of totl billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,951.54,1646.89,
EPIFIX 18MM DISK W/MOD,44500097,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1829.88,1463.9,,1555.4,85,,1244.32,percent of total billed charges,85% of total billed charges,1555.4,85,,1244.32,percent of total billed charges,85% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1359.23,74,,1087.38,percent of total billed charges,74.28% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1595.66,87.2,,,percent of total billed charges,87.2% of total billed charges,1079.63,59,,863.7,percent of total billed charges,59% of total billed charges,1595.66,87.2,,1276.53,percent of total billed charges,87.2% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,1487.51,81.29,,1190.01,percent of total billed charges,81.29% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of totl billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1646.89,90,,1317.51,percent of total billed charges,90% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,1116.23,61,,892.98,percent of total billed charges,61% of total billed charges,951.54,52,,761.23,percent of total billed charges,52% of total billed charges,951.54,1646.89,
EPIFIX 2X2 CM SHEET PER CM,44500098,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1744.08,1395.26,,1482.47,85,,1185.98,percent of total billed charges,85% of total billed charges,1482.47,85,,1185.98,percent of total billed charges,85% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1520.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1029.01,59,,823.21,percent of total billed charges,59% of total billed charges,1520.84,87.2,,1216.67,percent of total billed charges,87.2% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1417.76,81.29,,1134.21,percent of total billed charges,81.29% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of totl billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,906.92,1569.67,
EPIFIX 2X2 CM SHEET W/MOD,44500099,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1744.08,1395.26,,1482.47,85,,1185.98,percent of total billed charges,85% of total billed charges,1482.47,85,,1185.98,percent of total billed charges,85% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1295.5,74,,1036.4,percent of total billed charges,74.28% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1520.84,87.2,,,percent of total billed charges,87.2% of total billed charges,1029.01,59,,823.21,percent of total billed charges,59% of total billed charges,1520.84,87.2,,1216.67,percent of total billed charges,87.2% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,1417.76,81.29,,1134.21,percent of total billed charges,81.29% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of totl billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1569.67,90,,1255.74,percent of total billed charges,90% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,1063.89,61,,851.11,percent of total billed charges,61% of total billed charges,906.92,52,,725.54,percent of total billed charges,52% of total billed charges,906.92,1569.67,
EPIFIX 2X3 CM SHEET PER CM,44500100,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1875.12,1500.1,,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1635.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1106.32,59,,885.06,percent of total billed charges,59% of total billed charges,1635.1,87.2,,1308.08,percent of total billed charges,87.2% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1524.29,81.29,,1219.43,percent of total billed charges,81.29% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of totl billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,1687.61,
EPIFIX 2X3 CM SHEET W/MOD,44500101,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1875.12,1500.1,,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1635.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1106.32,59,,885.06,percent of total billed charges,59% of total billed charges,1635.1,87.2,,1308.08,percent of total billed charges,87.2% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1524.29,81.29,,1219.43,percent of total billed charges,81.29% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of totl billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,1687.61,
EPIFIX 2X3 CM MESH PER CM,44500102,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1875.12,1500.1,,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1635.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1106.32,59,,885.06,percent of total billed charges,59% of total billed charges,1635.1,87.2,,1308.08,percent of total billed charges,87.2% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1524.29,81.29,,1219.43,percent of total billed charges,81.29% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of totl billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,1687.61,
EPIFIX 2X3 CM MESH W/MOD,44500103,CDM,278,RC,Q4186,HCPCS,Outpatient,,,1875.12,1500.1,,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,1593.85,85,,1275.08,percent of total billed charges,85% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1392.84,74,,1114.27,percent of total billed charges,74.28% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1635.1,87.2,,,percent of total billed charges,87.2% of total billed charges,1106.32,59,,885.06,percent of total billed charges,59% of total billed charges,1635.1,87.2,,1308.08,percent of total billed charges,87.2% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,1524.29,81.29,,1219.43,percent of total billed charges,81.29% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of totl billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1687.61,90,,1350.09,percent of total billed charges,90% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,1143.82,61,,915.06,percent of total billed charges,61% of total billed charges,975.06,52,,780.05,percent of total billed charges,52% of total billed charges,975.06,1687.61,
EPIFIX 2X4 CM SHEET PER CM,44500104,CDM,278,RC,Q4186,HCPCS,Outpatient,,,2212.08,1769.66,,1880.27,85,,1504.22,percent of total billed charges,85% of total billed charges,1880.27,85,,1504.22,percent of total billed charges,85% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1928.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1305.13,59,,1044.1,percent of total billed charges,59% of total billed charges,1928.93,87.2,,1543.14,percent of total billed charges,87.2% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1798.2,81.29,,1438.56,percent of total billed charges,81.29% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of totl billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1150.28,1990.87,
EPIFIX 2X4 CM SHEET W/MOD,44500105,CDM,278,RC,Q4186,HCPCS,Outpatient,,,2212.08,1769.66,,1880.27,85,,1504.22,percent of total billed charges,85% of total billed charges,1880.27,85,,1504.22,percent of total billed charges,85% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1643.13,74,,1314.5,percent of total billed charges,74.28% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1928.93,87.2,,,percent of total billed charges,87.2% of total billed charges,1305.13,59,,1044.1,percent of total billed charges,59% of total billed charges,1928.93,87.2,,1543.14,percent of total billed charges,87.2% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1798.2,81.29,,1438.56,percent of total billed charges,81.29% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of totl billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1990.87,90,,1592.7,percent of total billed charges,90% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1349.37,61,,1079.5,percent of total billed charges,61% of total billed charges,1150.28,52,,920.22,percent of total billed charges,52% of total billed charges,1150.28,1990.87,
EPIFIX 3X4 CM SHEET PER CM,44500106,CDM,278,RC,Q4186,HCPCS,Outpatient,,,3896.88,3117.5,,3312.35,85,,2649.88,percent of total billed charges,85% of total billed charges,3312.35,85,,2649.88,percent of total billed charges,85% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3398.08,87.2,,,percent of total billed charges,87.2% of total billed charges,2299.16,59,,1839.33,percent of total billed charges,59% of total billed charges,3398.08,87.2,,2718.46,percent of total billed charges,87.2% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3167.77,81.29,,2534.22,percent of total billed charges,81.29% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of totl billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2026.38,3507.19,
EPIFIX 3X4 CM SHEET W/MOD,44500107,CDM,278,RC,Q4186,HCPCS,Outpatient,,,3896.88,3117.5,,3312.35,85,,2649.88,percent of total billed charges,85% of total billed charges,3312.35,85,,2649.88,percent of total billed charges,85% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2894.6,74,,2315.68,percent of total billed charges,74.28% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3398.08,87.2,,,percent of total billed charges,87.2% of total billed charges,2299.16,59,,1839.33,percent of total billed charges,59% of total billed charges,3398.08,87.2,,2718.46,percent of total billed charges,87.2% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,3167.77,81.29,,2534.22,percent of total billed charges,81.29% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of totl billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,3507.19,90,,2805.75,percent of total billed charges,90% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2377.1,61,,1901.68,percent of total billed charges,61% of total billed charges,2026.38,52,,1621.1,percent of total billed charges,52% of total billed charges,2026.38,3507.19,
EPIFIX 4X4 CM SHEET PER CM,44500108,CDM,278,RC,Q4186,HCPCS,Outpatient,,,4998.24,3998.59,,4248.5,85,,3398.8,percent of total billed charges,85% of total billed charges,4248.5,85,,3398.8,percent of total billed charges,85% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4358.47,87.2,,,percent of total billed charges,87.2% of total billed charges,2948.96,59,,2359.17,percent of total billed charges,59% of total billed charges,4358.47,87.2,,3486.78,percent of total billed charges,87.2% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4063.07,81.29,,3250.46,percent of total billed charges,81.29% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of totl billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,2599.08,4498.42,
EPIFIX 4X4 CM SHEET W/MOD,44500109,CDM,278,RC,Q4186,HCPCS,Outpatient,,,4998.24,3998.59,,4248.5,85,,3398.8,percent of total billed charges,85% of total billed charges,4248.5,85,,3398.8,percent of total billed charges,85% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3712.69,74,,2970.15,percent of total billed charges,74.28% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4358.47,87.2,,,percent of total billed charges,87.2% of total billed charges,2948.96,59,,2359.17,percent of total billed charges,59% of total billed charges,4358.47,87.2,,3486.78,percent of total billed charges,87.2% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,4063.07,81.29,,3250.46,percent of total billed charges,81.29% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of totl billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,4498.42,90,,3598.74,percent of total billed charges,90% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,3048.93,61,,2439.14,percent of total billed charges,61% of total billed charges,2599.08,52,,2079.26,percent of total billed charges,52% of total billed charges,2599.08,4498.42,
EPIFIX 7X7 CM SHEET,44500110,CDM,278,RC,Q4186,HCPCS,Outpatient,,,22960.08,18368.06,,19516.07,85,,15612.86,percent of total billed charges,85% of total billed charges,19516.07,85,,15612.86,percent of total billed charges,85% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,20021.19,87.2,,,percent of total billed charges,87.2% of total billed charges,13546.45,59,,10837.16,percent of total billed charges,59% of total billed charges,20021.19,87.2,,16016.95,percent of total billed charges,87.2% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,18664.25,81.29,,14931.4,percent of total billed charges,81.29% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of totl billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,11939.24,20664.07,
EPIFIX 7X7 CM SHEET W/MOD,44500111,CDM,278,RC,Q4186,HCPCS,Outpatient,,,22960.08,18368.06,,19516.07,85,,15612.86,percent of total billed charges,85% of total billed charges,19516.07,85,,15612.86,percent of total billed charges,85% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,17054.75,74,,13643.8,percent of total billed charges,74.28% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,20021.19,87.2,,,percent of total billed charges,87.2% of total billed charges,13546.45,59,,10837.16,percent of total billed charges,59% of total billed charges,20021.19,87.2,,16016.95,percent of total billed charges,87.2% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,18664.25,81.29,,14931.4,percent of total billed charges,81.29% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of totl billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,20664.07,90,,16531.26,percent of total billed charges,90% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,14005.65,61,,11204.52,percent of total billed charges,61% of total billed charges,11939.24,52,,9551.39,percent of total billed charges,52% of total billed charges,11939.24,20664.07,
EPIFIX 4X4.5 CM SHEET PER CM,44500120,CDM,278,RC,Q4186,HCPCS,Outpatient,,,2283.84,1827.07,,1941.26,85,,1553.01,percent of total billed charges,85% of total billed charges,1941.26,85,,1553.01,percent of total billed charges,85% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1991.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1347.47,59,,1077.98,percent of total billed charges,59% of total billed charges,1991.51,87.2,,1593.21,percent of total billed charges,87.2% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1856.53,81.29,,1485.22,percent of total billed charges,81.29% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of totl billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1187.6,2055.46,
EPIFIX 4X4.5 CM SHEET W/MOD,44500121,CDM,278,RC,Q4186,HCPCS,Outpatient,,,2283.84,1827.07,,1941.26,85,,1553.01,percent of total billed charges,85% of total billed charges,1941.26,85,,1553.01,percent of total billed charges,85% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1696.44,74,,1357.15,percent of total billed charges,74.28% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1991.51,87.2,,,percent of total billed charges,87.2% of total billed charges,1347.47,59,,1077.98,percent of total billed charges,59% of total billed charges,1991.51,87.2,,1593.21,percent of total billed charges,87.2% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1856.53,81.29,,1485.22,percent of total billed charges,81.29% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of totl billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,2055.46,90,,1644.37,percent of total billed charges,90% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1393.14,61,,1114.51,percent of total billed charges,61% of total billed charges,1187.6,52,,950.08,percent of total billed charges,52% of total billed charges,1187.6,2055.46,
EPIRIX 5X6 CM SHEET PER CM,44500122,CDM,278,RC,Q4186,HCPCS,Outpatient,,,9372.48,7497.98,,7966.61,85,,6373.29,percent of total billed charges,85% of total billed charges,7966.61,85,,6373.29,percent of total billed charges,85% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,8172.8,87.2,,,percent of total billed charges,87.2% of total billed charges,5529.76,59,,4423.81,percent of total billed charges,59% of total billed charges,8172.8,87.2,,6538.24,percent of total billed charges,87.2% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,7618.89,81.29,,6095.11,percent of total billed charges,81.29% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of totl billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,4873.69,8435.23,
EPIFIX 5X6 CM SHEET W/MOD,44500123,CDM,278,RC,Q4186,HCPCS,Outpatient,,,9372.48,7497.98,,7966.61,85,,6373.29,percent of total billed charges,85% of total billed charges,7966.61,85,,6373.29,percent of total billed charges,85% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,6961.88,74,,5569.5,percent of total billed charges,74.28% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,8172.8,87.2,,,percent of total billed charges,87.2% of total billed charges,5529.76,59,,4423.81,percent of total billed charges,59% of total billed charges,8172.8,87.2,,6538.24,percent of total billed charges,87.2% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,7618.89,81.29,,6095.11,percent of total billed charges,81.29% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of totl billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,8435.23,90,,6748.18,percent of total billed charges,90% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,5717.21,61,,4573.77,percent of total billed charges,61% of total billed charges,4873.69,52,,3898.95,percent of total billed charges,52% of total billed charges,4873.69,8435.23,
EPICORD 1CM X 2CM PER CM,44500112,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2211.3,1769.04,,1879.61,85,,1503.69,percent of total billed charges,85% of total billed charges,1879.61,85,,1503.69,percent of total billed charges,85% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1928.25,87.2,,,percent of total billed charges,87.2% of total billed charges,1304.67,59,,1043.74,percent of total billed charges,59% of total billed charges,1928.25,87.2,,1542.6,percent of total billed charges,87.2% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1797.57,81.29,,1438.06,percent of total billed charges,81.29% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of totl billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1149.88,1990.17,
EPICORD 1CM X 2CM W/MOD,44500113,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2211.3,1769.04,,1879.61,85,,1503.69,percent of total billed charges,85% of total billed charges,1879.61,85,,1503.69,percent of total billed charges,85% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1642.55,74,,1314.04,percent of total billed charges,74.28% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1928.25,87.2,,,percent of total billed charges,87.2% of total billed charges,1304.67,59,,1043.74,percent of total billed charges,59% of total billed charges,1928.25,87.2,,1542.6,percent of total billed charges,87.2% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1797.57,81.29,,1438.06,percent of total billed charges,81.29% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of totl billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1990.17,90,,1592.14,percent of total billed charges,90% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1348.89,61,,1079.11,percent of total billed charges,61% of total billed charges,1149.88,52,,919.9,percent of total billed charges,52% of total billed charges,1149.88,1990.17,
EPICORD 2CM X 3CM PER CM,44500114,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2121.6,1697.28,,1803.36,85,,1442.69,percent of total billed charges,85% of total billed charges,1803.36,85,,1442.69,percent of total billed charges,85% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1850.04,87.2,,,percent of total billed charges,87.2% of total billed charges,1251.74,59,,1001.39,percent of total billed charges,59% of total billed charges,1850.04,87.2,,1480.03,percent of total billed charges,87.2% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1724.65,81.29,,1379.72,percent of total billed charges,81.29% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of totl billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1103.23,1909.44,
EPICORD 2CM X 3CM W/MOD,44500115,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2121.6,1697.28,,1803.36,85,,1442.69,percent of total billed charges,85% of total billed charges,1803.36,85,,1442.69,percent of total billed charges,85% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1575.92,74,,1260.74,percent of total billed charges,74.28% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1850.04,87.2,,,percent of total billed charges,87.2% of total billed charges,1251.74,59,,1001.39,percent of total billed charges,59% of total billed charges,1850.04,87.2,,1480.03,percent of total billed charges,87.2% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1724.65,81.29,,1379.72,percent of total billed charges,81.29% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of totl billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1909.44,90,,1527.55,percent of total billed charges,90% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1294.18,61,,1035.34,percent of total billed charges,61% of total billed charges,1103.23,52,,882.58,percent of total billed charges,52% of total billed charges,1103.23,1909.44,
EPICORD 3CM X 5CM PER CM,44500116,CDM,278,RC,Q4187,HCPCS,Outpatient,,,5257.2,4205.76,,4468.62,85,,3574.9,percent of total billed charges,85% of total billed charges,4468.62,85,,3574.9,percent of total billed charges,85% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4584.28,87.2,,,percent of total billed charges,87.2% of total billed charges,3101.75,59,,2481.4,percent of total billed charges,59% of total billed charges,4584.28,87.2,,3667.42,percent of total billed charges,87.2% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4273.58,81.29,,3418.86,percent of total billed charges,81.29% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of totl billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,2733.74,4731.48,
EPICORD 3CM X 5CM W/MOD,44500117,CDM,278,RC,Q4187,HCPCS,Outpatient,,,5257.2,4205.76,,4468.62,85,,3574.9,percent of total billed charges,85% of total billed charges,4468.62,85,,3574.9,percent of total billed charges,85% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3905.05,74,,3124.04,percent of total billed charges,74.28% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4584.28,87.2,,,percent of total billed charges,87.2% of total billed charges,3101.75,59,,2481.4,percent of total billed charges,59% of total billed charges,4584.28,87.2,,3667.42,percent of total billed charges,87.2% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,4273.58,81.29,,3418.86,percent of total billed charges,81.29% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of totl billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,4731.48,90,,3785.18,percent of total billed charges,90% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,3206.89,61,,2565.51,percent of total billed charges,61% of total billed charges,2733.74,52,,2186.99,percent of total billed charges,52% of total billed charges,2733.74,4731.48,
EPICORD 2CM X 3CM EXP PER CM,44500118,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2230.8,1784.64,,1896.18,85,,1516.94,percent of total billed charges,85% of total billed charges,1896.18,85,,1516.94,percent of total billed charges,85% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1945.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1316.17,59,,1052.94,percent of total billed charges,59% of total billed charges,1945.26,87.2,,1556.21,percent of total billed charges,87.2% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1813.42,81.29,,1450.74,percent of total billed charges,81.29% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of totl billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1160.02,2007.72,
EPICORD 2CM X 3CM EXP W/MOD,44500119,CDM,278,RC,Q4187,HCPCS,Outpatient,,,2230.8,1784.64,,1896.18,85,,1516.94,percent of total billed charges,85% of total billed charges,1896.18,85,,1516.94,percent of total billed charges,85% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1657.04,74,,1325.63,percent of total billed charges,74.28% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1945.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1316.17,59,,1052.94,percent of total billed charges,59% of total billed charges,1945.26,87.2,,1556.21,percent of total billed charges,87.2% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1813.42,81.29,,1450.74,percent of total billed charges,81.29% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of totl billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,2007.72,90,,1606.18,percent of total billed charges,90% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1360.79,61,,1088.63,percent of total billed charges,61% of total billed charges,1160.02,52,,928.02,percent of total billed charges,52% of total billed charges,1160.02,2007.72,
CYSTOGRAFIN 100ml,35030608,CDM,255,RC,Q9958,HCPCS,Outpatient,,,41.31,33.05,,35.11,85,,28.09,percent of total billed charges,85% of total billed charges,35.11,85,,28.09,percent of total billed charges,85% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,30.69,74,,24.55,percent of total billed charges,74.28% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,30.69,74,,24.55,percent of total billed charges,74.28% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,30.69,74,,24.55,percent of total billed charges,74.28% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,37.18,90,,29.74,percent of total billed charges,90% of total billed charges,37.18,90,,29.74,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,36.02,87.2,,,percent of total billed charges,87.2% of total billed charges,24.37,59,,19.5,percent of total billed charges,59% of total billed charges,36.02,87.2,,28.82,percent of total billed charges,87.2% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,33.58,81.29,,26.86,percent of total billed charges,81.29% of total billed charges,37.18,90,,29.74,percent of total billed charges,90% of totl billed charges,37.18,90,,29.74,percent of total billed charges,90% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,37.18,90,,29.74,percent of total billed charges,90% of total billed charges,37.18,90,,29.74,percent of total billed charges,90% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,25.2,61,,20.16,percent of total billed charges,61% of total billed charges,21.48,52,,17.18,percent of total billed charges,52% of total billed charges,21.48,37.18,
CYSTOGRAFIN CONTRAST,35030579,CDM,255,RC,Q9962,HCPCS,Outpatient,,,68,54.4,,57.8,85,,46.24,percent of total billed charges,85% of total billed charges,57.8,85,,46.24,percent of total billed charges,85% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,50.51,74,,40.41,percent of total billed charges,74.28% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,50.51,74,,40.41,percent of total billed charges,74.28% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,50.51,74,,40.41,percent of total billed charges,74.28% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,61.2,90,,48.96,percent of total billed charges,90% of total billed charges,61.2,90,,48.96,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,59.3,87.2,,,percent of total billed charges,87.2% of total billed charges,40.12,59,,32.1,percent of total billed charges,59% of total billed charges,59.3,87.2,,47.44,percent of total billed charges,87.2% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,55.28,81.29,,44.22,percent of total billed charges,81.29% of total billed charges,61.2,90,,48.96,percent of total billed charges,90% of totl billed charges,61.2,90,,48.96,percent of total billed charges,90% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,61.2,90,,48.96,percent of total billed charges,90% of total billed charges,61.2,90,,48.96,percent of total billed charges,90% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,41.48,61,,33.18,percent of total billed charges,61% of total billed charges,35.36,52,,28.29,percent of total billed charges,52% of total billed charges,35.36,61.2,
CONTRAST ISOVUE 300-399m,35030172,CDM,636,RC,Q9967,HCPCS,Outpatient,,,53.49,42.79,,45.47,85,,36.38,percent of total billed charges,85% of total billed charges,45.47,85,,36.38,percent of total billed charges,85% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,39.73,74,,31.78,percent of total billed charges,74.28% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,39.73,74,,31.78,percent of total billed charges,74.28% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,39.73,74,,31.78,percent of total billed charges,74.28% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,48.14,90,,38.51,percent of total billed charges,90% of total billed charges,48.14,90,,38.51,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,46.64,87.2,,,percent of total billed charges,87.2% of total billed charges,31.56,59,,25.25,percent of total billed charges,59% of total billed charges,46.64,87.2,,37.31,percent of total billed charges,87.2% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,43.48,81.29,,34.78,percent of total billed charges,81.29% of total billed charges,48.14,90,,38.51,percent of total billed charges,90% of totl billed charges,48.14,90,,38.51,percent of total billed charges,90% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,48.14,90,,38.51,percent of total billed charges,90% of total billed charges,48.14,90,,38.51,percent of total billed charges,90% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,32.63,61,,26.1,percent of total billed charges,61% of total billed charges,27.81,52,,22.25,percent of total billed charges,52% of total billed charges,27.81,48.14,
CONTRAST ISOVUE 300m 141215,42000580,CDM,636,RC,Q9967,HCPCS,Outpatient,,,212.53,170.02,,180.65,85,,144.52,percent of total billed charges,85% of total billed charges,180.65,85,,144.52,percent of total billed charges,85% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,157.87,74,,126.3,percent of total billed charges,74.28% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,157.87,74,,126.3,percent of total billed charges,74.28% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,157.87,74,,126.3,percent of total billed charges,74.28% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,191.28,90,,153.02,percent of total billed charges,90% of total billed charges,191.28,90,,153.02,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,185.33,87.2,,,percent of total billed charges,87.2% of total billed charges,125.39,59,,100.31,percent of total billed charges,59% of total billed charges,185.33,87.2,,148.26,percent of total billed charges,87.2% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,172.77,81.29,,138.22,percent of total billed charges,81.29% of total billed charges,191.28,90,,153.02,percent of total billed charges,90% of totl billed charges,191.28,90,,153.02,percent of total billed charges,90% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,191.28,90,,153.02,percent of total billed charges,90% of total billed charges,191.28,90,,153.02,percent of total billed charges,90% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,129.64,61,,103.71,percent of total billed charges,61% of total billed charges,110.52,52,,88.42,percent of total billed charges,52% of total billed charges,110.52,191.28,
SUBLOCADE 100MG/0.5ML,43601644,CDM,636,RC,Q9991,HCPCS,Outpatient,1,ML,2297.32,1837.86,,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2003.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1355.42,59,,1084.34,percent of total billed charges,59% of total billed charges,2003.26,87.2,,1602.61,percent of total billed charges,87.2% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1867.49,81.29,,1493.99,percent of total billed charges,81.29% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of totl billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,2067.59,
SUBLOCADE 100MG/0.5ML,43701644,CDM,636,RC,Q9991,HCPCS,Outpatient,1,ML,2297.32,1837.86,,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2003.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1355.42,59,,1084.34,percent of total billed charges,59% of total billed charges,2003.26,87.2,,1602.61,percent of total billed charges,87.2% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1867.49,81.29,,1493.99,percent of total billed charges,81.29% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of totl billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,2067.59,
SUBLOCADE 300MG/1.5ML,43601642,CDM,636,RC,Q9992,HCPCS,Outpatient,1,ML,2297.32,1837.86,,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2003.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1355.42,59,,1084.34,percent of total billed charges,59% of total billed charges,2003.26,87.2,,1602.61,percent of total billed charges,87.2% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1867.49,81.29,,1493.99,percent of total billed charges,81.29% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of totl billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,2067.59,
SUBLOCADE 300MG/1.5ML,43701642,CDM,636,RC,Q9992,HCPCS,Outpatient,1,ML,2297.32,1837.86,,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1952.72,85,,1562.18,percent of total billed charges,85% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1706.45,74,,1365.16,percent of total billed charges,74.28% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,,,,,other ,not seperately reimbursable,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,2003.26,87.2,,,percent of total billed charges,87.2% of total billed charges,1355.42,59,,1084.34,percent of total billed charges,59% of total billed charges,2003.26,87.2,,1602.61,percent of total billed charges,87.2% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1867.49,81.29,,1493.99,percent of total billed charges,81.29% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of totl billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,2067.59,90,,1654.07,percent of total billed charges,90% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1401.37,61,,1121.1,percent of total billed charges,61% of total billed charges,1194.61,52,,955.69,percent of total billed charges,52% of total billed charges,1194.61,2067.59,
"SIGNIFICANT, SEPARATELY INDENTIFIABLE E/M SERVICE BY THE SAME PHYSICIAN ON THE SAME DATE",,,,,,,,,,,,25,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
PROFESSIONAL COMPONENT,,,,,,,,,,,,26,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
MULTIPLE OUTPATIENT HOSPITAL E/M ENCOUNTERS ON THE SAME DATE,,,,,,,,,,,,27,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
BILATERAL PROCEDURE,,,,,,,,,,,,50,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
REDUCED SERVICES,,,,,,,,,,,,52,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
DISCONTINUED PROCEDURE,,,,,,,,,,,,53,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
DISTINCT PROCEDURAL SERVICE,,,,,,,,,,,,59,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
DISCONTINUED OUTPATIENT PROCEDURE PRIOR TO ANESTHESIA ADMINISTRATION,,,,,,,,,,,,73,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
DISCONTINUED OUTPATIENT PROCEDURE AFTER ANESTHESIA ADMINISTRATION,,,,,,,,,,,,74,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure
REPEAT PROCEDURE OR SERVICE BY SAME PHYSICIAN,,,,,,,,,,,,76,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Modifier can affect the rate of a procedure